doczyai-pipelines/streamlit/contract_fields.csv

1	Interrogation Question?	Field Name	SF_DB_COL_NAME	DATA_TYPE	PRIORITY	FLAG	Related Generic Data Pipeline Field Name?	Source of Data	Theme	Required Field?	Use of Field Beyond Contract Config?
2	What is the title of the contract?	Contract Title	CONTRACT_TITLE	VARCHAR	C	ACTIVE	No	Title	Contract	Always Required
3	What is the title of the contract? (Page #)		CONTRACT_TITLE_PG	NUMERIC	C	ACTIVE
4	What type of contract or agreement is the document?	Contract Type	CONTRACT_HEADER	VARCHAR	A	ACTIVE	No	Title or Preamble	Contract	Always Required	UNIQUE KEY
5	What type of contract or agreement is the document? (Page #)		CONTRACT_HEADER_PG	NUMERIC	A	ACTIVE
6	If the contract is numbered, which number is it (e.g., if contract is titled Amendment #1, then enter "1")?	Number or Letter Used to Name Amendment, Addendum, Rider, Exhibit, Attachment, Schedule	CONTRACT_NUM	VARCHAR	A	ACTIVE	No	Title or Preamble	Contract	Required Only If Agreement NOT the Base Contract	GREEN LIGHT - IF SEQUENCE OF AMENDMENTS OR ADDENDUMS IS MISSING A NUMBER OR LETTER THEN STOP, DO NOT REVIEW CONTRACT CONFIGURATION UNTIL ALL AMENDMENTS AND ADDENDUMS ARE RECEIVED UNIQUE KEY
7	If the contract is numbered, which number is it (e.g., if contract is titled Amendment #1, then enter "1")? (Page #)		CONTRACT_NUM_PG	NUMERIC	A	ACTIVE
8	If this agreement is not the base contract, then what is the title of the associated base contract?	Associated Base Contract Title	CONTRACT_BASE_TITLE	VARCHAR	C	ACTIVE	No	Preamble	Contract	Required Only If Agreement Is NOT the Base Contract
9	If this agreement is not the base contract, then what is the title of the associated base contract? (Page#)		CONTRACT_BASE_TITLE_PG	NUMERIC	C	ACTIVE
10	If this agreement is not the base contract, then what is the effective date of the associated base contract?	Associated Base Contract Effective Date	CONTRACT_BASE_EFFECTIVE_DT	DATE	C	ACTIVE	No	Preamble	Contract	Required Only If Agreement Is NOT the Base Contract
11	If this agreement is not the base contract, then what is the effective date of the associated base contract? (Page#)		CONTRACT_BASE_EFFECTIVE_DT_PG	NUMERIC	C	ACTIVE
12	Is the contract the final version of the contract as evidenced by whether all signature lines in the signatory section of the agreement are signed?	Contract Signatory Complete (Y/N)?	CONTRACT_SIGNATORY_IND	BOOLEAN	A	ACTIVE	No	Signature Page	Contract	Always Required	GREEN LIGHT - IF NOT ALL SIGNATURES ARE COMPLETE THEN STOP, DO NOT REVIEW CONTRACT CONFIGURATION UNTIL FINAL VERSION OF CONTRACT IS RECEIVED UNIQUE KEY
13	Is the contract the final version of the contract as evidenced by whether all signature lines in the signatory section of the agreement are signed? (Page#)		CONTRACT_SIGNATORY_IND_PG	NUMERIC	A	ACTIVE
14	What is the name of the payer that is a party to the contract as stated in the Preamble?	Payer Name per Preamble	PAYER_NAME	VARCHAR	A	ACTIVE	Yes	Preamble	Payer	Always Required	GREEN LIGHT - IF PAYER NAME DOES NOT EQUAL "CLIENT NAME" THEN STOP, DO NOT REVIEW CONTRACT CONFIGURATION; UNIQUE KEY
15	What is the name of the payer that is a party to the contract as stated in the Preamble? (Page#)		PAYER_NAME_PG	NUMERIC	A	ACTIVE
16	What is the name of the Group provider that is a party to the contract as stated in the Preamble?	Group Provider Name per Preamble	PROV_GROUP_NAME	VARCHAR	A	ACTIVE	Yes	Preamble	Provider	Always Required	UNIQUE KEY
17	What is the name of the Group provider that is a party to the contract as stated in the Preamble? (Page#)		PROV_GROUP_NAME_PG	NUMERIC	A	ACTIVE
18	What is the Group provider's taxpayer identification number stated in the Preamble?	Group Provider Taxpayer Identification Number per Preamble	PROV_GROUP_TIN	VARCHAR	A	ACTIVE	Yes	Preamble	Provider	Required Only If Available	UNIQUE KEY
19	What is the Group provider's taxpayer identification number stated in the Preamble? (Page#)		PROV_GROUP_TIN_PG	NUMERIC	A	ACTIVE
20	What is the name of the Group provider that is a party to the contract as stated in the Signatory Section?	Group Provider Name per Signatory	PROV_GROUP_NAME_SIGNATORY	VARCHAR	A	ACTIVE	Yes	Signature Page	Provider	Always Required	UNIQUE KEY PDM
21	What is the name of the Group provider that is a party to the contract as stated in the Signatory Section? (Page#)		PROV_GROUP_NAME_SIGNATORY_PG	NUMERIC	A	ACTIVE
22	What is the group provider's taxpayer identification number stated in the Signatory Section?	Group Provider Taxpayer Identification Number per Signatory	PROV_GROUP_TIN_SIGNATORY	VARCHAR	A	ACTIVE	Yes	Signature Page	Provider	Always Required	UNIQUE KEY PDM
23	What is the group provider's taxpayer identification number stated in the Signatory Section? (Page#)		PROV_GROUP_TIN_SIGNATORY_PG	NUMERIC	A	ACTIVE
24	What is the group provider's national provider identifier number?	Group Provider National Provider Identifier	PROV_GROUP_NPI	VARCHAR	A	ACTIVE	Yes	Signature Page, Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
25	What is the group provider's national provider identifier number? (Page#)		PROV_GROUP_NPI_PG	NUMERIC	A	ACTIVE
26	What is the contact information of the Group provider named in this contract?	Group Provider Address Line 1	PROV_GROUP_ADDRESS_LINE1	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
27		Group Provider Address Line 2	PROV_GROUP_ADDRESS_LINE2	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
28		Group Provider City	PROV_GROUP_CITY	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
29		Group Provider State	PROV_GROUP_STATE_CD	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM UNIQUE KEY
30		Group Provider ZIP	PROV_GROUP_POSTAL_CD	NUMERIC	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
31		Group Provider Phone Number	PROV_GROUP_PHONE_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
32		Group Provider Fax Number	PROV_GROUP_FAX_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
33	What is the contact information of the Group provider named in this contract? (Page#)		PROV_GROUP_PG	NUMERIC	D	ACTIVE
34	What are the group providers identification numbers other than TIN and NPI?	Group Provider CAQH Number	PROV_GROUP_CAQH_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
35		Group Provider Medicaid Number	PROV_GROUP_MEDICAID_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
36		Group Provider Medicare Number	PROV_GROUP_MEDICARE_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
37		Group Provider Marketplace Number	PROV_GROUP_MARKETPLACE_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
38		Other Group Provider Identifiers	PROV_GROUP_OTHER_NUM	VARCHAR	D	ACTIVE	No	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
39	What are the group providers identification numbers other than TIN and NPI? (Page#)		PROV_GROUP_NUM_PG	NUMERIC	D	ACTIVE
40	What are the names of other providers associated with this agreement? (Note that amendments are needed to capture TINs added through acquisition/merger)	Associated Provider Full Names	PROV_DOING_BUSINESS_AS	VARCHAR	A	ACTIVE	Yes	Preamble, contract signatory section, and/or Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
41		Individual Provider First Name	PROV_FIRST_NAME_OTHER	VARCHAR	A	INACTIVE	Yes	Preamble, contract signatory section, and/or Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
42		Individual Provider Middle Initial	PROV_MIDDLE_NAME_OTHER	VARCHAR	A	INACTIVE	Yes	Preamble, contract signatory section, and/or Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
43		Individual Provider Last Name	PROV_LAST_NAME_OTHER	VARCHAR	A	INACTIVE	Yes	Preamble, contract signatory section, and/or Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
44	What are the names of other providers associated with this agreement? (Note that amendments are needed to capture TINs added through acquisition/merger) (Page#)		PROV_OTHER_PG	NUMERIC	A	ACTIVE
45	What are the provider taxpayer identification numbers for each of the other providers associated with this agreement?	Associated Provider Taxpayer Identification Numbers	PROV_TIN_OTHER	VARIANT	A	ACTIVE	No (but please use GDP TIN format throughout)	Preamble, contract signatory section, and/or Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
46	What are the provider taxpayer identification numbers for each of the other providers associated with this agreement? (Page#)		PROV_TIN_OTHER_PG	NUMERIC	A	ACTIVE
47	What are the provider national provider identifier numbers for each of the other providers associated with this agreement?	Associated Provider National Provider Identifiers	PROV_NPI_OTHER	VARIANT	A	ACTIVE	No (but please use GDP NPI format throughout)	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	UNIQUE KEY PDM
48	What are the provider national provider identifier numbers for each of the other providers associated with this agreement? (Page#)		PROV_NPI_OTHER_PG	NUMERIC	A	ACTIVE
49	What is the contact information for each of the other providers associated with this agreement?	Individual Provider Address Line 1	PROV_OTHER_ADDRESS_LINE1	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
50		Individual Provider Address Line 2	PROV_OTHER_ADDRESS_LINE2	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
51		Individual Provider City	PROV_OTHER_CITY	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
52		Individual Provider State	PROV_OTHER_STATE_CD	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
53		Individual Provider ZIP	PROV_OTHER_POSTAL_CD	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	LOCAL COVERAGE DETERMINATION (LCD) PAYMENT ACCURACY PDM
54		Individual Provider Phone Number	PROV_OTHER_PHONE_NUM	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
55		Individual Provider Fax Number	PROV_OTHER_FAX_NUM	VARCHAR	D	TRANSFORMED	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
56	What is the contact information for each of the other providers associated with this agreement? (Page#)		PROV_OTHER_PG	NUMERIC	D	TRANSFORMED
57	What are the individual providers identification numbers other than TIN and NPI?	Individual Provider CAQH Number	PROV_OTHER_CAQH_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
58		Individual Provider Medicaid Number	PROV_OTHER_MEDICAID_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
59		Individual Provider Medicare Number	PROV_OTHER_MEDICARE_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
60		Individual Provider Marketplace Number	PROV_OTHER_MARKETPLACE_NUM	VARCHAR	D	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
61		Other Individual Provider Identifiers	PROV_OTHER_NUM	VARCHAR	D	ACTIVE	No	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PDM
62	What are the individual providers identification numbers other than TIN and NPI? (Page#)		PROV_OTHER_NUM_PG	NUMERIC	D	ACTIVE
63	What is individual provider specialty per contract?	Individual Provider Specialty per Contract	PROV_SPECIALTY	VARIANT	B	ACTIVE	Yes	Exhibit, Attachment, or Schedule to contract	Provider	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS PDM PRICING
64	What is individual provider specialty per contract? (Page#)		PROV_SPECIALTY_PG	NUMERIC	B	ACTIVE
65	What is individual provider specialty as mapped by AArete?	Individual Provider Specialty as Mapped	AAR_PROV_SPECIALTY_AARETE_MAPPED	VARCHAR		ACTIVE	Yes	AArete Derived	Provider	Always Required	PAYMENT ACCURACY INTELLIGENT EDITS PDM PRICING
66	What is individual provider specialty as mapped by AArete? (Page#)					INACTIVE
67	What is the contract effective date as stated in Preamble of the agreement?	Contract Effective Date per Preamble	CONTRACT_EFFECTIVE_DT	DATE	A	ACTIVE	No (but please use GDP date format throughout)	Preamble	Key Dates	Always Required	PAYMENT ACCURACY UNIQUE KEY
68	What is the contract effective date as stated in Preamble of the agreement? (Page#)		CONTRACT_EFFECTIVE_DT_PG	NUMERIC	A	ACTIVE
69	What is the contract effective date as stated in the signatory section of the agreement?	Contract Effective Date per Signatory	CONTRACT_EFFECTIVE_DT_SIGNATORY	DATE	A	ACTIVE	No (but please use GDP date format throughout)	Signature Page	Key Dates	Always Required	PAYMENT ACCURACY UNIQUE KEY
70	What is the contract effective date as stated in the signatory section of the agreement? (Page#)		CONTRACT_EFFECTIVE_DT_SIGNATORY_PG	NUMERIC	A	ACTIVE
71	Are the contract effective dates in the Preamble and the final signatory section consistent?	Contract Effective Date Consistency (Y/N)?	AAR_IS_EFFECTIVE_DT_CONSISTENT_IND	BOOLEAN		ACTIVE	No	AArete Derived (Does Column D = Column E)?	Key Dates	Always Required	PAYMENT ACCURACY
72	Are the contract effective dates in the Preamble and the final signatory section consistent? (Page#)		R100			INACTIVE
73	What is the contract termination date?	Contract Termination Date	CONTRACT_TERMINATION_DT	DATE	A	ACTIVE	No (but please use GDP date format throughout)	Term & Termination Section of Contract	Key Dates	Always Required	PAYMENT ACCURACY UNIQUE KEY
74	What is the contract termination date? (Page#)		CONTRACT_TERMINATION_DT_PG	NUMERIC		ACTIVE
75	Does the contract automatically renew (Yes/No)?	Contract Auto Renewal (Y/N)?	CONTRACT_AUTO_RENEWAL_IND	BOOLEAN	A	ACTIVE	No	Term & Termination Section of Contract	Key Dates	Required Only If Available	PAYMENT ACCURACY UNIQUE KEY
76	Does the contract automatically renew (Yes/No)? (Page#)		CONTRACT_AUTO_RENEWAL_IND_PG	NUMERIC		ACTIVE
77	If contract automatically renews, then what is the length of the renewal term?	Contract Auto Renewal Terms?	CONTRACT_AUTO_RENEWAL_TERM_LENGTH	VARCHAR	A	ACTIVE	No	Term & Termination Section of Contract	Key Dates	Required Only If Available	PAYMENT ACCURACY UNIQUE KEY
78	If contract automatically renews, then what is the length of the renewal term? (Page#)		CONTRACT_AUTO_RENEWAL_TERM_LENGTH_PG	NUMERIC	A	ACTIVE
79	If contract automatically renews, then then what is the adjusted contract termination date?	Contract Adjusted Termination Date Resulting from Auto Renewal	AA_CONTRACT_ADJUSTED_TERMINATION_DT_FROM_AUTO_RENEWAL	DATE		ACTIVE	No	AArete Derived from Contract Termination Date As Adjusted for Renewals	Key Dates	Always Required	GREEN LIGHT - IF DATE IS LESS THAN TODAY'S DATE THEN STOP, DO NOT REVIEW CONTRACT CONFIGURATION UNLESS THERE IS AN EFFECTIVE AMENDMENT
80	If contract automatically renews, then then what is the adjusted contract termination date? (Page#)		R101			INACTIVE
81	What is timeline for payer to give notice of policy changes to provider per base agreement? (INSERT NUMBER)	Timeline Payer Policy Change Notice	R102			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY COST AVOIDANCE
82	What is timeline for payer to give notice of policy changes to provider per base agreement? (INSERT UNIT OF MEASURE)		R103			INACTIVE
83	Concat - What is timeline for payer to give notice of policy changes to provider per base agreement? (INSERT NUMBER)		PAYER_POLICY_CHANGE_NOTICE_TIMELINE	VARCHAR	E	ACTIVE
84	What is timeline for payer to give notice of policy changes to provider per base agreement? (INSERT TRIGGER "FROM" or "BEFORE")		PAYER_POLICY_CHANGE_NOTICE_INFO	VARCHAR	E	ACTIVE
85	What is timeline for payer to give notice of policy changes to provider per base agreement? (Page#)		PAYER_POLICY_CHANGE_NOTICE_INFO_PG	NUMERIC	E	ACTIVE
86	What is timeline for provider timely filing of claims submitted to the payer per base agreement (INSERT NUMEBER)?	Timeline Provider Claim Timely Filing	R104			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
87	What is timeline for provider timely filing of claims submitted to the payer per base agreement (INSERT UNIT OF MEASURE)?		R105			INACTIVE
88	Concat - What is timeline for provider timely filing of claims submitted to the payer per base agreement (INSERT NUMEBER)?		PROV_CLAIM_TIMELY_FILING_TIMELINE	VARCHAR	E	ACTIVE
89	What is timeline for provider timely filing of claims submitted to the payer per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CLAIM_TIMELY_FILING_INFO	VARCHAR	E	ACTIVE
90	What is timeline for provider timely filing of claims submitted to the payer per base agreement (Page#)?		PROV_CLAIM_TIMELY_FILING_PG	NUMERIC	E	ACTIVE
91	What is timeline for provider to file a corrected claim with the payer per the base agreement (INSERT NUMBER)?	Timeline Provider Corrected Claim Filing	R106			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
92	What is timeline for provider to file a corrected claim with the payer per the base agreement (INSERT UNIT OF MEASURE)?		R107			INACTIVE
93	Concat - What is timeline for provider to file a corrected claim with the payer per the base agreement (INSERT NUMBER)?		PROV_CORRECTED_CLAIM_FILING_TIMELINE	VARCHAR	E	ACTIVE
94	What is timeline for provider to file a corrected claim with the payer per the base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CORRECTED_CLAIM_FILING_INFO	VARCHAR	E	ACTIVE
95	What is timeline for provider to file a corrected claim with the payer per the base agreement (Page#)?		PROV_CORRECTED_CLAIM_FILING_PG	NUMERIC	E	ACTIVE
96	What is timeline for payer to prompt pay paper claims to the provider per base agreement (INSERT NUMBER)?	Timeline Payer Prompt Payment Paper	R108			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PREPAY
97	What is timeline for payer to prompt pay paper claims to the provider per base agreement (INSERT UNIT OF MEASURE)?		R109			INACTIVE
98	Concat - What is timeline for payer to prompt pay paper claims to the provider per base agreement (INSERT NUMBER)?		PAYER_PROMPT_PAY_PAPER_CLAIM_TIMELINE	VARCHAR	E	ACTIVE
99	What is timeline for payer to prompt pay paper claims to the provider per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_PROMPT_PAY_PAPER_CLAIM_INFO	VARCHAR	E	ACTIVE
100	What is timeline for payer to prompt pay paper claims to the provider per base agreement (Page#)?		PAYER_PROMPT_PAY_PAPER_CLAIM_PG	NUMERIC	E	ACTIVE
101	What is timeline for payer to prompt pay electronic claims to the provider per base agreement (INSERT NUMBER)?	Timeline Payer Prompt Payment Electronic	R110			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PREPAY
102	What is timeline for payer to prompt pay electronic claims to the provider per base agreement (INSERT UNIT OF MEASURE)?		R111			INACTIVE
103	Concat - What is timeline for payer to prompt pay electronic claims to the provider per base agreement (INSERT NUMBER)?		PAYER_PROMPT_PAY_ELECTRONIC_CLAIM_TIMELINE	VARCHAR	E	ACTIVE
104	What is timeline for payer to prompt pay electronic claims to the provider per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_PROMPT_PAY_ELECTRONIC_CLAIM_INFO	VARCHAR	E	ACTIVE
105	What is timeline for payer to prompt pay electronic claims to the provider per base agreement (Page#)?		PAYER_PROMPT_PAY_ELECTRONIC_CLAIM_PG	NUMERIC	E	ACTIVE
106	What is timeline for payer to audit claims per base agreement (INSERT NUMBER)?	Timeline Payer Claim Audit	R112			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
107	What is timeline for payer to audit claims per base agreement (INSERT UNIT OF MEASURE)?		R113			INACTIVE
108	Concat - What is timeline for payer to audit claims per base agreement (INSERT NUMBER)?		PAYER_AUDIT_CLAIM_TIMELINE	VARCHAR	E	ACTIVE
109	What is timeline for payer to audit claims per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_AUDIT_CLAIM_INFO	VARCHAR	E	ACTIVE
110	What is timeline for payer to audit claims per base agreement (Page#)?		PAYER_AUDIT_CLAIM_PG	NUMERIC	E	ACTIVE
111	What is timeline for provider to submit a payment appeal to the payer per base agreement (INSERT NUMBER)?	Timeline Provider Payment Appeal	R114			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
112	What is timeline for provider to submit a payment appeal to the payer per base agreement (INSERT UNIT OF MEASURE)?		R115			INACTIVE
113	Concat - What is timeline for provider to submit a payment appeal to the payer per base agreement (INSERT NUMBER)?		PROV_SUBMIT_PAYMENT_APPEAL_TIMELINE	VARCHAR	E	ACTIVE
114	What is timeline for provider to submit a payment appeal to the payer per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_PAYMENT_APPEAL_INFO	VARCHAR	E	ACTIVE
115	What is timeline for provider to submit a payment appeal to the payer per base agreement (Page#)?		PROV_SUBMIT_PAYMENT_APPEAL_PG	NUMERIC	E	ACTIVE
116	What is timeline for provider to submit a payment dispute to the payer per base agreement (INSERT NUMBER)?	Timeline Provider Payment Dispute	R116			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
117	What is timeline for provider to submit a payment dispute to the payer per base agreement (INSERT UNIT OF MEASURE)?		R117			INACTIVE
118	Concat - What is timeline for provider to submit a payment dispute to the payer per base agreement (INSERT NUMBER)?		PROV_SUBMIT_PAYMENT_DISPUTE_TIMELINE	VARCHAR	E	ACTIVE
119	What is timeline for provider to submit a payment dispute to the payer per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_PAYMENT_DISPUTE_INFO	VARCHAR	E	ACTIVE
120	What is timeline for provider to submit a payment dispute to the payer per base agreement (Page#)?		PROV_SUBMIT_PAYMENT_DISPUTE_PG	NUMERIC	E	ACTIVE
121	What is timeline for provider to submit a payment reconsideration request to the payer per base agreement (INSERT NUMBER)?	Timeline Provider Payment Reconsideration	R118			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
122	What is timeline for provider to submit a payment reconsideration request to the payer per base agreement (INSERT UNIT OF MEASURE)?		R119			INACTIVE
123	Concat - What is timeline for provider to submit a payment reconsideration request to the payer per base agreement (INSERT NUMBER)?		PROV_SUBMIT_PAYMENT_RECONSIDERATION_TIMELINE	VARCHAR		ACTIVE
124	What is timeline for provider to submit a payment reconsideration request to the payer per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_PAYMENT_RECONSIDERATION_INFO	VARCHAR	E	ACTIVE
125	What is timeline for provider to submit a payment reconsideration request to the payer per base agreement (Page#)?		PROV_SUBMIT_PAYMENT_RECONSIDERATION_PG	NUMERIC	E	ACTIVE
126	What is timeline for payer to identify overpayments in paid claims per base agreement (INSERT NUMBER)?	Timeline Payer Overpayment Identification	R120			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
127	What is timeline for payer to identify overpayments in paid claims per base agreement (INSERT UNIT OF MEASURE)?		R121			INACTIVE
128	Concat - What is timeline for payer to identify overpayments in paid claims per base agreement (INSERT NUMBER)?		PAYER_IDENTIFY_OVERPAYMENT_TIMELINE	VARCHAR	E	ACTIVE
129	What is timeline for payer to identify overpayments in paid claims per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_IDENTIFY_OVERPAYMENT_INFO	VARCHAR	E	ACTIVE
130	What is timeline for payer to identify overpayments in paid claims per base agreement (Page#)?		PAYER_IDENTIFY_OVERPAYMENT_PG	NUMERIC	E	ACTIVE
131	What is timeline for provider to submit an overpayment appeal to the payer per base agreement (INSERT NUMBER)?	Timeline Provider Overpayment Appeal	R122			INACTIVE	No	Base Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
132	What is timeline for provider to submit an overpayment appeal to the payer per base agreement (INSERT UNIT OF MEASURE)?		R123			INACTIVE
133	Concat - What is timeline for provider to submit an overpayment appeal to the payer per base agreement (INSERT NUMBER)?		PROV_SUBMIT_OVERPAYMENT_APPEAL_TIMELINE	VARCHAR	E	ACTIVE
134	What is timeline for provider to submit an overpayment appeal to the payer per base agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_OVERPAYMENT_APPEAL_INFO	VARCHAR	E	ACTIVE
135	What is timeline for provider to submit an overpayment appeal to the payer per base agreement (Page#)?		PROV_SUBMIT_OVERPAYMENT_APPEAL_PG	NUMERIC	E	ACTIVE
136
137	What is timeline for payer to give notice of policy changes to provider per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Payer Policy Change Notice	R124			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY COST AVOIDANCE
138	What is timeline for payer to give notice of policy changes to provider per Medicare agreement (INSERT UNIT OF MEASURE)?		R125			INACTIVE
139	Concat - What is timeline for payer to give notice of policy changes to provider per Medicare agreement (INSERT NUMBER)?		PAYER_NOTICE_POLICY_CHANGE_MEDICARE_TIMELINE	VARCHAR		INACTIVE
140	What is timeline for payer to give notice of policy changes to provider per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_NOTICE_POLICY_CHANGE_MEDICARE_INFO	VARCHAR		INACTIVE
141	What is timeline for payer to give notice of policy changes to provider per Medicare agreement (Page#)?		PAYER_NOTICE_POLICY_CHANGE_MEDICARE_PG	NUMERIC		INACTIVE
142	What is timeline for provider timely filing of claims submitted to the payer per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Provider Claim Timely Filing	R126			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
143	What is timeline for provider timely filing of claims submitted to the payer per Medicare agreement (INSERT UNIT OF MEASURE)?		R127			INACTIVE
144	Concat - What is timeline for provider timely filing of claims submitted to the payer per Medicare agreement (INSERT NUMBER)?		PROV_CLAIM_TIMELY_FILING_MEDICARE_TIMELINE	VARCHAR		INACTIVE
145	What is timeline for provider timely filing of claims submitted to the payer per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CLAIM_TIMELY_FILING_MEDICARE_INFO	VARCHAR		INACTIVE
146	What is timeline for provider timely filing of claims submitted to the payer per Medicare agreement (Page#)?		PROV_CLAIM_TIMELY_FILING_MEDICARE_PG	NUMERIC		INACTIVE
147	What is timeline for provider to file a corrected claim with the payer per the Medicare agreement (INSERT NUMBER)?	Timeline Medicare Provider Corrected Claim Filing	R128			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
148	What is timeline for provider to file a corrected claim with the payer per the Medicare agreement (INSERT UNIT OF MEASURE)?		R129			INACTIVE
149	Concat - What is timeline for provider to file a corrected claim with the payer per the Medicare agreement (INSERT NUMBER)?		PROV_CORRECTED_CLAIM_FILING_MEDICARE_TIMELINE	VARCHAR		INACTIVE
150	What is timeline for provider to file a corrected claim with the payer per the Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CORRECTED_CLAIM_FILING_MEDICARE_INFO	VARCHAR		INACTIVE
151	What is timeline for provider to file a corrected claim with the payer per the Medicare agreement (Page#)?		PROV_CORRECTED_CLAIM_FILING_MEDICARE_PG	NUMERIC		INACTIVE
