From c4219ad6dc26175c4aef9b559a08c0a653a9e53e Mon Sep 17 00:00:00 2001 From: Mayank Aamseek Date: Mon, 17 Mar 2025 18:31:51 +0000 Subject: [PATCH] Merged in methodology_breakout_test (pull request #438) Methodology breakout test * initial commit * added test_methodology_breakout jupyter file * added test methodology breakout files * methodology breakout testing * removed duplicate file methodology_breakout_prediction2.py * added AARETE_DERIVED_FEE_SCHEDULE_VERSION * fixed CONTRACT_REIMBURSEMENT_PERCENT_RATE prompt * moved test breakout files to testbed * cleaned label df * updated prompts for methodology breakout * updated methodology breakout prompts * accuracy calc. fixed * updated valid reimbursement methodologies * Merge branch 'main' into methodology_breakout_test merged main * dofr fix * accuracy fix * AWP, WAC and ASP to MedRx update * prompt updated for UNIT_OF_MEASURE_FOR_FLAT_RATE * fixed issues raised in mr * Medicare Member Cost Share fixed * Merge branch 'main' into methodology_breakout_test merged changes from main Approved-by: Alex Galarce --- .../src/constants/investment_values.py | 21 +- .../src/investment/one_to_n_funcs.py | 17 +- fieldExtraction/src/investment/postprocess.py | 11 +- .../src/prompts/investment_prompts.json | 13 +- .../testbed/test_methodology_breakout.ipynb | 1093 +++++++++++++++++ 5 files changed, 1138 insertions(+), 17 deletions(-) create mode 100644 fieldExtraction/src/testbed/test_methodology_breakout.ipynb diff --git a/fieldExtraction/src/constants/investment_values.py b/fieldExtraction/src/constants/investment_values.py index 10facaf..5c937d5 100644 --- a/fieldExtraction/src/constants/investment_values.py +++ b/fieldExtraction/src/constants/investment_values.py @@ -115,15 +115,24 @@ VALID_CONTRACT_CLAIM_TYPE = [ VALID_REIMBURSEMENT_METHOD = [ "Billed Charges", "Fee Schedule", - "Flat Rate", - "Case Rate", - "Per Diem Rate", + "Flat Rate", # Per line + "Per Visit", # multiple lines + "Per Diem", # claim level + "Case Rate", # multiple claim level + # "MedRx", + "AWP", # will be converted to MedRx in postprocessing + "ASP", # will be converted to MedRx in postprocessing + "WAC", # will be converted to MedRx in postprocessing "Cost Plus", - "AWP", - "Pass Through" + "Pass Through", + "Grouper", "Outlier", + "Stop-Loss", "Reductions", - "DOFR" + "RBRVS", + "RVU", + # "DOFR", # moved to prompt as this value is rare + # "Medicare Member Cost Share" # This is a special case where the member is responsible for the cost share and these records will be removed in postprocessing. moved to prompt as this value is rare. ] VALID_CARVEOUTS = { diff --git a/fieldExtraction/src/investment/one_to_n_funcs.py b/fieldExtraction/src/investment/one_to_n_funcs.py index badd41c..9f35299 100644 --- a/fieldExtraction/src/investment/one_to_n_funcs.py +++ b/fieldExtraction/src/investment/one_to_n_funcs.py @@ -219,13 +219,16 @@ def get_methodology_breakout(reimbursement_primary_answers: list[dict], filename contract_reimbursement_method = answer_dict.get("CONTRACT_REIMBURSEMENT_METHOD") # Methodology Breakout: AARETE_DERIVED_REIMBURSEMENT_METHOD, CONTRACT_REIMBURSEMENT_FEE_RATE, CONTRACT_REIMBURSEMENT_PERCENT_RATE, CONTRACT_LESSER_OF_IND, CONTRACT_GREATER_OF_IND, AARETE_DERIVED_PROV_TYPE if contract_reimbursement_method: - methodology_breakout_answer = string_utils.universal_json_load( - llm_utils.invoke_claude( - investment_prompts.REIMBURSEMENT_METHODOLOGY_BREAKOUT(contract_reimbursement_method, methodology_breakout_questions), - config.MODEL_ID_CLAUDE35_SONNET, - filename - ) - ) + llm_response = llm_utils.invoke_claude( + investment_prompts.REIMBURSEMENT_METHODOLOGY_BREAKOUT(contract_reimbursement_method, methodology_breakout_questions), + config.MODEL_ID_CLAUDE35_SONNET, + filename + ) + try: + methodology_breakout_answer = string_utils.universal_json_load(llm_response) + except ValueError as e: + print(f"universal_string_load failed for input {llm_response} with error {e}\nassigning methodology_breakout_answer to []") + methodology_breakout_answer = [] for methodology_breakout_dict in methodology_breakout_answer: # Fee Schedule Breakout if contract_reimbursement_method and "Fee Schedule" in methodology_breakout_dict.get("AARETE_DERIVED_REIMBURSEMENT_METHOD", ""): diff --git a/fieldExtraction/src/investment/postprocess.py b/fieldExtraction/src/investment/postprocess.py index 2eca103..ce0d5d7 100644 --- a/fieldExtraction/src/investment/postprocess.py +++ b/fieldExtraction/src/investment/postprocess.py @@ -36,8 +36,17 @@ def postprocess(df): "AARETE_DERIVED_TERMINATION_DATE" ] = "9999/01/01" - + # Remove rows where 'AARETE_DERIVED_REIMBURSEMENT_METHOD' value is "Medicare Member Cost Share" + df = df[df['AARETE_DERIVED_REIMBURSEMENT_METHOD'] != "Medicare Member Cost Share"] + # Standardize 'AARETE_DERIVED_REIMBURSEMENT_METHOD' values + # Copy AWP, ASP, WAC to AARETE_DERIVED_FEE_SCHEDULE column for the corresponding row + medrx_fee_schedule_values = ['AWP', 'ASP', 'WAC'] + df.loc[df['AARETE_DERIVED_REIMBURSEMENT_METHOD'].isin(medrx_fee_schedule_values), 'AARETE_DERIVED_FEE_SCHEDULE'] = df['AARETE_DERIVED_REIMBURSEMENT_METHOD'] + + # Convert AARETE_DERIVED_REIMBURSEMENT_METHOD values [AWP, ASP, WAC] to 'MedRx' + df['AARETE_DERIVED_REIMBURSEMENT_METHOD'] = df['AARETE_DERIVED_REIMBURSEMENT_METHOD'].replace({'AWP': 'MedRx', 'ASP': 'MedRx', 'WAC': 'MedRx'}) + # Standardize output column order - this should ALWAYS be the final postprocessing step df = postprocessing_funcs.reorder_columns(df, COLUMN_ORDER) diff --git a/fieldExtraction/src/prompts/investment_prompts.json b/fieldExtraction/src/prompts/investment_prompts.json index 906239e..6224df5 100644 --- a/fieldExtraction/src/prompts/investment_prompts.json +++ b/fieldExtraction/src/prompts/investment_prompts.json @@ -27,9 +27,16 @@ "field_name": "AARETE_DERIVED_REIMBURSEMENT_METHOD", "relationship": "one_to_n", "field_type": "methodology_breakout", - "prompt": "What is the method of reimbursement? Choose only from the following: {valid_values}. Note that if the reimbursement is a dollar value, the AARETE_DERIVED_REIMBURSEMENT_METHOD cannot be 'Fee Schedule'.", + "prompt": "What is the method of reimbursement? Choose only from the following: {valid_values}. Note that if the reimbursement is a dollar value, the AARETE_DERIVED_REIMBURSEMENT_METHOD cannot be 'Fee Schedule'.if Average Sales Price (ASP) is present in the methodology, then return 'ASP' value. In cases Where we have 'cost plus 5% based on AWP' it should be AWP not Cost Plus. Answer DOFR only when the word 'DOFR' is specifically mentioned. Answer 'Medicare Member Cost Share' only when the phrase 'Medicare Member Cost Share' is specifically mentioned.", "valid_values": "VALID_REIMBURSEMENT_METHOD" }, + { + "field_name": "UNIT_OF_MEASURE", + "relationship": "one_to_n", + "field_type": "methodology_breakout", + "prompt": "If the reimbursement rate is flat rate, what is its unit of measure. some examples are Per Minute, Per Hour, Per Unit, Per mg, ml etc." + }, + { "field_name": "CONTRACT_REIMBURSEMENT_FEE_RATE", "relationship": "one_to_n", @@ -40,7 +47,7 @@ "field_name": "CONTRACT_REIMBURSEMENT_PERCENT_RATE", "relationship": "one_to_n", "field_type": "methodology_breakout", - "prompt": "If the reimbursement rate is a percentage of something, what is that percentage? Note that 100% may be implied." + "prompt": "If the reimbursement rate is a percentage of something, what is that percentage?. If no specific percentage is explicitly mentioned, return 100 as the default value. Extract only the final percentage value from the text." }, { "field_name": "REIMBURSEMENT_EFFECTIVE_DT", @@ -88,7 +95,7 @@ { "field_name": "AARETE_DERIVED_FEE_SCHEDULE_VERSION", "relationship": "one_to_n", - "field_type": "TBD", + "field_type": "fee_schedule_breakout", "prompt": "What version of the fee schedule is it? Look for a version number, a year, a date, or the words 'prevailing', 'current', or similar." }, { diff --git a/fieldExtraction/src/testbed/test_methodology_breakout.ipynb b/fieldExtraction/src/testbed/test_methodology_breakout.ipynb new file mode 100644 index 0000000..05d8c5f --- /dev/null +++ b/fieldExtraction/src/testbed/test_methodology_breakout.ipynb @@ -0,0 +1,1093 @@ +{ + "cells": [ + { + "cell_type": "code", + "execution_count": 1, + "metadata": {}, + "outputs": [], + "source": [ + "# !pip install rapidfuzz" + ] + }, + { + "cell_type": "code", + "execution_count": 2, + "metadata": {}, + "outputs": [], + "source": [ + "from one_to_n_comparison import evaluate_one_to_n_fields_fuzzy_matching_field_by_field\n", + "import pandas as pd\n", + "import os" + ] + }, + { + "cell_type": "code", + "execution_count": 3, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "/home/maamseek/doczy.ai/fieldExtraction\n" + ] + } + ], + "source": [ + "# import sys\n", + "# sys.path.append('../../') # Update this path to the correct path where the 'src' module is located\n", + "\n", + "os.chdir('../../')\n", + "print(os.getcwd())" + ] + }, + { + "cell_type": "code", + "execution_count": 4, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "doczy-output exists\n" + ] + } + ], + "source": [ + "from src import config\n", + "\n", + "config.RUN_MODE = \"local\"" + ] + }, + { + "cell_type": "code", + "execution_count": 5, + "metadata": {}, + "outputs": [], + "source": [ + "MATCH_THRESHOLD = 90\n", + "# This is the labeled data from sharepoint. It can be found at\n", + "# OneDrive - AArete, LLC\\investment_samples\\Test Bed Files\n", + "# You'll need access to the `investment_samples` sharepoint folder\n", + "file_path = \"/root/doczy.ai/fieldExtraction/src/testbed/Reimbursement Field Files/\"\n", + "file_path = \"Reimbursement Field Files/\"\n", + "labels_files = os.listdir(file_path)\n", + "\n", + "# fields = [\"CONTRACT_SERVICE_CD_OR_DESC\", \"CONTRACT_REIMBURSEMENT_METHOD\"] # comparison fields\n", + "fields = [\"AARETE_DERIVED_REIMBURSEMENT_METHOD\", \n", + " \"CONTRACT_REIMBURSEMENT_FEE_RATE\", \n", + " # \"CONTRACT_REIMBURSEMENT_PERCENT_RATE\",\n", + " \"CONTRACT_FEE_SCHEDULE_DESC\",\n", + " \"AARETE_DERIVED_FEE_SCHEDULE\",\n", + " \"AARETE_DERIVED_FEE_SCHEDULE_VERSION\"\n", + " ]" + ] + }, + { + "cell_type": "code", + "execution_count": 6, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "Reading 46-0979580-Harris and Theodore Anesthesia Services, LLC-ICMProviderAgreement_313205.csv\n", + "Reading 95-2648499-Mission Pathology Medical Associates-ICMProviderAgreement_254534.xlsx\n", + "Reading 429670586-Melissa Ann Clark-ICMProviderAgreement_128379_1.csv\n", + "Reading 2014-01-01 United Health Centers San Joaquin AMD MU.txt-RESULTS.xlsx\n", + "Reading 050540697 Deepak Nanda 2017 PHSP MU.txt-RESULTS.xlsx\n", + "Reading 95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.xlsx\n", + "Reading 02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt-RESULTS.xlsx\n", + "Reading 65-0825133-Florida Cancer Specialists, P.L.-ICMProviderAgreement_192252_53.xlsx\n", + "Reading BSW _ Original Contract _ 1.1.2000 MU.xlsx\n", + "Reading 92-2764433-MAGNOLIA MOBILE HOME CARE LLC-ICMProviderAgreement_322270.xlsx\n", + "Reading DocziAI_2-12.xlsx\n", + "Reading 2014-01-01 COMM PPO - PeaceHealth Multi TIN - Facility and Prof MU.txt-RESULTS.xlsx\n", + "Reading Adena Health System National Template Agreement C19460229AA.txt-RESULTS.xlsx\n", + "Reading 86-0898663-Founder Health, LLC dba Preferred Homecare-ICMProviderAgreement_120661.csv\n", + "Reading 33-0057155-Apria Healthcare, Inc.-ICMProviderAgreementAmendment_26762.txt-RESULTS.xlsx\n", + "Reading Custom_2009-08-10 Adventist - University Community Hopstial LTAC MU.txt-RESULTS.xlsx\n", + "Reading 2001-11-01 California Emergency Physicians PSA_MU.txt-RESULTS.xlsx\n", + "Reading 5.2000_Rehab Designs of America_VendorAgreement MU.txt-RESULTS.xlsx\n", + "Reading 00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt-RESULTS.xlsx\n", + "Reading Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt-RESULTS.xlsx\n", + "Reading ICMProviderAgreement_ICMProviderAgreement_295973_15.txt-RESULTS.xlsx\n", + "Reading Fac1_Bullhead City_Western Arizona Med Center - 860982071 MU.xlsx\n", + "Reading 06-1798267-Anthony W. Le, A Professional Corp-ICMProviderAgreement_316844.txt-RESULTS.xlsx\n", + "Reading 2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt-RESULTS.xlsx\n", + "Reading 2018 09 01 UTMB (Amendment 10 change in reimbursement) MU.txt-RESULTS.xlsx\n", + "Reading 36-2902782-Circle Family HealthCare Network-ICMProviderAgreement_59631.csv\n", + "Reading 84-5179194-Heart and Soul Hospice LLC-ICMProviderAgreement_273737.csv\n", + "Reading 39-0806250-Divine Saviour Hospital-ICMProviderAgreement_97009.csv\n", + "Reading 61-1400871-West Kentucky Dermatology PSC-ICMProviderAgreement_104221.csv\n", + "Reading 91-1885077-COASTAL ANESTHESIOLOGY MEDICAL-ICMProviderAgreement_242069.csv\n", + "Reading 20-1668371-Midwest Medical Equipment Solutions, Inc.-ICMProviderAgreementAmendment_166876.txt-RESULTS.xlsx\n", + "Extracted 31 dataframes.\n" + ] + } + ], + "source": [ + "\n", + "# make list of dataframes from labels_files\n", + "# Track where labels are coming from\n", + "labels_dfs = []\n", + "for filename in labels_files:\n", + " print(f\"Reading {filename}\")\n", + " if filename == \"DocziAI_2-12.xlsx\":\n", + " df_extract = pd.read_excel(file_path + filename, sheet_name=\"doczy-ai-test-20240211\", skiprows=3)\n", + " df_extract['data_source'] = filename\n", + " labels_dfs.append(df_extract)\n", + " elif filename.endswith(\".xlsx\"):\n", + " df_extract = pd.read_excel(file_path + filename)\n", + " df_extract['data_source'] = filename\n", + " labels_dfs.append(df_extract)\n", + " elif filename.endswith(\".csv\"):\n", + " df_extract = pd.read_csv(file_path + filename)\n", + " df_extract['data_source'] = filename\n", + " labels_dfs.append(df_extract)\n", + "\n", + "print(f\"Extracted {len(labels_dfs)} dataframes.\")\n" + ] + }, + { + "cell_type": "code", + "execution_count": 7, + "metadata": {}, + "outputs": [], + "source": [ + "labels_df = pd.concat(labels_dfs, ignore_index=True)\n", + "# This is any consolidated output from the model; they can be found in S3\n", + "# predictions_df = pd.read_csv('inv-test-0305-PM-RESULTS.csv')\n", + "\n", + "# For all float and int columns, standardize to Int64 and handle NaN values (optional)\n", + "# labels_df = labels_df.astype({col: 'Int64' for col in labels_df.select_dtypes(include=['float', 'int']).columns})\n", + "# predictions_df = predictions_df.astype({col: 'Int64' for col in predictions_df.select_dtypes(include=['float', 'int']).columns})\n" + ] + }, + { + "cell_type": "code", + "execution_count": 8, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "nan 0\n", + "Custom_2009-08-10 Adventist - University Community Hopstial LTAC MU.txt 2\n", + "2018 09 01 UTMB (Amendment 10 change in reimbursement) MU.txt 2\n" + ] + } + ], + "source": [ + "labels_df[labels_df['data_source'] == 'DocziAI_2-12.xlsx']\n", + "\n", + "for fn in labels_df['CONTRACT_FILE_NAME'].unique():\n", + " n_sources = len(labels_df[labels_df['CONTRACT_FILE_NAME'] == fn]['data_source'].unique())\n", + " if n_sources != 1:\n", + " # Remove rows from docziAI that have a separate data source\n", + " labels_df = labels_df[~((labels_df['CONTRACT_FILE_NAME'] == fn) & (labels_df['data_source'] == 'DocziAI_2-12.xlsx'))]\n", + " print(fn, n_sources)" + ] + }, + { + "cell_type": "code", + "execution_count": 9, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "There are 70 unique contract file names in the labels dataframe.\n" + ] + } + ], + "source": [ + "unique_contracts_labels = labels_df['CONTRACT_FILE_NAME'].nunique()\n", + "print(f\"There are {unique_contracts_labels} unique contract file names in the labels dataframe.\")\n", + "\n", + "labels_df.to_csv('labels_df.csv', index=False)\n", + "\n", + "# unique_contracts_predictions = predictions_df['CONTRACT_FILE_NAME'].nunique()\n", + "# print(f\"There are {unique_contracts_predictions} unique contract file names in the predictions dataframe.