From 384b3c5d31cdac59e6dbe3c252a12de7a2377ddd Mon Sep 17 00:00:00 2001 From: Alex Galarce Date: Tue, 13 May 2025 16:58:27 +0000 Subject: [PATCH] Merged in feature/apply-postprocessing-to-test-bed (pull request #526) Refactor CPT postprocessing, create notebook to postprocess test bed for MCS team * Move comment * Implement testbed postprocessing functions * Refactor normalize CPT postprocessing * remove old notebook, add new postprocess notebook * Enhance normalize_cpt_fields to handle comma-separated values in lists * Update normalize_cpt_fields to return an empty string for None values * Add testbed postprocessing script, removed notebook Approved-by: Katon Minhas --- .../investment_postprocessing_funcs.py | 28 +- fieldExtraction/src/investment/postprocess.py | 2 +- .../src/testbed/testbed_postprocess.py | 25 + .../testbed/testbed_prov_info_to_json.ipynb | 9357 ----------------- fieldExtraction/src/testbed/testbed_utils.py | 265 +- .../tests/investment_postprocess_test.py | 13 +- 6 files changed, 223 insertions(+), 9467 deletions(-) create mode 100644 fieldExtraction/src/testbed/testbed_postprocess.py delete mode 100644 fieldExtraction/src/testbed/testbed_prov_info_to_json.ipynb diff --git a/fieldExtraction/src/investment/investment_postprocessing_funcs.py b/fieldExtraction/src/investment/investment_postprocessing_funcs.py index 671c6a2..5ed2d71 100644 --- a/fieldExtraction/src/investment/investment_postprocessing_funcs.py +++ b/fieldExtraction/src/investment/investment_postprocessing_funcs.py @@ -195,18 +195,34 @@ def normalize_cpt_fields(value): Returns: list: A normalized list of string codes. """ - if value is None or (isinstance(value, float) and pd.isna(value)): # Handle NaN values - result = [] - elif isinstance(value, (list, tuple)): # If already a list or tuple + if not value or (isinstance(value, float) and pd.isna(value)): # Handle NaN values + return "" # Empty string + + # First normalize to a list + if isinstance(value, (list, tuple)): # If already a list or tuple result = [str(v).strip() for v in value] elif isinstance(value, str): # If it's a string value = value.strip() if value.startswith("[") and value.endswith("]"): # String representation of a list try: - result = [str(v).strip() for v in ast.literal_eval(value)] + # Parse it first + parsed_list = ast.literal_eval(value) + result = [] + # Process each item in the parsed list + for item in parsed_list: + item_str = str(item).strip() + # If the item contains commas, split it into multiple items + if "," in item_str: + result.extend([str(v).strip() for v in item_str.split(",")]) + else: + result.append(item_str) except (ValueError, SyntaxError): result = [value] # If parsing fails, treat it as a single value - elif "-" in value: # If it's a range + elif "," in value: # If it's a comma-separated string + # Split by comma and create a list + result = [str(v).strip() for v in value.split(",")] + elif "-" in value: + # Range format result = [value] else: # Single value result = [value] @@ -215,7 +231,7 @@ def normalize_cpt_fields(value): else: result = [str(value).strip()] # Default case for other types - return result # Return the list directly + return str(result) # Return the list directly def update_reimb_prov_name(df): diff --git a/fieldExtraction/src/investment/postprocess.py b/fieldExtraction/src/investment/postprocess.py index aa1bff4..422154a 100644 --- a/fieldExtraction/src/investment/postprocess.py +++ b/fieldExtraction/src/investment/postprocess.py @@ -13,8 +13,8 @@ def postprocess(df): df = investment_postprocessing_funcs.date_postprocess(df, config.FIELD_JSON_PATH) + # Format rate fields if "REIMB_FEE_RATE" in df.columns: - # Format rate fields df['REIMB_FEE_RATE'] = df['REIMB_FEE_RATE'].apply(investment_postprocessing_funcs.format_rate_fields_with_commas) if "REIMB_PCT_RATE" in df.columns: df['REIMB_PCT_RATE'] = df['REIMB_PCT_RATE'].apply(investment_postprocessing_funcs.format_rate_fields_with_commas) diff --git a/fieldExtraction/src/testbed/testbed_postprocess.py b/fieldExtraction/src/testbed/testbed_postprocess.py new file mode 100644 index 0000000..9eea1f4 --- /dev/null +++ b/fieldExtraction/src/testbed/testbed_postprocess.py @@ -0,0 +1,25 @@ +# This script postprocesses the testbed data from an Excel file. It uses a custom +# function `testbed_postprocess` from the `testbed_utils` module (similar to +# postprocess.postprocess() but skipping some steps) + +# Run this from the fieldExtraction directory: +# poetry run python -m src.testbed.testbed_postprocess + +#### CONFIG #### +testbed_filename = "src/testbed/v6_DoczyAI_all_test_bed_LIVE_5.6.25.xlsx" +testbed_sheetname = 'all_test_bed_labels' +output_filename = "src/testbed/v6_DoczyAI_all_test_bed_LIVE_5.6.25_POSTPROCESSED.xlsx" + +#### IMPORTS #### +import pandas as pd +from src.testbed.testbed_utils import testbed_postprocess + +#### EXECUTION #### +# Load the testbed +df = pd.read_excel(testbed_filename, sheet_name=testbed_sheetname) +print(f"Loaded testbed from {testbed_filename} with {df.shape[0]} rows and {df.shape[1]} columns") + +# Postprocess the testbed +testbed_postprocess(df).to_excel(output_filename, index=False) + +print(f"Postprocessed testbed saved to {output_filename}") \ No newline at end of file diff --git a/fieldExtraction/src/testbed/testbed_prov_info_to_json.ipynb b/fieldExtraction/src/testbed/testbed_prov_info_to_json.ipynb deleted file mode 100644 index 8179eca..0000000 --- a/fieldExtraction/src/testbed/testbed_prov_info_to_json.ipynb +++ /dev/null @@ -1,9357 +0,0 @@ -{ - "cells": [ - { - "cell_type": "code", - "execution_count": 1, - "id": "cf01b760", - "metadata": {}, - "outputs": [ - { - "name": "stdout", - "output_type": "stream", - "text": [ - "AWS credentials not found\n" - ] - }, - { - "name": "stderr", - "output_type": "stream", - "text": [ - "/home/arg/20250505_testbed_providers_to_json/fieldExtraction/.venv/lib/python3.12/site-packages/openpyxl/worksheet/_reader.py:329: UserWarning: Data Validation extension is not supported and will be removed\n", - " warn(msg)\n" - ] - } - ], - "source": [ - "import os\n", - "os.chdir(\"../..\") # Change to the fieldExtraction directory\n", - "\n", - "import pandas as pd\n", - "from src.testbed.testbed_utils import group_providers_into_json_array\n", - "\n", - "testbed_filename = \"src/testbed/v5_DoczyAI_all_test_bed_LIVE_4.29.25.xlsx\"\n", - "\n", - "df = pd.read_excel(testbed_filename)\n", - "\n", - "df_out = group_providers_into_json_array(df)" - ] - }, - { - "cell_type": "code", - "execution_count": 2, - "id": "1f6ab14d", - "metadata": {}, - "outputs": [ - { - "data": { - "application/vnd.microsoft.datawrangler.viewer.v0+json": { - "columns": [ - { - "name": "index", - "rawType": "int64", - "type": "integer" - }, - { - "name": "PROV_GROUP_TIN", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_GROUP_NPI", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_GROUP_NAME_FULL", - "rawType": "object", - "type": "string" - }, - { - "name": "PROV_OTHER_TIN", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_OTHER_NPI", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_OTHER_NAME_FULL", - "rawType": "object", - "type": "unknown" - } - ], - "conversionMethod": "pd.DataFrame", - "ref": "e90d7404-ca3c-47e9-bca8-dcda7303c6c7", - "rows": [ - [ - "0", - "00125434", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "1", - "00125435", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "2", - "00125436", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "3", - "00125437", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "4", - "00125438", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "5", - "00125439", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "6", - "00125440", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "7", - "00125441", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "8", - "00125442", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "9", - "00125443", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "10", - "00125444", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "11", - "00125445", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null - ], - [ - "12", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "13", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "14", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "15", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "16", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "17", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "18", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "19", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "20", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "21", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "22", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "23", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "24", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "25", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "26", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "27", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "28", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "29", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "30", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "31", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "32", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "33", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "34", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "35", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "36", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "37", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "38", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "39", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "40", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "41", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "42", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "43", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "44", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "45", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "46", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "47", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "48", - null, - null, - "Eyemasters", - null, - null, - null - ], - [ - "49", - null, - null, - "Eyemasters", - null, - null, - null - ] - ], - "shape": { - "columns": 6, - "rows": 3178 - } - }, - "text/html": [ - "
\n", - "\n", - "\n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - "
PROV_GROUP_TINPROV_GROUP_NPIPROV_GROUP_NAME_FULLPROV_OTHER_TINPROV_OTHER_NPIPROV_OTHER_NAME_FULL
000125434640908605Central MS Diagnostic, LLCNaNNaNNaN
100125435640908605Central MS Diagnostic, LLCNaNNaNNaN
200125436640908605Central MS Diagnostic, LLCNaNNaNNaN
300125437640908605Central MS Diagnostic, LLCNaNNaNNaN
400125438640908605Central MS Diagnostic, LLCNaNNaNNaN
.....................