152	What is timeline for payer to prompt pay paper claims to the provider per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Payer Prompt Payment Paper	R130			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PREPAY
153	What is timeline for payer to prompt pay paper claims to the provider per Medicare agreement (INSERT UNIT OF MEASURE)?		R131			INACTIVE
154	Concat - What is timeline for payer to prompt pay paper claims to the provider per Medicare agreement (INSERT NUMBER)?		PROV_PROMPT_PAY_PAPER_CLAIM_MEDICARE_TIMELINE	VARCHAR		INACTIVE
155	What is timeline for payer to prompt pay paper claims to the provider per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PROMPT_PAY_PAPER_CLAIM_MEDICARE_INFO	VARCHAR		INACTIVE
156	What is timeline for payer to prompt pay paper claims to the provider per Medicare agreement (Page#?		PROV_PROMPT_PAY_PAPER_CLAIM_MEDICARE_PG	NUMERIC		INACTIVE
157	What is timeline for payer to prompt pay electronic claims to the provider per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Payer Prompt Payment Electronic	R132			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PREPAY
158	What is timeline for payer to prompt pay electronic claims to the provider per Medicare agreement (INSERT UNIT OF MEASURE)?		R133			INACTIVE
159	Concat - What is timeline for payer to prompt pay electronic claims to the provider per Medicare agreement (INSERT NUMBER)?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MEDICARE_TIMELINE	VARCHAR		INACTIVE
160	What is timeline for payer to prompt pay electronic claims to the provider per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MEDICARE_INFO	VARCHAR		INACTIVE
161	What is timeline for payer to prompt pay electronic claims to the provider per Medicare agreement (Page#)?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MEDICARE_PG	NUMERIC		INACTIVE
162	What is timeline for payer to audit claims per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Payer Claim Audit	R134			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
163	What is timeline for payer to audit claims per Medicare agreement (INSERT UNIT OF MEASURE)?		R135			INACTIVE
164	Concat - What is timeline for payer to audit claims per Medicare agreement (INSERT NUMBER)?		PAYER_CLAIM_AUDIT_MEDICARE_TIMELINE	VARCHAR		INACTIVE
165	What is timeline for payer to audit claims per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_CLAIM_AUDIT_MEDICARE_INFO	VARCHAR		INACTIVE
166	What is timeline for payer to audit claims per Medicare agreement? (Page#)		PAYER_CLAIM_AUDIT_MEDICARE_PG	NUMERIC		INACTIVE
167	What is timeline for provider to submit a payment appeal to the payer per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Provider Payment Appeal	R136			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
168	What is timeline for provider to submit a payment appeal to the payer per Medicare agreement (INSERT UNIT OF MEASURE)?		R137			INACTIVE
169	Concat - What is timeline for provider to submit a payment appeal to the payer per Medicare agreement (INSERT NUMBER)?		PROV_SUBMIT_PAYMENT_APPEAL_MEDICARE_TIMELINE	VARCHAR		INACTIVE
170	What is timeline for provider to submit a payment appeal to the payer per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_PAYMENT_APPEAL_MEDICARE_INFO	VARCHAR		INACTIVE
171	What is timeline for provider to submit a payment appeal to the payer per Medicare agreement (INSERT NUMBER)? (Page#)		PROV_SUBMIT_PAYMENT_APPEAL_MEDICARE_PG	NUMERIC		INACTIVE
172	What is timeline for provider to submit a payment dispute to the payer per Medicare agreement (INSERT NUMBER) ?	Timeline Medicare Provider Payment Dispute	R138			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
173	What is timeline for provider to submit a payment dispute to the payer per Medicare agreement (INSERT UNIT OF MEASURE) ?		R139			INACTIVE
174	Concat - What is timeline for provider to submit a payment dispute to the payer per Medicare agreement (INSERT NUMBER) ?		PROV_SUBMIT_PAYMENT_DISPUTE_MEDICARE_TIMELINE	VARCHAR		INACTIVE
175	What is timeline for provider to submit a payment dispute to the payer per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE") ?		PROV_SUBMIT_PAYMENT_DISPUTE_MEDICARE_INFO	VARCHAR		INACTIVE
176	What is timeline for provider to submit a payment dispute to the payer per Medicare agreement ? (Page#)		PROV_SUBMIT_PAYMENT_DISPUTE_MEDICARE_P	NUMERIC		INACTIVE
177	What is timeline for provider to submit a payment reconsideration request to the payer per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Provider Payment Reconsideration	R140			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
178	What is timeline for provider to submit a payment reconsideration request to the payer per Medicare agreement (INSERT UNIT OF MEASURE)?		R141			INACTIVE
179	Concat - What is timeline for provider to submit a payment reconsideration request to the payer per Medicare agreement (INSERT NUMBER)?		PROV_SUBMIT_PAYMENT_RECONSIDERATION_MEDICARE_TIMELINE	VARCHAR		INACTIVE
180	What is timeline for provider to submit a payment reconsideration request to the payer per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_PAYMENT_RECONSIDERATION_MEDICARE_INFO	VARCHAR		INACTIVE
181	What is timeline for provider to submit a payment reconsideration request to the payer per Medicare agreement? (Page#)		PROV_SUBMIT_PAYMENT_RECONSIDERATION_MEDICARE_PG	NUMERIC		INACTIVE
182	What is timeline for payer to identify overpayments in paid claims per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Payer Overpayment Identification	R142			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
183	What is timeline for payer to identify overpayments in paid claims per Medicare agreement (INSERT UNIT OF MEASURE)?		R143			INACTIVE
184	Concat - What is timeline for payer to identify overpayments in paid claims per Medicare agreement (INSERT NUMBER)?		PROV_OVERPAYMENT_IDENTIFICATION_MEDICARE_TIMELINE	VARCHAR		INACTIVE
185	What is timeline for payer to identify overpayments in paid claims per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_OVERPAYMENT_IDENTIFICATION_MEDICARE_INFO	VARCHAR		INACTIVE
186	What is timeline for payer to identify overpayments in paid claims per Medicare agreement? (Page#)		PROV_OVERPAYMENT_IDENTIFICATION_MEDICARE_PG	NUMERIC		INACTIVE
187	What is timeline for provider to submit an overpayment appeal to the payer per Medicare agreement (INSERT NUMBER)?	Timeline Medicare Provider Overpayment Appeal	R144			INACTIVE	No	Medicare Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
188	What is timeline for provider to submit an overpayment appeal to the payer per Medicare agreement (INSERT UNIT OF MEASURE)?		R145			INACTIVE
189	Concat - What is timeline for provider to submit an overpayment appeal to the payer per Medicare agreement (INSERT NUMBER)?		PROV_OVERPAYMENT_APPEAL_MEDICARE_TIMELINE	VARCHAR		INACTIVE
190	What is timeline for provider to submit an overpayment appeal to the payer per Medicare agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_OVERPAYMENT_APPEAL_MEDICARE_INFO	VARCHAR		INACTIVE
191	What is timeline for provider to submit an overpayment appeal to the payer per Medicare agreement? (Page#)		PROV_OVERPAYMENT_APPEAL_MEDICARE_PG	NUMERIC		INACTIVE
192	Does Medicare agreement allow offshore (Yes/No)?	Medicare Offshore (Y/N)?	MEDICARE_ALLOW_OFSHORE	VARCHAR	E	ACTIVE	No	Medicare Agreement		Required Only If Available
193	Does Medicare agreement allow offshore (Yes/No)? (Page#)		MEDICARE_ALLOW_OFFSHORE_PG	NUMERIC	E	ACTIVE
194
195	What is timeline for payer to give notice of policy changes to provider per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Payer Policy Change Notice	R146			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY COST AVOIDANCE
196	What is timeline for payer to give notice of policy changes to provider per Medicaid agreement (INSERT UNIT OF MEASURE)?		R147			INACTIVE
197	Concat - What is timeline for payer to give notice of policy changes to provider per Medicaid agreement (INSERT NUMBER)?		PAYER_NOTICE_POLICY_CHANGE_MEDICAID_TIMELINE	VARCHAR		INACTIVE
198	What is timeline for payer to give notice of policy changes to provider per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_NOTICE_POLICY_CHANGE_MEDICAID_INFO	VARCHAR		INACTIVE
199	What is timeline for payer to give notice of policy changes to provider per Medicaid agreement? (Page#)		PAYER_NOTICE_POLICY_CHANGE_MEDICAID_PG	NUMERIC		INACTIVE
200	What is timeline for provider timely filing of claims submitted to the payer per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Provider Claim Timely Filing	R148			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
201	What is timeline for provider timely filing of claims submitted to the payer per Medicaid agreement (INSERT UNIT OF MEASURE)?		R149			INACTIVE
202	Concat - What is timeline for provider timely filing of claims submitted to the payer per Medicaid agreement (INSERT NUMBER)?		PROV_CLAIM_TIMELY_FILING_MEDICAID_TIMELINE	VARCHAR		INACTIVE
203	What is timeline for provider timely filing of claims submitted to the payer per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CLAIM_TIMELY_FILING_MEDICAID_INFO	VARCHAR		INACTIVE
204	What is timeline for provider timely filing of claims submitted to the payer per Medicaid agreement? (Page#)		PROV_CLAIM_TIMELY_FILING_MEDICAID_PG	NUMERIC		INACTIVE
205	What is timeline for provider to file a corrected claim with the payer per the Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Provider Corrected Claim Filing	R150			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
206	What is timeline for provider to file a corrected claim with the payer per the Medicaid agreement (INSERT UNIT OF MEASURE)?		R151			INACTIVE
207	Concat - What is timeline for provider to file a corrected claim with the payer per the Medicaid agreement (INSERT NUMBER)?		PROV_CORRECTED_CLAIM_FILING_MEDICAID_TIMELINE	VARCHAR		INACTIVE
208	What is timeline for provider to file a corrected claim with the payer per the Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CORRECTED_CLAIM_FILING_MEDICAID_INFO	VARCHAR		INACTIVE
209	What is timeline for provider to file a corrected claim with the payer per the Medicaid agreement? (Page#)		PROV_CORRECTED_CLAIM_FILING_MEDICAID_PG	NUMERIC		INACTIVE
210	What is timeline for payer to prompt pay paper claims to the provider per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Payer Prompt Payment Paper	R152			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PREPAY
211	What is timeline for payer to prompt pay paper claims to the provider per Medicaid agreement (INSERT UNIT OF MEASURE)?		R153			INACTIVE
212	Concat - What is timeline for payer to prompt pay paper claims to the provider per Medicaid agreement (INSERT NUMBER)?		PROV_PROMPT_PAY_PAPER_CLAIM_MEDICAID_TIMELINE	VARCHAR		INACTIVE
213	What is timeline for payer to prompt pay paper claims to the provider per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PROMPT_PAY_PAPER_CLAIM_MEDICAID_INFO	VARCHAR		INACTIVE
214	What is timeline for payer to prompt pay paper claims to the provider per Medicaid agreement? (Page#)		PROV_PROMPT_PAY_PAPER_CLAIM_MEDICAID_PG	NUMERIC		INACTIVE
215	What is timeline for payer to prompt pay electronic claims to the provider per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Payer Prompt Payment Electronic	R154			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PREPAY
216	What is timeline for payer to prompt pay electronic claims to the provider per Medicaid agreement (INSERT UNIT OF MEASURE)?		R155			INACTIVE
217	Concat - What is timeline for payer to prompt pay electronic claims to the provider per Medicaid agreement (INSERT NUMBER)?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MEDICAID_TIMELINE	VARCHAR		INACTIVE
218	What is timeline for payer to prompt pay electronic claims to the provider per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MEDICAID_INFO	VARCHAR		INACTIVE
219	What is timeline for payer to prompt pay electronic claims to the provider per Medicaid agreement? (Page#)		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MEDICAID_PG	NUMERIC		INACTIVE
220	What is timeline for payer to audit claims per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Payer Claim Audit	R156			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
221	What is timeline for payer to audit claims per Medicaid agreement (INSERT UNIT OF MEASURE)?		R157			INACTIVE
222	Concat - What is timeline for payer to audit claims per Medicaid agreement (INSERT NUMBER)?		PROV_CLAIM_AUDIT_MEDICAID_TIMELINE	VARCHAR		INACTIVE
223	What is timeline for payer to audit claims per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CLAIM_AUDIT_MEDICAID_INFO	VARCHAR		INACTIVE
224	What is timeline for payer to audit claims per Medicaid agreement? (Page#)		PROV_CLAIM_AUDIT_MEDICAID_PG	NUMERIC		INACTIVE
225	What is timeline for provider to submit a payment appeal to the payer per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Provider Payment Appeal	R158			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
226	What is timeline for provider to submit a payment appeal to the payer per Medicaid agreement (INSERT UNIT OF MEASURE)?		R159			INACTIVE
227	Concat - What is timeline for provider to submit a payment appeal to the payer per Medicaid agreement (INSERT NUMBER)?		PROV_PAYMENT_APPEAL_MEDICAID_TIMELINE	VARCHAR		INACTIVE
228	What is timeline for provider to submit a payment appeal to the payer per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PAYMENT_APPEAL_MEDICAID_INFO	VARCHAR		INACTIVE
229	What is timeline for provider to submit a payment appeal to the payer per Medicaid agreement? (Page#)		PROV_PAYMENT_APPEAL_MEDICAID_PG	NUMERIC		INACTIVE
230	What is timeline for provider to submit a payment dispute to the payer per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Provider Payment Dispute	R160			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
231	What is timeline for provider to submit a payment dispute to the payer per Medicaid agreement (INSERT UNIT OF MEASURE)?		R161			INACTIVE
232	Concat - What is timeline for provider to submit a payment dispute to the payer per Medicaid agreement (INSERT NUMBER)?		PROV_SUBMIT_PAYMENT_DISPUTE_MEDICAID_TIMELINE	VARCHAR		INACTIVE
233	What is timeline for provider to submit a payment dispute to the payer per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_SUBMIT_PAYMENT_DISPUTE_MEDICAID_INFO	VARCHAR		INACTIVE
234	What is timeline for provider to submit a payment dispute to the payer per Medicaid agreement ? (Page#)		PROV_SUBMIT_PAYMENT_DISPUTE_MEDICAID_PG	NUMERIC		INACTIVE
235	What is timeline for provider to submit a payment reconsideration request to the payer per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Provider Payment Reconsideration	R162			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
236	What is timeline for provider to submit a payment reconsideration request to the payer per Medicaid agreement (INSERT UNIT OF MEASURE)?		R163			INACTIVE
237	Concat - What is timeline for provider to submit a payment reconsideration request to the payer per Medicaid agreement (INSERT NUMBER)?		PROV_PAYMENT_RECONSIDERATION_MEDICAID_TIMELINE	VARCHAR		INACTIVE
238	What is timeline for provider to submit a payment reconsideration request to the payer per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PAYMENT_RECONSIDERATION_MEDICAID_INFO	VARCHAR		INACTIVE
239	What is timeline for provider to submit a payment reconsideration request to the payer per Medicaid agreement? (Page#)		PROV_PAYMENT_RECONSIDERATION_MEDICAID_PG	NUMERIC		INACTIVE
240	What is timeline for payer to identify overpayments in paid claims per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Payer Overpayment Identification	R164			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
241	What is timeline for payer to identify overpayments in paid claims per Medicaid agreement (INSERT UNIT OF MEASURE)?		R165			INACTIVE
242	Concat - What is timeline for payer to identify overpayments in paid claims per Medicaid agreement (INSERT NUMBER)?		PROV_IDENTIFY_OVERPAYMENTS_MEDICAID_TIMELINE	VARCHAR		INACTIVE
243	What is timeline for payer to identify overpayments in paid claims per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_IDENTIFY_OVERPAYMENTS_MEDICAID_INFO	VARCHAR		INACTIVE
244	What is timeline for payer to identify overpayments in paid claims per Medicaid agreement? (Page#)		PROV_IDENTIFY_OVERPAYMENTS_MEDICAID_PG	NUMERIC		INACTIVE
245	What is timeline for provider to submit an overpayment appeal to the payer per Medicaid agreement (INSERT NUMBER)?	Timeline Medicaid Provider Overpayment Appeal	R166			INACTIVE	No	Medicaid Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
246	What is timeline for provider to submit an overpayment appeal to the payer per Medicaid agreement (INSERT UNIT OF MEASURE)?		R167			INACTIVE
247	Concat - What is timeline for provider to submit an overpayment appeal to the payer per Medicaid agreement (INSERT NUMBER)?		PROV_OVERPAYMENT_APPEAL_MEDICAID_TIMELINE	VARCHAR		INACTIVE
248	What is timeline for provider to submit an overpayment appeal to the payer per Medicaid agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_OVERPAYMENT_APPEAL_MEDICAID_INFO	VARCHAR		INACTIVE
249	What is timeline for provider to submit an overpayment appeal to the payer per Medicaid agreement? (Page#)		PROV_OVERPAYMENT_APPEAL_MEDICAID_PG	NUMERIC		INACTIVE
250	Does Medicaid agreement allow offshore (Yes/No)?	Medicaid Offshore (Y/N)?	MEDICAID_ALLOW_OFFSHORE	VARCHAR		INACTIVE	No	Medicaid Agreement		Required Only If Available
251	Does Medicaid agreement allow offshore (Yes/No)? (Page#)		MEDICAID_ALLOW_OFFSHORE_PG	NUMERIC		INACTIVE
252
253	What is timeline for payer to give notice of policy changes to provider per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Payer Policy Change Notice	R168			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY COST AVOIDANCE
254	What is timeline for payer to give notice of policy changes to provider per State Marketplace agreement (INSERT UNIT OF MEASURE)?		R169			INACTIVE
255	Concat - What is timeline for payer to give notice of policy changes to provider per State Marketplace agreement (INSERT NUMBER)?		PAYER_NOTICE_POLICY_CHANGE_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
256	What is timeline for payer to give notice of policy changes to provider per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PAYER_NOTICE_POLICY_CHANGE_MARKETPLACE_INFO	VARCHAR		INACTIVE
257	What is timeline for payer to give notice of policy changes to provider per State Marketplace agreement? (Page#)		PAYER_NOTICE_POLICY_CHANGE_MARKETPLACE_PG	NUMERIC		INACTIVE
258	What is timeline for provider timely filing of claims submitted to the payer per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Provider Claim Timely Filing	R170			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
259	What is timeline for provider timely filing of claims submitted to the payer per State Marketplace agreement (INSERT UNIT OF MEASURE)?		R171			INACTIVE
260	Concat - What is timeline for provider timely filing of claims submitted to the payer per State Marketplace agreement (INSERT NUMBER)?		PROV_CLAIM_TIMELY_FILING_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
261	What is timeline for provider timely filing of claims submitted to the payer per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CLAIM_TIMELY_FILING_MARKETPLACE_INFO	VARCHAR		INACTIVE
262	What is timeline for provider timely filing of claims submitted to the payer per State Marketplace agreement? (Page#)		PROV_CLAIM_TIMELY_FILING_MARKETPLACE_PG	NUMERIC		INACTIVE
263	What is timeline for provider to file a corrected claim with the payer per the State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Provider Corrected Claim Filing	R172			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
264	What is timeline for provider to file a corrected claim with the payer per the State Marketplace agreement (INSERT UNIT OF MEASURE)?		R173			INACTIVE
265	Concat - What is timeline for provider to file a corrected claim with the payer per the State Marketplace agreement (INSERT NUMBER)?		PROV_CORRECTED_CLAIM_FILING_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
266	What is timeline for provider to file a corrected claim with the payer per the State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CORRECTED_CLAIM_FILING_MARKETPLACE_INFO	VARCHAR		INACTIVE
267	What is timeline for provider to file a corrected claim with the payer per the State Marketplace agreement? (Page#)		PROV_CORRECTED_CLAIM_FILING_MARKETPLACE_PG	NUMERIC		INACTIVE
268	What is timeline for payer to prompt pay paper claims to the provider per State Marketplace agreement (INSERT NUMBER) ?	Timeline State Marketplace Payer Prompt Payment Paper	R174			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PREPAY
269	What is timeline for payer to prompt pay paper claims to the provider per State Marketplace agreement (INSERT UNIT OF MEASURE) ?		R175			INACTIVE
270	Concat - What is timeline for payer to prompt pay paper claims to the provider per State Marketplace agreement (INSERT NUMBER) ?		PROV_PROMPT_PAY_PAPER_CLAIM_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
271	What is timeline for payer to prompt pay paper claims to the provider per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE") ?		PROV_PROMPT_PAY_PAPER_CLAIM_MARKETPLACE_INFO	VARCHAR		INACTIVE
272	What is timeline for payer to prompt pay paper claims to the provider per State Marketplace agreement? (Page#)		PROV_PROMPT_PAY_PAPER_CLAIM_MARKETPLACE_PG	NUMERIC		INACTIVE
273	What is timeline for payer to prompt pay electronic claims to the provider per State Marketplace agreement (INSERT NUMBER) ?	Timeline State Marketplace Payer Prompt Payment Electronic	R176			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PREPAY
274	What is timeline for payer to prompt pay electronic claims to the provider per State Marketplace agreement (INSERT UNIT OF MEASURE) ?		R177			INACTIVE
275	Concat - What is timeline for payer to prompt pay electronic claims to the provider per State Marketplace agreement (INSERT NUMBER) ?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
276	What is timeline for payer to prompt pay electronic claims to the provider per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE") ?		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MARKETPLACE_INFO	VARCHAR		INACTIVE
277	What is timeline for payer to prompt pay electronic claims to the provider per State Marketplace agreement? (Page#)		PROV_PROMPT_PAY_ELECTRONIC_CLAIM_MARKETPLACE_PG	NUMERIC		INACTIVE
278	What is timeline for payer to audit claims per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Payer Claim Audit	R178			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
279	What is timeline for payer to audit claims per State Marketplace agreement (INSERT UNIT OF MEASURE)?		R179			INACTIVE
280	Concat - What is timeline for payer to audit claims per State Marketplace agreement (INSERT NUMBER)?		PROV_CLAIM_AUDIT_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
281	What is timeline for payer to audit claims per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_CLAIM_AUDIT_MARKETPLACE_INFO	VARCHAR		INACTIVE
282	What is timeline for payer to audit claims per State Marketplace agreement? (Page#)		PROV_CLAIM_AUDIT_MARKETPLACE_PG	NUMERIC		INACTIVE
283	What is timeline for provider to submit a payment appeal to the payer per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Provider Payment Appeal	R180			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
284	What is timeline for provider to submit a payment appeal to the payer per State Marketplace agreement (INSERT UNIT OF MEASURE)?		R181			INACTIVE
285	Concat - What is timeline for provider to submit a payment appeal to the payer per State Marketplace agreement (INSERT NUMBER)?		PROV_PAYMENT_APPEAL_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
286	What is timeline for provider to submit a payment appeal to the payer per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PAYMENT_APPEAL_MARKETPLACE_INFO	VARCHAR		INACTIVE
287	What is timeline for provider to submit a payment appeal to the payer per State Marketplace agreement? (Page#)		PROV_PAYMENT_APPEAL_MARKETPLACE_PG	NUMERIC		INACTIVE
288	What is timeline for provider to submit a payment dispute to the payer per State Marketplace agreement (INSERT NUMBER) ?	Timeline State Marketplace Provider Payment Dispute	R182			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
289	What is timeline for provider to submit a payment dispute to the payer per State Marketplace agreement (INSERT UNIT OF MEASURE) ?		R183			INACTIVE
290	Concat - What is timeline for provider to submit a payment dispute to the payer per State Marketplace agreement (INSERT NUMBER) ?		PROV_PAYMENT_DISPUTE_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
291	What is timeline for provider to submit a payment dispute to the payer per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE") ?		PROV_PAYMENT_DISPUTE_MARKETPLACE_INFO	VARCHAR		INACTIVE
292	What is timeline for provider to submit a payment dispute to the payer per State Marketplace agreement ? (Page#)		PROV_PAYMENT_DISPUTE_MARKETPLACE_PG	NUMERIC		INACTIVE
293	What is timeline for provider to submit a payment reconsideration request to the payer per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Provider Payment Reconsideration	R184			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
294	What is timeline for provider to submit a payment reconsideration request to the payer per State Marketplace agreement (INSERT UNIT OF MEASURE)?		R185			INACTIVE
295	Concat - What is timeline for provider to submit a payment reconsideration request to the payer per State Marketplace agreement (INSERT NUMBER)?		PROV_PAYMENT_RECONSIDERATION_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
296	What is timeline for provider to submit a payment reconsideration request to the payer per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_PAYMENT_RECONSIDERATION_MARKETPLACE_INFO	VARCHAR		INACTIVE
297	What is timeline for provider to submit a payment reconsideration request to the payer per State Marketplace agreement? (Page#)		PROV_PAYMENT_RECONSIDERATION_MARKETPLACE_PG	NUMERIC		INACTIVE
298	What is timeline for payer to identify overpayments in paid claims per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Payer Overpayment Identification	R186			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	PAYMENT ACCURACY
