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Merged in feature/update-dynamic-mappings (pull request #561)

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Update mappings

* Initial commit - update mappings

* Update product mapping


Approved-by: Alex Galarce
This commit is contained in:
Katon Minhas
2025-06-06 18:37:36 +00:00
parent e5d5c71781
commit f7c41326d3
6 changed files with 128 additions and 106 deletions
Download Patch File Download Diff File Expand all files Collapse all files
fieldExtraction/crosswalk/mappings/crosswalk_lob.json
+3 -7
View File
@@ -5,22 +5,18 @@
},
"mapping": {
"Medicaid" : "Medicaid",
"Duals" : "Duals",
"Dual Eligible" : "Duals",
"Special Needs Plan (SNP)" : "Duals",
"Dual-Eligible Special Needs Plan (D-SNP)" : "Duals",
"Medicare-Medicaid (MM)" : "Duals",
"Medi-Medi (MM)" : "Duals",
"Medicare" : "Medicare",
"Duals" : "Duals",
"Medicare-Medicaid (MM)" : "Duals",
"Commercial" : "Commercial",
"Group" : "Commercial",
"Commercial-Exchange" : "Marketplace",
"Marketplace" : "Marketplace",
"Health Insurance Exchange (HIE)" : "Marketplace",
"Health Benefit Exchange (HBE)" : "Marketplace",
"Health Connector" : "Marketplace",
"Affordable Care Act (ACA)" : "Marketplace",
"Individual and Family Market (IFM)" : "Marketplace",
"Obamacare" : "Marketplace",
"Corrections" : "Corrections",
"Veterans Affairs (VA)" : "Veterans Affairs",
"CHAMPVA" : "CHAMPVA",
fieldExtraction/crosswalk/mappings/crosswalk_place_of_service.json
+1 -1
View File
@@ -27,7 +27,7 @@
"Inpatient Hospital": "21",
"On Campus-Outpatient Hospital": "22",
"Emergency Room-Hospital": "23",
"Ambulatry Surgical Center": "24",
"Ambulatory Surgical Center": "24",
"Birthing Center": "25",
"Military Treatment Facility": "26",
"Outreach Site/Street": "27",
fieldExtraction/crosswalk/mappings/crosswalk_product.json
-10
View File
@@ -1,10 +0,0 @@
{
"metadata": {
"from_col": "PRODUCT",
"to_col": "AARETE_DERIVED_PRODUCT"
},
"mapping": {
"EXAMPLE_PRODUCT" : "EXAMPLE_PRODUCT"
}
}
fieldExtraction/crosswalk/mappings/crosswalk_product_lob.json
+2 -2
View File
@@ -19,8 +19,8 @@
},
"Parkland" : {
"HEALTHfirst" : "Medicaid",
"KIDSfirst" : "Medicaid"
"HEALTH first" : "Medicaid",
"KIDS first" : "Medicaid"
},
"Molina" :{
"Molina Medicare Options" : "Medicare",
fieldExtraction/crosswalk/mappings/crosswalk_program.json
+57 -5
View File
@@ -6,6 +6,7 @@
"mapping": {
"Children's Health Insurance Program (CHIP)" : "CHIP",
"Children's Health Insurance Program Perinate (CHIP-P)" : "CHIPP",
"KidsFirst" : "CHIP",
"Aged, Blind, and Disabled (ABD)" : "ABD",
"Alternative Benefit Plan (ABP)" : "ABP",
"Community First Choice (CFC)" : "CFC",
@@ -22,6 +23,7 @@
"Temporary Assistance Needy Families (TANF)" : "TANF",
"Long-Term Services and Supports (LTSS)" : "LTSS",
"Special Needs Plan (SNP)" : "SNP",
"Medicare Advantage Special Needs Plan (MA-SNP)" : "MASNP",
"Chronic Condition Special Needs Plan (C-SNP)" : "CSNP",
"Dual Eligible Special Needs Plan (D-SNP)" : "DSNP",
"Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)" : "FIDE SNP",