\")" + ] + }, + { + "cell_type": "code", + "execution_count": 10, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "(532, 14)\n" + ] + }, + { + "data": { + "text/plain": [ + "(284, 4)" + ] + }, + "execution_count": 10, + "metadata": {}, + "output_type": "execute_result" + } + ], + "source": [ + "labels_df = pd.read_csv('labels_df.csv')\n", + "\n", + "labels_df = labels_df[['CONTRACT_FILE_NAME',\n", + " 'CONTRACT_SERVICE_CD_OR_DESC',\n", + " 'CONTRACT_REIMBURSEMENT_METHOD',\n", + " 'CONTRACT_CARVEOUT_IND',\n", + " 'CONTRACT_LESSER_OF_IND',\n", + " 'CONTRACT_GREATER_OF_IND',\n", + " 'AARETE_DERIVED_REIMBURSEMENT_METHOD',\n", + " 'CONTRACT_REIMBURSEMENT_FEE_RATE',\n", + " 'CONTRACT_REIMBURSEMENT_PERCENT_RATE',\n", + " 'NOT_TO_EXCEED_IND',\n", + " 'CONTRACT_DEFAULT_IND',\n", + " 'CONTRACT_FEE_SCHEDULE_DESC',\n", + " 'AARETE_DERIVED_FEE_SCHEDULE',\n", + " 'AARETE_DERIVED_FEE_SCHEDULE_VERSION',\n", + "# 'CONTRACT_FEE_SCHEDULE_VERSION'\n", + " ]]\n", + "labels_df = labels_df.drop_duplicates()\n", + "labels_df = labels_df.replace('N/A', '').fillna('')\n", + "labels_df['CONTRACT_REIMBURSEMENT_PERCENT_RATE'] = labels_df['CONTRACT_REIMBURSEMENT_PERCENT_RATE'].replace('', 100)\n", + "# labels_df[\"CONTRACT_FILE_NAME\"].unique()\n", + "labels_df = labels_df[labels_df[\n", + " 'CONTRACT_FILE_NAME'].isin([\"95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt\",\n", + " \"Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt\",\n", + " \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\",\n", + " \"Akron General Health System_Eleventh Amendment_20171001.txt\",\n", + " \"2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt\",\n", + " \"2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt\",\n", + " \"2014-01-01 COMM PPO - PeaceHealth Multi TIN - Facility and Prof.txt\"])]\n", + "print(labels_df.shape)\n", + "labels_df.to_csv('labels_to_compare.csv', index=False)\n", + "labels_df = pd.read_csv('labels_to_compare.csv')\n", + "\n", + "labels_df_for_prediction = labels_df[[\"CONTRACT_FILE_NAME\", \"CONTRACT_SERVICE_CD_OR_DESC\", \"CONTRACT_CARVEOUT_IND\", \"CONTRACT_REIMBURSEMENT_METHOD\"]]\n", + "labels_df_unique_rows = labels_df_for_prediction.drop_duplicates()\n", + "labels_df_unique_rows.shape" + ] + }, + { + "cell_type": "code", + "execution_count": 11, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis, in-center (condition code 71) | CPT : 90999 | Rev. Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of: (i) the Provider's Allowable Charges; or (ii) $265 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis, in-center (condition code 71) | CPT : 90999 | Rev. Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of: (i) the Provider's Allowable Charges; or (ii) $265 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis, in-center (condition code 71) | CPT : 90999 | Rev. Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of: (i) the Provider's Allowable Charges; or (ii) $265 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '265', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis-in-center, nocturnal (condition code 71) | CPT : 90999.UJ | Rev. Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of: (i) the Provider's Allowable Charges; or (ii) $265 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis-in-center, nocturnal (condition code 71) | CPT : 90999.UJ | Rev. Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of: (i) the Provider's Allowable Charges; or (ii) $265 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis-in-center, nocturnal (condition code 71) | CPT : 90999.UJ | Rev. 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Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Other Covered Services or items (i) prescribed by a physician (or other licensed provider), (ii) not addressed in Sections 3,-6 of this Exhibit 1, (iii) for which a rate is not specified in this Exhibit, and (iv) which Provider provides to Covered Persons', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': 'Provider shall be compensated by Payor at one hundred percent (100%) of the then-current Medicaid allowable rate'}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Other Covered Services or items (i) prescribed by a physician (or other licensed provider), (ii) not addressed in Sections 3,-6 of this Exhibit 1, (iii) for which a rate is not specified in this Exhibit, and (iv) which Provider provides to Covered Persons', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': 'Provider shall be compensated by Payor at one hundred percent (100%) of the then-current Medicaid allowable rate', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Medicaid allowable rate', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then-current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': '95-3372911; 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Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis, in-center (condition code 71) | CPT : 90999 | Rev. 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Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hemodialysis-in-center, - nocturnal (condition code 71) | CPT : 90999.UJ | Rev. 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Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home Hemodialysis (condition code 74) | CPT : 90999 | Rev. 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Code : 821', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home Hemodialysis Training | CPT : 90993 | Rev. 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Code : 881', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ultrafiltration | CPT : 90999 | Rev. 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Code : 831', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IPD treatment | CPT : 90945 | Rev. 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Code : 841', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $126 per day\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CAPD treatment, per day | CPT : 90945 | Rev. 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Code : 851', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $126 per day\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CCPD treatment, per day | CPT : 90945 | Rev. Code : 851', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $126 per day\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CCPD treatment, per day | CPT : 90945 | Rev. Code : 851', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $126 per day\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '126', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CAPD Training treatment | CPT : 90993 | Rev. Code : 841', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CAPD Training treatment | CPT : 90993 | Rev. Code : 841', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CAPD Training treatment | CPT : 90993 | Rev. Code : 841', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '295', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CCPD Training treatment | CPT : 90993 | Rev. Code : 851', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\"}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CCPD Training treatment | CPT : 90993 | Rev. Code : 851', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CCPD Training treatment | CPT : 90993 | Rev. Code : 851', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"HMO shall pay Provider the lesser of: (i) Provider's Allowable Charges; or (ii) $295 per treatment\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '295', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Other Pharmaceuticals (and their administration) not included in Schedule A of Exhibit 1, including but not limited to vaccines and IV antibiotics', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Provider shall be reimbursed one hundred percent (100%) of the then-current Medicare allowable rate'}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Other Pharmaceuticals (and their administration) not included in Schedule A of Exhibit 1, including but not limited to vaccines and IV antibiotics', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Provider shall be reimbursed one hundred percent (100%) of the then-current Medicare allowable rate', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Medicare allowable rate', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then-current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Services', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': 'For all other Covered Services or items (i) prescribed by a physician (or other licensed provider), (ii) not addressed in Sections 3-6 of this Exhibit 2, (iii) for which a rate is not specified in this Exhibit, and (iv) which Provider provides to Covered Persons, Provider shall be compensated by Payor at one hundred percent (100%) of the then-current Medicare allowable rate'}\n", + "[{'CONTRACT_FILE_NAME': '95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Services', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': 'For all other Covered Services or items (i) prescribed by a physician (or other licensed provider), (ii) not addressed in Sections 3-6 of this Exhibit 2, (iii) for which a rate is not specified in this Exhibit, and (iv) which Provider provides to Covered Persons, Provider shall be compensated by Payor at one hundred percent (100%) of the then-current Medicare allowable rate', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'Y', 'CONTRACT_FEE_SCHEDULE_DESC': 'then-current Medicare allowable rate', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then-current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Medicine', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $62.00\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Medicine', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $62.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Medicine', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $62.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RBRVS', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '62.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $62.00\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $62.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $62.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RBRVS', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '62.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Lab/Pathology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $59.00\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Lab/Pathology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $59.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Lab/Pathology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $59.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RBRVS', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '59.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory services without an RBRVS weight', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'will be allowed at 100% of the 2018 Medicare Clinical Diagnostic Lab Fee Schedule available as of January 1.'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory services without an RBRVS weight', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'will be allowed at 100% of the 2018 Medicare Clinical Diagnostic Lab Fee Schedule available as of January 1.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': '2018 Medicare Clinical Diagnostic Lab Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': '2018', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': '2018'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $59.00\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $59.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $59.00\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RBRVS', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '59.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $47.00. Anesthesia will be reimbursed on Anesthesia Relative Value Units. Most current ASA methodology for standard AMA defined codes in the range 00100 through 01999. ASA time units will be based on 15 minute time intervals.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $47.00. Anesthesia will be reimbursed on Anesthesia Relative Value Units. Most current ASA methodology for standard AMA defined codes in the range 00100 through 01999. ASA time units will be based on 15 minute time intervals.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $47.00. Anesthesia will be reimbursed on Anesthesia Relative Value Units. Most current ASA methodology for standard AMA defined codes in the range 00100 through 01999. ASA time units will be based on 15 minute time intervals.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RBRVS', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '47.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"maximum plan allowable shall be the lesser of Provider's Billed Charges or the fee schedule set forth below Reimbursement will be based upon the 2018 RBRVS version as printed in the Federal Register January 1 using the Site of Service Based RVU (No GPCI applied) with a conversion factor of $47.00. Anesthesia will be reimbursed on Anesthesia Relative Value Units. Most current ASA methodology for standard AMA defined codes in the range 00100 through 01999. ASA time units will be based on 15 minute time intervals.\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RVU', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered services performed by Mid-Level Professionals', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"eighty five percent (85%) of the Maximum Fees. This applies to allowed amounts that are calculated using an RVU/ Conversion Factor methodology. maximum plan allowable shall be the lesser of Provider's Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered services performed by Mid-Level Professionals', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"eighty five percent (85%) of the Maximum Fees. This applies to allowed amounts that are calculated using an RVU/ Conversion Factor methodology. maximum plan allowable shall be the lesser of Provider's Billed Charges\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hearing Aids', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Reimbursement of Hearing Aids will be paid at one hundred (100%) percent of billed charges, not to exceed acquisition cost, plus five (5%) percent.'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hearing Aids', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Reimbursement of Hearing Aids will be paid at one hundred (100%) percent of billed charges, not to exceed acquisition cost, plus five (5%) percent.'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hearing Aid Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Fitting, Orientation and Checking of Hearing Aids is considered a miscellaneous charge. These services are reimbursed using the Medicine Conversion Factor and are subject to any Hearing Aid benefit limitation.'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hearing Aid Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Fitting, Orientation and Checking of Hearing Aids is considered a miscellaneous charge. These services are reimbursed using the Medicine Conversion Factor and are subject to any Hearing Aid benefit limitation.'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Unlisted Procedures and/or Supplies (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Unlisted procedures will be allowed at sixty percent (60%) of billed charges for medically necessary supplies or unlisted procedures (a procedure without a Relative Value Unit).'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Unlisted Procedures and/or Supplies (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Unlisted procedures will be allowed at sixty percent (60%) of billed charges for medically necessary supplies or unlisted procedures (a procedure without a Relative Value Unit).'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Pharmaceuticals (including Injectables and Cancer Drugs)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Moda Health shall compensate Provider at one hundred percent (100%) of the then-current Medicare Part B Drug Schedule for medications that require administration by a licensed professional in the medical setting, as labeled by the Food and Drug Administration (FDA). In the event the medication does not appear on the Medicare Part B Drug Schedule, reimbursement will be based on 100% of the Wholesale Acquisition Cost (WAC).'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Pharmaceuticals (including Injectables and Cancer Drugs)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Moda Health shall compensate Provider at one hundred percent (100%) of the then-current Medicare Part B Drug Schedule for medications that require administration by a licensed professional in the medical setting, as labeled by the Food and Drug Administration (FDA). In the event the medication does not appear on the Medicare Part B Drug Schedule, reimbursement will be based on 100% of the Wholesale Acquisition Cost (WAC).'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment (DME) (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'DME will be reimbursed at ninety five percent (95%) of the current Medicare DMEPOS schedule, available as of January 1. Moda Health will not implement Medicare quarterly updates. For rental DME, Moda Health will pay the lesser of the amount required to purchase the DME or rental charges for DME, up to the maximum rental period for DME as defined by CMS.'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment (DME) (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'DME will be reimbursed at ninety five percent (95%) of the current Medicare DMEPOS schedule, available as of January 1. Moda Health will not implement Medicare quarterly updates. For rental DME, Moda Health will pay the lesser of the amount required to purchase the DME or rental charges for DME, up to the maximum rental period for DME as defined by CMS.