299	What is timeline for payer to identify overpayments in paid claims per State Marketplace agreement (INSERT UNIT OF MEASURE)?		R187			INACTIVE
300	Concat - What is timeline for payer to identify overpayments in paid claims per State Marketplace agreement (INSERT NUMBER)?		PROV_IDENTIFY_OVERPAYMENT_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
301	What is timeline for payer to identify overpayments in paid claims per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE")?		PROV_IDENTIFY_OVERPAYMENT_MARKETPLACE_INFO	VARCHAR		INACTIVE
302	What is timeline for payer to identify overpayments in paid claims per State Marketplace agreement? (Page#)		PROV_IDENTIFY_OVERPAYMENT_MARKETPLACE_PG	NUMERIC		INACTIVE
303	What is timeline for provider to submit an overpayment appeal to the payer per State Marketplace agreement (INSERT NUMBER)?	Timeline State Marketplace Provider Overpayment Appeal	R188			INACTIVE	No	State Marketplace Agreement	Key Dates	Required Only If Available	APPEALS INVOICING
304	What is timeline for provider to submit an overpayment appeal to the payer per State Marketplace agreement (INSERT UNIT OF MEASURE )?		R189			INACTIVE
305	Concat - What is timeline for provider to submit an overpayment appeal to the payer per State Marketplace agreement (INSERT NUMBER)?		PROV_OVERPAYMENT_APPEAL_MARKETPLACE_TIMELINE	VARCHAR		INACTIVE
306	What is timeline for provider to submit an overpayment appeal to the payer per State Marketplace agreement (INSERT TRIGGER "FROM" OR "BEFORE" )?		PROV_OVERPAYMENT_APPEAL_MARKETPLACE_INFO	VARCHAR		INACTIVE
307	What is timeline for provider to submit an overpayment appeal to the payer per State Marketplace agreement? (Page#)		PROV_OVERPAYMENT_APPEAL_MARKETPLACE_PG	NUMERIC		INACTIVE
308	Does State Marketplace agreement allow offshore (Yes/No)?	State Marketplace Offshore (Y/N)?	MARKETPLACE_ALLOW_OFFSHORE	VARCHAR		INACTIVE	No	State Marketplace Agreement		Required Only If Available
309	Does State Marketplace agreement allow offshore (Yes/No)? (Page#)		MARKETPLACE_ALLOW_OFSHORE_PG	NUMERIC		INACTIVE
310
311	What is start date of line of business specific compensation exhibit?	Effective Date of Pricing Terms	LOB_PRICING_TERMS_EFFECTIVE_DT	D	A	ACTIVE	No (but please use GDP date format throughout)	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Always Required	PAYMENT ACCURACY UNIQUE KEY
312	What is start date of line of business specific compensation exhibit? (Page#)		LOB_PRICING_TERMS_EFFECTIVE_DT_PG	NUMERIC	A	ACTIVE
313	What is termination date of line of business specific compensation exhibit?	Termination Date of Pricing Terms	LOB_PRICING_TERMS_TERMINATION_DT	D	A	ACTIVE	No (but please use GDP date format throughout)	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Always Required	GREEN LIGHT - IF DATE IS LESS THAN TODAY'S DATE THEN STOP, DO NOT REVIEW CONTRACT CONFIGURATION UNLESS THERE IS AN EFFECTIVE AMENDMENT UNIQUE KEY
314	What is termination date of line of business specific compensation exhibit? (Page#)		LOB_PRICING_TERMS_TERMINATION_DT_PG	NUMERIC	A	ACTIVE
315	Is the contract related to a Professional, Institutional or Ancillary provider?	Type of Contract	CONTRACT_TYPE	VARCHAR	A	ACTIVE	Yes	AArete Derived from Title or Preamble	LOB/Provider Type Specific	Always Required	UNIQUE KEY
316	Is the contract related to a Professional, Institutional or Ancillary provider? (Page#)		CONTRACT_TYPE_PG	NUMERIC	A	ACTIVE
317	If the contract is based on line of business, then create one row for each line of business	Line of Business	CONTRACT_LOB	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Always Required	UNIQUE KEY
318	If the contract is based on line of business, then create one row for each line of business (Page#)		CONTRACT_LOB_PG	NUMERIC	A	ACTIVE
319	If the contract is based on network type, then create one row within each impacted line of business for each specifically listed network	Network	CONTRACT_NETWORK	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Required Only If Available	UNIQUE KEY
320	If the contract is based on network type, then create one row within each impacted line of business for each specifically listed network (Page#)		CONTRACT_NETWORK_PG	NUMERIC	A	ACTIVE
321	If the contract if for Marketplace line of business, then create one row within the Marketplace line of business for each specifically listed metal level	Plan - Metal Level	CONTRACT_MARKETPLACE_METAL_LEVEL	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Required Only If Available	UNIQUE KEY
322	If the contract if for Marketplace line of business, then create one row within the Marketplace line of business for each specifically listed metal level (Page#)		CONTRACT_MARKETPLACE_METAL_LEVEL_PG	NUMERIC	A	ACTIVE
323	If the contract is based on service areas, then create one row within each impacted line of business for each specifically listed area, county, ZIP, etc.	Plan- Service Area	CONTRACT_SERVICE_AREA	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Required Only If Available	UNIQUE KEY
324	If the contract is based on service areas, then create one row within each impacted line of business for each specifically listed area, county, ZIP, etc. (Page#)		CONTRACT_SERVICE_AREA_PG	VARCHAR	A	ACTIVE
325	If the contract is for Medicare or Medicaid line of business, then create one row within each impacted Medicare/Medicaid line of business for each specifically listed program	Program	MEDICARE_MEDICAID_LOB	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Required Only If Available	UNIQUE KEY
326	If the contract is for Medicare or Medicaid line of business, then create one row within each impacted Medicare/Medicaid line of business for each specifically listed program (Page#)		MEDICARE_MEDICAID_LOB_PG	NUMERIC	A	ACTIVE
327	If the contract is based on type of provider, then create one row within each impacted line of business for each specifically listed provider type of place of service	Type of Provider	PROV_TYPE	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Always Required	UNIQUE KEY
328	If the contract is based on type of provider, then create one row within each impacted line of business for each specifically listed provider type of place of service (Page#)		PROV_TYPE_PG	NUMERIC	A	ACTIVE
329	If the contract is limited to certain Professional specialties, then create one row within each line of business for each specifically listed specialty	Provider Specialty	PROV_SPECIALTYTY	VARCHAR	A	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	LOB/Provider Type Specific	Required Only If Available	UNIQUE KEY
330	If the contract is limited to certain Professional specialties, then create one row within each line of business for each specifically listed specialty (Page#)		PROV_SPECIALTYTY_PG	NUMERIC	A	ACTIVE
331	Is the provider contracted to participate in the line of business, network, plan, program for the given provider type?	Participation Status	PROV_PARTICIPATION_STATUS	VARCHAR	A	ACTIVE	Yes	Derived From Combination of LOB, Network, Metal Level, Service Area, Program and/or Type of Provider Fields	LOB/Provider Type Specific	Always Required	UNIQUE KEY
332	Is the provider contracted to participate in the line of business, network, plan, program for the given provider type? (Page#)		PROV_PARTICIPATION_STATUS_PG	NUMERIC	A	ACTIVE
333
334	If contract automatically renews, then does the contract include annual rate escalators for year-over-year rate increases (Yes/No)?	Rate Escalators (Y/N)?	RATE_ESCALATOR_IND	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK PRICING
335	If contract automatically renews, then does the contract include annual rate escalators for year-over-year rate increases (Yes/No)? (Page#)		RATE_ESCALATOR_IND_PG	NUMERIC	B	ACTIVE
336	If contract includes annual rate escalators, on what are they based?	Rate Escalator Basis	RATE_ESCALATOR_BASIS	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK PRICING
337	If contract includes annual rate escalators, on what are they based? (Page#)		RATE_ESCALATOR_BASIS_PG	NUMERIC	B	ACTIVE
338	If contract includes annual rate escalators based on % rate increase, then what is the yearly percentage increase?	Rate Escalator %	RATE_ESCALATOR_YEARLY_PERCENT_INCREASE	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
339	If contract includes annual rate escalators based on % rate increase, then what is the yearly percentage increase? (Page#)		RATE_ESCALATOR_YEARLY_PERCENT_INCREASE_PG	NUMERIC	B	ACTIVE
340	Does contract include terms for discounts applied to total claim (Yes/No)?	Claim Discount (Y/N)	CLAIM_DISCOUNT_IND	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
341	Does contract include terms for discounts applied to total claim (Yes/No)? (Page#)		CLAIM_DISCOUNT_IND_PG	NUMERIC	B	ACTIVE
342	What is claim discount rate?	Claim Discount Rate	CLM_DISC_RATE	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
343	What is claim discount rate? (Page#)		CLAIM_DISCOUNT_RATE_PG	NUMERIC	B	ACTIVE
344	What is claim discount start date?	Claim Discount Start Date	CLAIM_DISCOUNT_START_DT	D	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
345	What is claim discount start date? (Page#)		CLAIM_DISCOUNT_START_DT_PG	NUMERIC	B	ACTIVE
346	What is claim discount termination date?	Claim Discount Termination Date	CLAIM_DISCOUNT_TERMINATION_DT	D	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
347	What is claim discount termination date? (Page#)		CLAIM_DISCOUNT_TERMINATION_DT_PG	NUMERIC	B	ACTIVE
348	Does contract include terms for premiums applied to total claim (Yes/No)?	Claim Premium (Y/N)	CLAIM_PREMIUM_IND	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
349	Does contract include terms for premiums applied to total claim (Yes/No)? (Page#)		CLAIM_PREMIUM_IND_PG	NUMERIC	B	ACTIVE
350	What is claim premium rate?	Claim Premium Rate	CLAIM_PREMIUM_RATE	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
351	What is claim premium rate? (Page#)		CLAIM_PREMIUM_RATE_PG	NUMERIC	B	ACTIVE
352	What is claim premium start date?	Claim Premium Start Date	CLAIM_PREMIUM_START_DT	D	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
353	What is claim premium start date? (Page#)		CLAIM_PREMIUM_START_DT_PG	NUMERIC	B	ACTIVE
354	What is claim premium termination date?	Claim Premium Termination Date	CLAIM_PREMIUM_TERMINATION_DT	D	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
355	What is claim premium termination date? (Page#)		CLAIM_PREMIUM_TERMINATION_DT_PG	NUMERIC	B	ACTIVE
356	Does contract include terms for sequestration amounts applied to total claim (Yes/No)?	Claim Sequestration (Y/N)	CLAIM_SEQUESTRATION_IND	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
357	Does contract include terms for sequestration amounts applied to total claim (Yes/No)? (Page#)		CLAIM_SEQUESTRATION_IND_PG	NUMERIC	B	ACTIVE
358	What is claim sequestration rate?	Claim Sequestration Rate	CLAIM_SEQUESTRATION_RATE	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
359	What is claim sequestration rate? (Page#)		CLAIM_SEQUESTRATION_RATE_PG	NUMERIC	B	ACTIVE
360	What is claim sequestration start date?	Claim Sequestration Start Date	CLAIM_SEQUESTRATION_START_DT	D	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
361	What is claim sequestration start date? (Page#)		CLAIM_SEQUESTRATION_START_DT_PG	NUMERIC	B	ACTIVE
362	What is claim sequestration termination date?	Claim Sequestration Termination Date	CLAIM_SEQUESTRATION_TERMINATION_DT	D	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
363	What is claim sequestration termination date? (Page#)		CLAIM_SEQUESTRATION_TERMINATION_DT_PG	NUMERIC	B	ACTIVE
364	Does the contract include terms for penalties and interest (Yes/No)?	Penalties & Interest (Y/N)?	PENALTIES_INTEREST_IND	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
365	Does the contract include terms for penalties and interest (Yes/No)? (Page#)		PENALTIES_INTEREST_IND_PG	NUMERIC	B	ACTIVE
366	What triggers computation of penalties and interest?	Penalties & Interest Trigger	PENALTIES_INTEREST_TRIGGER	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
367	What triggers computation of penalties and interest? (Page#)		PENALTIES_INTEREST_TRIGGER_PG	NUMERIC	B	ACTIVE
368	What is rate charged for penalties and interest?	Penalties & Interest Rate	PENALTIES_INTEREST_RATE	VARCHAR	B	ACTIVE	No	From Base Contract or from LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Discounts, Premiums, Sequestration, Penalties, Interest	Required Only If Available	PAYMENT ACCURACY NETWORK
369	What is rate charged for penalties and interest? (Page#)		PENALTIES_INTEREST_RATE_PG	NUMERIC	B	ACTIVE
370	What is contract's Chargemaster protection language?		CONTRACT_CHARGEMASTER_PROTECTION_LANGUAGE	VARCHAR	B	ACTIVE
371	What is contract's Chargemaster protection language? (Page#)		CONTRACT_CHARGEMASTER_PROTECTION_LANGUAGE_PG	NUMERIC	B	ACTIVE
372
373	Does the Reimbursement methodology include lesser of language (Yes/No)?	Lesser Of Language (Y/N)?	LESSER_OF_LANGUAGE_IND	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Always Required	PAYMENT ACCURACY NETWORK
374	Does the Reimbursement methodology include lesser of language (Yes/No)? (Page#)		LESSER_OF_LANGUAGE_IND_PG	NUMERIC	B	ACTIVE
375	Does the Reimbursement methodology include greater of language (Yes/No)?	Greater Of Language (Y/N)?	GREATER_OF_LANGUAGE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Always Required	PAYMENT ACCURACY NETWORK
376	Does the Reimbursement methodology include greater of language (Yes/No)? (Page#)		GREATER_OF_LANGUAGE_PG	NUMERIC	B	ACTIVE
377	What is the primary Reimbursement methodology?	Reimbursement Methodology - Primary	PRIMARY_REIMBURSEMENT_METHODOLOGY	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Always Required	PAYMENT ACCURACY NETWORK
378	What is the primary Reimbursement methodology? (Page#)		PRIMARY_REIMBURSEMENT_METHODOLOGY_PG	NUMERIC	B	ACTIVE
379	If the Primary Reimbursement methodology is based on Procedure Codes, then list the applicable codes or code ranges	Applicable Procedure Codes - Primary	PRIMARY_REIMBURSEMENT_PROC_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
380	If the Primary Reimbursement methodology is based on Procedure Codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_PROC_CODES_PG	NUMERIC	B	ACTIVE
381	If the Primary Reimbursement methodology is based on Revenue Codes, then list the applicable codes or code ranges	Applicable Revenue Codes - Primary	PRIMARY_REIMBURSEMENT_REVENUE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
382	If the Primary Reimbursement methodology is based on Revenue Codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_REVENUE_CODES_PG	NUMERIC	B	ACTIVE
383	If the Primary Reimbursement methodology is based on Revenue/ Procedure code combinations, then list the applicable code combinations	Applicable Revenue /Procedure Code Combinations - Primary	PRIMARY_REIMBURSEMENT_PROC_REVENUE_CODE_COMBO	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
384	If the Primary Reimbursement methodology is based on Revenue/ Procedure code combinations, then list the applicable code combinations (Page#)		PRIMARY_REIMBURSEMENT_PROC_REVENUE_CODE_COMBO_PG	NUMERIC	B	ACTIVE
385	If the Primary Reimbursement methodology is based on Diagnosis Codes, then list the applicable codes or code ranges	Applicable Diagnosis Codes - Primary	PRIMARY_REIMBURSEMENT_DIAG_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
386	If the Primary Reimbursement methodology is based on Diagnosis Codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_DIAG_CODES_PG	NUMERIC	B	ACTIVE
387	If the Primary Reimbursement methodology is based on Grouper Codes, then list the applicable codes or code ranges	Applicable Grouper Codes - Primary	PRIMARY_REIMBURSEMENT_GROUPER_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
388	If the Primary Reimbursement methodology is based on Grouper Codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_GROUPER_CODES_PG	NUMERIC	B	ACTIVE
389	If the Primary Reimbursement methodology is based on Place of Service Codes, then list the applicable codes or code ranges	Applicable Place of Service Codes - Primary	PRIMARY_REIMBURSEMENT_PLACEOFSERVICE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
390	If the Primary Reimbursement methodology is based on Place of Service Codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_PLACEOFSERVICE_CODES_PG	NUMERIC	B	ACTIVE
391	If the Primary Reimbursement methodology is based on Admit Type codes, then list the applicable codes or code ranges	Applicable Admit Type Codes - Primary	PRIMARY_REIMBURSEMENT_ADMITTYPE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
392	If the Primary Reimbursement methodology is based on Admit Type codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_ADMITTYPE_CODES_PG	NUMERIC	B	ACTIVE
393	If the Primary Reimbursement methodology is based on Status Indicator codes, then list the applicable codes or code ranges	Applicable Status Indicator Codes - Primary	PRIMARY_REIMBURSEMENT_STATUS_INDICATOR_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
394	If the Primary Reimbursement methodology is based on Status Indicator codes, then list the applicable codes or code ranges (Page#)		PRIMARY_REIMBURSEMENT_STATUS_INDICATOR_CODES_PG	NUMERIC	B	ACTIVE
395	If the primary reimbursement methodology is based on a Fee Schedule, what is the name of the fee schedule on which it is based?	Fee Schedule - Primary	PRIMARY_REIMBURSEMENT_FEE_SCHEDULE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
396	If the primary reimbursement methodology is based on a Fee Schedule, what is the name of the fee schedule on which it is based? (Page#)		PRIMARY_REIMBURSEMENT_FEE_SCHEDULE_PG	NUMERIC	B	ACTIVE
397	If the primary reimbursement methodology is based on a Fee Schedule, on which fee schedule VERSION is it based?	Fee Schedule Version - Primary	PRIMARY_REIMBURSEMENT_FEE_SCHEDULE_VERSION	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
398	If the primary reimbursement methodology is based on a Fee Schedule, on which fee schedule VERSION is it based? (Page#)		PRIMARY_REIMBURSEMENT_FEE_SCHEDULE_VERSION_PG	NUMERIC	B	ACTIVE
399	If the primary reimbursement methodology is based on Billed Charges, Fee Schedule, Cost Plus, AWP, or other percentage rate, what is the reimbursed percentage?	Reimbursement % Rate - Primary	PRIMARY_REIMBURSEMENT_RATE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
400	If the primary reimbursement methodology is based on Billed Charges, Fee Schedule, Cost Plus, AWP, or other percentage rate, what is the reimbursed percentage? (Page#)		PRIMARY_REIMBURSEMENT_RATE_PG	NUMERIC	B	ACTIVE
401	If the primary reimbursement methodology is based on a fee for service, flat rate, all-inclusive rate, episode of care rate, case rate, per diem rate, or other dollar rate, what is the reimbursed dollar amount?	Reimbursement $ Rate - Primary	PRIMARY_REIMBURSEMENT_FLAT_FEE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
402	If the primary reimbursement methodology is based on a fee for service, flat rate, all-inclusive rate, episode of care rate, case rate, per diem rate, or other dollar rate, what is the reimbursed dollar amount? (Page#)		PRIMARY_REIMBURSEMENT_FLAT_FEE_PG	NUMERIC	B	ACTIVE
403	If the Primary reimbursement is based on codes listed on the CMS fee schedule, what is the comparable Medicare fee schedule rate?	Medicare $ Rate - Primary	PRIMARY_REIMBURSEMENT_CMS_MEDICARE_RATE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
404	If the Primary reimbursement is based on codes listed on the CMS fee schedule, what is the comparable Medicare fee schedule rate? (Page#)		PRIMARY_REIMBURSEMENT_CMS_MEDICARE_RATE_PG	NUMERIC	B	ACTIVE
405	If the Primary reimbursement is based on codes listed on the the State Medicaid fee schedule, what is the comparable Medicaid fee schedule rate?	Medicaid $ Rate - Primary	PRIMARY_REIMBURSEMENT_MEDICAID_RATE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
406	If the Primary reimbursement is based on codes listed on the the State Medicaid fee schedule, what is the comparable Medicaid fee schedule rate? (Page#)		PRIMARY_REIMBURSEMENT_MEDICAID_RATE_PG	NUMERIC	B	ACTIVE
407	If the primary reimbursement methodology is based on a grouper rate, what is the applicable grouper methodology?	Reimbursement Grouper - Primary	PRIMARY_REIMBURSEMENT_GROUPER	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
408	If the primary reimbursement methodology is based on a grouper rate, what is the applicable grouper methodology? (Page#)		PRIMARY_REIMBURSEMENT_GROUPER_PG	NUMERIC	B	ACTIVE
409	Deprecated - See columns PD, PE, PF Are there any carve outs or exceptions to the primary reimbursement methodology?	Reimbursement Exceptions - Primary	PRIMARY_REIMBURSEMENT_EXCEPTION_IND	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
410	Deprecated - See columns PD, PE, PF Are there any carve outs or exceptions to the primary reimbursement methodology? (Page#)		PRIMARY_REIMBURSEMENT_EXCEPTION_IND_PG	NUMERIC	B	ACTIVE
411	Are there any carve outs?		PRIMARY_REIMBURSEMENT_CARVEOUT_IND	VARCHAR	B	ACTIVE
412	If there are any exceptions to Primary Reimbursement Methodology, describe exceptions?		PRIMARY_REIMBURSEMENT_DESCRIBE_EXCEPTION	VARCHAR	B	ACTIVE
413	If there are any exceptions to Primary Reimbursement Methodology, describe exceptions? ( Page #)		PRIMARY_REIMBURSEMENT_DESCRIBE_EXCEPTION_PG	NUMERIC	B	ACTIVE
414
415	If the contract includes lesser of or greater of language, what is the secondary Reimbursement methodology?	Reimbursement Methodology -Secondary	SECONDARY_REIMBURSEMENT_METHODOLOGY	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
416	If the contract includes lesser of or greater of language, what is the secondary Reimbursement methodology? (Page#)		SECONDARY_REIMBURSEMENT_METHODOLOGY_PG	NUMERIC	B	ACTIVE
417	If the Secondary Reimbursement methodology is based on Procedure Codes, then list the applicable codes or code ranges	Applicable Procedure Codes - Secondary	SECONDARY_REIMBURSEMENT_PROC_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
418	If the Secondary Reimbursement methodology is based on Procedure Codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_PROC_CODES_PG	NUMERIC	B	ACTIVE
419	If the Secondary Reimbursement methodology is based on Revenue Codes, then list the applicable codes or code ranges	Applicable Revenue Codes - Secondary	SECONDARY_REIMBURSEMENT_REVENUE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
420	If the Secondary Reimbursement methodology is based on Revenue Codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_REVENUE_CODES_PG	NUMERIC	B	ACTIVE
421	If the Secondary Reimbursement methodology is based on Revenue/ Procedure code combinations, then list the applicable code combinations	Applicable Revenue /Procedure Code Combinations - Secondary	SECONDARY_REIMBURSEMENT_PROC_REVENUE_CODE_COMBO	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
422	If the Secondary Reimbursement methodology is based on Revenue/ Procedure code combinations, then list the applicable code combinations (Page#)		SECONDARY_REIMBURSEMENT_PROC_REVENUE_CODE_COMBO_PG	NUMERIC	B	ACTIVE
423	If the Secondary Reimbursement methodology is based on Diagnosis Codes, then list the applicable codes or code ranges	Applicable Diagnosis Codes - Secondary	SECONDARY_REIMBURSEMENT_DIAG_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
424	If the Secondary Reimbursement methodology is based on Diagnosis Codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_DIAG_CODES_PG	NUMERIC	B	ACTIVE
425	If the Secondary Reimbursement methodology is based on Grouper Codes, then list the applicable codes or code ranges	Applicable Grouper Codes - Secondary	SECONDARY_REIMBURSEMENT_GROUPER_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
426	If the Secondary Reimbursement methodology is based on Grouper Codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_GROUPER_CODES_PG	NUMERIC	B	ACTIVE
427	If the Secondary Reimbursement methodology is based on Place of Service Codes, then list the applicable codes or code ranges	Applicable Place of Service Codes - Secondary	SECONDARY_REIMBURSEMENT_PLACEOFSERVICE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
428	If the Secondary Reimbursement methodology is based on Place of Service Codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_PLACEOFSERVICE_CODES_PG	NUMERIC	B	ACTIVE
429	If the Secondary Reimbursement methodology is based on Admit Type codes, then list the applicable codes or code ranges	Applicable Admit Type Codes - Secondary	SECONDARY_REIMBURSEMENT_ADMITTYPE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
430	If the Secondary Reimbursement methodology is based on Admit Type codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_ADMITTYPE_CODES_PG	NUMERIC	B	ACTIVE
431	If the Secondary Reimbursement methodology is based on Status Indicator codes, then list the applicable codes or code ranges	Applicable Status Indicator Codes - Secondary	SECONDARY_REIMBURSEMENT_STATUS_INDICATOR_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
432	If the Secondary Reimbursement methodology is based on Status Indicator codes, then list the applicable codes or code ranges (Page#)		SECONDARY_REIMBURSEMENT_STATUS_INDICATOR_CODES_PG	NUMERIC	B	ACTIVE
433	If the secondary reimbursement methodology is based on a Fee Schedule, what is the name of the fee schedule on which it is based?	Fee Schedule - Secondary	SECONDARY_REIMBURSEMENT_FEE_SCHEDULE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
434	If the secondary reimbursement methodology is based on a Fee Schedule, what is the name of the fee schedule on which it is based? (Page#)		SECONDARY_REIMBURSEMENT_FEE_SCHEDULE_PG	NUMERIC	B	ACTIVE
435	If the secondary reimbursement methodology is based on a Fee Schedule, on which fee schedule VERSION is it based?	Fee Schedule Version - Secondary	SECONDARY_REIMBURSEMENT_FEE_SCHEDULE_VERSION	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
436	If the secondary reimbursement methodology is based on a Fee Schedule, on which fee schedule VERSION is it based? (Page#)		SECONDARY_REIMBURSEMENT_FEE_SCHEDULE_VERSION_PG	NUMERIC	B	ACTIVE
437	If the Secondary reimbursement methodology is based on Billed Charges, Fee Schedule, Cost Plus, AWP, or other percentage rate, what is the reimbursed percentage?	Reimbursement % Rate - Secondary	SECONDARY_REIMBURSEMENT_RATE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
438	If the Secondary reimbursement methodology is based on Billed Charges, Fee Schedule, Cost Plus, AWP, or other percentage rate, what is the reimbursed percentage? (Page#)		SECONDARY_REIMBURSEMENT_RATE_PG	NUMERIC	B	ACTIVE