31739303955831346237971PeaceHealth261871008| 930975147| 910564987| 931173927| 93...1083888515| 1578552402| 1225019011| 1215918719...NaN
31749303955831346237971PeaceHealth261871008| 930975147| 910564987| 931173927| 93...1083888515| 1578552402| 1225019011| 1215918719...NaN
31755960120651285662239North Broward Hospital District DBA Broward He...NaN1578761995| 1174551147| 1265460232| 1568490506...NaN
3176746000756NaNEl Paso County Hospital District, DBA, Univers...NaNNaNNaN
3177746000756NaNEl Paso County Hospital District, DBA, Univers...NaNNaNNaN
\n", - "

3178 rows × 6 columns

\n", - "
" - ], - "text/plain": [ - " PROV_GROUP_TIN PROV_GROUP_NPI \\\n", - "0 00125434 640908605 \n", - "1 00125435 640908605 \n", - "2 00125436 640908605 \n", - "3 00125437 640908605 \n", - "4 00125438 640908605 \n", - "... ... ... \n", - "3173 930395583 1346237971 \n", - "3174 930395583 1346237971 \n", - "3175 596012065 1285662239 \n", - "3176 746000756 NaN \n", - "3177 746000756 NaN \n", - "\n", - " PROV_GROUP_NAME_FULL \\\n", - "0 Central MS Diagnostic, LLC \n", - "1 Central MS Diagnostic, LLC \n", - "2 Central MS Diagnostic, LLC \n", - "3 Central MS Diagnostic, LLC \n", - "4 Central MS Diagnostic, LLC \n", - "... ... \n", - "3173 PeaceHealth \n", - "3174 PeaceHealth \n", - "3175 North Broward Hospital District DBA Broward He... \n", - "3176 El Paso County Hospital District, DBA, Univers... \n", - "3177 El Paso County Hospital District, DBA, Univers... \n", - "\n", - " PROV_OTHER_TIN \\\n", - "0 NaN \n", - "1 NaN \n", - "2 NaN \n", - "3 NaN \n", - "4 NaN \n", - "... ... \n", - "3173 261871008| 930975147| 910564987| 931173927| 93... \n", - "3174 261871008| 930975147| 910564987| 931173927| 93... \n", - "3175 NaN \n", - "3176 NaN \n", - "3177 NaN \n", - "\n", - " PROV_OTHER_NPI PROV_OTHER_NAME_FULL \n", - "0 NaN NaN \n", - "1 NaN NaN \n", - "2 NaN NaN \n", - "3 NaN NaN \n", - "4 NaN NaN \n", - "... ... ... \n", - "3173 1083888515| 1578552402| 1225019011| 1215918719... NaN \n", - "3174 1083888515| 1578552402| 1225019011| 1215918719... NaN \n", - "3175 1578761995| 1174551147| 1265460232| 1568490506... NaN \n", - "3176 NaN NaN \n", - "3177 NaN NaN \n", - "\n", - "[3178 rows x 6 columns]" - ] - }, - "execution_count": 2, - "metadata": {}, - "output_type": "execute_result" - } - ], - "source": [ - "df[[\"PROV_GROUP_TIN\", \"PROV_GROUP_NPI\", \"PROV_GROUP_NAME_FULL\", \"PROV_OTHER_TIN\", \"PROV_OTHER_NPI\", \"PROV_OTHER_NAME_FULL\"]]" - ] - }, - { - "cell_type": "code", - "execution_count": null, - "id": "b5b512eb", - "metadata": {}, - "outputs": [ - { - "data": { - "application/vnd.microsoft.datawrangler.viewer.v0+json": { - "columns": [ - { - "name": "index", - "rawType": "int64", - "type": "integer" - }, - { - "name": "FILE_NAME", - "rawType": "object", - "type": "string" - }, - { - "name": "CONTRACT_TITLE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "CONTRACT_AMENDMENT_NUM", - "rawType": "float64", - "type": "float" - }, - { - "name": "CLIENT_NAME", - "rawType": "object", - "type": "string" - }, - { - "name": "PAYER_NAME", - "rawType": "object", - "type": "string" - }, - { - "name": "PROV_GROUP_TIN", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_GROUP_NPI", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_GROUP_NAME_FULL", - "rawType": "object", - "type": "string" - }, - { - "name": "PROV_OTHER_TIN", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_OTHER_NPI", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REIMB_PROV_TIN", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REIMB_PROV_NPI", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_OTHER_NAME_FULL", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROV_INFO_JSON", - "rawType": "object", - "type": "unknown" - }, - { - "name": "EFFECTIVE_DT", - "rawType": "datetime64[ns]", - "type": "datetime" - }, - { - "name": "TERMINATION_DT", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AUTO_RENEWAL_IND", - "rawType": "object", - "type": "string" - }, - { - "name": "AUTO_RENEWAL_TERM", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REIMB_PROV_NAME", - "rawType": "object", - "type": "unknown" - }, - { - "name": "CLAIM_TYPE_CD", - "rawType": "object", - "type": "string" - }, - { - "name": "AARETE_DERIVED_CLAIM_TYPE_CD", - "rawType": "object", - "type": "string" - }, - { - "name": "EXHIBIT_TITLE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "EXHIBIT_PAGE", - "rawType": "float64", - "type": "float" - }, - { - "name": "PRODUCT", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_PRODUCT", - "rawType": "object", - "type": "unknown" - }, - { - "name": "LOB", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_LOB", - "rawType": "object", - "type": "unknown" - }, - { - "name": "PROGRAM", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_PROGRAM", - "rawType": "object", - "type": "unknown" - }, - { - "name": "NETWORK", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_NETWORK", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_PROV_TYPE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "SERVICE_TERM", - "rawType": "object", - "type": "string" - }, - { - "name": "REIMB_TERM", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_REIMB_METHOD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REIMB_FEE_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "REIMB_PCT_RATE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "FEE_SCHEDULE_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_FEE_SCHEDULE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE_DERIVED_FEE_SCHEDULE_VERSION", - "rawType": "object", - "type": "unknown" - }, - { - "name": "LESSER_OF_IND", - "rawType": "object", - "type": "string" - }, - { - "name": "GREATER_OF_IND", - "rawType": "object", - "type": "string" - }, - { - "name": "CARVEOUT_IND", - "rawType": "object", - "type": "string" - }, - { - "name": "CARVEOUT_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "NOT_TO_EXCEED_IND", - "rawType": "object", - "type": "string" - }, - { - "name": "CPT4_PROC_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "CPT4_PROC_CD_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "CPT4_PROC_MOD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "CPT4_PROC_MOD_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REVENUE_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "DIAG_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "CLAIM_ADMIT_TYPE_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AUTH_ADMIT_TYPE_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "REIMB_ID", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_ID", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_TERMS", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_FIXED_LOSS_THRESHOLD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_PCT_RATE_ON_EXCESS_CHARGES", - "rawType": "float64", - "type": "float" - }, - { - "name": "STOP_LOSS_MAXIMUM", - "rawType": "float64", - "type": "float" - }, - { - "name": "STOP_LOSS_EXCLUSION_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_EXCLUSION_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_FIRST_DOLLAR_IND", - "rawType": "object", - "type": "unknown" - }, - { - "name": "STOP_LOSS_MAXIMUM_FREQUENCY", - "rawType": "float64", - "type": "float" - }, - { - "name": "BILL_TYPE_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "DIAG_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "REVENUE_CD_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REIMB_EFFECTIVE_DT", - "rawType": "object", - "type": "unknown" - }, - { - "name": "REIMB_TERMINATION_DT", - "rawType": "object", - "type": "unknown" - }, - { - "name": "GROUPER_TYPE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "GROUPER_VERSION", - "rawType": "object", - "type": "unknown" - }, - { - "name": "AARETE _DERIVED_GROUPER_VERSION", - "rawType": "object", - "type": "unknown" - }, - { - "name": "GROUPER_CD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "GROUPER_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_ALTERNATIVE_LEVEL_OF_CARE", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_SEVERITY_IND", - "rawType": "object", - "type": "unknown" - }, - { - "name": "GROUPER_SEVERITY", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_RISK_OF_MORTALITY_SUBCLASS", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_PCT_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_BASE_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "REIMB_CONVERSION_FACTOR ", - "rawType": "float64", - "type": "float" - }, - { - "name": "ADDITION_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "ADDITION_MAX_FEE_RATE_INC", - "rawType": "float64", - "type": "float" - }, - { - "name": "ADDITION_MAX_PCT_RATE_INC", - "rawType": "float64", - "type": "float" - }, - { - "name": "ADDITION_RATE_CHANGE_TIMELINE", - "rawType": "float64", - "type": "float" - }, - { - "name": "TRIGGER_CAP_THRESHOLD_AMT", - "rawType": "float64", - "type": "float" - }, - { - "name": "TRIGGER_BASE_THRESHOLD", - "rawType": "float64", - "type": "float" - }, - { - "name": "RATE_ESCALATOR_IND", - "rawType": "object", - "type": "unknown" - }, - { - "name": "RATE_ESCALATOR_DESC", - "rawType": "object", - "type": "unknown" - }, - { - "name": "RATE_ESCALATOR_MAX_RATE_INC_PCT", - "rawType": "float64", - "type": "float" - }, - { - "name": "RATE_ESCALATOR_RATE_CHANGE_TIMELINE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "UNIT_OF_MEASURE", - "rawType": "object", - "type": "unknown" - }, - { - "name": "RANGE_NBR_DAYS", - "rawType": "float64", - "type": "float" - }, - { - "name": "AARETE_DERIVED_TERMINATION_DT", - "rawType": "object", - "type": "unknown" - }, - { - "name": "DSH_IND", - "rawType": "object", - "type": "unknown" - }, - { - "name": "DSH_PCT_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "DSH_FEE_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "IME_IND", - "rawType": "object", - "type": "unknown" - }, - { - "name": "IME_PCT_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "IME_FEE_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "NTAP_IND", - "rawType": "float64", - "type": "float" - }, - { - "name": "NTAP_PCT_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "NTAP_FEE_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "UC_IND ", - "rawType": "float64", - "type": "float" - }, - { - "name": "UC_PCT_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "UC_FEE_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_TRANSFER_IND", - "rawType": "float64", - "type": "float" - }, - { - "name": "GROUPER_READMISSIONS_IND", - "rawType": "object", - "type": "unknown" - }, - { - "name": "GROUPER_HAC_IND ", - "rawType": "float64", - "type": "float" - }, - { - "name": "OUTLIER_FIXED_LOSS_NBR_DAYS_THRESHOLD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "OUTLIER_FIXED_LOSS_THRESHOLD", - "rawType": "object", - "type": "unknown" - }, - { - "name": "OUTLIER_FIRST_DOLLAR_IND", - "rawType": "float64", - "type": "float" - }, - { - "name": "OUTLIER_PCT_RATE_ON_EXCESS_CHARGES", - "rawType": "float64", - "type": "float" - }, - { - "name": "OUTLIER_MAXIMUM", - "rawType": "object", - "type": "unknown" - }, - { - "name": "OUTLIER_EXCLUSION_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "OUTLIER_EXCLUSION_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "STOP_LOSS_DAILY_MAX_RATE", - "rawType": "float64", - "type": "float" - }, - { - "name": "AARETE_DERIVED_EFFECTIVE_DT", - "rawType": "datetime64[ns]", - "type": "datetime" - }, - { - "name": "CLAIM_STATUS_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "CLAIM_STATUS_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "NDC_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "NDC_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "PLACE_OF_SERVICE_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "PLACE_OF_SERVICE_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "PROV_SPECIALTY_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "PROV_SPECIALTY_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "PROV_TAXONOMY_CD", - "rawType": "float64", - "type": "float" - }, - { - "name": "PROV_TAXONOMY_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "PROV_TYPE", - "rawType": "float64", - "type": "float" - }, - { - "name": "BILL_TYPE_CD_DESC", - "rawType": "float64", - "type": "float" - }, - { - "name": "PATIENT_AGE_MIN", - "rawType": "float64", - "type": "float" - }, - { - "name": "PATIENT_AGE_MAX", - "rawType": "float64", - "type": "float" - }, - { - "name": "REIMB_LESSER_OF_ID", - "rawType": "float64", - "type": "float" - }, - { - "name": "DEFAULT_IND", - "rawType": "object", - "type": "string" - }, - { - "name": "DATE_VALID", - "rawType": "float64", - "type": "float" - }, - { - "name": "CONTRACT_SID", - "rawType": "float64", - "type": "float" - }, - { - "name": "CONTRACT_CLASS", - "rawType": "float64", - "type": "float" - }, - { - "name": "AARETE_DERIVED_CONTRACT_CLASS", - "rawType": "float64", - "type": "float" - }, - { - "name": "NUM_AVAILABLE_SIGNATORY_LINE_COUNT", - "rawType": "float64", - "type": "float" - }, - { - "name": "NUM_SIGNED_SIGNATORY_LINE_COUNT", - "rawType": "float64", - "type": "float" - }, - { - "name": "AARETE_DERIVED_SIGNATORY_COMPLETE_IND", - "rawType": "float64", - "type": "float" - }, - { - "name": "AARETE_DERIVED_ADDITION_RATE_CHANGE_TIMELINE", - "rawType": "float64", - "type": "float" - }, - { - "name": "FEE_SCHEDULE", - "rawType": "float64", - "type": "float" - }, - { - "name": "FEE_SCHEDULE_VERSION", - "rawType": "float64", - "type": "float" - }, - { - "name": "OUTLIER_TERMS", - "rawType": "float64", - "type": "float" - } - ], - "conversionMethod": "pd.DataFrame", - "ref": "c88fb43d-d0cf-4f5f-bbf8-edcf12a2d2a9", - "rows": [ - [ - "0", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125434", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment A-1: Medicaid\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nANCILLARY SERVICES\nLABORATORY\nCentral MS Diagnostic, LLC", - "30.0", - null, - null, - "MEDICAID", - "Medicaid", - "MississippiCAN", - null, - null, - null, - "Lab", - "laboratory Covered Services", - "the lesser of: (i) Allowable Charges; or (ii) one hundred percent (100%) of the Payor's Medicaid fee schedule.", - "Fee Schedule", - null, - "100", - "Payor's Medicaid fee schedule", - "STATE", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "1", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125435", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment A-1: Medicaid\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nANCILLARY SERVICES\nLABORATORY\nCentral MS Diagnostic, LLC", - "30.0", - null, - null, - "MEDICAID", - "Medicaid", - "MississippiCAN", - null, - null, - null, - "Lab", - "laboratory Covered Services", - "the lesser of: (i) Allowable Charges; or (ii) one hundred percent (100%) of the Payor's Medicaid fee schedule.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "2", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125436", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "Duals", - "Duals", - null, - null, - null, - null, - null, - "Covered Services that are Medicaid Covered Services and are not Medicare Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be one hundred percent (100%) of the amount payable by Medicaid, not including any Cost-Sharing Amounts that would have been applied by Medicaid, based on the Medicaid payment rate in effect on the date of service", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "3", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125437", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "Duals", - "Duals", - null, - null, - null, - null, - null, - "Covered Services that are Medicaid Covered Services and are not Medicare Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be one hundred percent (100%) of the amount payable by Medicaid, not including any Cost-Sharing Amounts that would have been applied by Medicaid, based on the Medicaid payment rate in effect on the date of service", - "Fee Schedule", - null, - "100", - "Medicaid", - "STATE", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "4", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125438", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "Duals", - "Duals", - null, - null, - null, - null, - null, - "Covered Services that are Medicare Covered Services and are not Medicaid Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be one hundred percent (100%) of the amount payable based on the Medicare payment rate in effect on the date of service, not including Cost-Sharing Amounts", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "5", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125439", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "Duals", - "Duals", - null, - null, - null, - null, - null, - "Covered Services that are Medicare Covered Services and are not Medicaid Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be one hundred percent (100%) of the amount payable based on the Medicare payment rate in effect on the date of service, not including Cost-Sharing Amounts", - "Fee Schedule", - null, - "100", - "Medicare payment rate", - "CMS", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "6", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125440", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "Duals", - "Duals", - null, - null, - null, - null, - null, - "Covered Services that are Medicare Covered Services and Medicaid Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be the amount payable by Medicare, not including Cost-Sharing Amounts, as primary coverage based on one hundred percent (100%) of the Medicare payment rate in effect on the date of service, plus the amount payable by Medicaid as a secondary coverage based on the Medicaid payment rate in effect on the date of service", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "7", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125441", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "Duals", - "Duals", - null, - null, - null, - null, - null, - "Covered Services that are Medicare Covered Services and Medicaid Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be the amount payable by Medicare, not including Cost-Sharing Amounts, as primary coverage based on one hundred percent (100%) of the Medicare payment rate in effect on the date of service, plus the amount payable by Medicaid as a secondary coverage based on the Medicaid payment rate in effect on the date of service", - "Fee Schedule", - null, - "100", - "Medicare payment rate plus amount payable by Medicaid as