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doczyai-pipelines/fieldExtraction/constants/mappings/crosswalk_product_lob.json
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2025-12-11 17:15:23 -06:00

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{
"metadata": {
"from_col": "AARETE_DERIVED_PRODUCT",
"to_col": "AARETE_DERIVED_LOB"
},
"mapping": {
},
"client_mapping" : {
"Healthfirst" : {
"Medicare Select" : "Medicare"
},
"Centene" : {
},
"Aetna" : {
},
"CHC" : {
},
"Fidelis" : {
"Medicaid Managed Care" : "Medicaid"
},
"Parkland" : {
"HEALTHfirst" : "Medicaid",
"KIDSfirst" : "Medicaid"
},
"Molina" :{
"Molina Medicare Options" : "Medicare",
"Molina Medicare Options Plus" : "Medicare | Duals",
"Molina Health Benefit Exchange" : "Marketplace"
},
"Humana" : {
},
"Moda" : {
"Synergy" : "Commercial",
"Connexus" : "Commercial",
"Beacon" : "Commercial",
"Community Care Network" : "Commercial",
"OHSU" : "Commercial",
"PEBB" : "Commercial",
"OEBB" : "Commercial",
"Affinity" : "Marketplace",
"Moda Select" : "Marketplace"
},
"Healthnet" : {
"Indemnity" : "Commercial",
"Ambetter" : "Commercial",
"Healthy Families Benefit Program" : "Medicaid",
"Salud con Health Net" : ""
},
"Trillium" : {
"Universal" : "Medicaid"
},
"Sentara" : {
},
"CareSource" : {
},
"BCBS" : {
"adultBasic" : "Medicaid",
"Affordablue" : "Marketplace",
"Keystone Health Plan West" : "Commercial",
"PremierBlue" : "Commercial",
"Choice Blue" : "Commercial",
"Special Care Program" : "Marketplace",
"Classic Blue" : "Commercial",
"Preferred Blue" : "Commercial",
"Direct Blue" : "Commercial",
"Select Blue" : "Commerical",
"Community Blue" : "Commercial",
"Connect Blue" : "Commercial",
"My Blue Access" : "Marketplace",
"Short Term Blue" : "Commercial",
"Advance Blue" : "Commercial",
"Simply Blue" : "Commercial",
"Essential" : "Medicaid|Commercial",
"Essential Plan - Aliessa" : "Medicaid",
"Essential Plan - QHP" : "Commercial",
"Exchange" : "Marketplace",
"First Priority Health" : "Commercial",
"Highmark Choice Company" : "Commercial",
"Protection Plus" : "Commercial",
"Super Blue" : "Commercial",
"Super Blue Plus" : "Commercial",
"Super Blue Select" : "Commercial",
"Quality Blue" : "Commercial|Medicare",
"Blue High Performance Network (BlueHPN)" : "Commercial",
"Together Blue" : "Marketplace",
"Traditional" : "Commercial",
"True Performance Program" : "Commercial|Medicare"
}
}
}