439	If the Secondary reimbursement methodology is based on a fee for service, flat rate, all-inclusive rate, episode of care rate, case rate, per diem rate, or other dollar rate, what is the reimbursed dollar amount?	Reimbursement $ Rate - Secondary	SECONDARY_REIMBURSEMENT_FLAT_FEE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
440	If the Secondary reimbursement methodology is based on a fee for service, flat rate, all-inclusive rate, episode of care rate, case rate, per diem rate, or other dollar rate, what is the reimbursed dollar amount? (Page#)		SECONDARY_REIMBURSEMENT_FLAT_FEE_PG	NUMERIC	B	ACTIVE
441	If the Secondary reimbursement is based on codes listed on the CMS fee schedule, what is the comparable Medicare fee schedule rate?	Medicare $ Rate - Secondary	SECONDARY_REIMBURSEMENT_CMS_MEDICARE_RATE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
442	If the Secondary reimbursement is based on codes listed on the CMS fee schedule, what is the comparable Medicare fee schedule rate? (Page#)		SECONDARY_REIMBURSEMENT_CMS_MEDICARE_RATE_PG	NUMERIC	B	ACTIVE
443	If the Secondary reimbursement is based on codes listed on the the State Medicaid fee schedule, what is the comparable Medicaid fee schedule rate?	Medicaid $ Rate - Secondary	SECONDARY_REIMBURSEMENT_MEDICAID_RATE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
444	If the Secondary reimbursement is based on codes listed on the the State Medicaid fee schedule, what is the comparable Medicaid fee schedule rate? (Page#)		SECONDARY_REIMBURSEMENT_MEDICAID_RATE_PG	NUMERIC	B	ACTIVE
445	If the Secondary reimbursement methodology is based on a grouper rate, what is the applicable grouper methodology?	Reimbursement Grouper - Secondary	SECONDARY_REIMBURSEMENT_GROUPER	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
446	If the Secondary reimbursement methodology is based on a grouper rate, what is the applicable grouper methodology? (Page#)		SECONDARY_REIMBURSEMENT_GROUPER_PG	NUMERIC	B	ACTIVE
447	Are there any exceptions to the Secondary reimbursement methodology?	Reimbursement Exceptions - Secondary	SECONDARY_REIMBURSEMENT_EXCEPTION_IND	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
448	Are there any exceptions to the Secondary reimbursement methodology? (Page#)		SECONDARY_REIMBURSEMENT_EXCEPTION_IND_PG	NUMERIC	B	ACTIVE
449
450	If the contract includes lesser of or greater of language, what is the tertiary Reimbursement methodology (if any)?	Reimbursement Methodology - Tertiary	TERTIARY_REIMBURSEMENT_METHODOLOGY	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
451	If the contract includes lesser of or greater of language, what is the tertiary Reimbursement methodology (if any)? (Page#)		TERTIARY_REIMBURSEMENT_METHODOLOGY_PG	NUMERIC	B	ACTIVE
452	If the Tertiary Reimbursement methodology is based on Procedure Codes, then list the applicable codes or code ranges	Applicable Procedure Codes - Tertiary	TERTIARY_REIMBURSEMENT_PROC_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
453	If the Tertiary Reimbursement methodology is based on Procedure Codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_PROC_CODES_PG	NUMERIC	B	ACTIVE
454	If the Tertiary Reimbursement methodology is based on Revenue Codes, then list the applicable codes or code ranges	Applicable Revenue Codes - Tertiary	TERTIARY_REIMBURSEMENT_REVENUE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
455	If the Tertiary Reimbursement methodology is based on Revenue Codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_REVENUE_CODES_PG	NUMERIC	B	ACTIVE
456	If the Tertiary Reimbursement methodology is based on Revenue/ Procedure code combinations, then list the applicable code combinations	Applicable Revenue /Procedure Code Combinations - Tertiary	TERTIARY_REIMBURSEMENT_PROC_REVENUE_CODE_COMBO	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
457	If the Tertiary Reimbursement methodology is based on Revenue/ Procedure code combinations, then list the applicable code combinations (Page#)		TERTIARY_REIMBURSEMENT_PROC_REVENUE_CODE_COMBO_PG	NUMERIC	B	ACTIVE
458	If the Tertiary Reimbursement methodology is based on Diagnosis Codes, then list the applicable codes or code ranges	Applicable Diagnosis Codes - Tertiary	TERTIARY_REIMBURSEMENT_DIAG_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
459	If the Tertiary Reimbursement methodology is based on Diagnosis Codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_DIAG_CODES_PG	NUMERIC	B	ACTIVE
460	If the Tertiary Reimbursement methodology is based on Grouper Codes, then list the applicable codes or code ranges	Applicable Grouper Codes - Tertiary	TERTIARY_REIMBURSEMENT_GROUPER_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
461	If the Tertiary Reimbursement methodology is based on Grouper Codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_GROUPER_CODES_PG	NUMERIC	B	ACTIVE
462	If the Tertiary Reimbursement methodology is based on Place of Service Codes, then list the applicable codes or code ranges	Applicable Place of Service Codes - Tertiary	TERTIARY_REIMBURSEMENT_PLACEOFSERVICE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
463	If the Tertiary Reimbursement methodology is based on Place of Service Codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_PLACEOFSERVICE_CODES_PG	NUMERIC	B	ACTIVE
464	If the Tertiary Reimbursement methodology is based on Admit Type codes, then list the applicable codes or code ranges	Applicable Admit Type Codes - Tertiary	TERTIARY_REIMBURSEMENT_ADMITTYPE_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
465	If the Tertiary Reimbursement methodology is based on Admit Type codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_ADMITTYPE_CODES_PG	NUMERIC	B	ACTIVE
466	If the Tertiary Reimbursement methodology is based on Status Indicator codes, then list the applicable codes or code ranges	Applicable Status Indicator Codes - Tertiary	TERTIARY_REIMBURSEMENT_STATUS_INDICATOR_CODES	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
467	If the Tertiary Reimbursement methodology is based on Status Indicator codes, then list the applicable codes or code ranges (Page#)		TERTIARY_REIMBURSEMENT_STATUS_INDICATOR_CODES_PG	NUMERIC	B	ACTIVE
468	If the tertiary reimbursement methodology is based on a Fee Schedule, what is the name of the fee schedule on which it is based?	Fee Schedule - Tertiary	TERTIARY_REIMBURSEMENT_FEE_SCHEDULE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
469	If the tertiary reimbursement methodology is based on a Fee Schedule, what is the name of the fee schedule on which it is based? (Page#)		TERTIARY_REIMBURSEMENT_FEE_SCHEDULE_PG	NUMERIC	B	ACTIVE
470	If the tertiary reimbursement methodology is based on a Fee Schedule, on which fee schedule VERSION is it based?	Fee Schedule Version - Tertiary	TERTIARY_REIMBURSEMENT_FEE_SCHEDULE_VERSION	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
471	If the tertiary reimbursement methodology is based on a Fee Schedule, on which fee schedule VERSION is it based? (Page#)		TERTIARY_REIMBURSEMENT_FEE_SCHEDULE_VERSION_PG	NUMERIC	B	ACTIVE
472	If the Tertiary reimbursement methodology is based on Billed Charges, Fee Schedule, Cost Plus, AWP, or other percentage rate, what is the reimbursed percentage?	Reimbursement % Rate - Tertiary	TERTIARY_REIMBURSEMENT_RATE	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
473	If the Tertiary reimbursement methodology is based on Billed Charges, Fee Schedule, Cost Plus, AWP, or other percentage rate, what is the reimbursed percentage? (Page#)		TERTIARY_REIMBURSEMENT_RATE_PG	NUMERIC	B	ACTIVE
474	If the Tertiary reimbursement methodology is based on a fee for service, flat rate, all-inclusive rate, episode of care rate, case rate, per diem rate, or other dollar rate, what is the reimbursed dollar amount?	Reimbursement $ Rate - Tertiary	TERTIARY_REIMBURSEMENT_FLAT_FEE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
475	If the Tertiary reimbursement methodology is based on a fee for service, flat rate, all-inclusive rate, episode of care rate, case rate, per diem rate, or other dollar rate, what is the reimbursed dollar amount? (Page#)		TERTIARY_REIMBURSEMENT_FLAT_FEE_PG	NUMERIC	B	ACTIVE
476	If the Tertiary reimbursement is based on codes listed on the CMS fee schedule, what is the comparable Medicare fee schedule rate?	Medicare $ Rate - Tertiary	TERTIARY_REIMBURSEMENT_CMS_MEDICARE_RATE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
477	If the Tertiary reimbursement is based on codes listed on the CMS fee schedule, what is the comparable Medicare fee schedule rate? (Page#)		TERTIARY_REIMBURSEMENT_CMS_MEDICARE_RATE_PG	NUMERIC	B	ACTIVE
478	If the Tertiary reimbursement is based on codes listed on the the State Medicaid fee schedule, what is the comparable Medicaid fee schedule rate?	Medicaid $ Rate - Tertiary	TERTIARY_REIMBURSEMENT_MEDICAID_RATE	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
479	If the Tertiary reimbursement is based on codes listed on the the State Medicaid fee schedule, what is the comparable Medicaid fee schedule rate? (Page#)		TERTIARY_REIMBURSEMENT_MEDICAID_RATE_PG	NUMERIC	B	ACTIVE
480	If the Tertiary reimbursement methodology is based on a grouper rate, what is the applicable grouper methodology?	Reimbursement Grouper - Tertiary	TERTIARY_REIMBURSEMENT_GROUPER	VARCHAR	B	ACTIVE	Yes	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
481	If the Tertiary reimbursement methodology is based on a grouper rate, what is the applicable grouper methodology? (Page#)		TERTIARY_REIMBURSEMENT_GROUPER_PG	NUMERIC	B	ACTIVE
482	Are there any exceptions to the Tertiary reimbursement methodology?	Reimbursement Exceptions - Tertiary	TERTIARY_REIMBURSEMENT_EXCEPTION_IND	VARCHAR	B	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Reimbursement Methodology	Required Only If Available	PAYMENT ACCURACY NETWORK
483	Are there any exceptions to the Tertiary reimbursement methodology? (Page#)		TERTIARY_REIMBURSEMENT_EXCEPTION_IND_PG	NUMERIC	B	ACTIVE
484
485	Does the contract include a carve out for timeline for payer to implement changes in regulations per LOB Specific agreement?	Timeline State Marketplace Payer Policy Change Notice	CARVEOUT_IND_IMPLEMENT_POLICY_CHANGE	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Key Dates	Required Only If Available	PAYMENT ACCURACY COST AVOIDANCE
486	Does the contract include a carve out for timeline for payer to implement changes in regulations per LOB Specific agreement? (Page#)		CARVEOUT_IND_IMPLEMENT_POLICY_CHANGE_PG	NUMERIC	F	ACTIVE
487	Does the contract include a carve out for Emergency Department (Yes/No)?	Emergency Carve Out (Y/N)?	EMERGENCY_DEPARTMENT_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
488	Does the contract include a carve out for Emergency Department (Yes/No)? (Page#)		EMERGENCY_DEPARTMENT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
489	If the contract includes a carve out for Emergency Department, list the applicable codes or code ranges	Emergency Codes or Code Range	EMERGENCY_DEPARTMENT_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
490	If the contract includes a carve out for Emergency Department, describe how these codes are reimbursed	Emergency Reimbursement Methodology	EMERGENCY_DEPARTMENT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
491	If the contract includes a carve out for Emergency Department, describe schedule name		EMERGENCY_DEPARTMENT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
492	If the contract includes a carve out for Emergency Department, describe reference year or version		EMERGENCY_DEPARTMENT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
493	If the contract includes a carve out for Emergency Department, describe describe reimbursement rate		EMERGENCY_DEPARTMENT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
494	Does the contract include a carve out for Observation Codes(Yes/No)?		OBSERVATION_CAREVEOUT_IND	VARCHAR	F	ACTIVE
495	Does the contract include a carve out for Observation Codes(Yes/No)? (Page#)		OBSERVATION_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
496	If the contract includes a carve out for Observation, list the applicable codes or code ranges	Observation Codes or Code Range	OBSERVATION_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
497	If the contract includes a carve out for Observation, describe how these codes are reimbursed	Observation Reimbursement Methodology	OBSERVATION_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
498	If the contract includes a carve out for Observation, describe schedule name		OBSERVATION_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
499	If the contract includes a carve out for Observation, describe schedule reference year or version		OBSERVATION_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
500	If the contract includes a carve out for Observation, describe reimbursement rate		OBSERVATION_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
501	Does the contract include a carve out for Ambulatory Surgery (Yes/No)?	Ambulatory Surgery Carve Out (Y/N)?	AMBULATORY_SURGERY_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
502	Does the contract include a carve out for Ambulatory Surgery (Yes/No)? (Page#)		AMBULATORY_SURGERY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
503	If the contract includes a carve out for Ambulatory Surgery, list the applicable codes or code ranges	Ambulatory Surgery Codes or Code Range	AMBULATORY_SURGERY_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
504	If the contract includes a carve out for Ambulatory Surgery, describe how these codes are reimbursed	Ambulatory Surgery Reimbursement Methodology	AMBULATORY_SURGERY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
505	If the contract includes a carve out for Ambulatory Surgery, describe schedule name		AMBULATORY_SURGERY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
506	If the contract includes a carve out for Ambulatory Surgery, describe schedule reference year or version		AMBULATORY_SURGERY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
507	If the contract includes a carve out for Ambulatory Surgery, describe reimbursement rate		AMBULATORY_SURGERY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
508	Does the contract include a carve out for Intensive Care Unit (Yes/No)?	Intensive Care Carve Out (Y/N)?	INTENSIVE_CARE_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
509	Does the contract include a carve out for Intensive Care Unit (Yes/No)? (Page#)		INTENSIVE_CARE_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
510	If the contract includes a carve out for Intensive Care Unit, list the applicable codes or code ranges	Intensive Care Codes or Code Range	INTENSIVE_CARE_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
511	If the contract includes a carve out for Intensive Care Unit, describe how these codes are reimbursed	Intensive Care Reimbursement Methodology	INTENSIVE_CARE_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
512	If the contract includes a carve out for Intensive Care Unit, describe schedule name		INTENSIVE_CARE_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
513	If the contract includes a carve out for Intensive Care Unit, describe schedule reference year or version		INTENSIVE_CARE_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
514	If the contract includes a carve out for Intensive Care Unit, describe reimbursement rate		INTENSIVE_CARE_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
515	Does the contract include a carve out for Trauma (Yes/No)?	Trauma Carve Out (Y/N)?	TRAUMA_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
516	Does the contract include a carve out for Trauma (Yes/No)? (Page#)		TRAUMA_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
517	If the contract includes a carve out for Trauma, list the applicable codes or code ranges	Trauma Codes or Code Range	TRAUMA_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
518	If the contract includes a carve out for Trauma, describe how these codes are reimbursed	Trauma Reimbursement Methodology	TRAUMA_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
519	If the contract includes a carve out for Trauma, describe schedule name		TRAUMA_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
520	If the contract includes a carve out for Trauma, describe schedule reference year or version		TRAUMA_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
521	If the contract includes a carve out for Trauma, describe reimbursement rate		TRAUMA_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
522	Does the contract include a carve out for Cancer (Yes/No)?	Cancer Carve Out (Y/N)?	CANCER_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
523	Does the contract include a carve out for Cancer (Yes/No)? (Page#)		CANCER_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
524	If the contract includes a carve out for Cancer, list the applicable codes or code ranges	Cancer Codes or Code Range	CANCER_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
525	If the contract includes a carve out for Cancer, describe how these codes are reimbursed	Cancer Reimbursement Methodology	CANCER_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
526	If the contract includes a carve out for Cancer, describe schedule name		CANCER_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
527	If the contract includes a carve out for Cancer, describe schedule reference year or version		CANCER_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
528	If the contract includes a carve out for Cancer, describe reimbursement rate		CANCER_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
529	Does the contract include a carve out for HIV (Yes/No)?	HIV Carve Out (Y/N)?	HIV_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
530	Does the contract include a carve out for HIV (Yes/No)? (Page#)		HIV_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
531	If the contract includes a carve out for HIV, list the applicable codes or code ranges	HIV Codes or Code Range	HIV_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
532	If the contract includes a carve out for HIV, describe how these codes are reimbursed	HIV Reimbursement Methodology	HIV_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
533	If the contract includes a carve out for HIV, describe schedule name		HIV_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
534	If the contract includes a carve out for HIV, describe schedule reference year or version		HIV_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
535	If the contract includes a carve out for HIV, describe reimbursement rate		HIV_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
536	Does the contract include a carve out for Major Joint Replacement (Yes/No)?	Joint Replacement Carve Out (Y/N)?	JOINT_REPLACE_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
537	Does the contract include a carve out for Major Joint Replacement (Yes/No)? (Page#)		JOINT_REPLACE_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
538	If the contract includes a carve out for Major Joint Replacement, list the applicable codes or code ranges	Joint Replacement Codes or Code Range	JOINT_REPLACE_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
539	If the contract includes a carve out for Major Joint Replacement, describe how these codes are reimbursed	Joint Replacement Reimbursement Methodology	JOINT_REPLACE_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
540	If the contract includes a carve out for Major Joint Replacement, describe schedule name		JOINT_REPLACE_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
541	If the contract includes a carve out for Major Joint Replacement, describe schedule reference year or version		JOINT_REPLACE_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
542	If the contract includes a carve out for Major Joint Replacement, describe reimbursement rate		JOINT_REPLACE_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
543	Does the contract include a carve out for Transplant (Yes/No)?	Transplant Carve Out (Y/N)?	TRANSPLANT_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
544	Does the contract include a carve out for Transplant (Yes/No)? (Page#)		TRANSPLANT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
545	If the contract includes a carve out for Transplant, list the applicable codes or code ranges	Transplant Codes or Code Range	TRANSPLANT_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
546	If the contract includes a carve out for Transplant, describe how these codes are reimbursed	Transplant Reimbursement Methodology	TRANSPLANT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
547	If the contract includes a carve out for Transplant, describe schedule name		TRANSPLANT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
548	If the contract includes a carve out for Transplant, describe schedule reference year or version		TRANSPLANT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
549	If the contract includes a carve out for Transplant, describe reimbursement rate		TRANSPLANT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
550	Does the contract include a carve out for OB/GYN Services (Yes/No)?	OB/GYN Carve Out (Y/N)?	OBGYN_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
551	Does the contract include a carve out for OB/GYN Services (Yes/No)? (Page#)		OBGYN_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
552	If the contract includes a carve out for OB/GYN Services, list the applicable codes or code ranges	OB/GYN Codes or Code Range	OBGYN_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
553	If the contract includes a carve out for OB/GYN Services, describe how these codes are reimbursed	OB/GYN Reimbursement Methodology	OBGYN_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
554	If the contract includes a carve out for OB/GYN Services, describe schedule name		OBGYN_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
555	If the contract includes a carve out for OB/GYN Services, describe schedule reference year or version		OBGYN_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
556	If the contract includes a carve out for OB/GYN Services, describe reimbursement rate		OBGYN_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
557	If the contract includes a carve out for OB/GYN Services, is there a lesser of billed charges clause? (Yes/No)		OBGYN_CARVEOUT_LESSER_OF_BILLED_IND	VARCHAR	G	ACTIVE
558	If the contract includes a carve out for OB/GYN Services, describe billed charges reimbursement rate		OBGYN_BILLED_CHARGE_REIMBURSEMENT_RATE	VARCHAR	G	ACTIVE
559	If the contract includes a carve out for OB/GYN, describe exceptions		OBGYN_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
560	Does the contract include a carve out for Neonatal Services (Yes/No)?	Neonatal Carve Out (Y/N)?	NEONATAL_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
561	Does the contract include a carve out for Neonatal Services (Yes/No)? (Page#)		NEONATAL_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
562	If the contract includes a carve out for Neonatal Services, list the applicable codes or code ranges	Neonatal Codes or Code Range	NEONATAL_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
563	If the contract includes a carve out for Neonatal Services, describe how these codes are reimbursed	Neonatal Reimbursement Methodology	NEONATAL_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
564	If the contract includes a carve out for Neonatal Services, describe schedule name		NEONATAL_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
565	If the contract includes a carve out for Neonatal Services, describe schedule reference year or version		NEONATAL_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
566	If the contract includes a carve out for Neonatal Services, describe reimbursement rate		NEONATAL_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
567	Does the contract include a carve out for Behavioral Health & Substance Abuse Services (Yes/No)?	Behavioral Health & Substance Abuse Carve Out (Y/N)?	BEH_HEALTH_SUB_ABUSE_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
568	Does the contract include a carve out for Behavioral Health & Substance Abuse Services (Yes/No)? (Page#)		BEH_HEALTH_SUB_ABUSE_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
569	If the contract includes a carve out for Behavioral Health & Substance Abuse Services, list the applicable codes or code ranges	Behavioral Health & Substance Abuse Codes or Code Range	BEH_HEALTH_SUB_ABUSE_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
570	If the contract includes a carve out for Behavioral Health & Substance Abuse Services, describe how these codes are reimbursed	Behavioral Health & Substance Abuse Reimbursement Methodology	BEH_HEALTH_SUB_ABUSE_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
571	If the contract includes a carve out for Behavioral Health & Substance Abuse Services, describe schedule name		BEH_HEALTH_SUB_ABUSE_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
572	If the contract includes a carve out for Behavioral Health & Substance Abuse Services, describe schedule reference year or version		BEH_HEALTH_SUB_ABUSE_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
573	If the contract includes a carve out for Behavioral Health & Substance Abuse Services, describe reimbursement rate		BEH_HEALTH_SUB_ABUSE_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
574	Does the contract include a carve out for Ophthalmology & Vision Services (Yes/No)?	Ophthalmology & Vision Services Carve Out (Y/N)?	OPHTHAMOLOGY_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
575	Does the contract include a carve out for Ophthalmology & Vision Services (Yes/No)? (Page#)		OPHTHAMOLOGY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
576	If the contract includes a carve out for Ophthalmology & Vision Services, list the applicable codes or code ranges	Ophthalmology & Vision Services Codes or Code Range	OPHTHAMOLOGY_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
577	If the contract includes a carve out for Ophthalmology & Vision Services, describe how these codes are reimbursed	Ophthalmology & Vision Services Reimbursement Methodology	OPHTHAMOLOGY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
578	If the contract includes a carve out for Ophthalmology & Vision Services, describe schedule name		OPHTHAMOLOGY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
