Merged in feature/daip2-95 (pull request #396)
Feature/daip2 95 * testing carveout * Merge branch 'main' into feature/daip2-95 pulled latest changes from main * CONTRACT_DEFAULT_IND logic changed * Merge branch 'main' into feature/daip2-95 pulled latest changes from main * prompt updated to remove mention of last carveout * Merged main into feature/daip2-95 * Merged main into feature/daip2-95 * prompt updated * Merge branch 'feature/daip2-95' of https://bitbucket.org/aarete/doczy.ai into feature/daip2-95 latest changes pulled Approved-by: Katon Minhas
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Katon Minhas
parent
722d8aa14a
commit
4c98fcb230
@@ -376,8 +376,8 @@
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{
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"field_name": "CONTRACT_DEFAULT_IND",
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"relationship": "one_to_n",
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"field_type": "TBD",
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"prompt": "TBD"
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"field_type": "methodology_breakout",
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"prompt": "DEFAULT_INDICATOR:\nIndicates whether this methodology serves as a default/fallback payment rate when no other payment methods apply. The default/fallback payment rate is typically a low rate and based on billed charges.\nOutput 'Y' if ANY of these conditions are met in the methodology:\n1. Specifies a rate that applies to:\nservices not listed in the fee schedule\nservices for which no other payment method is specified\nall other services\nservices not otherwise specified\n2. Explicitly labeled as:\n'default rate' or 'default payment'\nOutput 'N' if:\nThe methodology is specific to listed services/procedures\nNo default/fallback language is present"
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},
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{
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"field_name": "CPT4_PROC_CD",
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@@ -469,7 +469,7 @@ Service: {service}
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Methodology: {methodology}
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Determine if the Service and Methodology match any of the Carveout descriptions.
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If so, write the name of the Carveout. If they do not, simply write N/A. The answer will be somewhat explicitly written - do not attempt to force an answer if it is not the obvious answer.
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If so, write the name of the Carveout. If they do not, simply write N/A.
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{PIPE_FORMAT_INSTRUCTIONS}
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"""
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