secondary coverage", - "CMS", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "8", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125442", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "MEDICARE", - "Medicare", - null, - null, - null, - null, - null, - "Covered Services where Payor is the only Payor for Medicare Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be the amount payable by Medicare, not including Cost-Sharing Amounts, as primary coverage based on the Medicare payment rate in effect on the date of service", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "9", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125443", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", - "41.0", - null, - null, - "MEDICARE", - "Medicare", - null, - null, - null, - null, - null, - "Covered Services where Payor is the only Payor for Medicare Covered Services", - "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be the amount payable by Medicare, not including Cost-Sharing Amounts, as primary coverage based on the Medicare payment rate in effect on the date of service", - "Fee Schedule", - null, - "100", - "Medicare", - "CMS", - "current", - "Y", - "N", - "N", - null, - "Y", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "10", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125444", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment C: Commercial-Exchange\nEXHIBIT I\nCOMPENSATION SCHEDULE\nANCILLARY SERVICES\nLABORATORY\nCentral MS Diagnostic, LLC", - "47.0", - null, - null, - "Marketplace", - "Commercial", - null, - null, - null, - null, - "Lab", - "laboratory Covered Services", - "the lesser of: (i) Allowable Charges; or (ii) one hundred percent (100%) of the Payor's Medicare fee schedule.", - "Fee Schedule", - null, - "100", - "Payor's Medicare fee schedule", - "CMS", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "11", - "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", - "PARTICIPATING PROVIDER AGREEMENT", - null, - "Test-Client", - "Magnolia Health Plan, Inc.", - "00125445", - "640908605", - "Central MS Diagnostic, LLC", - null, - null, - null, - null, - null, - "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2018-05-02 00:00:00", - "three years from the contract effective date", - "Y", - "one year", - "Central MS Diagnostic, LLC", - "Ancillary", - "M", - "Attachment C: Commercial-Exchange\nEXHIBIT I\nCOMPENSATION SCHEDULE\nANCILLARY SERVICES\nLABORATORY\nCentral MS Diagnostic, LLC", - "47.0", - null, - null, - "Marketplace", - "Commercial", - null, - null, - null, - null, - "Lab", - "laboratory Covered Services", - "the lesser of: (i) Allowable Charges; or (ii) one hundred percent (100%) of the Payor's Medicare fee schedule.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "12", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Frames", - "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", - "Flat Rate", - "20.0", - null, - null, - null, - null, - "Y", - "N", - "Y", - null, - "N", - "V2020", - "Frames, purchases", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "13", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Frames", - "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "Y", - null, - "N", - "V2020", - "Frames, purchases", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "14", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Frames", - "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "15", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Frames", - "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", - "Fee Schedule", - null, - "100", - "DMAP fee schedule", - "STATE", - "year prior", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "16", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Healthcare Common Procedure Coding System (HCPCS) Covered Services", - "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", - "Cost", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "17", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Healthcare Common Procedure Coding System (HCPCS) Covered Services", - "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "18", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Healthcare Common Procedure Coding System (HCPCS) Covered Services", - "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", - "Fee Schedule", - null, - "100", - "first published DMAP fee schedule for year prior", - "STATE", - "year prior", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "19", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Healthcare Common Procedure Coding System (HCPCS) Covered Services", - "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", - "Fee Schedule", - null, - "100", - "Medicare price", - "CMS", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "20", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Neuraxial labor analgesia/anesthesia code 01967", - "The lesser of billed or allowable. Will be paid at a flat rate per DMAP.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "Y", - null, - "N", - "01967", - "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "21", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Neuraxial labor analgesia/anesthesia code 01967", - "The lesser of billed or allowable. Will be paid at a flat rate per DMAP.", - "Fee Schedule", - null, - "100", - "DMAP fee schedule", - "CMS", - "current", - "Y", - "N", - "Y", - null, - "N", - "01967", - "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "22", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "OB codes on Exhibit I", - "The lesser of billed or allowable. Will be paid with a conversion factor of $30.72.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "Y", - null, - "N", - "59000| 59020| 59025| 59200| 59320| 59400| 76802| 76815| 59409| 59410|59412| 59414| 59425| 59426| 76805| 76816| 59430| 59510| 59514| 59515| 59610| 59612| 76810| 76817| 59614| 59618| 59620| 59622| 59820| 76811| 76818| 59870| 59871| 76805| 76815| 76818| 76830| 76812| 76819", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "23", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "OB codes on Exhibit I", - "The lesser of billed or allowable. Will be paid with a conversion factor of $30.72.", - "Fee Schedule", - null, - null, - "CMS Transitional Facility/Non-Facility Relative Value Unit Scale", - "CMS", - "2013", - "Y", - "N", - "Y", - null, - "N", - "59000| 59020| 59025| 59200| 59320| 59400| 76802| 76815| 59409| 59410|59412| 59414| 59425| 59426| 76805| 76816| 59430| 59510| 59514| 59515| 59610| 59612| 76810| 76817| 59614| 59618| 59620| 59622| 59820| 76811| 76818| 59870| 59871| 76805| 76815| 76818| 76830| 76812| 76819", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "30.72", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "24", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Other Professional Services and Supplies", - "Services or supplies lacking an RVU or an established price not identified in this document will be paid at 100% of the first published DMAP fee schedule for year prior.", - "Fee Schedule", - null, - "100", - "DMAP fee schedule", - "CMS", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "25", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Other Professional Services and Supplies", - "Services or supplies lacking an RVU or an established price not identified in this document will be paid at 100% of the first published DMAP fee schedule for year prior.", - "Fee Schedule", - null, - "100", - "DMAP fee schedule", - "STATE", - "year prior", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "26", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Professional Services - Ancillary Provider Services", - "The lesser of billed or allowable. The Professional Services fee schedule for the Medicaid line of business is based primarily on the CMS Transitional Facility/Non-Facility Relative Value Unit Scale (\"RVU\") and methodology as defined and instructed by the Federal Register in print as of December 31, 2013. Covered services will be calculated using the conversion factors below. Ancillary Provider Services $26.00 Conversion Factor*. Anesthesia $21.20 Conversion Factor**.