579	If the contract includes a carve out for Ophthalmology & Vision Services, describe schedule reference year or version		OPHTHAMOLOGY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
580	If the contract includes a carve out for Ophthalmology & Vision Services, describe reimbursement rate		OPHTHAMOLOGY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
581	Does the contract include a carve out for never events (Yes/No)?	Never Event Carve Out (Y/N)?	NEVER_EVENT_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
582	Does the contract include a carve out for never events (Yes/No)? (Page#)		NEVER_EVENT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
583	If the contract includes a carve out for never events, list the applicable codes or code ranges	Never Event Codes or Code Range	NEVER_EVENT_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
584	If the contract includes a carve out for never events, describe how these codes are reimbursed	Never Event Reimbursement Methodology	NEVER_EVENT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
585	If the contract includes a carve out for never events, describe schedule name		NEVER_EVENT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
586	If the contract includes a carve out for never events, describe schedule reference year or version		NEVER_EVENT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
587	If the contract includes a carve out for never events, describe reimbursement rate		NEVER_EVENT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
588	Does the contract include a carve out for procedures that are not medically necessary (Yes/No)?	Not Medically Necessary Procedures Carve Out (Y/N)?	NOT_MED_NECESSARY_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
589	Does the contract include a carve out for procedures that are not medically necessary (Yes/No)? (Page#)		NOT_MED_NECESSARY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
590	If the contract includes a carve out for procedures that are not medically necessary, list the applicable codes or code ranges	Not Medically Necessary Codes or Code Range	NOT_MED_NECESSARY_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
591	If the contract includes a carve out for procedures that are not medically necessary, describe how these codes are reimbursed	Not Medically Necessary Reimbursement Methodology	NOT_MED_NECESSARY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
592	If the contract includes a carve out for procedures that are not medically necessary, describe schedule name		NOT_MED_NECESSARY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
593	If the contract includes a carve out for procedures that are not medically necessary, describe schedule reference year or version		NOT_MED_NECESSARY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
594	If the contract includes a carve out for procedures that are not medically necessary, describe reimbursement rate		NOT_MED_NECESSARY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
595	Does the contract include a carve out for experimental procedures (Yes/No)?	Experimental Procedures Carve Out (Y/N)?	EXPERIMENTAL_PROCEDURES_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
596	Does the contract include a carve out for experimental procedures (Yes/No)? (Page#)		EXPERIMENTAL_PROCEDURES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
597	If the contract includes a carve out for experimental procedures, list the applicable codes or code ranges	Experimental Codes or Code Range	EXPERIMENTAL_PROCEDURES_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
598	If the contract includes a carve out for experimental procedures, describe how these codes are reimbursed	Experimental Reimbursement Methodology	EXPERIMENTAL_PROCEDURES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
599	If the contract includes a carve out for experimental procedures, describe schedule name		EXPERIMENTAL_PROCEDURES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
600	If the contract includes a carve out for experimental procedures, describe schedule reference year or version		EXPERIMENTAL_PROCEDURES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
601	If the contract includes a carve out for experimental procedures, describe reimbursement rate		EXPERIMENTAL_PROCEDURES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
602	Does the contract include a carve out for investigational procedures (Yes/No)?	Investigational Procedures Carve Out (Y/N)?	INVESTIGATIONAL_PROCEDURES_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
603	Does the contract include a carve out for investigational procedures (Yes/No)? (Page#)		INVESTIGATIONAL_PROCEDURES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
604	If the contract includes a carve out for investigational procedures, list the applicable codes or code ranges	Investigational Codes or Code Range	INVESTIGATIONAL_PROCEDURES_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
605	If the contract includes a carve out for investigational procedures, describe how these codes are reimbursed	Investigational Reimbursement Methodology	INVESTIGATIONAL_PROCEDURES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
606	If the contract includes a carve out for investigational procedures, describe schedule name		INVESTIGATIONAL_PROCEDURES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
607	If the contract includes a carve out for investigational procedures, describe schedule reference year or version		INVESTIGATIONAL_PROCEDURES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
608	If the contract includes a carve out for investigational procedures, describe reimbursement rate		INVESTIGATIONAL_PROCEDURES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
609	Does the contract include a carve out for Unlisted codes (Yes/No)?	Unlisted Codes Carve Out (Y/N)?	UNLISTED_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
610	Does the contract include a carve out for Unlisted codes (Yes/No)? (Page#)		UNLISTED_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
611	If the contract includes a carve out for Unlisted codes, list the applicable codes or code ranges	Unlisted Codes or Code Range	UNLISTED_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
612	If the contract includes a carve out for Unlisted codes, describe how these codes are reimbursed	Unlisted Code Reimbursement Methodology	UNLISTED_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
613	If the contract includes a carve out for Unlisted codes, describe schedule name		UNLISTED_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
614	If the contract includes a carve out for Unlisted codes, describe schedule reference year or version		UNLISTED_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
615	If the contract includes a carve out for Unlisted codes, describe reimbursement rate		UNLISTED_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
616	If the contract includes a carve out for Unlisted Codes, describe exceptions		UNLISTED_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
617	Does the contract include a carve out for invalid codes (Yes/No)?	Invalid Codes Carve Out (Y/N)?	INVALID_CODES_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
618	Does the contract include a carve out for invalid codes (Yes/No)? (Page#)		INVALID_CODES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
619	If the contract includes a carve out for invalid codes, list the applicable codes or code ranges	Invalid Codes or Code Range	INVALID_CODES_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
620	If the contract includes a carve out for invalid codes, describe how these codes are reimbursed	Invalid Code Reimbursement Methodology	INVALID_CODES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
621	If the contract includes a carve out for invalid codes, describe schedule name		INVALID_CODES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
622	If the contract includes a carve out for invalid codes, describe schedule reference year or version		INVALID_CODES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
623	If the contract includes a carve out for invalid codes, describe reimbursement rate		INVALID_CODES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
624	Does the contract include a carve out for Durable Medical Equipment (Yes/No)?	Durable Medical Equipment Carve Out (Y/N)?	DME_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
625	Does the contract include a carve out for Durable Medical Equipment (Yes/No)? (Page#)		DME_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
626	If the contract includes a carve out for Durable Medical Equipment, list the applicable codes or code ranges	Durable Medical Equipment Codes or Code Range	DME_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
627	If the contract includes a carve out for Durable Medical Equipment, describe how these codes are reimbursed	Durable Medical Equipment Reimbursement Methodology	DME_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
628	If the contract includes a carve out for Durable Medical Equipment, describe schedule name		DME_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
629	If the contract includes a carve out for Durable Medical Equipment, describe schedule reference year or version		DME_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
630	If the contract includes a carve out for Durable Medical Equipment, describe reimbursement rate		DME_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
631	If the contract includes a carve out for Durable Medical Equipment, describe exceptions		DME_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
632	Does the contract include a carve out for prosthetics (Yes/No)?	Prosthetics Carve Out (Y/N)?	PROSTHETICS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
633	Does the contract include a carve out for prosthetics (Yes/No)? (Page#)		PROSTHETICS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
634	If the contract includes a carve out for prosthetics, list the applicable codes or code ranges	Prosthetics Codes or Code Range	PROSTHETICS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
635	If the contract includes a carve out for prosthetics, describe how these codes are reimbursed	Prosthetics Reimbursement Methodology	PROSTHETICS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
636	If the contract includes a carve out for prosthetics, describe schedule name		PROSTHETICS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
637	If the contract includes a carve out for prosthetics, describe schedule reference year or version		PROSTHETICS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
638	If the contract includes a carve out for prosthetics, describe reimbursement rate		PROSTHETICS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
639	Does the contract include a carve out for implants (Yes/No)?	Implants Carve Out (Y/N)?	IMPLANTS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
640	Does the contract include a carve out for implants (Yes/No)? (Page#)		IMPLANTS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
641	If the contract includes a carve out for implants, list the applicable codes or code ranges	Implants Codes or Code Range	IMPLANTS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
642	If the contract includes a carve out for implants, describe how these codes are reimbursed	Implants Reimbursement Methodology	IMPLANTS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
643	If the contract includes a carve out for implants, describe schedule name		IMPLANTS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
644	If the contract includes a carve out for implants, describe schedule reference year or version		IMPLANTS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
645	If the contract includes a carve out for implants, describe reimbursement rate		IMPLANTS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
646	If the contract includes a carve out for implants, describe exceptions		IMPLANTS_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
647	Does the contract include a carve out for Hearing Aids & Hearing Services (Yes/No)?	Hearing Aids & Hearing Services Carve Out (Y/N)?	HEARING_AID_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
648	Does the contract include a carve out for Hearing Aids & Hearing Services (Yes/No)? (Page#)		HEARING_AID_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
649	If the contract includes a carve out for Hearing Aids & Hearing Services, list the applicable codes or code ranges	Hearing Aids & Hearing Services Codes or Code Range	HEARING_AID_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
650	If the contract includes a carve out for Hearing Aids & Hearing Services, describe how these codes are reimbursed	Hearing Aids & Hearing Services Reimbursement Methodology	HEARING_AID_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
651	If the contract includes a carve out for Hearing Aids & Hearing Services, describe schedule name		HEARING_AID_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
652	If the contract includes a carve out for Hearing Aids & Hearing Services, describe schedule reference year or version		HEARING_AID_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
653	If the contract includes a carve out for Hearing Aids & Hearing Services, describe reimbursement rate		HEARING_AID_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
654	Does the contract include a carve out for anesthesia (Yes/No)?	Anesthesia Carve Out (Y/N)?	ANESTHESIA_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
655	Does the contract include a carve out for anesthesia (Yes/No)? (Page#)		ANESTHESIA_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
656	If the contract includes a carve out for anesthesia, list the applicable codes or code ranges	Anesthesia Codes or Code Range	ANESTHESIA_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
657	If the contract includes a carve out for anesthesia, describe how these codes are reimbursed	Anesthesia Reimbursement Methodology	ANESTHESIA_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
658	If the contract includes a carve out for anesthesia, describe schedule name		ANESTHESIA_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
659	If the contract includes a carve out for anesthesia, describe schedule reference year or version		ANESTHESIA_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
660	If the contract includes a carve out for anesthesia, describe reimbursement rate		ANESTHESIA_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
661	If the contract includes a carve out for anesthesia, is there a lesser of billed charges clause? (Yes/No)		ANESTHESIA_CARVEOUT_LESSER_OF_BILLED_IND	VARCHAR	G	ACTIVE
662	If the contract includes a carve out for anesthesia, describe billed charges reimbursement rate		ANESTHESIA_BILLED_CHARGE_REIMBURSEMENT_RATE	VARCHAR	G	ACTIVE
663	Does the contract include a carve out for medical pharmacy and/or physician administered drugs (Yes/No)?	Medical Pharmacy Carve Out (Y/N)?	ADMINISTERED_DRUGS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
664	Does the contract include a carve out for medical pharmacy and/or physician administered drugs (Yes/No)? (Page#)		ADMINISTERED_DRUGS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
665	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, list the applicable codes or code ranges	Medical Pharmacy Codes or Code Range	ADMINISTERED_DRUGS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
666	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, describe how these codes are reimbursed	Medical Reimbursement Methodology	ADMINISTERED_DRUGS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
667	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, describe schedule name		ADMINISTERED_DRUGS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
668	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, describe schedule reference year or version		ADMINISTERED_DRUGS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
669	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, describe reimbursement rate		ADMINISTERED_DRUGS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
670	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, describe exceptions		ADMINISTERED_DRUGS_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
671	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, is there a lesser of billed charges clause? (Yes/No)		ADMINISTERED_DRUGS_CARVEOUT_LESSER_OF_BILLED_IND	VARCHAR	G	ACTIVE
672	If the contract includes a carve out for medical pharmacy and/or physician administered drugs, describe billed charges reimbursement rate		ADMINISTERED_DRUGS_BILLED_CHARGE_REIMBURSEMENT_RATE	VARCHAR	G	ACTIVE
673	Does the contract include a carve out for global services (Yes/No)?	Global Services Carve Out (Y/N)?	GLOBAL_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
674	Does the contract include a carve out for global services (Yes/No)? (Page#)		GLOBAL_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
675	If the contract includes a carve out for global services, list the applicable codes or code ranges	Global Services Codes or Code Range	GLOBAL_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
676	If the contract includes a carve out for global services, describe how these codes are reimbursed	Global Services Reimbursement Methodology	GLOBAL_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
677	If the contract includes a carve out for global services, describe schedule name		GLOBAL_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
678	If the contract includes a carve out for global services, describe schedule reference year or version		GLOBAL_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
679	If the contract includes a carve out for global services, describe reimbursement rate		GLOBAL_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
680	Does the contract include a carve out for bundled or unbundled codes (e.g., bundling, unbundling) (Yes/No)?	Bundled Services Carve Out (Y/N)?	BUNDLED_UNBUNDLED_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
681	Does the contract include a carve out for bundled or unbundled codes (e.g., bundling, unbundling) (Yes/No)? (Page#)		BUNDLED_UNBUNDLED_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
682	If the contract includes a carve out for bundling or unbundling, list the applicable codes or code ranges	Bundled Services Codes or Code Range	BUNDLED_UNBUNDLED_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
683	If the contract includes a carve out for bundling or unbundling, describe how these codes are reimbursed	Bundled Services Reimbursement Methodology	BUNDLED_UNBUNDLED_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
684	If the contract includes a carve out for bundling or unbundling, describe schedule name		BUNDLED_UNBUNDLED_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
685	If the contract includes a carve out for bundling or unbundling, describe schedule reference year or version		BUNDLED_UNBUNDLED_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
686	If the contract includes a carve out for bundling or unbundling, describe reimbursement rate		BUNDLED_UNBUNDLED_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
687	Does the contract include a carve out for Multiple Procedure Reductions (i.e., discounted procedures) (Yes/No)?	Reductions Carve Out (Y/N)?	MULTIPLE_PROCEDURE_REDUCTIONS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
688	Does the contract include a carve out for Multiple Procedure Reductions (i.e., discounted procedures) (Yes/No)? (Page#)		MULTIPLE_PROCEDURE_REDUCTIONS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
689	If the contract includes a carve out for Multiple Procedure Reductions, which types of reductions apply?	Reduced Services Codes or Code Range	MULTIPLE_PROCEDURE_REDUCTIONS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
690	If the contract address Multiple Procedure Reductions, for each type of reduction, what reimbursement methodology applies?	Reduced Services Reimbursement Methodology	MULTIPLE_PROCEDURE_REDUCTIONS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
691	If the contract includes a carve out for Multiple Procedure Reductions, describe schedule name		MULTIPLE_PROCEDURE_REDUCTIONS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
692	If the contract address Multiple Procedure Reductions, describe schedule reference year or version		MULTIPLE_PROCEDURE_REDUCTIONS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
693	If the contract includes a carve out for Multiple Procedure Reductions, describe reimbursement rate		MULTIPLE_PROCEDURE_REDUCTIONS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
694	Does the contract include a carve out for second surgeries and/or procedures (Yes/No)?	Second Surgery/Procedure Carve Out (Y/N)?	SECOND_SURGERIES_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
695	Does the contract include a carve out for second surgeries and/or procedures (Yes/No)? (Page#)		SECOND_SURGERIES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
696	If the contract includes a carve out for second surgeries and/or procedures, list the applicable codes or code ranges	Second Surgery/Procedure Codes or Code Range	SECOND_SURGERIES_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
697	If the contract includes a carve out for second surgeries and/or procedures, describe how these codes are reimbursed	Second Surgery/Procedure Reimbursement Methodology	SECOND_SURGERIES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
698	If the contract includes a carve out for second surgeries and/or procedures, describe schedule name		SECOND_SURGERIES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
699	If the contract includes a carve out for second surgeries and/or procedures, describe schedule reference year or version		SECOND_SURGERIES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
700	If the contract includes a carve out for second surgeries and/or procedures, describe reimbursement rate		SECOND_SURGERIES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
701	Does the contract include a carve out for subsequent surgeries and/or procedures (Yes/No)?	Subsequent Surgery/Procedure Carve Out (Y/N)?	SUBSEQUENT_SURGERIES_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
702	Does the contract include a carve out for subsequent surgeries and/or procedures (Yes/No)? (Page#)		SUBSEQUENT_SURGERIES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
703	If the contract includes a carve out for subsequent surgeries and/or procedures, list the applicable codes or code ranges	Subsequent Surgery/Procedure Codes or Code Range	SUBSEQUENT_SURGERIES_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
704	If the contract includes a carve out for subsequent surgeries and/or procedures, describe how these codes are reimbursed	Subsequent Surgery/Procedure Reimbursement Methodology	SUBSEQUENT_SURGERIES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
705	If the contract includes a carve out for subsequent surgeries and/or procedures, describe schedule name		SUBSEQUENT_SURGERIES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
706	If the contract includes a carve out for subsequent surgeries and/or procedures, describe schedule reference year or version		SUBSEQUENT_SURGERIES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
707	If the contract includes a carve out for subsequent surgeries and/or procedures, describe reimbursement rate		SUBSEQUENT_SURGERIES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
708	Does the contract include a carve out for Mid-Level Professionals (Yes/No)?	Mid-Level Carve Out (Y/N)?	MID_LEVEL_PROFESSIONAL_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
709	Does the contract include a carve out for Mid-Level Professionals (Yes/No)? (Page#)		MID_LEVEL_PROFESSIONAL_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
710	If the contract includes a carve out for Mid-Level Professionals, list the applicable codes or code ranges	Mid-Level Codes or Code Range	MID_LEVEL_PROFESSIONAL_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
711	If the contract includes a carve out for Mid-Level Professionals, describe how these codes are reimbursed	Mid-Level Reimbursement Methodology	MID_LEVEL_PROFESSIONAL_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
712	If the contract includes a carve out for Mid-Level Professionals, describe schedule name		MID_LEVEL_PROFESSIONAL_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
713	If the contract includes a carve out for Mid-Level Professionals, describe schedule reference year or version		MID_LEVEL_PROFESSIONAL_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
714	If the contract includes a carve out for Mid-Level Professionals, describe reimbursement rate		MID_LEVEL_PROFESSIONAL_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
715	Does the contract include a carve out for Technical Component (Yes/No)?	Technical Component Carve Out (Y/N)?	TECHNICAL_COMPONENT_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
716	Does the contract include a carve out for Technical Component (Yes/No)? (Page#)		TECHNICAL_COMPONENT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
717	If the contract includes a carve out for Technical Component, list the applicable codes or code ranges	Technical Component Codes or Code Range	TECHNICAL_COMPONENT_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
718	If the contract includes a carve out for Technical Component, describe how these codes are reimbursed	Technical Component Reimbursement Methodology	TECHNICAL_COMPONENT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
719	If the contract includes a carve out for Technical Component, describe schedule name		TECHNICAL_COMPONENT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
720	If the contract includes a carve out for Technical Component, describe schedule reference year or version		TECHNICAL_COMPONENT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
721	If the contract includes a carve out for Technical Component, describe reimbursement rate		TECHNICAL_COMPONENT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
722	Does the contract include a carve out for Professional Component (Yes/No)?	Professional Component Carve Out (Y/N)?	PROFESSIONAL_COMPONENT_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