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '95', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'current Medicare DMEPOS schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE_DMEPOS', 'CONTRACT_FEE_SCHEDULE_VERSION': 'current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment (DME) (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'DME will be reimbursed at ninety five percent (95%) of the current Medicare DMEPOS schedule, available as of January 1. Moda Health will not implement Medicare quarterly updates. For rental DME, Moda Health will pay the lesser of the amount required to purchase the DME or rental charges for DME, up to the maximum rental period for DME as defined by CMS.', 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'current Medicare DMEPOS schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE_DMEPOS', 'CONTRACT_FEE_SCHEDULE_VERSION': 'current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Rental Durable Medical Equipment (DME) (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'For rental DME, Moda Health will pay the lesser of the amount required to purchase the DME or rental charges for DME, up to the maximum rental period for DME as defined by CMS.'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Rental Durable Medical Equipment (DME) (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'For rental DME, Moda Health will pay the lesser of the amount required to purchase the DME or rental charges for DME, up to the maximum rental period for DME as defined by CMS.', 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Rental Durable Medical Equipment (DME) (not including Hearing Aids)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'For rental DME, Moda Health will pay the lesser of the amount required to purchase the DME or rental charges for DME, up to the maximum rental period for DME as defined by CMS.', 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': '', 'AARETE_DERIVED_FEE_SCHEDULE': 'CMS', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Surgery', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'For inpatient and outpatient services, all subsequent procedures performed on the same day as primary procedures will be reimbursed at 50% of the allowed amount for the procedure.'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Surgery', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'For inpatient and outpatient services, all subsequent procedures performed on the same day as primary procedures will be reimbursed at 50% of the allowed amount for the procedure.'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychiatric Diagnostic Evaluation', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $139.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychiatric Diagnostic Evaluation', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $139.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $52.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $52.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy 45 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $89.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy 45 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $89.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $93.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $93.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy for crisis: first 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $104.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy for crisis: first 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $104.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy for crisis: each additional 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $52.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Psychotherapy for crisis: each additional 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $52.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Family Psychotherapy--Client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $98.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Family Psychotherapy--Client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $98.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Family Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $100.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Family Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $100.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Multiple-family group psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $46.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Multiple-family group psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $46.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Group Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $46.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Group Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $46.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior assessment, initial assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior assessment, initial assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior assessment, re-assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior assessment, re-assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, individual, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, individual, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, group, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $5.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, group, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $5.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, family, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, family, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, family, per 15 minutes--client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Professional Counselor; Licensed Marriage & Family Therapist; Licensed Clinical Social Worker; Licensed Psychologist Associate - Health and behavior intervention, family, per 15 minutes--client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $21.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychiatric Diagnostic Evaluation', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $162.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychiatric Diagnostic Evaluation', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $162.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $60.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $60.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy 45 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $113.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy 45 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $113.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $119.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $119.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy for crisis: first 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $120.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy for crisis: first 60 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $120.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy for crisis: each additional 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $60.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychotherapy for crisis: each additional 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $60.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Family Psychotherapy--Client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $122.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Family Psychotherapy--Client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $122.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Family Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $122.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Family Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $122.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Multiple-family group psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $53.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Multiple-family group psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $53.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Group Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $53.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Group Psychotherapy', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $53.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychological Testing, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $131.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychological Testing, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $131.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychological Testing by technician, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $86.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychological Testing by technician, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $86.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychological Testing by computer', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $50.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Psychological Testing by computer', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $50.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Neurobehavioral Status Exam, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $142.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Neurobehavioral Status Exam, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $142.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Neuropsychological Testing, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $141.00 or (ii) 100% of Provider's Covered Billed Charges.\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Licensed Psychologist - Neuropsychological Testing, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of: (i) $141.00 or (ii) 100% of Provider's Covered Billed Charges.\"}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96119 Neuropsychological Testing by technician, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '98'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96119 Neuropsychological Testing by technician, per hour', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '98'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96120 Neuropsychological Testing by computer, per procedure', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '88'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96120 Neuropsychological Testing by computer, per procedure', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '88'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96150 Health and behavior assessment, initial assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96150 Health and behavior assessment, initial assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96151 Health and behavior assessment, re-assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96151 Health and behavior assessment, re-assessment, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96152 Health and behavior intervention, individual, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96152 Health and behavior intervention, individual, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96153 Health and behavior intervention, group, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '6'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96153 Health and behavior intervention, group, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '6'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96154 Health and behavior intervention, family, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96154 Health and behavior intervention, family, per 15 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96155 Health and behavior intervention, family, per 15 minutes--client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': '96155 Health and behavior intervention, family, per 15 minutes--client not present', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '24'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychiatric Diagnostic Evaluation (no medical services)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '220'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychiatric Diagnostic Evaluation (no medical services)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '220'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychiatric Diagnostic Evaluation with medical services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '220'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychiatric Diagnostic Evaluation with medical services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '220'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychotherapy, 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '75'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychotherapy, 30 minutes', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '75'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychotherapy, 30 minutes in addition to evaluation and management', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '75'}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Psychotherapy, 30 minutes in addition to evaluation and management', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '75'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - 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Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Lab/Pathology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Reimbursement will be based upon the current year RBRVS version effective January 1 using the Site of Service Based RVU (No GPCI or BNA applied) with a conversion factor of: $45.00 (ii) 100% of Provider's Covered Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory services without an RBRVS weight', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Laboratory services without an RBRVS weight will be allowed at 100% of the current year Medicare Clinical Diagnostic Lab Fee Schedule available as of January 1. (ii) 100% of Provider's Covered Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory services without an RBRVS weight', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Laboratory services without an RBRVS weight will be allowed at 100% of the current year Medicare Clinical Diagnostic Lab Fee Schedule available as of January 1. (ii) 100% of Provider's Covered Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Medicare Clinical Diagnostic Lab Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'current year', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}, {'CONTRACT_FILE_NAME': 'Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory services without an RBRVS weight', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Laboratory services without an RBRVS weight will be allowed at 100% of the current year Medicare Clinical Diagnostic Lab Fee Schedule available as of January 1. (ii) 100% of Provider's Covered Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 107% of the relevant Ohio Department of Medicaid (ODM) rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 107% of the relevant Ohio Department of Medicaid (ODM) rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '107', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Ohio Department of Medicaid (ODM) rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 105% of the relevant ODM rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 105% of the relevant ODM rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '105', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'STATE_MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Reference Lab', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Reference Lab', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home Care Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home Care Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home Infusion Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service. For the period from October 1, 2017 through November 30, 2017, Plan shall continue to reimburse services listed and priced separately on the Attachment A that was effective December 1, 2010. The parties agree to review the impact of and adopt the Ohio Medicaid fee schedule for these separately listed services effective 12/1/17.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home Infusion Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service. For the period from October 1, 2017 through November 30, 2017, Plan shall continue to reimburse services listed and priced separately on the Attachment A that was effective December 1, 2010. The parties agree to review the impact of and adopt the Ohio Medicaid fee schedule for these separately listed services effective 12/1/17.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hospice Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hospice Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'DME', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'DME', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of 100% of the relevant ODM rate schedule in effect on the date of service.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'ODM rate schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of $26.00 per ASA unit.'