@@ -51,103 +53,140 @@
"ALL Kids" : "CHIP"
},
"AK" : {
"Denali KidCare" : "CHIP"
"Denali KidCare" : "CHIP",
"DenaliCare" : "DENALI"
},
"AZ" : {
"Arizona Health Care Cost Containment System (AHCCCS)" : "AHCCCS",
"KidsCare" : "CHIP"
},
"AR" : {
"ARKids First" : "CHIP"
},
"CA" : {
"Medi-Cal" : "MEDICAL",
"Covered California" : "COVEREDCAL",
"Medi-Cal Access Program (MCAP)" : "CHIP",
"Healthy Families Benefit Program" : "CHIP"
},
"CO" : {
"Health First Colorado" : "HFCO",
"Connect for Health Colorado" : "CFHCO",
"Child Health Plan Plus (CHP+)" : "CHIP"
},
"CT" : {
"Husky Health" : "HUSKY",
"Access Health CT" : "AHCT",
"HUSKY A" : "CHIP",
"HUSKY B" : "CHIP",
"HUSKY C" : "CHIP",
"HUSKY D" : "CHIP"
},
"DE" : {
"Diamond State Health Plan" : "DSHP",
"Choose Health Delaware" : "CHDE",
"Delaware Healthy Children Program (DHCP)" : "CHIP"
},
"DC" : {
"DC Health Link" : "DCHL",
"DC Healthy Families" : "CHIP"
},
"FL" : {
"Florida Statewide Medicaid Managed Care Program (SMMC)" : "SMMC",
"Florida KidCare" : "CHIP"
},
"GA" : {
"Georgia Access" : "GAACCESS",
"PeachCare for Kids" : "CHIP"
},
"HI" : {
"Med-Quest" : "MQUEST",
"QUEST Integration" : "CHIP"
},
"ID" : {
"Your Health Idaho" : "YHID",
"Idaho Medicaid for CHIP" : "CHIP"
},
"IL" : {
"HealthChoice Illinois" : "HCIL",
"Get Covered Illinois" : "GCIL",
"All Kids" : "CHIP"
},
"IN" : {
"Hoosier Healthwise" : "CHIP"
},
"IA" : {
"Iowa Health Link" : "IAHL",
"Healthy and Well Kids in Iowa (HAWK-I)" : "CHIP"
},
"KS" : {
"KanCare" : "CHIP"
"KanCare" : "KANCARE"
},
"KY" : {
"Kynect" : "KYNECT",
"Kentucky Children's Health Insurance Program (KCHIP)" : "CHIP"
},
"LA" : {
"Healthy Louisiana" : "HEALTHYLA",
"Lousiana State Insurance Exchange" : "LASIE",
"LaCHIP" : "CHIP"
},
"ME" : {
"MaineCare" : "MECARE",
"Cover ME" : "COVERME",
"Cub Care" : "CHIP"
},
"MD" : {
"Maryland HealthChoice" : "MDHC",
"Maryland Children's Health Program (MCHP)" : "CHIP"
},
"MA" : {
"MassHealth" : "MASSHEALTH",
"MassHealth CHIP" : "CHIP"
},
"MI" : {
"Healthy Michigan Plan" : "HMIP",
"MIChild" : "CHIP"
},
"MN" : {
"Minnesota Medical Assistance" : "MNMA",
"MNSure" : "MNSURE",
"MinnesotaCare" : "CHIP"
},
"MS" : {
"MississippiCAN" : "MSCAN",
"Mississippi CHIP" : "CHIP"
},
"MO" : {
"MO HealthNet" : "MOHN",
"MO HealthNet for Kids" : "CHIP"
},
"MT" : {
"Healthy Montana Kids (HMK)" : "CHIP"
},
"NE" : {
"Heritage Health" : "HHNE",
"Kids Connection" : "CHIP"
},
"NV" : {
"Nevada Health Link" : "NVHL",
"Nevada Check Up" : "CHIP"
},
"NH" : {
"NH Health Families" : "NHHF",
"New Hampshire Healthy Families" : "CHIP"
},
"NJ" : {
"NJ FamilyCare" : "CHIP"
"FamilyCare" : "NJFC",
"Get Covered NJ" : "GCNJ"
},
"NM" : {
"Centennial Care" : "CCNM",
"WellNM" : "WELLNM",
"New MexiKids" : "CHIP"
},
"NY" : {
"NY State of Health" : "NYSOH",
"Health and Recovery Plan (HARP)" : "HARP",
"Child Health Plus (CHP)" : "CHPLUS"
},
@@ -161,15 +200,20 @@
"Healthy Start" : "CHIP"
},
"OK" : {
"SoonerCare Choice" : "CHIP"
"SoonerCare" : "SOONER"
},
"OR" : {
"Oregon Health Plan" : "ORHP",