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "Per ASA Unit", - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "27", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Professional Services - Ancillary Provider Services", - "The lesser of billed or allowable. The Professional Services fee schedule for the Medicaid line of business is based primarily on the CMS Transitional Facility/Non-Facility Relative Value Unit Scale (\"RVU\") and methodology as defined and instructed by the Federal Register in print as of December 31, 2013. Covered services will be calculated using the conversion factors below. Ancillary Provider Services $26.00 Conversion Factor*. Anesthesia $21.20 Conversion Factor**.", - "Fee Schedule", - null, - null, - "CMS Transitional Facility/Non-Facility Relative Value Unit Scale", - "CMS", - "2013", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "26.0", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "Per ASA Unit", - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "28", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Professional Services - Anesthesia", - "The lesser of billed or allowable. The Professional Services fee schedule for the Medicaid line of business is based primarily on the CMS Transitional Facility/Non-Facility Relative Value Unit Scale (\"RVU\") and methodology as defined and instructed by the Federal Register in print as of December 31, 2013. Covered services will be calculated using the conversion factors below. Ancillary Provider Services $26.00 Conversion Factor*. Anesthesia $21.20 Conversion Factor**.", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "Per ASA Unit", - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "29", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Professional Services - Anesthesia", - "The lesser of billed or allowable. The Professional Services fee schedule for the Medicaid line of business is based primarily on the CMS Transitional Facility/Non-Facility Relative Value Unit Scale (\"RVU\") and methodology as defined and instructed by the Federal Register in print as of December 31, 2013. Covered services will be calculated using the conversion factors below. Ancillary Provider Services $26.00 Conversion Factor*. Anesthesia $21.20 Conversion Factor**.", - "Fee Schedule", - null, - null, - "CMS Transitional Facility/Non-Facility Relative Value Unit Scale", - "CMS", - "2013", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "21.2", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "Per ASA Unit", - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "30", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Routine Vision", - "For dispensing/fitting fee and optical hardware dispensed by a Physician's office, reimbursement will be at 100% of the first published DMAP fee schedule for year prior. Repairs for optical hardware are not covered.", - "Fee Schedule", - null, - "100", - "DMAP fee schedule", - "CMS", - "current", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "31", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - null, - "2.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - null, - null, - "Ancillary", - "Routine Vision", - "For dispensing/fitting fee and optical hardware dispensed by a Physician's office, reimbursement will be at 100% of the first published DMAP fee schedule for year prior. Repairs for optical hardware are not covered.", - "Fee Schedule", - null, - "100", - "first published DMAP fee schedule for year prior", - "STATE", - "year prior", - "Y", - "N", - "N", - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "32", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "2 or 3 glass test (CPT Code: 81020)", - "ContractAmount : $5.22", - "Flat Rate", - "5.22", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "81020", - "Urinalysis; 2 or 3 glass test", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "33", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "2 or 3 glass test (CPT Code: 81020)", - "ContractAmount : $5.22", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "81020", - "Urinalysis; 2 or 3 glass test", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "34", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Amphetamine (CPT Code: 82145)", - "ContractAmount : $22.02", - "Flat Rate", - "22.02", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82145", - "Amphetamine", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "35", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Amphetamine (CPT Code: 82145)", - "ContractAmount : $22.02", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82145", - "Amphetamine", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "36", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Barbiturates (CPT Code: 82205)", - "ContractAmount : $16.22", - "Flat Rate", - "16.22", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82205", - "Assay of Barbiturates", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "37", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Barbiturates (CPT Code: 82205)", - "ContractAmount : $16.22", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82205", - "Assay of Barbiturates ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "38", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Cocaine (CPT Code: 82520)", - "ContractAmount : $21.47", - "Flat Rate", - "21.47", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82520", - "Assay of Cocaine", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "39", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Cocaine (CPT Code: 82520)", - "ContractAmount : $21.47", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82520", - "Assay of Cocaine ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "40", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Creatinine (CPT Code: 82565)", - "ContractAmount : $7.26", - "Flat Rate", - "7.26", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82565", - "Creatinine; blood", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "41", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Creatinine (CPT Code: 82565)", - "ContractAmount : $7.26", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82565", - "Creatinine; blood", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "42", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Ethanol (CPT Code: 82055)", - "ContractAmount : $15.30", - "Flat Rate", - "15.3", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82055", - "Assay of Ethanol ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "43", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Ethanol (CPT Code: 82055)", - "ContractAmount : $15.30", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "82055", - "Assay of Ethanol ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "44", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Methadone (CPT Code: 83840)", - "ContractAmount : $23.13", - "Flat Rate", - "23.13", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "83840", - "Assay of Methadone ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "45", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Methadone (CPT Code: 83840)", - "ContractAmount : $23.13", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "83840", - "Assay of Methadone", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "46", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Opiates (CPT Code: 83925)", - "ContractAmount : $27.56", - "Flat Rate", - "27.56", - null, - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "83925", - "Assay of Opiates ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "47", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Assay of Opiates (CPT Code: 83925)", - "ContractAmount : $27.56", - "Billed Charges", - null, - "100", - null, - null, - null, - "N", - "N", - "Y", - null, - "N", - "83925", - "Assay of Opiates ", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "48", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Basic Metabolic Panel (CPT Code: 80048)", - "ContractAmount : $11.98", - "Flat Rate", - "11.98", - null, - null, - null, - null, - "Y", - "N", - "Y", - null, - "N", - "80048", - "Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ], - [ - "49", - "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", - "ANCILLARY PROVIDER AGREEMENT EXHIBITS", - null, - "Test-Client", - "TRILLIUM COMMUNITY HEALTH PLAN, INC.", - null, - null, - "Eyemasters", - null, - null, - null, - null, - null, - "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", - "2015-01-01 00:00:00", - "2015-12-31 00:00:00", - "Y", - "one year", - null, - "Ancillary", - "M", - "Exhibit II", - "5.0", - null, - null, - "MEDICAID", - "Medicaid", - null, - null, - "FFS", - "FFS", - "Ancillary", - "Basic Metabolic Panel (CPT Code: 80048)", - "ContractAmount : $11.98", - "Billed Charges", - null, - "100", - null, - null, - null, - "Y", - "N", - "Y", - null, - "N", - "80048", - "Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "9999-12-31 00:00:00", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - "N", - null, - null, - null, - null, - null, - null, - null, - null, - null, - null, - null - ] - ], - "shape": { - "columns": 144, - "rows": 3178 - } - }, - "text/html": [ - "
\n", - "\n", - "\n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - " \n", - "
FILE_NAMECONTRACT_TITLECONTRACT_AMENDMENT_NUMCLIENT_NAMEPAYER_NAMEPROV_GROUP_TINPROV_GROUP_NPIPROV_GROUP_NAME_FULLPROV_OTHER_TINPROV_OTHER_NPI...CONTRACT_SIDCONTRACT_CLASSAARETE_DERIVED_CONTRACT_CLASSNUM_AVAILABLE_SIGNATORY_LINE_COUNTNUM_SIGNED_SIGNATORY_LINE_COUNTAARETE_DERIVED_SIGNATORY_COMPLETE_INDAARETE_DERIVED_ADDITION_RATE_CHANGE_TIMELINEFEE_SCHEDULEFEE_SCHEDULE_VERSIONOUTLIER_TERMS
000-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125434640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
100-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125435640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
200-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125436640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
300-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125437640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
400-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125438640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
..................................................................