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital at a rate of $26.00 per ASA unit.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per ASA Unit', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '26.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Facility', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital 60% of billed charges for inpatient facility'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Facility', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital 60% of billed charges for inpatient facility', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '60', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Outpatient Facility', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital 50% of billed charges for outpatient facility'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Outpatient Facility', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital 50% of billed charges for outpatient facility', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '50', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital 45% of billed charges for professional services'}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Plan shall reimburse Hospital 45% of billed charges for professional services', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '45', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and outpatient facility services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 151% of the then current hospital specific Medicare Allowed Amount (excluding sequestration) for those Covered Persons enrolled in any Plan Marketplace product\"}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and outpatient facility services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 151% of the then current hospital specific Medicare Allowed Amount (excluding sequestration) for those Covered Persons enrolled in any Plan Marketplace product\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and outpatient facility services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 151% of the then current hospital specific Medicare Allowed Amount (excluding sequestration) for those Covered Persons enrolled in any Plan Marketplace product\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '151', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'hospital specific Medicare Allowed Amount', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Injectable medications rendered in the inpatient or outpatient facility setting', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 151% of the then current hospital specific Medicare Allowed Amount (excluding sequestration)\"}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Injectable medications rendered in the inpatient or outpatient facility setting', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 151% of the then current hospital specific Medicare Allowed Amount (excluding sequestration)\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Injectable medications rendered in the inpatient or outpatient facility setting', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 151% of the then current hospital specific Medicare Allowed Amount (excluding sequestration)\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '151', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'then current hospital specific Medicare Allowed Amount', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All other injectable medications', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 100% of the Medicare Allowed Amount\"}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All other injectable medications', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 100% of the Medicare Allowed Amount\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All other injectable medications', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of 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'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 130% of the then current Medicare Allowed Amount for all Covered Persons enrolled in any Plan Marketplace product\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 130% of the then current Medicare Allowed Amount for all Covered Persons enrolled in any Plan Marketplace product\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '130', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Medicare Allowed Amount', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Codes with no RBRVS value', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 70% of billed charges\"}\n", + "[{'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Codes with no RBRVS value', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 70% of billed charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': 'Akron General Health System_Eleventh Amendment_20171001.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Codes with no RBRVS value', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Hospital's total billed charges included on the claim or 70% of billed charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '70', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred and five percent (105%) of the then current Texas Medicaid Fee Schedule\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred and five percent (105%) of the then current Texas Medicaid Fee Schedule\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred and five percent (105%) of the then current Texas Medicaid Fee Schedule\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '105', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Vaginal delivery only, after previous cesarean delivery (Current Procedural Coding (CPT) 59612)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or four hundred and dollars ($400.00) above the then current reimbursement for CPT R code 59514 (Cesarean delivery only)\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Vaginal delivery only, after previous cesarean delivery (Current Procedural Coding (CPT) 59612)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or four hundred and dollars ($400.00) above the then current reimbursement for CPT R code 59514 (Cesarean delivery only)\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology services (CPT codes 70000 through 79999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or eighty (80%) of the Texas Medicaid Fee Schedule\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology services (CPT codes 70000 through 79999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or eighty (80%) of the Texas Medicaid Fee Schedule\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Clinical Laboratory services (CPT codes 80000 through 87999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or sixty percent (60%) of the Texas Medicaid Clinical Laboratory Fee Schedule\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Clinical Laboratory services (CPT codes 80000 through 87999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or sixty percent (60%) of the Texas Medicaid Clinical Laboratory Fee Schedule\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Drugs dispensed and administered by Physician/Provider', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of the Texas Medicaid reimbursement\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Drugs dispensed and administered by Physician/Provider', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of the Texas Medicaid reimbursement\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': \"Progressive Women's Health, 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System (HCPCS) codes J2788, J2790, J2791, J2792', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred and twenty percent (120%) of the Texas Medicaid Fee Schedule\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Rho (D) immune globulin billed with Healthcare Common Procedure Code System (HCPCS) codes J2788, J2790, J2791, J2792', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"the lesser of Physician/Provider's Billed Charges or one hundred and twenty percent (120%) of the Texas Medicaid Fee Schedule\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Service for which no reimbursement is defined by any of the methods listed above', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"thirty percent (30%) of Physician/Provider's Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Service for which no reimbursement is defined by any of the methods listed above', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"thirty percent (30%) of Physician/Provider's Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '30', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of the then current Medicare Fee Schedule, less any applicable Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of the then current Medicare Fee Schedule, less any applicable Member Expense\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of the then current Medicare Fee Schedule, less any applicable Member Expense\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Medicare Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE', 'CONTRACT_FEE_SCHEDULE_VERSION': 'then current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology services (CPT R codes 70000 through 79999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or eighty (80%) of the then current Medicare Fee Schedule, less any applicable Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology services (CPT R codes 70000 through 79999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or eighty (80%) of the then current Medicare Fee Schedule, less any applicable Member Expense\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Clinical Laboratory services (CPT codes 80000 through 87999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or sixty percent (60%) of then current Medicare Clinical Lab Fee Schedule, less any applicable Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Clinical Laboratory services (CPT codes 80000 through 87999)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or sixty percent (60%) of then current Medicare Clinical Lab Fee Schedule, less any applicable Member Expense\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment, Prosthetics/Orthotics, and Supplies', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or eighty (80%) of the then current Medicare DMEPOS Fee Schedule, less any applicable Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment, Prosthetics/Orthotics, and Supplies', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or eighty (80%) of the then current Medicare DMEPOS Fee Schedule, less any applicable Member Expense\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Drugs dispensed and administered by Physician/Provider', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of then current APS reimbursement, in accordance with Medicare reimbursement methodology, less any applicable Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Drugs dispensed and administered by Physician/Provider', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent (100%) of then current APS reimbursement, in accordance with Medicare reimbursement methodology, less any applicable Member Expense\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered vaccines for which there is no allowable in the Medicare Fee Schedule', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent and five (105%) of then current Medicaid Fee Schedule allowable, less any applicable Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered vaccines for which there is no allowable in the Medicare Fee Schedule', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of Physician/Provider's Billed Charges or one hundred percent and five (105%) of then current Medicaid Fee Schedule allowable, less any applicable Member Expense\"}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Service for which no reimbursement is defined by any of the methods listed above', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Community shall compensate Physician/Provider according to thirty percent (30%) of Physician/Provider's Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Service for which no reimbursement is defined by any of the methods listed above', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Community shall compensate Physician/Provider according to thirty percent (30%) of Physician/Provider's Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '30', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Dual Special Needs Plan (DSNP)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Where Payor is the only Payor for Medicare Covered Services, Physician/Provider's maximum compensation shall be the lesser of 1) Physician/Provider's Billed Charges or 2) one hundred percent (100%) of the Medicare payment in effect on the date of service as primary coverage, not including Member Expense\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Dual Special Needs Plan (DSNP)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Where Payor is the only Payor for Medicare Covered Services, Physician/Provider's maximum compensation shall be the lesser of 1) Physician/Provider's Billed Charges or 2) one hundred percent (100%) of the Medicare payment in effect on the date of service as primary coverage, not including Member Expense\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Dual Special Needs Plan (DSNP)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Where Payor is the only Payor for Medicare Covered Services, Physician/Provider's maximum compensation shall be the lesser of 1) Physician/Provider's Billed Charges or 2) one hundred percent (100%) of the Medicare payment in effect on the date of service as primary coverage, not including Member Expense\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Medicare Member Cost Share', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Acute/Medical Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Community shall process Clean Claims based on the then current Medicare or Medicaid Fee Schedule as applicable to services rendered and according to Medicare reimbursement methodology, including the geographic practice cost index (GPCI), or Medicaid reimbursement methodology as applicable'}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Acute/Medical Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Community shall process Clean Claims based on the then current Medicare or Medicaid Fee Schedule as applicable to services rendered and according to Medicare reimbursement methodology, including the geographic practice cost index (GPCI), or Medicaid reimbursement methodology as applicable'}]\n", + "{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Service for which no reimbursement is defined by any of the methods listed above', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"If Physician/Provider bills for a Covered Service for which no reimbursement is defined by any of the methods listed above, Community shall compensate Physician/Provider according to thirty percent (30%) of Physician/Provider's Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': \"Progressive Women's Health, PLLC_Physician Agreement MU.txt\", 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Service for which no reimbursement is defined by any of the methods listed above', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"If Physician/Provider bills for a Covered Service for which no reimbursement is defined by any of the methods listed above, Community shall compensate Physician/Provider according to thirty percent (30%) of Physician/Provider's Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '30', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'Y', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"1. - The Woman's Hospital of Texas a. 160% of the current SDA for cases that include Rev Codes 173-174 b. 105% with a Texas Medicaid SDA for all other APR-DRGs. \"}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"1. - The Woman's Hospital of Texas a. 160% of the current SDA for cases that include Rev Codes 173-174 b. 105% with a Texas Medicaid SDA for all other APR-DRGs. \"}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '2 - Clear Lake Regional Medical Center - 110% of the current SDA '}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '2 - Clear Lake Regional Medical Center - 110% of the current SDA '}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '3 - All Other Hospitals - 105% of the current SDA'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '3 - All Other Hospitals - 105% of the current SDA', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '105', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'SDA', 'AARETE_DERIVED_FEE_SCHEDULE': 'SDA', 'CONTRACT_FEE_SCHEDULE_VERSION': 'current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Other Outpatient', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '13% of billed charges up to a cap of $1,950'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Other Outpatient', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '13% of billed charges up to a cap of $1,950', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '13', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory - Diagnostic', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '100% of Texas Medicaid Fee Schedule'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory - Diagnostic', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '100% of Texas Medicaid Fee Schedule', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '100% of Texas Medicaid Fee Schedule'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Radiology', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '100% of Texas Medicaid Fee Schedule', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Emergency Room (entire case) Level 1 - 99281 Level 2 - 99282 Level 3 - 99283 Level 4 - 99284 Level 5 - 99285', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '300'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Emergency Room (entire case) Level 1 - 99281 Level 2 - 99282 Level 3 - 99283 Level 4 - 99284 Level 5 - 99285', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '300', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '300', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Observation (entire case)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$995 Case Rate'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Observation (entire case)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$995 Case Rate', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Case Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '995', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hospital Outpatient Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '175% of Texas Medicaid Fee Schedule Ungrouped Procedures at 175% of Grouper 4'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hospital Outpatient Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '175% of Texas Medicaid Fee Schedule Ungrouped Procedures at 175% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '175', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}, {'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hospital Outpatient Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '175% of Texas Medicaid Fee Schedule Ungrouped Procedures at 175% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '175', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ambulatory Surgery Center', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '175% of Texas Medicaid Fee Schedule Ungrouped Procedures at 175% of Grouper 4'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ambulatory Surgery Center', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '175% of Texas Medicaid Fee Schedule Ungrouped Procedures at 175% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '175', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}, {'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ambulatory Surgery Center', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '175% of Texas Medicaid Fee Schedule Ungrouped Procedures at 175% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '175', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 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"{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"1. - The Woman's Hospital of Texas a. 160% of the current SDA for cases that include Rev Codes 173-174 b. 105% with a Texas Medicaid SDA for all other APR-DRGs. \"}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Reimbursement, including outlier payment', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"1. - The Woman's Hospital of Texas a. 160% of the current SDA for cases that include Rev Codes 173-174 b. 105% with a Texas Medicaid SDA for all other APR-DRGs. \", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 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'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '110', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'SDA', 'AARETE_DERIVED_FEE_SCHEDULE': 'SDA', 'CONTRACT_FEE_SCHEDULE_VERSION': 'current', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Emergency Room (entire case) Level 1 - 99281 Level 2 - 99282 Level 3 1 99283 Level 4 - 99284 Level 5 - 99285', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '300'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Emergency Room (entire case) Level 1 - 99281 Level 2 - 99282 Level 3 1 99283 Level 4 - 99284 Level 5 - 99285', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '300', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 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'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '112', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}, {'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Hospital Outpatient Surgery', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '112% of Texas Medicaid Fee Schedule Ungrouped Procedures at 112% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '112', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ambulatory Surgery Center', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '112% of Texas Medicaid Fee Schedule Ungrouped Procedures at 112% of Grouper 4'}\n", + "[{'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ambulatory Surgery Center', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '112% of Texas Medicaid Fee Schedule Ungrouped Procedures at 112% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '112', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Texas Medicaid Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICAID', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}, {'CONTRACT_FILE_NAME': '2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Ambulatory Surgery Center', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '112% of Texas Medicaid Fee Schedule Ungrouped Procedures at 112% of Grouper 4', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '112', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights. $24,200 Conversion Factor\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights. $24,200 Conversion Factor\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '24200', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights. $24,200 Conversion Factor\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services CMS MS-DRGs: 619-621', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges $18,000 Case Rate\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services CMS MS-DRGs: 619-621', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges $18,000 Case Rate\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services CMS MS-DRGs: 470', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges $30,000 Case Rate\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services CMS MS-DRGs: 470', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges $30,000 Case Rate\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. 422% of Medicare\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. 422% of Medicare\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '422', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. 422% of Medicare\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Infusion Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider\\'s billed charges. OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES. Presence of HCPC Code listed in \"Site of Care Medication List\" below on claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. 140% of Medicare Applies to the Entire Claim'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Infusion Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider\\'s billed charges. OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES. Presence of HCPC Code listed in \"Site of Care Medication List\" below on claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. 140% of Medicare Applies to the Entire Claim'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights.\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': '10-1-2020 MS-DRG table', 'AARETE_DERIVED_FEE_SCHEDULE': 'MS_DRG', 'CONTRACT_FEE_SCHEDULE_VERSION': 'version 38', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': '10-1-2020'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Inpatient rate determination will utilize the Conversion Factor stated above multiplied by the 10-1-2020 MS-DRG table weight (version 38). Any new MS-DRGs not listed on the MS-DRG table specified above will price with then current MS-DRG weights.\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Bariatric Surgery Case Rates CMS MS-DRGs: 619-621', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $18,000 Case Rate\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Bariatric Surgery Case Rates CMS MS-DRGs: 619-621', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $18,000 Case Rate\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Case Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '18000', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Bariatric Surgery Case Rates CMS MS-DRGs: 619-621', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $18,000 Case Rate\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Major Joint Replacement without Major Complications or Comorbidities Case Rates CMS MS-DRGs: 470', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services \\nshall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $30,000 Case Rate\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Major Joint Replacement without Major Complications or Comorbidities Case Rates CMS MS-DRGs: 470', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services \\nshall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $30,000 Case Rate\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'PROVIDER_SPECIFIC', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Major Joint Replacement without Major Complications or Comorbidities Case Rates CMS MS-DRGs: 470', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services \\nshall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $30,000 Case Rate\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Major Joint Replacement without Major Complications or Comorbidities Case Rates CMS MS-DRGs: 470', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services \\nshall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. $30,000 Case Rate\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Case Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '30000', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 343% of Medicare or (ii) 100% of Provider's billed charges. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments.\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 343% of Medicare or (ii) 100% of Provider's billed charges. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '343', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Medicare Outpatient Prospective Payment System (OPPS)', 'AARETE_DERIVED_FEE_SCHEDULE': 'MEDICARE_OPPS', 'CONTRACT_FEE_SCHEDULE_VERSION': 'in effect on the date of service', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 343% of Medicare or (ii) 100% of Provider's billed charges. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"140% of Medicare Applies to the Entire Claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. Applies to outpatient claims that include any of the drugs listed in the 'Site of Care Medication Prior Authorization List'.Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. \"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"140% of Medicare Applies to the Entire Claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. Applies to outpatient claims that include any of the drugs listed in the 'Site of Care Medication Prior Authorization List'.Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. \", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '140', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"140% of Medicare Applies to the Entire Claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. Applies to outpatient claims that include any of the drugs listed in the 'Site of Care Medication Prior Authorization List'.Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. \", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'Y', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"140% of Medicare Applies to the Entire Claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. Applies to outpatient claims that include any of the drugs listed in the 'Site of Care Medication Prior Authorization List'.\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"140% of Medicare Applies to the Entire Claim. Medicare Outpatient Prospective Payment System (OPPS) Methodology using appropriate Tables and Schedules in effect on the date of service, including outlier payments and with GPCI and wage index adjustments. Applies to outpatient claims that include any of the drugs listed in the 'Site of Care Medication Prior Authorization List'.\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Grouper', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '140', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Hospital Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 200% of CMS\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Hospital Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 200% of CMS\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '200', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'CMS', 'AARETE_DERIVED_FEE_SCHEDULE': 'CMS', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Hospital Inpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 200% of CMS\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Hospital Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 200% of CMS\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Hospital Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 200% of CMS\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '200', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'CMS', 'AARETE_DERIVED_FEE_SCHEDULE': 'CMS', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered Hospital Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 200% of CMS\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 97% of Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 97% of Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '97', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 97% of Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'PERCENT_OF_BILLED', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 95% of Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 95% of Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'PERCENT_OF_BILLED', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient and Outpatient Services', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 95% of Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '95', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"50% of Covered Billed Charges Applies to the Entire Claim The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges.\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"50% of Covered Billed Charges Applies to the Entire Claim The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '50', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"50% of Covered Billed Charges Applies to the Entire Claim The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'PERCENT_OF_CHARGES', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'All Covered Outpatient Services - OUTPATIENT SERVICES CARVE OUT - INFUSION SERVICES', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"50% of Covered Billed Charges Applies to the Entire Claim The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for inpatient Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges.\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional services, excluding services listed below', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $92.00 Conversion Factor 2020 RBRVS version effective January 1 using the Site of Service Based RVU or (ii) 100% of Provider's billed charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional services, excluding services listed below', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $92.00 Conversion Factor 2020 RBRVS version effective January 1 using the Site of Service Based RVU or (ii) 100% of Provider's billed charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'RBRVS', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '92.