Praneel Panchigar
b64e1fe4cc
Bugfix/derived lob changes * Fix LOB_PROGRAM_RELATIONSHIP extraction and preserve debugging code - Add format requirements to LOB_RELATIONSHIP_INSTRUCTION for proper caching - Strengthen LOB_RELATIONSHIP prompt with explicit pipe delimiter requirements - Preserve all DEBUG blocks and print statements in dynamic_funcs.py and file_processing.py - Update crosswalk mappings and gitignore - Ensure format instructions are cached at API level to prevent missing pipe delimiters * Merge main into bugfix/dynamic_issuefixes Resolved merge conflicts in: - fieldExtraction/src/investment/dynamic_funcs.py (merged debug print statements) - fieldExtraction/src/investment/file_processing.py (merged debug statements and exhibit inheritance code) All conflicts resolved successfully. * Fix AARETE_DERIVED_LOB to merge values from all crosswalks (PROGRAM and PRODUCT) - Updated fill_na_mapping to always check both AARETE_DERIVED_PROGRAM and PRODUCT crosswalks - Merges unique values from all sources (existing, PROGRAM, PRODUCT) instead of only filling when empty - Ensures Duals is included when PRODUCT contains Molina Medicare Options Plus - Deduplicates and sorts values before pipe-delimiting - Each row processed individually for correct LOB assignment per reimbursement term * Merged main into bugfix/derived_lob_changes Approved-by: Katon Minhas
96 lines
2.9 KiB
JSON
96 lines
2.9 KiB
JSON
{
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"metadata": {
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"from_col": "AARETE_DERIVED_PRODUCT",
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"to_col": "AARETE_DERIVED_LOB"
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},
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"mapping": {
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},
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"client_mapping" : {
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"Healthfirst" : {
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"Medicare Select" : "Medicare"
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},
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"Centene" : {
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},
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"Aetna" : {
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},
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"CHC" : {
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},
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"Fidelis" : {
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},
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"Parkland" : {
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"HEALTHfirst" : "Medicaid",
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"KIDSfirst" : "Medicaid"
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},
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"Molina" :{
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"Molina Medicare Options" : "Medicare",
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"Molina Medicare Options Plus" : "Duals",
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"Molina Health Benefit Exchange" : "Marketplace"
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},
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"Humana" : {
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},
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"Moda" : {
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"Synergy" : "Commercial",
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"Connexus" : "Commercial",
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"Beacon" : "Commercial",
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"Community Care Network" : "Commercial",
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"OHSU" : "Commercial",
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"PEBB" : "Commercial",
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"OEBB" : "Commercial",
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"Affinity" : "Marketplace",
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"Moda Select" : "Marketplace"
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},
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"Healthnet" : {
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"Indemnity" : "Commercial",
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"Ambetter" : "Commercial",
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"Healthy Families Benefit Program" : "Medicaid",
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"Salud con Health Net" : ""
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},
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"Trillium" : {
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"Universal" : "Medicaid"
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},
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"Sentara" : {
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},
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"CareSource" : {
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},
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"BCBS" : {
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"adultBasic" : "Medicaid",
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"Affordablue" : "Marketplace",
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"Keystone Health Plan West" : "Commercial",
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"PremierBlue" : "Commercial",
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"Choice Blue" : "Commercial",
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"Special Care Program" : "Marketplace",
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"Classic Blue" : "Commercial",
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"Preferred Blue" : "Commercial",
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"Direct Blue" : "Commercial",
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"Select Blue" : "Commerical",
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"Community Blue" : "Commercial",
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"Connect Blue" : "Commercial",
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"My Blue Access" : "Marketplace",
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"Short Term Blue" : "Commercial",
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"Advance Blue" : "Commercial",
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"Simply Blue" : "Commercial",
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"Essential" : "Medicaid|Commercial",
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"Essential Plan - Aliessa" : "Medicaid",
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"Essential Plan - QHP" : "Commercial",
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"Exchange" : "Marketplace",
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"First Priority Health" : "Commercial",
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"Highmark Choice Company" : "Commercial",
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"Protection Plus" : "Commercial",
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"Super Blue" : "Commercial",
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"Super Blue Plus" : "Commercial",
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"Super Blue Select" : "Commercial",
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"Quality Blue" : "Commercial|Medicare",
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"Blue High Performance Network (BlueHPN)" : "Commercial",
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"Together Blue" : "Marketplace",
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"Traditional" : "Commercial",
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"True Performance Program" : "Commercial|Medicare"
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}
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}
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} |