"OregonHealthCare" : "ORHC",
"Oregon Healthy Kids" : "CHIP"
},
"PA" : {
"Pennsylvania Medical Assistance" : "PAMA",
"Pennie" : "PENNIE",
"Pennsylvania CHIP" : "CHIP"
},
"RI" : {
"HealthSource RI" : "HSRI",
"Rite Care" : "CHIP"
},
"SC" : {
@@ -179,6 +223,7 @@
"South Dakota Medicaid for CHIP" : "CHIP"
},
"TN" : {
"TennCare" : "TENNCARE",
"CoverKids" : "CHIP"
},
"TX" : {
@@ -188,24 +233,31 @@
"STAR+PLUS" : "STAR+PLUS"
},
"UT" : {
"Healthy U" : "HEALTHYU",
"Utah Children's Health Insurance Program (UCHIP)" : "CHIP"
},
"VT" : {
"Green Mountain Care" : "GMCARE",
"Dr. Dynasaur" : "CHIP"
},
"VA" : {
"Cardinal Care" : "CCVA",
"Cover Virginia" : "COVERVA",
"FAMIS" : "CHIP"
},
"WA" : {
"Apple Health" : "AHWA",
"Washington Healthplanfinder" : "WAHPF",
"Apple Health for Kids" : "CHIP"
},
"WV" : {
"WVCHIP" : "CHIP"
},
"WI" : {
"BadgerCare Plus" : "CHIP"
"BadgerCare Plus" : "BADGER"
},
"WY" : {
"EqualityCare" : "EQCAREWY",
"Kid Care CHIP" : "CHIP"
}
}
fieldExtraction/crosswalk/mappings/crosswalk_program_lob.json
+65 -81
View File
@@ -31,6 +31,7 @@
"MMP" : "Duals",
"PACE" : "Duals",
"MA" : "Medicare",
"MASNP" : "Medicare",
"Supp" : "Medicare",
"SF" : "Commercial",
"FF" : "Commercial",
@@ -43,160 +44,145 @@
},
"state_mapping" : {
"AL" : {
"Alabama Medicaid" : "Medicaid"
},
"AK" : {
"DenaliCare" : "Medicaid"
"DENALI" : "Medicaid"
},
"AZ" : {
"Arizona Health Care Cost Containment System" : "Medicaid",
"Arizona Health Insurance Exchange" : "Marketplace"
"AHCCCS" : "Medicaid"
},
"AR" : {
"Arkansas Medicaid" : "Medicaid",
"Arkansas Health Connector" : "Marketplace"
},
"CA" : {
"Medi-Cal" : "Medicaid",
"Covered California" : "Marketplace"
"MEDICAL" : "Medicaid",
"COVEREDCAL" : "Marketplace"
},
"CO" : {
"Health First Colorado" : "Medicaid",
"Connect for Health Colorado" : "Marketplace"
"HFCO" : "Medicaid",
"CFHCO" : "Marketplace"
},
"CT" : {
"Husky Health" : "Medicaid",
"Access Health CT" : "Marketplace"
"HUSKY" : "Medicaid",
"AHCT" : "Marketplace"
},
"DE" : {
"Diamond State Health Plan" : "Medicaid",
"Choose Health Delaware" : "Marketplace"
"DSHP" : "Medicaid",
"CHDE" : "Marketplace"
},
"DC" : {
"DC Medicaid" : "Medicaid",
"DC Health Link" : "Marketplace"
"DCHL" : "Marketplace"
},
"FL" : {
"Florida Statewide Medicaid Managed Care Program (SMMC)" : "Medicaid"
"SMMC" : "Medicaid"
},
"GA" : {
"Georgia Medicaid" : "Medicaid",
"Georgia Access" : "Marketplace"
"GAACCESS" : "Marketplace"
},
"HI" : {
"Med-QUEST" : "Medicaid",
"Hawaii Health Connector" : "Marketplace"
"MQUEST" : "Medicaid"
},
"ID" : {
"Idaho Medicaid" : "Medicaid",
"Your Health Idaho" : "Marketplace"
"YHID" : "Marketplace"
},
"IL" : {
"HealthChoice Illinois" : "Medicaid",
"Get Covered Illinois" : "Marketplace"
"YHID" : "Medicaid",
"GCIL" : "Marketplace"
},
"IN" : {
"Indiana Medicaid" : "Medicaid"
},
"IA" : {
"Iowa Health Link" : "Medicaid"
"IAHL" : "Medicaid"
},
"KS" : {
"KanCare" : "Medicaid"
"KANCARE" : "Medicaid"
},
"KY" : {
"Kentucky Medicaid" : "Medicaid",
"Kynect" : "Marketplace"
"KYNECT" : "Marketplace"
},
"LA" : {