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional services, excluding services listed below', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $92.00 Conversion Factor 2020 RBRVS version effective January 1 using the Site of Service Based RVU or (ii) 100% of Provider's billed charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional services delivered by ND, LMT, LAC, RD', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $92.00 Conversion Factor 2020 RBRVS version effective January 1 using the Site of Service Based RVU or (ii) 100% of Provider's billed charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Professional services delivered by ND, LMT, LAC, RD', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $92.00 Conversion Factor 2020 RBRVS version effective January 1 using the Site of Service Based RVU or (ii) 100% of Provider's billed charges\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $69.00 Conversion Factor; using ASA Base Units or (ii) 100% of Provider's billed charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Anesthesia Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) $69.00 Conversion Factor; using ASA Base Units or (ii) 100% of Provider's billed charges\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 120% of 2020 Clinical Laboratory Fee Schedule available as of January 1 or (ii) 100% of Provider's billed charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Laboratory Services', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 120% of 2020 Clinical Laboratory Fee Schedule available as of January 1 or (ii) 100% of Provider's billed charges\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Pharmaceuticals', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 120% of current CMS Medicare Part B Fee Schedule or (ii) 100% of Provider's billed charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Pharmaceuticals', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) 120% of current CMS Medicare Part B Fee Schedule or (ii) 100% of Provider's billed charges\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Durable Medical Equipment: 100% of 2020 DME fee schedule\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Durable Medical Equipment', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Durable Medical Equipment: 100% of 2020 DME fee schedule\"}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered By Report Procedures, Procedures not Listed and Procedures with Relativities not Established', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Covered By Report Procedures, Procedures not Listed and Procedures with Relativities not Established: 80% of Billed Charges\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered By Report Procedures, Procedures not Listed and Procedures with Relativities not Established', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 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Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Covered By Report Procedures, Procedures not Listed and Procedures with Relativities not Established: 80% of Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'Y', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered By Report Procedures, Procedures not Listed and Procedures with Relativities not Established', 'CONTRACT_CARVEOUT_IND': nan, 'CONTRACT_REIMBURSEMENT_METHOD': \"The maximum compensation for Covered Services rendered to a Member shall be the Allowed Amount as set forth below. Except as otherwise provided in this Exhibit, the Allowed Amount for Covered Services shall be the lessor of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Covered By Report Procedures, Procedures not Listed and Procedures with Relativities not Established: 80% of Billed Charges\", 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '80', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'Y', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'RN & LPN Admit Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $189.52 Per Visit\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'RN & LPN Admit Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 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Rate: $157.49 Per Visit\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'RN & LPN Subsequent Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 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Rate: $157.49 Per Visit\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'RN & LPN Visit - Per Hour', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $59.00 Per Hour\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'RN & LPN Visit - Per Hour', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. 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Rate: $59.00 Per Hour\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Admit Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $189.52 Per Visit\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Admit Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $189.52 Per Visit\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '189.52', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Admit Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $189.52 Per Visit\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Subsequent Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $157.49 Per Visit\"}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Subsequent Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $157.49 Per Visit\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '157.49', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}, {'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Subsequent Visit', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': \"The lesser of (i) the rates set forth in this Exhibit or (ii) 100% of Provider's billed charges. Rate: $157.49 Per Visit\", 'CONTRACT_LESSER_OF_IND': 'Y', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Billed Charges', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Visit - Per Hour | Revenue Code : 422', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $59.00 | Type : Per Hour'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Physical Therapy Visit - Per Hour | Revenue Code : 422', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $59.00 | Type : Per Hour', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Hour', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '59.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Occupational Therapy Admit Visit | Revenue Code : 434', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $189.52 | Type : Per Visit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Occupational Therapy Admit Visit | Revenue Code : 434', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $189.52 | Type : Per Visit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '189.52', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Occupational Therapy Subsequent Visit | Revenue Code : 430, 431, 439', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $157.49 | Type : Per Visit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - 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Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Respite Care | HCPCS Code(s) : T2044 | Revenue Code : 655', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $200.85 | Type : Per Diem'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Respite Care | HCPCS Code(s) : T2044 | Revenue Code : 655', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $200.85 | Type : Per Diem', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '200.85', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Inpatient Hospice Care | HCPCS Code(s) : T2045, T2046 | Revenue Code : 656', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Rate : $770.00 | Type : Per Diem'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - 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In the event the medication does not appear on the Medicare Part B Drug Schedule, reimbursement will be based on 100% of the Wholesale Acquisition Cost (WAC).'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Medicare Part B Drugs (including Injectables and Cancer Drugs)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Moda Health shall compensate Provider at one hundred percent (100%) of the then-current Medicare Part B Drug Schedule for medications that require administration by a licensed professional in the medical setting, as labeled by the Food and Drug Administration (FDA). 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In the event the medication does not appear on the Medicare Part B Drug Schedule, reimbursement will be based on 100% of the Wholesale Acquisition Cost (WAC).', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'WAC', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'Y', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Medicare Part B Drugs (including Injectables and Cancer Drugs) not appear on the Medicare Part B Drug Schedule', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Moda Health shall compensate Provider at one hundred percent (100%) of the then-current Medicare Part B Drug Schedule for medications that require administration by a licensed professional in the medical setting, as labeled by the Food and Drug Administration (FDA). In the event the medication does not appear on the Medicare Part B Drug Schedule, reimbursement will be based on 100% of the Wholesale Acquisition Cost (WAC).'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Medicare Part B Drugs (including Injectables and Cancer Drugs) not appear on the Medicare Part B Drug Schedule', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Moda Health shall compensate Provider at one hundred percent (100%) of the then-current Medicare Part B Drug Schedule for medications that require administration by a licensed professional in the medical setting, as labeled by the Food and Drug Administration (FDA). In the event the medication does not appear on the Medicare Part B Drug Schedule, reimbursement will be based on 100% of the Wholesale Acquisition Cost (WAC).'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Unlisted Procedures and/or Supplies', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Unlisted procedures will be allowed at sixty percent (60%) of billed charges for medically necessary or unlisted procedures (a procedure without a Relative Value Unit).'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Unlisted Procedures and/or Supplies', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'Unlisted procedures will be allowed at sixty percent (60%) of billed charges for medically necessary or unlisted procedures (a procedure without a Relative Value Unit).'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Unlisted Therapies, Services and Products', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'For all medically necessary therapies, services and products not itemized on the following schedule, such therapies, services and products shall be reimbursed at a rate of eighty-five percent (85%) of billed charges.'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Unlisted Therapies, Services and Products', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': 'For all medically necessary therapies, services and products not itemized on the following schedule, such therapies, services and products shall be reimbursed at a rate of eighty-five percent (85%) of billed charges.'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9500)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '78'}\n", + "[]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - 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Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9502)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '98'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9502)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '98', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9503)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '108'}\n", + "[]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9504)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '118'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9504)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '118', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '118', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9497)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '118'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (S9497)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '118', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '118', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), Per Diem (S9343)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '17.22'}\n", + "[]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), Per Diem (S9341)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '21.08'}\n", + "[]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), Per Diem (S9342)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '26.62'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), Per Diem (S9342)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '26.62', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '26.62', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ENTERAL FORMULA (NDC)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '106% of PEN'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ENTERAL FORMULA (NDC)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '106% of PEN', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '106', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'PEN', 'AARETE_DERIVED_FEE_SCHEDULE': 'PEN', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9365', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '259.29'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9365', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '259.29', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '259.29', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9366', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '259.29'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9366', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '259.29', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '259.29', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9367', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '364.26'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9367', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '364.26', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '364.26', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9368', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '405.33'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'TOTAL PARENTERAL NUTRITION (TPN) THERAPY S9368', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '405.33', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '405.33', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'SPECIALTY AMINO ACIDS (SEE ABOVE), PER DAY (in addition to Per Diem charge) ', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'TPN therapy in quantities of less than one liter per day shall be coded with S9364 and the rate shall be equal to the rate for S9365.'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'SPECIALTY AMINO ACIDS (SEE ABOVE), PER DAY (in addition to Per Diem charge) ', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'TPN therapy in quantities of less than one liter per day shall be coded with S9364 and the rate shall be equal to the rate for S9365.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'OTHER', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'CURRENT'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PARENTERAL NUTRITION SOLUTION, LIPIDS', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '106% of PEN'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PARENTERAL NUTRITION SOLUTION, LIPIDS', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '106% of PEN', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '106', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'PEN', 'AARETE_DERIVED_FEE_SCHEDULE': 'PEN', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ALL OTHER DRUGS NOT PART OF A STANDARD TPN FORMULA: ADDITIONAL TRACE ELEMENTS, ADDITIONAL VITAMINS, DRUGS FOR NON_x0002_NUTRITIONAL PURPOSES ', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '106% of PEN'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ALL OTHER DRUGS NOT PART OF A STANDARD TPN FORMULA: ADDITIONAL TRACE ELEMENTS, ADDITIONAL VITAMINS, DRUGS FOR NON_x0002_NUTRITIONAL PURPOSES ', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '106% of PEN', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '106', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'PEN', 'AARETE_DERIVED_FEE_SCHEDULE': 'PEN', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': ''}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9374', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9374', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9375', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9375', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9376', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9376', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9377', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HYDRATION THERAPY S9377', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PAIN MANAGEMENT S9325', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $112.59'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PAIN MANAGEMENT S9325', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $112.59', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '112.59', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PAIN MANAGEMENT S9328', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $131.13'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PAIN MANAGEMENT S9328', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $131.13', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '131.13', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CARDIAC THERAPY (e.g. dobutamine, MILRINONE) S9348', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g. dobutamine, milrinone); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $80.