723	Does the contract include a carve out for Professional Component (Yes/No)? (Page#)		PROFESSIONAL_COMPONENT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
724	If the contract includes a carve out for Professional Component, list the applicable codes or code ranges	Professional Component Codes or Code Range	PROFESSIONAL_COMPONENT_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
725	If the contract includes a carve out for Professional Component, describe how these codes are reimbursed	Professional Component Reimbursement Methodology	PROFESSIONAL_COMPONENT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
726	If the contract includes a carve out for Professional Component, describe schedule name		PROFESSIONAL_COMPONENT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
727	If the contract includes a carve out for Professional Component, describe schedule reference year or version		PROFESSIONAL_COMPONENT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
728	If the contract includes a carve out for Professional Component, describe reimbursement rate		PROFESSIONAL_COMPONENT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
729	Does the contract include a carve out for Laboratory / Pathology (Yes/No)?	Laboratory / Pathology Carve Out (Y/N)?	LAB_PATHOLOGY_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
730	Does the contract include a carve out for Laboratory / Pathology (Yes/No)? (Page#)		LAB_PATHOLOGY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
731	If the contract includes a carve out for Laboratory / Pathology , list the applicable codes or code ranges	Laboratory / Pathology Codes or Code Range	LAB_PATHOLOGY_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
732	If the contract includes a carve out for Laboratory / Pathology , describe how these codes are reimbursed	Laboratory / Pathology Reimbursement Methodology	LAB_PATHOLOGY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
733	If the contract includes a carve out for Laboratory / Pathology , describe schedule name		LAB_PATHOLOGY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
734	If the contract includes a carve out for Laboratory / Pathology , describe schedule reference year or version		LAB_PATHOLOGY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
735	If the contract includes a carve out for Laboratory / Pathology , describe reimbursement rate		LAB_PATHOLOGY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
736	If the contract includes a carve out for Laboratory / Pathology , is there a lesser of billed charges clause? (Yes/No)		LAB_PATHOLOGY_CARVEOUT_LESSER_OF_BILLED_IND	VARCHAR	G	ACTIVE
737	If the contract includes a carve out for Laboratory / Pathology , describe billed charges reimbursement rate		LAB_PATHOLOGY_BILLED_CHARGE_REIMBURSEMENT_RATE	VARCHAR	G	ACTIVE
738	If the contract includes a carve out for Laboratory / Pathology , describe exceptions		LAB_PATHOLOGY_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
739	Does the contract include a carve out for Radiology/Imaging Services (Yes/No)?	Radiology/Imaging Carve Out (Y/N)?	RADIOLOGY_IMAGING_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
740	Does the contract include a carve out for Radiology/Imaging Services (Yes/No)? (Page#)		RADIOLOGY_IMAGING_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
741	If the contract includes a carve out for Radiology/Imaging Services, list the applicable codes or code ranges	Radiology/Imaging Codes or Code Range	RADIOLOGY_IMAGING_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
742	If the contract includes a carve out for Radiology/Imaging Services, describe how these codes are reimbursed	Radiology/Imaging Reimbursement Methodology	RADIOLOGY_IMAGING_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
743	If the contract includes a carve out for Radiology/Imaging Services, describe schedule name		RADIOLOGY_IMAGING_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
744	If the contract includes a carve out for Radiology/Imaging Services, describe schedule reference year or version		RADIOLOGY_IMAGING_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
745	If the contract includes a carve out for Radiology/Imaging Services, describe reimbursement rate		RADIOLOGY_IMAGING_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
746	If the contract includes a carve out for Radiology / Imaging , describe exceptions		RADIOLOGY_IMAGING_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
747	Does the contract include a carve out for diagnostic services (Yes/No)?	Diagnostic Services Carve Out (Y/N)?	DIAGNOSTIC_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
748	Does the contract include a carve out for diagnostic services (Yes/No)? (Page#)		DIAGNOSTIC_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
749	If the contract includes a carve out for diagnostic services, list the applicable codes or code ranges	Diagnostic Services Codes or Code Range	DIAGNOSTIC_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
750	If the contract includes a carve out for diagnostic services, describe how these codes are reimbursed	Diagnostic Services Reimbursement Methodology	DIAGNOSTIC_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
751	If the contract includes a carve out for diagnostic services, describe schedule name		DIAGNOSTIC_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
752	If the contract includes a carve out for diagnostic services, describe schedule reference year or version		DIAGNOSTIC_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
753	If the contract includes a carve out for diagnostic services, describe reimbursement rate		DIAGNOSTIC_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
754	Does the contract include a carve out for pre-admission procedures (Yes/No)?	Pre-Admission Procedures Carve Out (Y/N)?	PREADMISSION_PROC_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
755	Does the contract include a carve out for pre-admission procedures (Yes/No)? (Page#)		PREADMISSION_PROC_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
756	If the contract includes a carve out for pre-admission procedures, list the applicable codes or code ranges	Pre-Admission Services Codes or Code Range	PREADMISSION_PROC_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
757	If the contract includes a carve out for pre-admission procedures, describe how these codes are reimbursed	Pre-Admission Services Reimbursement Methodology	PREADMISSION_PROC_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
758	If the contract includes a carve out for pre-admissions procedures, how long is the pre-admission window?	Pre-Admission Window	PREADMISSION_PROC_CAREVEOUT_WINDOW	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
759	If the contract includes a carve out for pre-admission procedures, describe schedule name		PREADMISSION_PROC_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
760	If the contract includes a carve out for pre-admissions procedures, describe schedule reference year or version		PREADMISSION_PROC_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
761	If the contract includes a carve out for pre-admission procedures, describe reimbursement rate		PREADMISSION_PROC_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
762	Does the contract include a carve out for post-discharge procedures (Yes/No)?	Post-Discharge Procedures Carve Out (Y/N)?	POSTDISCHARGE_PROC_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
763	Does the contract include a carve out for post-discharge procedures (Yes/No)? (Page#)		POSTDISCHARGE_PROC_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
764	If the contract includes a carve out for post-discharge procedures, list the applicable codes or code ranges	Post-Discharge Services Codes or Code Range	POSTDISCHARGE_PROC_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
765	If the contract includes a carve out for post-discharge procedures, describe how these codes are reimbursed	Post-Discharge Services Reimbursement Methodology	POSTDISCHARGE_PROC_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
766	If the contract includes a carve out for post-discharge procedures, how long is the post-discharge window?	Post-Discharge Window	POSTDISCHARGE_PROC_CARVEOUT_WINDOW	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
767	If the contract includes a carve out for post-discharge procedures, describe schedule name		POSTDISCHARGE_PROC_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
768	If the contract includes a carve out for post-discharge procedures, describe schedule reference year or version		POSTDISCHARGE_PROC_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
769	If the contract includes a carve out for post-discharge procedures, describe reimbursement rate		POSTDISCHARGE_PROC_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
770	Does the contract include a carve out for readmissions (Yes/No)?	Readmissions Carve Out (Y/N)?	READMISSIONS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
771	Does the contract include a carve out for readmissions (Yes/No)? (Page#)		READMISSIONS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
772	If the contract includes a carve out for readmissions, list the applicable codes or code ranges	Readmissions Codes or Code Range	READMISSIONS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
773	If the contract includes a carve out for readmissions, describe how these codes are reimbursed	Readmissions Reimbursement Methodology	READMISSIONS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
774	If the contract includes a carve out for readmissions, how long is the readmission window?	Readmissions Window	READMISSIONS_CAREVEOUT_WINDOW	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
775	If the contract includes a carve out for readmissions, describe schedule name		READMISSIONS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
776	If the contract includes a carve out for readmissions, describe schedule reference year or version		READMISSIONS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
777	If the contract includes a carve out for readmissions, describe reimbursement rate		READMISSIONS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
778	Does the contract include a carve out for certain Status Indicators (Yes/No)?	Status Indicator Carve Out (Y/N)?	STATUS_INDICATORS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
779	Does the contract include a carve out for certain Status Indicators (Yes/No)? (Page#)		STATUS_INDICATORS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
780	If the contract includes a carve out for certain Status Indicators, list the applicable codes or code ranges	Status Indicator Codes or Code Range	STATUS_INDICATORS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
781	If the contract includes a carve out for certain Status Indicators, describe how these codes are reimbursed	Status Indicator Reimbursement Methodology	STATUS_INDICATORS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
782	If the contract includes a carve out for certain Status Indicators, describe schedule name		STATUS_INDICATORS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
783	If the contract includes a carve out for certain Status Indicators, describe schedule reference year or version		STATUS_INDICATORS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
784	If the contract includes a carve out for certain Status Indicators, describe reimbursement rate		STATUS_INDICATORS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
785	Does the contract include a carve out for outlier provisions (Yes/No)?	Outlier Provisions (Y/N)?	OUTLIER_PROVISIONS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
786	Does the contract include a carve out for outlier provisions (Yes/No)? (Page#)		OUTLIER_PROVISIONS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
787	If the contract includes a carve out for outlier provisions, what is the outlier threshold?	Outlier Threshold	OUTLIER_PROVISIONS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
788	If the contract includes a carve out for outlier provisions, what is the reimbursement method?	Outlier Allowed Amount	OUTLIER_PROVISIONS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
789	If the contract includes a carve out for outlier provisions, describe schedule name		OUTLIER_PROVISIONS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
790	If the contract includes a carve out for outlier provisions, describe schedule reference year or version		OUTLIER_PROVISIONS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
791	If the contract includes a carve out for outlier provisions, describe reimbursement rate		OUTLIER_PROVISIONS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
792	If contract includes a carve out for outlier provisions, describe exceptions		OUTLIER_PROVISIONS_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
793	OUTLIER FIELDS TO BE POPULATED			VARCHAR			No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
794	OUTLIER FIELDS TO BE POPULATED (Page#)			VARCHAR
795	Does the contact include a carve out for stop loss (Yes/No)?	Stop Loss (Y/N)?	STOP_LOSS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
796	Does the contact include a carve out for stop loss (Yes/No)? (Page#)		STOP_LOSS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
797	If the contract includes a carve out for stop loss, what is the stop loss threshold?	Stop Loss Threshold	STOP_LOSS_CAREVOUT_THRESHOLD	VARCHAR	F	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
798	If the contract includes a carve out for stop loss, what is the percent allowed above the stop loss threshold?	Stop Loss Allowed Amount	STOP_LOSS_CARVEOUT_PERCENT_ALLOWED	VARCHAR	G	ACTIVE	No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
799	If the contract includes a carve out for stop loss, what are the EMS Trauma codes?		STOP_LOSS_CARVEOUT_EMS_TRAUMA_CODES	VARIANT	G	ACTIVE
800	If the contract includes a carve out for stop loss, what are the EMS Trauma rates?		STOP_LOSS_CARVEOUT_EMS_TRAUMA_RATES	VARIANT	G	ACTIVE
801	STOP LOSS FIELDS TO BE POPULATED			VARCHAR			No	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY NETWORK
802	STOP LOSS FIELDS TO BE POPULATED (Page#)			VARCHAR
803	Does the contract include other Vaccine for Children carve outs (Yes/No)?	Client-Specific Carve Out #1 (Y/N)	VACCINE_CHILDREN_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
804	Does the contract include other Vaccine for Children carve outs (Yes/No)? (Page#)		VACCINE_CHILDREN_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
805	If the contract includes Vaccine for Children carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #1 Codes or Code Range	VACCINE_CHILDREN_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
806	If the contract includes Vaccine for Children client-specific carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #1 Reimbursement Methodology	VACCINE_CHILDREN_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
807	If the contract includes Vaccine for Children carve outs, describe schedule name		VACCINE_CHILDREN_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
808	If the contract includes Vaccine for Children client-specific carve outs, describe schedule reference year or version		VACCINE_CHILDREN_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
809	If the contract includes Vaccine for Children carve outs, describe reimbursement rate		VACCINE_CHILDREN_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
810	Does the contract include Surgical Assist/Assistant carve outs (Yes/No)?	Client-Specific Carve Out #2 (Y/N)	SURGICAL_ASSIST_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
811	Does the contract include Surgical Assist/Assistant carve outs (Yes/No)? (Page#)		SURGICAL_ASSIST_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
812	If the contract includes Surgical Assist/Assistant carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #2 Codes or Code Range	SURGICAL_ASSIST_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
813	If the contract includes Surgical Assist/Assistant carve outs, describe how these codes are reimbursed		SURGICAL_ASSIST_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
814	If the contract includes Surgical Assist/Assistant carve outs, describe schedule name		SURGICAL_ASSIST_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
815	If the contract includes Surgical Assist/Assistant carve outs, describe schedule reference year or version		SURGICAL_ASSIST_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
816	If the contract includes Surgical Assist/Assistant carve outs, describe reimbursement rate		SURGICAL_ASSIST_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
817	If the contract includes other client-specific carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #2 Reimbursement Methodology		VARCHAR		INACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
818	If the contract includes other client-specific carve outs, describe how these codes are reimbursed (Page#)			VARCHAR		INACTIVE
819	Does the contract include Physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs (Yes/No)?	Client-Specific Carve Out #3 (Y/N)	PHY_CLINICAL_PSYCHOLOGIST_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
820	Does the contract include Physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs (Yes/No)? (Page#)		PHY_CLINICAL_PSYCHOLOGIST_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
821	If the contract includes physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #3 Codes or Code Range	PHY_CLINICAL_PSYCHOLOGIST_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
822	If the contract includes physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #3 Reimbursement Methodology	PHY_CLINICAL_PSYCHOLOGIST_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
823	If the contract includes physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs, describe schedule name		PHY_CLINICAL_PSYCHOLOGIST_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
824	If the contract includes physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs, describe schedule reference year or version		PHY_CLINICAL_PSYCHOLOGIST_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
825	If the contract includes physicians/Clinical Psychologists (MD, DO, PhD, DPN) carve outs, describe reimbursement rate		PHY_CLINICAL_PSYCHOLOGIST_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
826	Does the contract include Audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs)carve outs (Yes/No)?	Client-Specific Carve Out #4-25 (Y/N)	AUDIO_CHIRO_DIETICIAN_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
827	Does the contract include Audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs)carve outs (Yes/No)? (Page#)		AUDIO_CHIRO_DIETICIAN_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
828	If the contract includes Audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs) carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #4-25 Codes or Code Range	AUDIO_CHIRO_DIETICIAN_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
829	If the contract includes audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs), describe how these codes are reimbursed	Client-Specific Carve Out #4-25 Reimbursement Methodology	AUDIO_CHIRO_DIETICIAN_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
830	If the contract includes audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs), describe schedule name		AUDIO_CHIRO_DIETICIAN_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
831	If the contract includes audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs), describe schedule reference year or version		AUDIO_CHIRO_DIETICIAN_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
832	If the contract includes audiologists, Chiropractors, Registered Dieticians (AUDs, DCs, RDs), describe reimbursement rate		AUDIO_CHIRO_DIETICIAN_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
833	Does the contract include Board Certified Behavioral Analyst (BCBA) carve outs (Yes/No)?	Client-Specific Carve Out #4-25 (Y/N)	CERT_BH_ANALYST_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
834	Does the contract include Board Certified Behavioral Analyst (BCBA) carve outs (Yes/No)? (Page#)		CERT_BH_ANALYST_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
835	If the contract includes Board Certified Behavioral Analyst (BCBA) carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #4-25 Codes or Code Range	CERT_BH_ANALYST_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
836	If the contract includes Board Certified Behavioral Analyst (BCBA) carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #4-25 Reimbursement Methodology	CERT_BH_ANALYST_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
837	If the contract includes Board Certified Behavioral Analyst (BCBA) carve outs, describe schedule name		CERT_BH_ANALYST_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
838	If the contract includes Board Certified Behavioral Analyst (BCBA) carve outs, describe schedule reference year or version		CERT_BH_ANALYST_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
839	If the contract includes Board Certified Behavioral Analyst (BCBA) carve outs, describe reimbursement rate		CERT_BH_ANALYST_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
840	Does the contract include Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs (Yes/No)?	Client-Specific Carve Out #4-25 (Y/N)	INDEPENDENT_LICENSURES_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
841	Does the contract include Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs (Yes/No)? (Page#)		INDEPENDENT_LICENSURES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
842	If the contract includes Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #4-25 Codes or Code Range	INDEPENDENT_LICENSURES_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
843	If the contract includes Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #4-25 Reimbursement Methodology	INDEPENDENT_LICENSURES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
844	If the contract includes Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs, describe schedule name		INDEPENDENT_LICENSURES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
845	If the contract includes Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs, describe schedule reference year or version		INDEPENDENT_LICENSURES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
846	If the contract includes Independent Licensures (LPC, LMFT, LISAC, LCSW) carve outs, describe reimbursement rate		INDEPENDENT_LICENSURES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
847	Does the contract include Behavioral Health Outpatient Clinics/Integrated Clinics carve outs (Yes/No)?	Client-Specific Carve Out #4-25 (Y/N)	BH_OP_CLINICS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
848	Does the contract include Behavioral Health Outpatient Clinics/Integrated Clinics carve outs (Yes/No)? (Page#)		BH_OP_CLINICS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
849	If the contract includes Behavioral Health Outpatient Clinics/Integrated Clinics carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #4-25 Codes or Code Range	BH_OP_CLINICS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
850	If the contract includes Behavioral Health Outpatient Clinics/Integrated Clinics carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #4-25 Reimbursement Methodology	BH_OP_CLINICS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
851	If the contract includes Behavioral Health Outpatient Clinics/Integrated Clinics carve outs, describe schedule name		BH_OP_CLINICS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
852	If the contract includes Behavioral Health Outpatient Clinics/Integrated Clinics carve outs, describe schedule reference year or version		BH_OP_CLINICS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
853	If the contract includes Behavioral Health Outpatient Clinics/Integrated Clinics carve outs, describe reimbursement rate		BH_OP_CLINICS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
854	Does the contract include Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs (Yes/No)?	Client-Specific Carve Out #4-25 (Y/N)	POS_THERAPISTS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
855	Does the contract include Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs (Yes/No)? (Page#)		POS_THERAPISTS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
856	If the contract includes Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #4-25 Codes or Code Range	POS_THERAPISTS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
857	If the contract includes Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #4-25 Reimbursement Methodology	POS_THERAPISTS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
858	If the contract includes Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs, describe schedule name		POS_THERAPISTS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
859	If the contract includes Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs, describe schedule reference year or version		POS_THERAPISTS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
860	If the contract includes Physical, Occupational, Speech Therapists (PTs/OTs/STs) carve outs, describe reimbursement rate		POS_THERAPISTS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
861	Does the contract include Transportation Services carve outs (Yes/No)?	Client-Specific Carve Out #4-25 (Y/N)	TRANSPORTATION_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
862	Does the contract include Transportation Services carve outs (Yes/No)? (Page#)		TRANSPORTATION_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
863	If the contract includes Transportation Services carve outs, list the applicable codes or code ranges	Client-Specific Carve Out #4-25 Codes or Code Range	TRANSPORTATION_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
864	If the contract includes Transportation Services carve outs, describe how these codes are reimbursed	Client-Specific Carve Out #4-25 Reimbursement Methodology	TRANSPORTATION_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE	TBD	From LOB Specific Exhibit, Attachment, Schedule or Amendment, Addendum, Rider	Carve Outs	Required Only If Available	PAYMENT ACCURACY INTELLIGENT EDITS