31732014-01-01 COMM PPO - PeaceHealth Multi TIN - ...ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A...NaNTest-ClientODS Health Plan, Inc.9303955831346237971PeaceHealth261871008| 930975147| 910564987| 931173927| 93...1083888515| 1578552402| 1225019011| 1215918719......NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
31742014-01-01 COMM PPO - PeaceHealth Multi TIN - ...ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A...NaNTest-ClientODS Health Plan, Inc.9303955831346237971PeaceHealth261871008| 930975147| 910564987| 931173927| 93...1083888515| 1578552402| 1225019011| 1215918719......NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
3175AMD - IV - HSA eff 2017 (amd 4) - Broward MU.txtFOURTH AMENDMENT TO THE MOLINA HEALTHCARE OF F...4.0Test-ClientMolina Healthcare of Florida, Inc.5960120651285662239North Broward Hospital District DBA Broward He...NaN1578761995| 1174551147| 1265460232| 1568490506......NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
3176CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE...AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE...1.0Test-ClientMolina Healthcare of Texas, Inc.746000756NaNEl Paso County Hospital District, DBA, Univers...NaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
3177CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE...AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE...1.0Test-ClientMolina Healthcare of Texas, Inc.746000756NaNEl Paso County Hospital District, DBA, Univers...NaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
\n", - "

3178 rows × 144 columns

\n", - "
" - ], - "text/plain": [ - " FILE_NAME \\\n", - "0 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", - "1 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", - "2 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", - "3 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", - "4 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", - "... ... \n", - "3173 2014-01-01 COMM PPO - PeaceHealth Multi TIN - ... \n", - "3174 2014-01-01 COMM PPO - PeaceHealth Multi TIN - ... \n", - "3175 AMD - IV - HSA eff 2017 (amd 4) - Broward MU.txt \n", - "3176 CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE... \n", - "3177 CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE... \n", - "\n", - " CONTRACT_TITLE \\\n", - "0 PARTICIPATING PROVIDER AGREEMENT \n", - "1 PARTICIPATING PROVIDER AGREEMENT \n", - "2 PARTICIPATING PROVIDER AGREEMENT \n", - "3 PARTICIPATING PROVIDER AGREEMENT \n", - "4 PARTICIPATING PROVIDER AGREEMENT \n", - "... ... \n", - "3173 ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A... \n", - "3174 ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A... \n", - "3175 FOURTH AMENDMENT TO THE MOLINA HEALTHCARE OF F... \n", - "3176 AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE... \n", - "3177 AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE... \n", - "\n", - " CONTRACT_AMENDMENT_NUM CLIENT_NAME PAYER_NAME \\\n", - "0 NaN Test-Client Magnolia Health Plan, Inc. \n", - "1 NaN Test-Client Magnolia Health Plan, Inc. \n", - "2 NaN Test-Client Magnolia Health Plan, Inc. \n", - "3 NaN Test-Client Magnolia Health Plan, Inc. \n", - "4 NaN Test-Client Magnolia Health Plan, Inc. \n", - "... ... ... ... \n", - "3173 NaN Test-Client ODS Health Plan, Inc. \n", - "3174 NaN Test-Client ODS Health Plan, Inc. \n", - "3175 4.0 Test-Client Molina Healthcare of Florida, Inc. \n", - "3176 1.0 Test-Client Molina Healthcare of Texas, Inc. \n", - "3177 1.0 Test-Client Molina Healthcare of Texas, Inc. \n", - "\n", - " PROV_GROUP_TIN PROV_GROUP_NPI \\\n", - "0 00125434 640908605 \n", - "1 00125435 640908605 \n", - "2 00125436 640908605 \n", - "3 00125437 640908605 \n", - "4 00125438 640908605 \n", - "... ... ... \n", - "3173 930395583 1346237971 \n", - "3174 930395583 1346237971 \n", - "3175 596012065 1285662239 \n", - "3176 746000756 NaN \n", - "3177 746000756 NaN \n", - "\n", - " PROV_GROUP_NAME_FULL \\\n", - "0 Central MS Diagnostic, LLC \n", - "1 Central MS Diagnostic, LLC \n", - "2 Central MS Diagnostic, LLC \n", - "3 Central MS Diagnostic, LLC \n", - "4 Central MS Diagnostic, LLC \n", - "... ... \n", - "3173 PeaceHealth \n", - "3174 PeaceHealth \n", - "3175 North Broward Hospital District DBA Broward He... \n", - "3176 El Paso County Hospital District, DBA, Univers... \n", - "3177 El Paso County Hospital District, DBA, Univers... \n", - "\n", - " PROV_OTHER_TIN \\\n", - "0 NaN \n", - "1 NaN \n", - "2 NaN \n", - "3 NaN \n", - "4 NaN \n", - "... ... \n", - "3173 261871008| 930975147| 910564987| 931173927| 93... \n", - "3174 261871008| 930975147| 910564987| 931173927| 93... \n", - "3175 NaN \n", - "3176 NaN \n", - "3177 NaN \n", - "\n", - " PROV_OTHER_NPI ... CONTRACT_SID \\\n", - "0 NaN ... NaN \n", - "1 NaN ... NaN \n", - "2 NaN ... NaN \n", - "3 NaN ... NaN \n", - "4 NaN ... NaN \n", - "... ... ... ... \n", - "3173 1083888515| 1578552402| 1225019011| 1215918719... ... NaN \n", - "3174 1083888515| 1578552402| 1225019011| 1215918719... ... NaN \n", - "3175 1578761995| 1174551147| 1265460232| 1568490506... ... NaN \n", - "3176 NaN ... NaN \n", - "3177 NaN ... NaN \n", - "\n", - " CONTRACT_CLASS AARETE_DERIVED_CONTRACT_CLASS \\\n", - "0 NaN NaN \n", - "1 NaN NaN \n", - "2 NaN NaN \n", - "3 NaN NaN \n", - "4 NaN NaN \n", - "... ... ... \n", - "3173 NaN NaN \n", - "3174 NaN NaN \n", - "3175 NaN NaN \n", - "3176 NaN NaN \n", - "3177 NaN NaN \n", - "\n", - " NUM_AVAILABLE_SIGNATORY_LINE_COUNT NUM_SIGNED_SIGNATORY_LINE_COUNT \\\n", - "0 NaN NaN \n", - "1 NaN NaN \n", - "2 NaN NaN \n", - "3 NaN NaN \n", - "4 NaN NaN \n", - "... ... ... \n", - "3173 NaN NaN \n", - "3174 NaN NaN \n", - "3175 NaN NaN \n", - "3176 NaN NaN \n", - "3177 NaN NaN \n", - "\n", - " AARETE_DERIVED_SIGNATORY_COMPLETE_IND \\\n", - "0 NaN \n", - "1 NaN \n", - "2 NaN \n", - "3 NaN \n", - "4 NaN \n", - "... ... \n", - "3173 NaN \n", - "3174 NaN \n", - "3175 NaN \n", - "3176 NaN \n", - "3177 NaN \n", - "\n", - " AARETE_DERIVED_ADDITION_RATE_CHANGE_TIMELINE FEE_SCHEDULE \\\n", - "0 NaN NaN \n", - "1 NaN NaN \n", - "2 NaN NaN \n", - "3 NaN NaN \n", - "4 NaN NaN \n", - "... ... ... \n", - "3173 NaN NaN \n", - "3174 NaN NaN \n", - "3175 NaN NaN \n", - "3176 NaN NaN \n", - "3177 NaN NaN \n", - "\n", - " FEE_SCHEDULE_VERSION OUTLIER_TERMS \n", - "0 NaN NaN \n", - "1 NaN NaN \n", - "2 NaN NaN \n", - "3 NaN NaN \n", - "4 NaN NaN \n", - "... ... ... \n", - "3173 NaN NaN \n", - "3174 NaN NaN \n", - "3175 NaN NaN \n", - "3176 NaN NaN \n", - "3177 NaN NaN \n", - "\n", - "[3178 rows x 144 columns]" - ] - }, - "execution_count": 3, - "metadata": {}, - "output_type": "execute_result" - } - ], - "source": [ - "group_providers_into_json_array(df)" - ] - }, - { - "cell_type": "code", - "execution_count": 5, - "id": "4504219a", - "metadata": {}, - "outputs": [], - "source": [ - "group_providers_into_json_array(df).to_excel(\"src/testbed/v5_DoczyAI_all_test_bed_LIVE_4.29.25_W_PROV_INFO_JSON.xlsx\", index=False)" - ] - }, - { - "cell_type": "code", - "execution_count": null, - "id": "0b6f9690", - "metadata": {}, - "outputs": [], - "source": [] - } - ], - "metadata": { - "kernelspec": { - "display_name": ".venv", - "language": "python", - "name": "python3" - }, - "language_info": { - "codemirror_mode": { - "name": "ipython", - "version": 3 - }, - "file_extension": ".py", - "mimetype": "text/x-python", - "name": "python", - "nbconvert_exporter": "python", - "pygments_lexer": "ipython3", - "version": "3.12.7" - } - }, - "nbformat": 4, - "nbformat_minor": 5 -} diff --git a/fieldExtraction/src/testbed/testbed_utils.py b/fieldExtraction/src/testbed/testbed_utils.py index a041a18..19d995b 100644 --- a/fieldExtraction/src/testbed/testbed_utils.py +++ b/fieldExtraction/src/testbed/testbed_utils.py @@ -5,6 +5,10 @@ import itertools from collections import Counter +# Imports for the testbed postprocessing functions +from src.investment import investment_postprocessing_funcs +from src.constants.investment_columns import COLUMN_ORDER + def convert_to_float(value): try: @@ -29,7 +33,15 @@ def normalize_tin_npi(value): return value def testbed_preprocess(df): - df = df.applymap(convert_to_float) + # Apply numeric conversion to non-CPT/diag/rev fields only + for col in df.columns: + if "_CD" not in col and "CPT" not in col and "DIAG" not in col and "REV" not in col: + df[col] = df[col].apply(convert_to_float) + else: + # For CPT/diag/rev fields, apply string conversion AND convert | delimiters + # to commas + df[col] = df[col].astype(str).str.replace("|", ",", regex=False) + df = df.applymap(lambda x: str(x).strip().upper()) df = df.replace("UNKNOWN", "").fillna("") df = df.replace("NAN", "") @@ -50,101 +62,6 @@ def testbed_preprocess(df): return df -def group_providers_into_json_array(df): - """Groups provider information from a DataFrame into a JSON array format and appends it as a new column. - - This function processes a DataFrame containing provider information, groups the data by the "FILE_NAME" column, - and creates a JSON array for each group. The JSON array includes details about the group provider and other - associated providers. The resulting JSON array is added as a new column, "PROV_INFO_JSON", to the DataFrame. - - Args: - df (pandas.DataFrame): The input DataFrame containing the following columns: - - "FILE_NAME": Identifier for grouping rows. - - "PROV_GROUP_TIN": Tax Identification Number (TIN) of the group provider. - - "PROV_GROUP_NPI": National Provider Identifier (NPI) of the group provider. - - "PROV_GROUP_NAME_FULL": Full name of the group provider. - - "PROV_OTHER_TIN": Pipe-separated TINs of other providers. - - "PROV_OTHER_NPI": Pipe-separated NPIs of other providers. - - "PROV_OTHER_NAME_FULL": Pipe-separated full names of other providers. - - Returns: - pandas.DataFrame: A modified DataFrame with an additional column "PROV_INFO_JSON", - which contains a JSON array for each "FILE_NAME" group. Each JSON array includes: - - "TIN": TIN of the provider (or "N/A" if not available). - - "NPI": NPI of the provider (or "N/A" if not available). - - "NAME": Full name of the provider (or "N/A" if not available). - - "IS_GROUP": Boolean indicating whether the provider is the group provider (True) - or an associated provider (False). - - Notes: - - Missing or NaN values in the input DataFrame are replaced with "N/A" in the JSON output. - - If the lengths of "PROV_OTHER_TIN", "PROV_OTHER_NPI", and "PROV_OTHER_NAME_FULL" are not equal, - missing values are filled with "N/A" using itertools.zip_longest. - - If the OTHER columns are misaligned with one another, the function will NOT - be able to correct them. It will simply fill in the gaps with "N/A". - """ - - df = df.copy() - # Create a dictionary to hold provider data in JSON array format for each file - group_providers_dict = {} - - for group, grouped_df in df.groupby("FILE_NAME"): - json_dict_list = [] - - # Get the first row of the grouped DataFrame - first_row = grouped_df.iloc[0] - - - # Extract TIN/NPI/NAME for group provider. - group_tin = str(first_row["PROV_GROUP_TIN"]).replace("nan", "N/A") - group_npi = str(first_row["PROV_GROUP_NPI"]).replace("nan", "N/A") - group_name_full = str(first_row["PROV_GROUP_NAME_FULL"]) - - # Append the group provider's TIN/NPI/NAME to the list. - json_dict_list.append({ - "TIN": group_tin, - "NPI": group_npi, - "NAME": group_name_full, "IS_GROUP": True}) - - # Create lists of TIN/NPI/NAME for other providers. - # Split on pipe, then strip whitespace. - other_tins = str(first_row["PROV_OTHER_TIN"]).split("|") - other_npis = str(first_row["PROV_OTHER_NPI"]).split("|") - other_names = str(first_row["PROV_OTHER_NAME_FULL"]).split("|") - other_tins = [tin.strip().replace("nan", "N/A") for tin in other_tins] - other_npis = [npi.strip().replace("nan", "N/A") for npi in other_npis] - other_names = [name.strip().replace("nan", "N/A") for name in other_names] - - # Append each other provider's TIN/NPI/NAME to the list. - # Use zip to iterate over the three lists in parallel. - # IF the lengths of the lists are not equal, use itertools.zip_longest to fill in the gaps with N/A. - for tin, npi, name in itertools.zip_longest(other_tins, other_npis, other_names, fillvalue="N/A"): - json_dict_list.append({ - "TIN": tin, - "NPI": npi, - "NAME": name, - "IS_GROUP": False - }) - - group_providers_dict[group] = json_dict_list - - # Add JSON data back to original DataFrame - df["PROV_INFO_JSON"] = df["FILE_NAME"].map(group_providers_dict) - - - ## Reorder columns to place PROV_INFO_JSON right after PROV_OTHER_NAME_FULL - cols = list(df.columns) - # Find the position of PROV_OTHER_NAME_FULL - prov_other_name_full_pos = cols.index("PROV_OTHER_NAME_FULL") - # Remove PROV_INFO_JSON from its current position - cols.remove("PROV_INFO_JSON") - # Insert it after PROV_OTHER_NAME_FULL - cols.insert(prov_other_name_full_pos + 1, "PROV_INFO_JSON") - # Reorder the DataFrame - df = df[cols] - - return df - def calculate_field_metrics(testbed_df, results_df, field): """Calculate precision, recall, and accuracy for a single field. @@ -557,4 +474,158 @@ def calculate_precision_recall(accuracies): precision_df = pd.DataFrame(precision_dicts) recall_df = pd.DataFrame(recall_dicts) - return precision_df, recall_df, overall_metrics_df \ No newline at end of file + return precision_df, recall_df, overall_metrics_df + + + +########## TESTBED POSTPROCESSING CODE ########## +# These functions are to take MCS's test bed that they provided and apply +# (most of) the same postprocessing steps that we apply to the results of the model. + + + +def group_providers_into_json_array(df): + """Groups provider information from a DataFrame into a JSON array format and appends it as a new column. + + This function processes a DataFrame containing provider information, groups the data by the "FILE_NAME" column, + and creates a JSON array for each group. The JSON array includes details about the group provider and other + associated providers. The