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CARDIAC THERAPY (e.g. dobutamine, MILRINONE) S9348', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g. dobutamine, milrinone); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $80.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '80.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOSUPPRESSIVE THERAPY S9490', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, corticosteroid infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $95.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOSUPPRESSIVE THERAPY S9490', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, corticosteroid infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $95.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '95.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOSUPPRESSIVE THERAPY S9490-TF', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, level ii immunosuppressive infusion therapy (e.g. Cyclosporine, Prograf, CellCept, Thymoglobulin, Atgam); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $100.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOSUPPRESSIVE THERAPY S9490-TF', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, level ii immunosuppressive infusion therapy (e.g. Cyclosporine, Prograf, CellCept, Thymoglobulin, Atgam); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $100.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '100.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOSUPPRESSIVE THERAPY S9490-TG', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, level iii immunosuppressive infusion therapy (e.g. Zenapax); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $175.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOSUPPRESSIVE THERAPY S9490-TG', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, level iii immunosuppressive infusion therapy (e.g. Zenapax); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $175.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '175.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTI-EMETIC THERAPY S9351', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, continuous or INTERMITTENT anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $98.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTI-EMETIC THERAPY S9351', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, continuous or INTERMITTENT anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $98.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTI-EMETIC THERAPY S9370', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home therapy, INTERMITTENT anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $98.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTI-EMETIC THERAPY S9370', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home therapy, INTERMITTENT anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $98.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTICOAGULATION THERAPY (e.g. heparin, LMWH, Lovenox) S9336', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, continuous anticoagulant infusion therapy (e.g. heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTICOAGULATION THERAPY (e.g. heparin, LMWH, Lovenox) S9336', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, continuous anticoagulant infusion therapy (e.g. heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTICOAGULATION THERAPY (e.g. heparin, LMWH, Lovenox) S9372', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home therapy; intermittent anticoagulant injection therapy (e.g. heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (do not use this code for flushing of infusion devices with heparin to maintain patency). The rate shall be $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTICOAGULATION THERAPY (e.g. heparin, LMWH, Lovenox) S9372', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home therapy; intermittent anticoagulant injection therapy (e.g. heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem (do not use this code for flushing of infusion devices with heparin to maintain patency). The rate shall be $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INTERFERON THERAPY', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy, Interferon; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $35.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INTERFERON THERAPY', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy, Interferon; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $35.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '35.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'GROWTH HORMONE THERAPY S9558', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy; growth hormone, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $35.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'GROWTH HORMONE THERAPY S9558', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy; growth hormone, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $35.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '35.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HEMATOPOIETIC HORMONE THERAPY (e.g. EPOGEN, NEUPOGEN)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home therapy; hematopoietic hormone injection therapy (e.g. erythropoietin, G-CSF, GM- CSF); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $35.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HEMATOPOIETIC HORMONE THERAPY (e.g. EPOGEN, NEUPOGEN)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home therapy; hematopoietic hormone injection therapy (e.g. erythropoietin, G-CSF, GM- CSF); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. The rate shall be $35.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '35.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HORMONAL THERAPY (e.g. LEUPROLIDE, GOSERELIN) CODE: S9560', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy; hormonal therapy (e.g. leuprolide, goserelin), administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $35.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'HORMONAL THERAPY (e.g. LEUPROLIDE, GOSERELIN) CODE: S9560', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy; hormonal therapy (e.g. leuprolide, goserelin), administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $35.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '35.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CHELATION (IRON BINDING) THERAPY CODE: S9355', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $75.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CHELATION (IRON BINDING) THERAPY CODE: S9355', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $75.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '75.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CHEMOTHERAPY CODE: S9329', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $125.83'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'CHEMOTHERAPY CODE: S9329', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $125.83', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '125.83', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'DIURETIC THERAPY CODE: S9361', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $100.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'DIURETIC THERAPY CODE: S9361', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $100.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '100.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'AEROSOLIZED DRUG THERAPY* (e.g. pentamidine) CODE: S9061', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home administration of aerosolized drug therapy (e.g. Pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $60.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'AEROSOLIZED DRUG THERAPY* (e.g. pentamidine) CODE: S9061', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home administration of aerosolized drug therapy (e.g. Pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $60.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '60.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'AEROSOLIZED DRUG THERAPY* (e.g. pentamidine) CODE: NDC', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'ALL AEROSOLIZED THERAPY DRUGS RATE: CMS + 15%'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'AEROSOLIZED DRUG THERAPY* (e.g. pentamidine) CODE: NDC', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'ALL AEROSOLIZED THERAPY DRUGS RATE: CMS + 15%', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '115', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'CMS', 'AARETE_DERIVED_FEE_SCHEDULE': 'CMS', 'CONTRACT_FEE_SCHEDULE_VERSION': '', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'current'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOGLOBULIN THERAPY CODE: S9338', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination; and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $98.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IMMUNOGLOBULIN THERAPY CODE: S9338', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination; and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $98.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'SUBCUTANEOUS IMMUNOGLOBULIN THERAPY (e.g. VIVAGLOBIN®) CODE: S9338', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination; and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $98.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'SUBCUTANEOUS IMMUNOGLOBULIN THERAPY (e.g. VIVAGLOBIN®) CODE: S9338', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination; and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem RATE: $98.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ALPHA-1-PROTEINASE INHIBITOR (e.g. ARALASTT, ZEMAIRA) S9346', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, alpha-1-proteinase inhibitor (e.g. AralastTM); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $98.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ALPHA-1-PROTEINASE INHIBITOR (e.g. ARALASTT, ZEMAIRA) S9346', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, alpha-1-proteinase inhibitor (e.g. AralastTM); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $98.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTI-TUMOR NECROSIS FACTOR (e.g. infliximab, REMICADE) S9359', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g. infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $90.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ANTI-TUMOR NECROSIS FACTOR (e.g. infliximab, REMICADE) S9359', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g. infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $90.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '90.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ABATACEPT THERAPY (e.g. ORENCIA) S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, ABATACEPT; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $119.22'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ABATACEPT THERAPY (e.g. ORENCIA) S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, ABATACEPT; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $119.22', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '119.22', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ENZYME REPLACEMENT THERAPIES S9357', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, enzyme replacement intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $98.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ENZYME REPLACEMENT THERAPIES S9357', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, enzyme replacement intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $98.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '98.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'NATALIZUMAB THERAPY (e.g. TYSABRIR) S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, NATALIZUMAB; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $90.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'NATALIZUMAB THERAPY (e.g. TYSABRIR) S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, NATALIZUMAB; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $90.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '90.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ECULIZUMAB THERAPY (e.g. SOLIRIS®) S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, Eculiezumab; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $90.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'ECULIZUMAB THERAPY (e.g. SOLIRIS®) S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, Eculiezumab; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $90.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '90.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IBANDRONATE THERAPY (e.g. BONIVA®) S9542', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy, IBANDRONATE; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $7.50'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'IBANDRONATE THERAPY (e.g. BONIVA®) S9542', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy, IBANDRONATE; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $7.50', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '7.50', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'NALTREXONE THERAPY (e.g. VIVITROL®) S9542', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy, NALTREXONE; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $7.50'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'NALTREXONE THERAPY (e.g. VIVITROL®) S9542', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home injectable therapy, NALTREXONE; administrative services, professional pharmacy services, coordination of care, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem. RATE: $7.50', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '7.50', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'HOME INFUSION THERAPY, NOT OTHERWISE CLASSIFIED; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem: $115.30'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED S9379', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'HOME INFUSION THERAPY, NOT OTHERWISE CLASSIFIED; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem: $115.30', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '115.30', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED S9542', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'HOME INJECTABLE THERAPY; NOT OTHERWISE CLASSIFIED; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem: $7.50'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED S9542', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'HOME INJECTABLE THERAPY; NOT OTHERWISE CLASSIFIED; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem: $7.50', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '7.50', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5498', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, catheter care/maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), Per Diem: $9.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5498', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, catheter care/maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), Per Diem: $9.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '9.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5501', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, catheter care/maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem: $11.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5501', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, catheter care/maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), Per Diem: $11.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '11.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5502', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, catheter care/maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), Per Diem (use this code for interim maintenance of vascular access not currently in use): $70.00'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5502', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, catheter care/maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), Per Diem (use this code for interim maintenance of vascular access not currently in use): $70.00', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Diem', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '70.