865	If the contract includes Transportation Services carve outs, describe schedule name		TRANSPORTATION_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
866	If the contract includes Transportation Services carve outs, describe schedule reference year or version		TRANSPORTATION_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
867	If the contract includes Transportation Services carve outs, describe reimbursement rate		TRANSPORTATION_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
868	Does the contract include PCP - Medical carve outs (Yes/No)?		PCP_MEDICAL_CAREVEOUT_IND	VARCHAR	F	ACTIVE
869	Does the contract include PCP - Medical carve outs (Yes/No)? (Page#)		PCP_MEDICAL_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
870	If the contract includes PCP - Medical carve outs, list the applicable codes or code ranges		PCP_MEDICAL_CAREVOUT_CODES	VARCHAR	F	ACTIVE
871	If the contract includes PCP - Medical carve outs, describe how these codes are reimbursed		PCP_MEDICAL_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
872	If the contract includes PCP - Medical carve outs, describe schedule name		PCP_MEDICAL_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
873	If the contract includes PCP - Medical carve outs, describe schedule reference year or version		PCP_MEDICAL_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
874	If the contract includes PCP - Medical carve outs, describe reimbursement rate		PCP_MEDICAL_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
875	Does the contract include PCP - BH carve outs (Yes/No)?		PCP_BH_CAREVEOUT_IND	VARCHAR		INACTIVE
876	Does the contract include PCP - BH carve outs (Yes/No)? (Page#)		PCP_BH_CAREVEOUT_IND_PG	NUMERIC		INACTIVE
877	If the contract includes PCP - BH carve outs, list the applicable codes or code ranges		PCP_BH_CAREVOUT_CODES	VARCHAR		INACTIVE
878	If the contract includes PCP - BH carve outs, describe how these codes are reimbursed		PCP_BH_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR		INACTIVE
879	If the contract includes PCP - BH carve outs, describe schedule name		PCP_BH_CARVEOUT_SCHEDULE_NAME	VARCHAR		INACTIVE
880	If the contract includes PCP - BH carve outs, describe schedule reference year or version		PCP_BH_CAREVEOUT_SCHEDULE_VERSION	VARCHAR		INACTIVE
881	If the contract includes PCP - BH carve outs, describe reimbursement rate		PCP_BH_CARVEOUT_DESCRIBE	VARCHAR		INACTIVE
882	Does the contract include BH Physicians/Clinicals Psychologists ( MDs, Dos, PHDs)/Mid-level Practitioners (ex. NPs,Pas etc) carve outs (Yes/No)?		BH_MID_LEVEL_PRACTIONER_CAREVEOUT_IND	VARCHAR		INACTIVE
883	If the contract includes BH Physicians/Clinicals Psychologists ( MDs, Dos, PHDs)/Mid-level Practitioners (ex. NPs,Pas etc) carve outs, list the applicable codes or code ranges		BH_MID_LEVEL_PRACTIONER_CAREVOUT_CODES	VARCHAR		INACTIVE
884	If the contract includes BH Physicians/Clinicals Psychologists ( MDs, Dos, PHDs)/Mid-level Practitioners (ex. NPs,Pas etc) carve outs, describe how these codes are reimbursed		BH_MID_LEVEL_PRACTIONER_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR		INACTIVE
885	If the contract includes BH Physicians/Clinicals Psychologists ( MDs, Dos, PHDs)/Mid-level Practitioners (ex. NPs,Pas etc) carve outs, describe schedule name		BH_MID_LEVEL_PRACTIONER_CARVEOUT_SCHEDULE_NAME	VARCHAR		INACTIVE
886	If the contract includes BH Physicians/Clinicals Psychologists ( MDs, Dos, PHDs)/Mid-level Practitioners (ex. NPs,Pas etc) carve outs, describe schedule reference year or version		BH_MID_LEVEL_PRACTIONER_CAREVEOUT_SCHEDULE_VERSION	VARCHAR		INACTIVE
887	If the contract includes BH Physicians/Clinicals Psychologists ( MDs, Dos, PHDs)/Mid-level Practitioners (ex. NPs,Pas etc) carve outs, describe reimbursement rate		BH_MID_LEVEL_PRACTIONER_CARVEOUT_DESCRIBE	VARCHAR		INACTIVE
888	Does the contract include Mid-Level - BH carve outs (Yes/No)?		BH_MID_LEVEL_PRACTIONER_CARVEOUT_DESCRIBE	VARCHAR		INACTIVE
889	Does the contract include Mid-Level - BH carve outs (Yes/No)? (Page#)			VARCHAR		INACTIVE
890	If the contract includes Mid-Level - BH carve outs, list the applicable codes or code ranges			VARCHAR		INACTIVE
891	If the contract includes Mid-Level - BH carve outs, describe how these codes are reimbursed			VARCHAR		INACTIVE
892	If the contract includes Mid-Level - BH carve outs, describe schedule name			VARCHAR		INACTIVE
893	If the contract includes Mid-Level - BH carve outs, describe schedule reference year or version			VARCHAR		INACTIVE
894	If the contract includes Mid-Level - BH carve outs, describe reimbursement rate			VARCHAR		INACTIVE
895	Does the contract include BCBA - BH carve outs (Yes/No)?		BCBA_BH_CAREVEOUT_IND	VARCHAR	F	ACTIVE
896	Does the contract include BCBA - BH carve outs (Yes/No)? (Page#)		BCBA_BH_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
897	If the contract includes BCBA - BH carve outs, list the applicable codes or code ranges		BCBA_BH_CAREVOUT_CODES	VARCHAR	F	ACTIVE
898	If the contract includes BCBA - BH carve outs, describe how these codes are reimbursed		BCBA_BH_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
899	If the contract includes BCBA - BH carve outs, describe schedule name		BCBA_BH_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
900	If the contract includes BCBA - BH carve outs, describe schedule reference year or version		BCBA_BH_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
901	If the contract includes BCBA - BH carve outs, describe reimbursement rate		BCBA_BH_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
902	Does the contract include Independent Licensures - BH carve outs (Yes/No)?		INDEPENDENT_LICENSURES_BH_CAREVEOUT_IND	VARCHAR		INACTIVE
903	Does the contract include Independent Licensures - BH carve outs (Yes/No)? (Page#)		INDEPENDENT_LICENSURES_BH_CAREVEOUT_IND_PG	NUMERIC		INACTIVE
904	If the contract includes Independent Licensures - BH carve outs, list the applicable codes or code ranges		INDEPENDENT_LICENSURES_BH_CAREVOUT_CODES	VARCHAR		INACTIVE
905	If the contract includes Independent Licensures - BH carve outs, describe how these codes are reimbursed		INDEPENDENT_LICENSURES_BH_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR		INACTIVE
906	If the contract includes Independent Licensures - BH carve outs, describe schedule name		INDEPENDENT_LICENSURES_BH_CARVEOUT_SCHEDULE_NAME	VARCHAR		INACTIVE
907	If the contract includes Independent Licensures - BH carve outs, describe schedule reference year or version		INDEPENDENT_LICENSURES_BH_CAREVEOUT_SCHEDULE_VERSION	VARCHAR		INACTIVE
908	If the contract includes Independent Licensures - BH carve outs, describe reimbursement rate		INDEPENDENT_LICENSURES_BH_CARVEOUT_DESCRIBE	VARCHAR		INACTIVE
909	Does the contract include Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs (Yes/No)?			VARCHAR		INACTIVE
910	Does the contract include Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs (Yes/No)? (Page#)			VARCHAR		INACTIVE
911	If the contract includes Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs, list the applicable codes or code ranges			VARCHAR		INACTIVE
912	If the contract includes Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs, describe how these codes are reimbursed			VARCHAR		INACTIVE
913	If the contract includes Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs, describe schedule name			VARCHAR		INACTIVE
914	If the contract includes Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs, describe schedule reference year or version			VARCHAR		INACTIVE
915	If the contract includes Behavioral health Outpatient Clinics/Integrated Clinics - BH carve outs, describe reimbursement rate			VARCHAR		INACTIVE
916	Does the contract include Physicians/Clinical Psychologists - BH carve outs (Yes/No)?			VARCHAR		INACTIVE
917	Does the contract include Physicians/Clinical Psychologists - BH carve outs (Yes/No)? (Page#)			VARCHAR		INACTIVE
918	If the contract includes Physicians/Clinical Psychologists - BH carve outs, list the applicable codes or code ranges			VARCHAR		INACTIVE
919	If the contract includes Physicians/Clinical Psychologists - BH carve outs, describe how these codes are reimbursed			VARCHAR		INACTIVE
920	If the contract includes Physicians/Clinical Psychologists - BH carve outs, describe schedule name			VARCHAR		INACTIVE
921	If the contract includes Physicians/Clinical Psychologists - BH carve outs, describe schedule reference year or version			VARCHAR		INACTIVE
922	If the contract includes Physicians/Clinical Psychologists - BH carve outs, describe reimbursement rate			VARCHAR		INACTIVE
923	Does the contract include Dentist carve outs (Yes/No)?		DENTIST_CAREVEOUT_IND	VARCHAR	F	ACTIVE
924	Does the contract include Dentist carve outs (Yes/No)? (Page#)		DENTIST_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
925	If the contract includes Dentist carve outs, list the applicable codes or code ranges		DENTIST_CAREVOUT_CODES	VARCHAR	F	ACTIVE
926	If the contract includes Dentist carve outs, describe how these codes are reimbursed		DENTIST_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
927	If the contract includes Dentist carve outs, describe schedule name		DENTIST_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
928	If the contract includes Dentist carve outs, describe schedule reference year or version		DENTIST_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
929	If the contract includes Dentist carve outs, describe reimbursement rate		DENTIST_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
930	Does the contract include Supplies and Devices carve outs (Yes/No)?		SUPPLIES_DEVICES_CAREVEOUT_IND	VARCHAR	F	ACTIVE
931	Does the contract include Supplies and Devices carve outs (Yes/No)? (Page#)		SUPPLIES_DEVICES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
932	If the contract includes Supplies and Devices carve outs, list the applicable codes or code ranges		SUPPLIES_DEVICES_CAREVOUT_CODES	VARCHAR	F	ACTIVE
933	If the contract includes Supplies and Devices carve outs, describe how these codes are reimbursed		SUPPLIES_DEVICES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
934	If the contract includes Supplies and Devices carve outs, describe schedule name		SUPPLIES_DEVICES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
935	If the contract includes Supplies and Devices carve outs, describe schedule reference year or version		SUPPLIES_DEVICES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
936	If the contract includes Supplies and Devices carve outs, describe reimbursement rate		SUPPLIES_DEVICES_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
937	If the contract includes Supplies and Devices carve outs, is there a lesser of billed charges clause? (Yes/No)		SUPPLIES_DEVICES_CARVEOUT_LESSER_OF_BILLED_IND	VARCHAR	G	ACTIVE
938	If the contract includes Supplies and Devices carve outs, describe billed charges reimbursement rate		SUPPLIES_DEVICES_BILLED_CHARGE_REIMBURSEMENT_RATE	VARCHAR	G	ACTIVE
939	Does the contract include Immunizations carve outs (Yes/No)?		IMMUNIZATION_CAREVEOUT_IND	VARCHAR	F	ACTIVE
940	Does the contract include Immunizations carve outs (Yes/No)? (Page#)		IMMUNIZATION_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
941	If the contract includes Immunizations carve outs, list the applicable codes or code ranges		IMMUNIZATION_CAREVOUT_CODES	VARCHAR	F	ACTIVE
942	If the contract includes Immunizations carve outs, describe how these codes are reimbursed		IMMUNIZATION_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
943	If the contract includes Immunizations carve outs, describe schedule name		IMMUNIZATION_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
944	If the contract includes Immunizations carve outs, describe schedule reference year or version		IMMUNIZATION_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
945	If the contract includes Immunizations carve outs, describe reimbursement rate		IMMUNIZATION_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
946	If the contract includes Immunizations carve outs, is there a lesser of billed charges clause? (Yes/No)		IMMUNIZATION_CARVEOUT_LESSER_OF_BILLED_IND	VARCHAR	G	ACTIVE
947	If the contract includes Immunizations carve outs, describe billed charges reimbursement rate		IMMUNIZATION_BILLED_CHARGE_REIMBURSEMENT_RATE	VARCHAR	G	ACTIVE
948	If the contract includes a carve out for immunizations, describe exceptions		IMMUNIZATION_CARVEOUT_DESCRIBE_EXCEPTIONS	VARCHAR	G	ACTIVE
949	Does the contract include OB Epidural carve outs (Yes/No)?		OB_EPIDURAL_CAREVEOUT_IND	VARCHAR	F	ACTIVE
950	If the contract includes OB Epidural carve outs, list the applicable codes or code ranges		OB_EPIDURAL_CAREVOUT_CODES	VARCHAR	F	ACTIVE
951	If the contract includes OB Epidural carve outs, describe how these codes are reimbursed		OB_EPIDURAL_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
952	If the contract includes OB Epidural carve outs, describe schedule name		OB_EPIDURAL_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
953	If the contract includes OB Epidural carve outs, describe schedule reference year or version		OB_EPIDURAL_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
954	If the contract includes OB Epidural carve outs, describe reimbursement rate		OB_EPIDURAL_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
955	Does the contract include Pediatric Subspecialties carve outs (Yes/No)?		PEDIATRIC_SUBSPECIALTY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
956	Does the contract include Pediatric Subspecialties carve outs (Yes/No)? (Page#)		PEDIATRIC_SUBSPECIALTY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
957	If the contract includes Pediatric Subspecialties carve outs, list the applicable codes or code ranges		PEDIATRIC_SUBSPECIALTY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
958	If the contract includes Pediatric Subspecialties carve outs, describe how these codes are reimbursed		PEDIATRIC_SUBSPECIALTY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
959	If the contract includes Pediatric Subspecialties carve outs, describe schedule name		PEDIATRIC_SUBSPECIALTY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
960	If the contract includes Pediatric Subspecialties carve outs, describe schedule reference year or version		PEDIATRIC_SUBSPECIALTY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
961	If the contract includes Pediatric Subspecialties carve outs, describe reimbursement rate		PEDIATRIC_SUBSPECIALTY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
962	Does the contract include Neurosurgery Subspecialties carve outs (Yes/No)?		NEUROSURGEY_SUBSPECIALTY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
963	Does the contract include Neurosurgery Subspecialties carve outs (Yes/No)? (Page#)		NEUROSURGEY_SUBSPECIALTY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
964	If the contract includes Neurosurgery Subspecialties carve outs, list the applicable codes or code ranges		NEUROSURGEY_SUBSPECIALTY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
965	If the contract includes Neurosurgery Subspecialties carve outs, describe how these codes are reimbursed		NEUROSURGEY_SUBSPECIALTY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
966	If the contract includes Neurosurgery Subspecialties carve outs, describe schedule name		NEUROSURGEY_SUBSPECIALTY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
967	If the contract includes Neurosurgery Subspecialties carve outs, describe schedule reference year or version		NEUROSURGEY_SUBSPECIALTY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
968	If the contract includes Neurosurgery Subspecialties carve outs, describe reimbursement rate		NEUROSURGEY_SUBSPECIALTY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
969	Does the contract include Orthopedic Surgery subspecialties carve outs (Yes/No)?		ORTHOPEDIC_SURGERY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
970	Does the contract include Orthopedic Surgery subspecialties carve outs (Yes/No)? (Page#)		ORTHOPEDIC_SURGERY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
971	If the contract includes Orthopedic Surgery subspecialties carve outs, list the applicable codes or code ranges		ORTHOPEDIC_SURGERY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
972	If the contract includes Orthopedic Surgery subspecialties carve outs, describe how these codes are reimbursed		ORTHOPEDIC_SURGERY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
973	If the contract includes Orthopedic Surgery subspecialties carve outs, describe schedule name		ORTHOPEDIC_SURGERY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
974	If the contract includes Orthopedic Surgery subspecialties carve outs, describe schedule reference year or version		ORTHOPEDIC_SURGERY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
975	If the contract includes Orthopedic Surgery subspecialties carve outs, describe reimbursement rate		ORTHOPEDIC_SURGERY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
976	Does the contract include All Other Specialists carve outs (Yes/No)?		ALL_OTHER_SPECIALTY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
977	Does the contract include All Other Specialists carve outs (Yes/No)? (Page#)		ALL_OTHER_SPECIALTY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
978	If the contract includes All Other Specialists carve outs, list the applicable codes or code ranges		ALL_OTHER_SPECIALTY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
979	If the contract includes All Other Specialists carve outs, describe how these codes are reimbursed		ALL_OTHER_SPECIALTY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
980	If the contract includes All Other Specialists carve outs, describe schedule name		ALL_OTHER_SPECIALTY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
981	If the contract includes All Other Specialists carve outs, describe schedule reference year or version		ALL_OTHER_SPECIALTY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
982	If the contract includes All Other Specialists carve outs, describe reimbursement rate		ALL_OTHER_SPECIALTY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
983	Does the contract include Pediatric Primary Care Physicians carve outs (Yes/No)?		PEDIATRIC_PCP_CAREVEOUT_IND	VARCHAR	F	ACTIVE
984	Does the contract include Pediatric Primary Care Physicians carve outs (Yes/No)? (Page#)		PEDIATRIC_PCP_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
985	If the contract includes Pediatric Primary Care Physicians carve outs, list the applicable codes or code ranges		PEDIATRIC_PCP_CAREVOUT_CODES	VARCHAR	F	ACTIVE
986	If the contract includes Pediatric Primary Care Physicians carve outs, describe how these codes are reimbursed		PEDIATRIC_PCP_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
987	If the contract includes Pediatric Primary Care Physicians carve outs, describe schedule name		PEDIATRIC_PCP_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
988	If the contract includes Pediatric Primary Care Physicians carve outs, describe schedule reference year or version		PEDIATRIC_PCP_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
989	If the contract includes Pediatric Primary Care Physicians carve outs, describe reimbursement rate		PEDIATRIC_PCP_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
990	Does the contract include Medical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs (Yes/No)?		ANESTHESIOLOGY_RN_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
991	Does the contract include Medical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs (Yes/No)? (Page#)		ANESTHESIOLOGY_RN_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
992	If the contract includesMedical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs, list the applicable codes or code ranges		ANESTHESIOLOGY_RN_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
993	If the contract includes Medical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs, describe how these codes are reimbursed		ANESTHESIOLOGY_RN_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
994	If the contract includesMedical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs, describe schedule name		ANESTHESIOLOGY_RN_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
995	If the contract includes Medical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs, describe schedule reference year or version		ANESTHESIOLOGY_RN_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
996	If the contract includesMedical/Surgical Services by Anesthesiology or Certified Registered Nurse carve outs, describe reimbursement rate		ANESTHESIOLOGY_RN_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
997	Does the contract include EPSDT carve outs (Yes/No)?		EPSDT_CAREVEOUT_IND	VARCHAR	F	ACTIVE
998	Does the contract include EPSDT carve outs (Yes/No)? (Page#)		EPSDT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
999	If the contract includes EPSDT carve outs, list the applicable codes or code ranges		EPSDT_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1000	If the contract includes EPSDT carve outs, describe how these codes are reimbursed		EPSDT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1001	If the contract includes EPSDT carve outs, describe schedule name		EPSDT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1002	If the contract includes EPSDT carve outs, describe schedule reference year or version		EPSDT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1003	If the contract includes EPSDT carve outs, describe reimbursement rate		EPSDT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1004	Does the contract include Ancillary carveout to professional contract (Yes/No)?		ANCILLARY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1005	Does the contract include Ancillary carveout to professional contract (Yes/No)? (Page#)		ANCILLARY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1006	If the contract includes Ancillary carveout to professional contract, list the applicable codes or code ranges		ANCILLARY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1007	If the contract includes Ancillary carveout to professional contract, describe how these codes are reimbursed		ANCILLARY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1008	If the contract includes Ancillary carveout to professional contract, describe schedule name		ANCILLARY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1009	If the contract includes Ancillary carveout to professional contract, describe schedule reference year or version		ANCILLARY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1010	If the contract includes Ancillary carveout to professional contract, describe reimbursement rate		ANCILLARY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1011	Does the contract include Physician Assistant and Nurse Practitioner carve outs (Yes/No)?		PHYASSISTANT_RNPRACTITIONER_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1012	Does the contract include Physician Assistant and Nurse Practitioner carve outs (Yes/No)? (Page#)		PHYASSISTANT_RNPRACTITIONER_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1013	If the contract includes Physician Assistant and Nurse Practitioner carve outs, list the applicable codes or code ranges		PHYASSISTANT_RNPRACTITIONER_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1014	If the contract includes Physician Assistant and Nurse Practitioner carve outs, describe how these codes are reimbursed		PHYASSISTANT_RNPRACTITIONER_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1015	If the contract includes Physician Assistant and Nurse Practitioner carve outs, describe schedule name		PHYASSISTANT_RNPRACTITIONER_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1016	If the contract includes Physician Assistant and Nurse Practitioner carve outs, describe schedule reference year or version		PHYASSISTANT_RNPRACTITIONER_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1017	If the contract includes Physician Assistant and Nurse Practitioner carve outs, describe reimbursement rate		PHYASSISTANT_RNPRACTITIONER_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1018	Does the contract include a carve out for Oncology Services (Yes/No)?		ONCOLOGY_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1019	Does the contract include a carve out for Oncology Services (Yes/No)? (Page#)		ONCOLOGY_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1020	If the contract includes a carve out for Oncology Services, list the applicable codes or code ranges		ONCOLOGY_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1021	If the contract includes a carve out for Oncology Services, describe how these codes are reimbursed		ONCOLOGY_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1022	If the contract includes a carve out for Oncology Services, describe schedule name		ONCOLOGY_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1023	If the contract includes a carve out for Oncology Services, describe reference year or version		ONCOLOGY_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1024	If the contract includes a carve out for Oncology Services, describe reimbursement rate		ONCOLOGY_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1025	Does the contract include a carve out for Rehabilitation Services (Yes/No)?		REHABILITATION_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1026	Does the contract include a carve out for Rehabilitation Services (Yes/No)? (Page#)		REHABILITATION_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1027	If the contract includes a carve out for Rehabilitation Services , list the applicable codes or code ranges		REHABILITATION_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1028	If the contract includes a carve out for Rehabilitation Services, describe how these codes are reimbursed		REHABILITATION_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1029	If the contract includes a carve out for Rehabilitation Services , describe schedule name		REHABILITATION_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1030	If the contract includes a carve out for Rehabilitation Services, describe reference year or version		REHABILITATION_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1031	If the contract includes a carve out for Rehabilitation Services, describe describe reimbursement rate		REHABILITATION_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1032	Does the contract include a carve out for Surgery (Yes/No)?		