"Healthy Louisiana" : "Medicaid",
"Louisiana State Insurance Exchange" : "Marketplace"
"HEALTHYLA" : "Medicaid",
"LASIE" : "Marketplace"
},
"ME" : {
"MaineCare" : "Medicaid",
"CoverME" : "Marketplace"
"MECARE" : "Medicaid",
"COVERME" : "Marketplace"
},
"MD" : {
"Maryland HealthChoice" : "Medicaid",
"Maryland Health Connection" : "Marketplace"
"MDHC" : "Medicaid"
},
"MA" : {
"MassHealth" : "Medicaid",
"Massachusetts Health Connector" : "Marketplace"
"MASSHEALTH" : "Medicaid"
},
"MI" : {
"Healthy Michigan Plan" : "Medicaid"
"HMIP" : "Medicaid"
},
"MN" : {
"Minnesota Medical Assistance" : "Medicaid",
"MNsure" : "Marketplace"
"MNMA" : "Medicaid",
"MNSURE" : "Marketplace"
},
"MS" : {
"Mississippi Division of Medicaid" : "Medicaid",
"MississippiCAN" : "Medicaid"
"MSCAN" : "Medicaid"
},
"MO" : {
"MO HealthNet" : "Medicaid"
"MOHN" : "Medicaid"
},
"MT" : {
"Montana Medicaid Expansion" : "Medicaid"
},
"NE" : {
"Heritage Health" : "Medicaid"
"HHNE" : "Medicaid"
},
"NV" : {
"Nevada Medicaid" : "Medicaid",
"Nevada Health Link" : "Marketplace",
"Silver State Health Insurance Exchange" : "Marketplace"
"NVHL" : "Marketplace"
},
"NH" : {
"New Hampshire Medicaid" : "Medicaid",
"NH Health Families" : "Marketplace"
"NHHF" : "Marketplace"
},
"NJ" : {
"NJ FamilyCare" : "Medicaid",
"Get Covered NJ" : "Marketplace"
"NJFC" : "Medicaid",
"GCNJ" : "Marketplace"
},
"NM" : {
"Centennial Care" : "Medicaid",
"WellNM" : "Marketplace"
"CCNM" : "Medicaid",
"WELLNM" : "Marketplace"
},
"NY" : {
"New York State Medicaid" : "Medicaid",
"NY State of Health" : "Marketplace"
"NYSOH" : "Marketplace"
},
"NC" : {
"North Carolina Medicaid" : "Medicaid"
},
"ND" : {
"North Dakota Medicaid" : "Medicaid"
},
"OH" : {
"Ohio Medicaid" : "Medicaid"
},
"OK" : {
"SoonerCare" : "Medicaid"
"SOONER" : "Medicaid"
},
"OR" : {
"Oregon Health Plan" : "Medicaid",
"OregonHealthCare" : "Marketplace"
"ORHP" : "Medicaid",
"ORHC" : "Marketplace"
},
"PA" : {
"Pennsylvania Medical Assistance" : "Medicaid",
"Pennie" : "Marketplace"
"PENNIE" : "Marketplace",
"PAMA" : "Medicaid"
},
"RI" : {
"Rhode Island Medicaid" : "Medicaid",
"HealthSource RI" : "Marketplace"
"HSRI" : "Marketplace"
},
"SC" : {
"Healthy Connections" : "Medicaid"
},
"SD" : {
"South Dakota Medicaid" : "Medicaid"
},
"TN" : {
"TennCare" : "Medicaid"
"TENNCARE" : "Medicaid"
},
"TX" : {
"STAR" : "Medicaid",
@@ -204,29 +190,27 @@
"STAR Kids" : "Medicaid"
},
"UT" : {
"Healthy U" : "Medicaid"
"HEALTHYU" : "Medicaid"
},
"VT" : {
"Green Mountain Care" : "Medicaid",
"Vermont Health Connect" : "Marketplace"
"GMCARE" : "Medicaid"
},
"VA" : {
"Cardinal Care" : "Medicaid",
"Cover Virginia" : "Marketplace",
"CoverVA" : "Marketplace"
"CCVA" : "Medicaid",
"COVERVA" : "Marketplace"
},
"WA" : {
"Apple Health" : "Medicaid",
"Washington Healthplanfinder" : "Marketplace"
"AHWA" : "Medicaid",
"WAHPF" : "Marketplace"
},
"WV" : {
"West Virginia Medicaid" : "Medicaid"
},
"WI" : {
"BadgerCare Plus" : "Medicaid"
"BADGER" : "Medicaid"
},
"WY" : {
"EqualityCare" : "Medicaid"
"EQCAREWY" : "Medicaid"
}
}
}