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5517', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting: $ 100.00 per kit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5517', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting: $ 100.00 per kit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Kit', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '100.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5518', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies necessary for catheter repair: $ 50.00 per kit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5518', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies necessary for catheter repair: $ 50.00 per kit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Kit', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '50.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5520', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion: $ 105.00 per kit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5520', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion: $ 105.00 per kit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Kit', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '105.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5521', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies (including catheter) necessary for midline catheter insertion: $ 105.00 per kit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'INFUSION OR INJECTABLE THERAPY, NOT OTHERWISE CLASSIFIED CATHETER CARE & INSERTION SUPPLIES S5521', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': 'Home infusion therapy, all supplies (including catheter) necessary for midline catheter insertion: $ 105.00 per kit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Kit', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '105.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion/specialty drug administration, per visit (up to 2 hours) (99601)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 95.00 per visit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion/specialty drug administration, per visit (up to 2 hours) (99601)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 95.00 per visit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '95.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Each additional hour (List separately in addition to primary procedure) (Use 99602 in conjunction with code 99601) (99602)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 50.00 per hour'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Each additional hour (List separately in addition to primary procedure) (Use 99602 in conjunction with code 99601) (99602)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 50.00 per hour', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Hour', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '50.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion/specialty drug administration, per visit (up to 2 hours) (99601-SS)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$47.50 per visit'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion/specialty drug administration, per visit (up to 2 hours) (99601-SS)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$47.50 per visit', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Per Visit', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '47.50', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Each additional hour (List separately in addition to primary procedure) (Use 99602-SS in conjunction with code 99601-SS) (99602-SS)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$25.00 per hour'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Each additional hour (List separately in addition to primary procedure) (Use 99602-SS in conjunction with code 99601-SS) (99602-SS)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$25.00 per hour', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Hour', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '25.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, insertion of peripherally inserted central venous catheter (PICC), nursing services only (no supplies or catheter included) (S5522)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 175.00 per procedure'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, insertion of peripherally inserted central venous catheter (PICC), nursing services only (no supplies or catheter included) (S5522)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 175.00 per procedure', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '175.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, insertion of midline central venous catheter, nursing services only (no supplies or catheter included) (S5523)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 115.00 per procedure'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Home infusion therapy, insertion of midline central venous catheter, nursing services only (no supplies or catheter included) (S5523)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 115.00 per procedure', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '115.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PRE-TRANSPLANT ENVIRONMENTAL ASSESSMENT (96150)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 175.00 per assessment'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'PRE-TRANSPLANT ENVIRONMENTAL ASSESSMENT (96150)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '$ 175.00 per assessment', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Flat Rate', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'Per Each', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '175.00', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '100', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE': 'N/A', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': 'N/A'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered ASC Services (not including carve-outs listed separately)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '189% of the 2020 CMS ASC Fee Schedule For codes newly added to a more recent CMS ASC fee schedule published after the effective date of this Agreement, the above percentage will be applied to the CMS fee in effect on the date the services were rendered.'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Covered ASC Services (not including carve-outs listed separately)', 'CONTRACT_CARVEOUT_IND': 'N', 'CONTRACT_REIMBURSEMENT_METHOD': '189% of the 2020 CMS ASC Fee Schedule For codes newly added to a more recent CMS ASC fee schedule published after the effective date of this Agreement, the above percentage will be applied to the CMS fee in effect on the date the services were rendered.', 'CONTRACT_LESSER_OF_IND': 'N', 'CONTRACT_GREATER_OF_IND': 'N', 'AARETE_DERIVED_REIMBURSEMENT_METHOD': 'Fee Schedule', 'UNIT_OF_MEASURE_FOR_FLAT_RATE': 'N/A', 'CONTRACT_REIMBURSEMENT_FEE_RATE': '', 'CONTRACT_REIMBURSEMENT_PERCENT_RATE': '189', 'NOT_TO_EXCEED_IND': 'N', 'CONTRACT_DEFAULT_IND': 'N', 'CONTRACT_FEE_SCHEDULE_DESC': '2020 CMS ASC Fee Schedule', 'AARETE_DERIVED_FEE_SCHEDULE': 'CMS_ASC', 'CONTRACT_FEE_SCHEDULE_VERSION': '2020', 'AARETE_DERIVED_FEE_SCHEDULE_VERSION': '2020'}]\n", + "{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list (CMS Payment Indicator K2)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '100% of the current CMS ASC Fee Schedule'}\n", + "[{'CONTRACT_FILE_NAME': '2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt', 'CONTRACT_SERVICE_CD_OR_DESC': 'Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list (CMS Payment Indicator K2)', 'CONTRACT_CARVEOUT_IND': 'Y', 'CONTRACT_REIMBURSEMENT_METHOD': '100% of the current CMS ASC Fee Schedule'}]\n" + ] + } + ], + "source": [ + "from src.investment.one_to_n_funcs import get_methodology_breakout\n", + "\n", + "reimbursement_primary_answers = labels_df_unique_rows[[\"CONTRACT_FILE_NAME\", \"CONTRACT_SERVICE_CD_OR_DESC\", \"CONTRACT_CARVEOUT_IND\", \"CONTRACT_REIMBURSEMENT_METHOD\"]].to_dict(orient='records')\n", + "predictions_list = []\n", + "\n", + "for reimbursement_primary in reimbursement_primary_answers:\n", + " filename = reimbursement_primary[\"CONTRACT_FILE_NAME\"]\n", + " methodology_breakout_answers = get_methodology_breakout([reimbursement_primary], filename)\n", + " print(reimbursement_primary)\n", + " print(methodology_breakout_answers)\n", + " predictions_list.extend(methodology_breakout_answers)\n", + "\n", + "predictions_df = pd.DataFrame(predictions_list)" + ] + }, + { + "cell_type": "code", + "execution_count": 12, + "metadata": {}, + "outputs": [], + "source": [ + "# Remove rows where 'AARETE_DERIVED_REIMBURSEMENT_METHOD' value is \"Medicare Member Cost Share\"\n", + "predictions_df = predictions_df[predictions_df['AARETE_DERIVED_REIMBURSEMENT_METHOD'] != \"Medicare Member Cost Share\"]\n", + "\n", + "# Standardize 'AARETE_DERIVED_REIMBURSEMENT_METHOD' values\n", + "# Copy AWP, ASP, WAC to AARETE_DERIVED_FEE_SCHEDULE column for the corresponding row\n", + "medrx_fee_schedule_values = ['AWP', 'ASP', 'WAC']\n", + "predictions_df.loc[predictions_df['AARETE_DERIVED_REIMBURSEMENT_METHOD'].isin(medrx_fee_schedule_values), 'AARETE_DERIVED_FEE_SCHEDULE'] = predictions_df['AARETE_DERIVED_REIMBURSEMENT_METHOD']\n", + "\n", + "# Convert AARETE_DERIVED_REIMBURSEMENT_METHOD values [AWP, ASP, WAC] to 'MedRx'\n", + "predictions_df['AARETE_DERIVED_REIMBURSEMENT_METHOD'] = predictions_df['AARETE_DERIVED_REIMBURSEMENT_METHOD'].replace({'AWP': 'MedRx', 'ASP': 'MedRx', 'WAC': 'MedRx'})" + ] + }, + { + "cell_type": "code", + "execution_count": 13, + "metadata": {}, + "outputs": [ + { + "data": { + "text/plain": [ + "(353, 15)" + ] + }, + "execution_count": 13, + "metadata": {}, + "output_type": "execute_result" + } + ], + "source": [ + "predictions_df = predictions_df.replace('N/A', '').fillna('')\n", + "predictions_df.to_csv('predictions.csv', index=False)\n", + "predictions_df = pd.read_csv('predictions.csv')\n", + "predictions_df.drop(\"CONTRACT_FEE_SCHEDULE_VERSION\", axis=1, inplace=True)\n", + "\n", + "predictions_df.shape" + ] + }, + { + "cell_type": "code", + "execution_count": 14, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "Processing 95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt\n", + "false_negatives: 14 | false_positives: 14 | true_positives: 31 | accuracy: 0.5254237288135594 | precision: 0.6888888888888889 | recall: 0.6888888888888889 | f1_score: 0.6888888888888889\n", + "\n", + "Processing Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt\n", + "false_negatives: 162 | false_positives: 88 | true_positives: 11 | accuracy: 0.0421455938697318 | precision: 0.1111111111111111 | recall: 0.06358381502890173 | f1_score: 0.08088235294117646\n", + "\n", + "Processing Akron General Health System_Eleventh Amendment_20171001.txt\n", + "false_negatives: 7 | false_positives: 7 | true_positives: 19 | accuracy: 0.5757575757575758 | precision: 0.7307692307692307 | recall: 0.7307692307692307 | f1_score: 0.7307692307692306\n", + "\n", + "Processing Progressive Women's Health, PLLC_Physician Agreement MU.txt\n", + "false_negatives: 20 | false_positives: 10 | true_positives: 10 | accuracy: 0.25 | precision: 0.5 | recall: 0.3333333333333333 | f1_score: 0.4\n", + "\n", + "Processing 2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt\n", + "false_negatives: 17 | false_positives: 19 | true_positives: 8 | accuracy: 0.18181818181818182 | precision: 0.2962962962962963 | recall: 0.32 | f1_score: 0.30769230769230765\n", + "\n", + "Processing 2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt\n", + "false_negatives: 183 | false_positives: 86 | true_positives: 50 | accuracy: 0.15673981191222572 | precision: 0.36764705882352944 | recall: 0.2145922746781116 | f1_score: 0.2710027100271003\n", + "\n" + ] + } + ], + "source": [ + "precisions = []\n", + "recalls = []\n", + "accuracies = []\n", + "\n", + "comparisons = {}\n", + "\n", + "total_true_positives = 0\n", + "total_false_positives = 0\n", + "total_false_negatives = 0\n", + "\n", + "\n", + "for contract_file_name in labels_df[\"CONTRACT_FILE_NAME\"].unique():\n", + " print(f\"Processing {contract_file_name}\")\n", + " labels_df_contract = labels_df[\n", + " labels_df[\"CONTRACT_FILE_NAME\"] == contract_file_name\n", + " ]\n", + " predictions_df_contract = predictions_df[\n", + " predictions_df[\"CONTRACT_FILE_NAME\"] == contract_file_name\n", + " ]\n", + " if len(labels_df_contract) == 0:\n", + " print(f\"Contract {contract_file_name} not found in labels.\\n\")\n", + " continue\n", + " elif len(predictions_df_contract) == 0:\n", + " print(f\"Contract {contract_file_name} not found in predictions.\\n\")\n", + " continue\n", + "\n", + " # Full reimbursement primary\n", + " comparison = evaluate_one_to_n_fields_fuzzy_matching_field_by_field(\n", + " labels_df_contract,\n", + " predictions_df_contract,\n", + " \"CONTRACT_FILE_NAME\",\n", + " fields,\n", + " thresholds=MATCH_THRESHOLD\n", + " )\n", + " comparisons[contract_file_name] = comparison\n", + "\n", + " # comparison = evaluate_one_to_n_fields_fuzzy_matching_field_by_field(labels_df_contract, predictions_df_contract, \"CONTRACT_FILE_NAME\", ['CONTRACT_REIMBURSEMENT_METHOD', 'CONTRACT_FEE_SCHEDULE_DESC'])\n", + "\n", + " precisions.append(comparison[\"precision\"])\n", + " recalls.append(comparison[\"recall\"])\n", + " accuracies.append(comparison[\"accuracy\"])\n", + "\n", + "\n", + " total_true_positives += comparison[\"true_positives\"]\n", + " total_false_positives += comparison[\"false_positives\"]\n", + " total_false_negatives += comparison[\"false_negatives\"]\n", + "\n", + " # contract file name is already printed above\n", + " print(\n", + " f\"false_negatives: {comparison['false_negatives']} | false_positives: {comparison['false_positives']} | true_positives: {comparison['true_positives']} | accuracy: {comparison['accuracy']} | precision: {comparison['precision']} | recall: {comparison['recall']} | f1_score: {comparison['f1_score']}\\n\"\n", + " )" + ] + }, + { + "cell_type": "code", + "execution_count": 15, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "Median accuracy across 6 contracts at match threshold 90: 0.2159\n", + "Median precision across 6 contracts at match threshold 90: 0.4338\n", + "Median recall across 6 contracts at match threshold 90: 0.3267\n", + "Mean accuracy across 6 contracts at match threshold 90: 0.2886\n", + "Mean precision across 6 contracts at match threshold 90: 0.4491\n", + "Mean recall across 6 contracts at match threshold 90: 0.3919\n", + "Grand accuracy across 6 contracts at match threshold 90: 0.1706 (total true positives: 129, total false positives: 224, total false negatives: 403)\n", + "Grand precision across 6 contracts at match threshold 90: 0.3654 (total true positives: 129, total false positives: 224)\n", + "Grand recall across 6 contracts at match threshold 90: 0.2425 (total true positives: 129, total false negatives: 403)\n" + ] + } + ], + "source": [ + "from statistics import median, mean\n", + "\n", + "print(f\"Median accuracy across {len(accuracies)} contracts at match threshold {MATCH_THRESHOLD}: {median(accuracies):.4f}\")\n", + "print(f\"Median precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {median(precisions):.4f}\")\n", + "print(f\"Median recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {median(recalls):.4f}\")\n", + "print(f\"Mean accuracy across {len(accuracies)} contracts at match threshold {MATCH_THRESHOLD}: {mean(accuracies):.4f}\")\n", + "print(f\"Mean precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {mean(precisions):.4f}\")\n", + "print(f\"Mean recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {mean(recalls):.4f}\")\n", + "print(f\"Grand accuracy across {len(accuracies)} contracts at match threshold {MATCH_THRESHOLD}: {(total_true_positives) / (total_true_positives + total_false_positives + total_false_negatives):.4f} (total true positives: {total_true_positives}, total false positives: {total_false_positives}, total false negatives: {total_false_negatives})\")\n", + "print(f\"Grand precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {total_true_positives / (total_true_positives + total_false_positives):.4f} (total true positives: {total_true_positives}, total false positives: {total_false_positives})\")\n", + "print(f\"Grand recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {total_true_positives / (total_true_positives + total_false_negatives):.4f} (total true positives: {total_true_positives}, total false negatives: {total_false_negatives})\")\n" + ] + }, + { + "cell_type": "code", + "execution_count": 15, + "metadata": {}, + "outputs": [], + "source": [ + "# comparisons['2001-11-01 California Emergency Physicians PSA_MU.txt']" + ] + }, + { + "cell_type": "code", + "execution_count": 16, + "metadata": {}, + "outputs": [], + "source": [ + "# comparisons['02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt']" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [] + }, + { + "cell_type": "code", + "execution_count": null, + "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": "3.12.3" + } + }, + "nbformat": 4, + "nbformat_minor": 2 +}