resulting JSON array is added as a new column, "PROV_INFO_JSON", to the DataFrame. + + Args: + df (pandas.DataFrame): The input DataFrame containing the following columns: + - "FILE_NAME": Identifier for grouping rows. + - "PROV_GROUP_TIN": Tax Identification Number (TIN) of the group provider. + - "PROV_GROUP_NPI": National Provider Identifier (NPI) of the group provider. + - "PROV_GROUP_NAME_FULL": Full name of the group provider. + - "PROV_OTHER_TIN": Pipe-separated TINs of other providers. + - "PROV_OTHER_NPI": Pipe-separated NPIs of other providers. + - "PROV_OTHER_NAME_FULL": Pipe-separated full names of other providers. + + Returns: + pandas.DataFrame: A modified DataFrame with an additional column "PROV_INFO_JSON", + which contains a JSON array for each "FILE_NAME" group. Each JSON array includes: + - "TIN": TIN of the provider (or "N/A" if not available). + - "NPI": NPI of the provider (or "N/A" if not available). + - "NAME": Full name of the provider (or "N/A" if not available). + - "IS_GROUP": Boolean indicating whether the provider is the group provider (True) + or an associated provider (False). + + Notes: + - Missing or NaN values in the input DataFrame are replaced with "N/A" in the JSON output. + - If the lengths of "PROV_OTHER_TIN", "PROV_OTHER_NPI", and "PROV_OTHER_NAME_FULL" are not equal, + missing values are filled with "N/A" using itertools.zip_longest. + - If the OTHER columns are misaligned with one another, the function will NOT + be able to correct them. It will simply fill in the gaps with "N/A". + """ + + df = df.copy() + # Create a dictionary to hold provider data in JSON array format for each file + group_providers_dict = {} + + for group, grouped_df in df.groupby("FILE_NAME"): + json_dict_list = [] + + # Get the first row of the grouped DataFrame + first_row = grouped_df.iloc[0] + + + # Extract TIN/NPI/NAME for group provider. + group_tin = str(first_row["PROV_GROUP_TIN"]).replace("nan", "N/A") + group_npi = str(first_row["PROV_GROUP_NPI"]).replace("nan", "N/A") + group_name_full = str(first_row["PROV_GROUP_NAME_FULL"]) + + # Append the group provider's TIN/NPI/NAME to the list. + json_dict_list.append({ + "TIN": group_tin, + "NPI": group_npi, + "NAME": group_name_full, "IS_GROUP": True}) + + # Create lists of TIN/NPI/NAME for other providers. + # Split on pipe, then strip whitespace. + other_tins = str(first_row["PROV_OTHER_TIN"]).split("|") + other_npis = str(first_row["PROV_OTHER_NPI"]).split("|") + other_names = str(first_row["PROV_OTHER_NAME_FULL"]).split("|") + other_tins = [tin.strip().replace("nan", "N/A") for tin in other_tins] + other_npis = [npi.strip().replace("nan", "N/A") for npi in other_npis] + other_names = [name.strip().replace("nan", "N/A") for name in other_names] + + # Append each other provider's TIN/NPI/NAME to the list. + # Use zip to iterate over the three lists in parallel. + # IF the lengths of the lists are not equal, use itertools.zip_longest to fill in the gaps with N/A. + for tin, npi, name in itertools.zip_longest(other_tins, other_npis, other_names, fillvalue="N/A"): + json_dict_list.append({ + "TIN": tin, + "NPI": npi, + "NAME": name, + "IS_GROUP": False + }) + + group_providers_dict[group] = json_dict_list + + # Add JSON data back to original DataFrame + df["PROV_INFO_JSON"] = df["FILE_NAME"].map(group_providers_dict) + + + ## Reorder columns to place PROV_INFO_JSON right after PROV_OTHER_NAME_FULL + cols = list(df.columns) + # Find the position of PROV_OTHER_NAME_FULL + prov_other_name_full_pos = cols.index("PROV_OTHER_NAME_FULL") + # Remove PROV_INFO_JSON from its current position + cols.remove("PROV_INFO_JSON") + # Insert it after PROV_OTHER_NAME_FULL + cols.insert(prov_other_name_full_pos + 1, "PROV_INFO_JSON") + # Reorder the DataFrame + df = df[cols] + + return df + +def testbed_postprocess(df): + """Postprocess the testbed DataFrame. + + Args: + df (pandas.DataFrame): The input DataFrame containing the testbed data. + + Returns: + pandas.DataFrame: The postprocessed DataFrame. + """ + # Apply preprocessing steps + df = testbed_preprocess(df) + + # Group providers into JSON array format + df = group_providers_into_json_array(df) + + # Add CLIENT_NAME column + df['CLIENT_NAME'] = "AARETE_TESTBED" + + # Reformat rate fields + if "REIMB_FEE_RATE" in df.columns: + # Format rate fields + df['REIMB_FEE_RATE'] = df['REIMB_FEE_RATE'].apply(investment_postprocessing_funcs.format_rate_fields_with_commas) + if "REIMB_PCT_RATE" in df.columns: + df['REIMB_PCT_RATE'] = df['REIMB_PCT_RATE'].apply(investment_postprocessing_funcs.format_rate_fields_with_commas) + + for col in df.columns: + if "_IND" in col: + df[col] = df[col].apply(investment_postprocessing_funcs.normalize_indicator_field) + # Normalize _IND fields and clean up TIN/NPI fields + if "TIN" in col or "NPI" in col: + df[col] = df[col].apply(investment_postprocessing_funcs.remove_hyphens) + # Apply the flatten_singleton_string_list function + if "_CD" in col and "CPT" not in col: + df[col] = df[col].apply(investment_postprocessing_funcs.flatten_singleton_string_list) + # Convert DATE to YYYY/MM/DD format + if "_DT" in col or "DATE" in col: + df[col] = df[col].apply(investment_postprocessing_funcs.validate_and_reformat_date) + # Normalize CPT fields + if "CPT" in col: + df[col] = df[col].apply(investment_postprocessing_funcs.normalize_cpt_fields) + + df = investment_postprocessing_funcs.update_reimb_prov_name(df) + + # Add reimb_id + df = investment_postprocessing_funcs.generate_reimb_ids(df) + + # Standardize output column order - this should ALWAYS be the final postprocessing step + df = investment_postprocessing_funcs.reorder_columns(df, COLUMN_ORDER) + + return df \ No newline at end of file diff --git a/fieldExtraction/tests/investment_postprocess_test.py b/fieldExtraction/tests/investment_postprocess_test.py index 1e9b5f2..40888ee 100644 --- a/fieldExtraction/tests/investment_postprocess_test.py +++ b/fieldExtraction/tests/investment_postprocess_test.py @@ -100,12 +100,13 @@ class TestPostprocessFunctions(unittest.TestCase): self.assertEqual(normalize_auto_renewal_term(None), "") def test_normalize_cpt_fields(self): - self.assertEqual(normalize_cpt_fields("[123, 456]"), ["123", "456"]) - self.assertEqual(normalize_cpt_fields("123-456"), ["123-456"]) - self.assertEqual(normalize_cpt_fields("123"), ["123"]) - self.assertEqual(normalize_cpt_fields(None), []) - self.assertEqual(normalize_cpt_fields(123), ["123"]) - + self.assertEqual(normalize_cpt_fields("[123, 456]"), "['123', '456']") + self.assertEqual(normalize_cpt_fields("123-456"), "['123-456']") + self.assertEqual(normalize_cpt_fields("['T0000-T9999, S0000-S9999']"), "['T0000-T9999', 'S0000-S9999']") + self.assertEqual(normalize_cpt_fields("123"), "['123']") + self.assertEqual(normalize_cpt_fields(None), "") + self.assertEqual(normalize_cpt_fields(123), "['123']") + def test_process_patient_age_range(self): """Tests the process_patient_age_range function with various age range formats.