SURGERY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1033	Does the contract include a carve out for Surgery (Yes/No)? (Page#)		SURGERY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1034	If the contract includes a carve out for Surgery Services , list the applicable codes or code ranges		SURGERY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1035	If the contract includes a carve out for Surgery Services, describe how these codes are reimbursed		SURGERY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1036	If the contract includes a carve out for Surgery Services , describe schedule name		SURGERY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1037	If the contract includes a carve out for Surgery Services, describe reference year or version		SURGERY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1038	If the contract includes a carve out for Outpatient Surgery Services, describe reimbursement rate		SURGERY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1039	Does the contract include a carve out for Lithotripsy Services (Yes/No)?		LITHOTRIPSY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1040	Does the contract include a carve out for Lithotripsy Services (Yes/No)? (Page#)		LITHOTRIPSY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1041	If the contract includes a carve out for Lithotripsy Services , list the applicable codes or code ranges		LITHOTRIPSY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1042	If the contract includes a carve out for Lithotripsy Services, describe how these codes are reimbursed		LITHOTRIPSY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1043	If the contract includes a carve out for Lithotripsy Services , describe schedule name		LITHOTRIPSY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1044	If the contract includes a carve out for Lithotripsy Services, describe reference year or version		LITHOTRIPSY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1045	If the contract includes a carve out for Lithotripsy Services, describe reimbursement rate		LITHOTRIPSY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1046	Does the contract include a carve out for Cardiac Services (Yes/No)?		CARDIAC_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1047	Does the contract include a carve out for Cardiac Services (Yes/No)? (Page#)		CARDIAC_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1048	If the contract includes a carve out for Cardiac Services , list the applicable codes or code ranges		CARDIAC_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1049	If the contract includes a carve out for Cardiac Services, describe how these codes are reimbursed		CARDIAC_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1050	If the contract includes a carve out for Cardiac Services , describe schedule name		CARDIAC_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1051	If the contract includes a carve out for Cardiac Services, describe reference year or version		CARDIAC_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1052	If the contract includes a carve out for Cardiac Services, describe reimbursement rate		CARDIAC_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1053	Does the contract include a carve out for Special Care Unit Services (Yes/No)?		SPECIAL_CARE_UNIT_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1054	Does the contract include a carve out for Special Care Unit Services (Yes/No)? (Page#)		SPECIAL_CARE_UNIT_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1055	If the contract includes a carve out for Special Care Unit Services , list the applicable codes or code ranges		SPECIAL_CARE_UNIT_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1056	If the contract includes a carve out for Cardiac Services, describe how these codes are reimbursed		SPECIAL_CARE_UNIT_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1057	If the contract includes a carve out for Special Care Unit Services , describe schedule name		SPECIAL_CARE_UNIT_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1058	If the contract includes a carve out for Cardiac Services, describe reference year or version		SPECIAL_CARE_UNIT_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1059	If the contract includes a carve out for Special Unit Services, describe reimbursement rate		SPECIAL_CARE_UNIT_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1060	Does the contract include a carve out for Skilled Nursing Services (Yes/No)?		SKILLED_RN_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1061	Does the contract include a carve out for Skilled Nursing Services (Yes/No)? (Page#)		SKILLED_RN_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1062	If the contract includes a carve out for Skilled Nursing Services , list the applicable codes or code ranges		SKILLED_RN_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1063	If the contract includes a carve out for Skilled Nursing Service, describe how these codes are reimbursed		SKILLED_RN_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1064	If the contract includes a carve out for Skilled Nursing Services Services , describe schedule name		SKILLED_RN_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1065	If the contract includes a carve out for Skilled Nursing Services, describe reference year or version		SKILLED_RN_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1066	If the contract includes a carve out for Skilled Nursing Services, describe reimbursement rate		SKILLED_RN_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1067	Does the contract include a carve out for Infusion Services (Yes/No)?		INFUSION_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1068	Does the contract include a carve out for Infusion Services (Yes/No)? (Page#)		INFUSION_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1069	If the contract includes a carve out for Infusion Services , list the applicable codes or code ranges		INFUSION_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1070	If the contract includes a carve out for Infusion Services, describe how these codes are reimbursed		INFUSION_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1071	If the contract includes a carve out for Infusion Services , describe schedule name		INFUSION_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1072	If the contract includes a carve out for Infusion Services, describe reference year or version		INFUSION_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1073	If the contract includes a carve out for Infusion Services, describe reimbursement rate		INFUSION_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1074	Does the contract include a carve out for Obesity Services (Yes/No)?		OBESITY_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1075	Does the contract include a carve out for Obesity Services (Yes/No)? (Page#)		OBESITY_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1076	If the contract includes a carve out for Obesity Services , list the applicable codes or code ranges		OBESITY_SVCS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1077	If the contract includes a carve out for Infusion Services, describe how these codes are reimbursed		OBESITY_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1078	If the contract includes a carve out for Obesity Services , describe schedule name		OBESITY_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1079	If the contract includes a carve out for Obesity Services, describe reference year or version		OBESITY_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1080	If the contract includes a carve out for Infusion Services, describe reimbursement rate		OBESITY_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1081	Does the contract include a carve out for Specialty Care Physician Services (Yes/No)?		SPECIALTY_CARE_PHYSICIAN_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1082	Does the contract include a carve out for Specialty Care Physician Services (Yes/No)? (Page#)		SPECIALTY_CARE_PHYSICIAN_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1083	If the contract includes a carve out for Specialty Care Physician Services , list the applicable codes or code ranges		SPECIALTY_CARE_PHYSICIAN_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1084	If the contract includes a carve out for Infusion Specialty Care Physician Services , describe how these codes are reimbursed		SPECIALTY_CARE_PHYSICIAN_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1085	If the contract includes a carve out for Specialty Care Physician Services , describe schedule name		SPECIALTY_CARE_PHYSICIAN_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1086	If the contract includes a carve out for Specialty Care Physician Services, describe reference year or version		SPECIALTY_CARE_PHYSICIAN_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1087	If the contract includes a carve out for Infusion Services, describe reimbursement rate		SPECIALTY_CARE_PHYSICIAN_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1088	Does the contract include a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient (Yes/No)?		DRUGS_ORGANS_IMPLANTS_IP_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1089	Does the contract include a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient (Yes/No)? (Page#)		DRUGS_ORGANS_IMPLANTS_IP_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1090	If the contract includes a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient , list the applicable codes or code ranges		DRUGS_ORGANS_IMPLANTS_IP_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1091	If the contract includes a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient , describe how these codes are reimbursed		DRUGS_ORGANS_IMPLANTS_IP_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1092	If the contract includes a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient , describe schedule name		DRUGS_ORGANS_IMPLANTS_IP_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1093	If the contract includes a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient, describe reference year or version		DRUGS_ORGANS_IMPLANTS_IP_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1094	If the contract includes a carve out for High Cost Drugs, Organ Acquisition, Implants Inpatient, describe reimbursement rate		DRUGS_ORGANS_IMPLANTS_IP_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1095	Does the contract include a carve out for High Cost Drugs, Implants Outpatient (Yes/No)?		DRUGS_ORGANS_IMPLANTS_OP_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1096	Does the contract include a carve out for High Cost Drugs, Implants Outpatient (Yes/No)? (Page#)		DRUGS_ORGANS_IMPLANTS_OP_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1097	If the contract includes a carve out for High Cost Drugs, Implants Outpatient , list the applicable codes or code ranges		DRUGS_ORGANS_IMPLANTS_OP_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1098	If the contract includes a carve out for High Cost Drugs, Implants Outpatient , describe how these codes are reimbursed		DRUGS_ORGANS_IMPLANTS_OP_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1099	If the contract includes a carve out for High Cost Drugs, Implants Outpatient , describe schedule name		DRUGS_ORGANS_IMPLANTS_OP_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1100	If the contract includes a carve out for High Cost Drugs, Implants Outpatient , describe reference year or version		DRUGS_ORGANS_IMPLANTS_OP_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1101	If the contract includes a carve out for High Cost Drugs, Implants Outpatient , describe reimbursement rate		DRUGS_ORGANS_IMPLANTS_OP_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1102	Does the contract include a carve out for Blood Products - Outpatient/Inpatient (Yes/No)?		BLOOD_PRODUCTS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1103	Does the contract include a carve out for Blood Products - Outpatient/Inpatient (Yes/No)? (Page#)		BLOOD_PRODUCTS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1104	If the contract includes a carve out for Blood Products - Outpatient/Inpatient , list the applicable codes or code ranges		BLOOD_PRODUCTS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1105	If the contract includes a carve out forBlood Products - Outpatient/Inpatient , describe how these codes are reimbursed		BLOOD_PRODUCTS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1106	If the contract includes a carve out for Blood Products - Outpatient/Inpatient , describe schedule name		BLOOD_PRODUCTS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1107	If the contract includes a carve out for Blood Products - Outpatient/Inpatient , describe reference year or version		BLOOD_PRODUCTS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1108	If the contract includes a carve out for Blood Products - Outpatient/Inpatient , describe reimbursement rate		BLOOD_PRODUCTS_CARVEOUT_DESCRIBE	VARCHAR	GGG	ACTIVE
1109	Does the contract include a carve out for High Cost Drugs (Yes/No)?		HIGH_COST_DRUGS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1110	Does the contract include a carve out for High Cost Drugs (Yes/No)? (Page#)		HIGH_COST_DRUGS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1111	If the contract includes a carve out for High Cost Drugs, list the applicable codes or code ranges		HIGH_COST_DRUGS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1112	If the contract includes a carve out for High Cost Drugs, describe how these codes are reimbursed		HIGH_COST_DRUGS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1113	If the contract includes a carve out for High Cost Drugs, describe schedule name		HIGH_COST_DRUGS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1114	If the contract includes a carve out for High Cost Drugs, describe reference year or version		HIGH_COST_DRUGS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1115	If the contract includes a carve out for High Cost Drugs, describe reimbursement rate		HIGH_COST_DRUGS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1116	Does the contract include a carve out for Physical Rehabilitation (Yes/No)?		PHYSICAL_REHABILITATION_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1117	Does the contract include a carve out for Physical Rehabilitation (Yes/No)? (Page#)		PHYSICAL_REHABILITATION_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1118	If the contract includes a carve out for Inpatient Physical Rehabilitation , list the applicable codes or code ranges		PHYSICAL_REHABILITATION_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1119	If the contract includes a carve out for Inpatient Physical Rehabilitation , describe how these codes are reimbursed		PHYSICAL_REHABILITATION_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1120	If the contract includes a carve out for Inpatient Physical Rehabilitation , describe schedule name		PHYSICAL_REHABILITATION_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1121	If the contract includes a carve out forInpatient Physical Rehabilitation , describe reference year or version		PHYSICAL_REHABILITATION_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1122	If the contract includes a carve out for Inpatient Physical Rehabilitation , describe reimbursement rate		PHYSICAL_REHABILITATION_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1123	Does the contract include a carve out for Sleep Studies (Yes/No)?		SLEEP_STUDIES_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1124	Does the contract include a carve out for Sleep Studies (Yes/No)? (Page#)		SLEEP_STUDIES_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1125	If the contract includes a carve out for Sleep Studies, list the applicable codes or code ranges		SLEEP_STUDIES_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1126	If the contract includes a carve out for Sleep Studies, describe how these codes are reimbursed		SLEEP_STUDIES_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1127	If the contract includes a carve out for Sleep Studies, describe schedule name		SLEEP_STUDIES_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1128	If the contract includes a carve out for Sleep Studies, describe reference year or version		SLEEP_STUDIES_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1129	If the contract includes a carve out for Sleep Studies, describe reimbursement rate		SLEEP_STUDIES_CARVEOUT_DESCRIBE	VARCHAR	F	ACTIVE
1130	Does the contract include a carve out for Lap Band Services (Yes/No)?		LAP_BAND_SVCS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1131	Does the contract include a carve out for Lap Band Services (Yes/No)? (Page#)		LAP_BAND_SVCS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1132	If the contract includes a carve out for Lap Band Services , list the applicable codes or code ranges		LAP_BAND_SVCS_CAREVOUT_CODES	VARCHAR	G	ACTIVE
1133	If the contract includes a carve out for Lap Band Services , describe how these codes are reimbursed		LAP_BAND_SVCS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1134	If the contract includes a carve out for Lap Band Services , describe schedule name		LAP_BAND_SVCS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1135	If the contract includes a carve out for Lap Band Services, describe reference year or version		LAP_BAND_SVCS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1136	If the contract includes a carve out for Lap Band Services , describe reimbursement rate		LAP_BAND_SVCS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1137	Does the contract include a carve out for Newborn/NICU (Yes/No)?		NEWBORN_NICU_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1138	Does the contract include a carve out for Newborn/NICU (Yes/No)? (Page#)		NEWBORN_NICU_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1139	If the contract includes a carve out for Newborn/NICU, list the applicable codes or code ranges		NEWBORN_NICU_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1140	If the contract includes a carve out for Newborn/NICU, describe how these codes are reimbursed		NEWBORN_NICU_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1141	If the contract includes a carve out for Newborn/NICU, describe schedule name		NEWBORN_NICU_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1142	If the contract includes a carve out for Newborn/NICU, describe reference year or version		NEWBORN_NICU_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1143	If the contract includes a carve out for Newborn/NICU, describe reimbursement rate		NEWBORN_NICU_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1144	Does the contract include a carve out for Extracorporeal Membrane Oxygenation (ECMO) (Yes/No)?		EMCO_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1145	Does the contract include a carve out for Extracorporeal Membrane Oxygenation (ECMO) (Yes/No)? (Page#)		EMCO_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1146	If the contract includes a carve out for Extracorporeal Membrane Oxygenation (ECMO), list the applicable codes or code ranges		EMCO_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1147	If the contract includes a carve out for Extracorporeal Membrane Oxygenation (ECMO), describe how these codes are reimbursed		EMCO_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1148	If the contract includes a carve out for Extracorporeal Membrane Oxygenation (ECMO), describe schedule name		EMCO_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1149	If the contract includes a carve out for Extracorporeal Membrane Oxygenation (ECMO), describe reference year or version		EMCO_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1150	If the contract includes a carve out for Extracorporeal Membrane Oxygenation (ECMO), describe reimbursement rate		EMCO_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1151	Does the contract include a carve out for Burns (Yes/No)?		BURNS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1152	Does the contract include a carve out for Burns (Yes/No)? (Page#)		BURNS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1153	If the contract includes a carve out for Burns, list the applicable codes or code ranges		BURNS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1154	If the contract includes a carve out for Burns, describe how these codes are reimbursed		BURNS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1155	If the contract includes a carve out for Burns, describe schedule name		BURNS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1156	If the contract includes a carve out for Burns, describe reference year or version		BURNS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1157	If the contract includes a carve out forBurns, describe reimbursement rate		BURNS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1158	Does the contract include a carve out for Kyphoplasty (Yes/No)?		KYPHOPLASTY_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1159	Does the contract include a carve out for Kyphoplasty (Yes/No)? (Page#)		KYPHOPLASTY_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1160	If the contract includes a carve out for Kyphoplasty, list the applicable codes or code ranges		KYPHOPLASTY_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1161	If the contract includes a carve out for Kyphoplasty, describe how these codes are reimbursed		KYPHOPLASTY_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1162	If the contract includes a carve out for Kyphoplasty, describe schedule name		KYPHOPLASTY_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1163	If the contract includes a carve out for Kyphoplasty, describe reference year or version		KYPHOPLASTY_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1164	If the contract includes a carve out for Kyphoplasty, describe reimbursement rate		KYPHOPLASTY_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1165	Does the contract include a carve out for Cryosurgical Ablation of the Prostate (Yes/No)?		CRYOSURGICAL_ABLATION_PROSTATE_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1166	Does the contract include a carve out for Cryosurgical Ablation of the Prostate (Yes/No)? (Page#)		CRYOSURGICAL_ABLATION_PROSTATE_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1167	If the contract includes a carve out for Cryosurgical Ablation of the Prostate, list the applicable codes or code ranges		CRYOSURGICAL_ABLATION_PROSTATE_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1168	If the contract includes a carve out for Cryosurgical Ablation of the Prostate, describe how these codes are reimbursed		CRYOSURGICAL_ABLATION_PROSTATE_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1169	If the contract includes a carve out for Cryosurgical Ablation of the Prostate, describe schedule name		CRYOSURGICAL_ABLATION_PROSTATE_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1170	If the contract includes a carve out for Cryosurgical Ablation of the Prostate, describe reference year or version		CRYOSURGICAL_ABLATION_PROSTATE_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1171	If the contract includes a carve out for Cryosurgical Ablation of the Prostate, describe reimbursement rate		CRYOSURGICAL_ABLATION_PROSTATE_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1172	Does the contract include a carve out for Transurethral Thermal Ablation (TUMT) (Yes/No)?		TUMT_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1173	Does the contract include a carve out for Transurethral Thermal Ablation (TUMT) (Yes/No)? (Page#)		TUMT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1174	If the contract includes a carve out for Transurethral Thermal Ablation (TUMT), list the applicable codes or code ranges		TUMT_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1175	If the contract includes a carve out for Transurethral Thermal Ablation (TUMT), describe how these codes are reimbursed		TUMT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1176	If the contract includes a carve out for Transurethral Thermal Ablation (TUMT), describe schedule name		TUMT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1177	If the contract includes a carve out for Transurethral Thermal Ablation (TUMT), describe reference year or version		TUMT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1178	If the contract includes a carve out for Transurethral Thermal Ablation (TUMT), describe reimbursement rate		TUMT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1179	Does the contract include a carve out for Transurethral Needle Ablation (TUNA) (Yes/No)?		TUNA_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1180	Does the contract include a carve out for Transurethral Needle Ablation (TUNA) (Yes/No)? (Page#)		TUNA_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1181	If the contract includes a carve out for Transurethral Needle Ablation (TUNA), list the applicable codes or code ranges		TUNA_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1182	If the contract includes a carve out for Transurethral Needle Ablation (TUNA), describe how these codes are reimbursed		TUNA_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1183	If the contract includes a carve out for Transurethral Needle Ablation (TUNA), describe schedule name		TUNA_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1184	If the contract includes a carve out for Transurethral Needle Ablation (TUNA), describe reference year or version		TUNA_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1185	If the contract includes a carve out for Transurethral Needle Ablation (TUNA), describe reimbursement rate		TUNA_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1186	Does the contract include a carve out for Hyperbaric Treatment (Yes/No)?		HYPERBARIC_TREATMENT_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1187	Does the contract include a carve out for Hyperbaric Treatment (Yes/No)? (Page#)		HYPERBARIC_TREATMENT_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1188	If the contract includes a carve out for Hyperbaric Treatment, list the applicable codes or code ranges		HYPERBARIC_TREATMENT_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1189	If the contract includes a carve out for Hyperbaric Treatment, describe how these codes are reimbursed		HYPERBARIC_TREATMENT_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1190	If the contract includes a carve out for Hyperbaric Treatment, describe schedule name		HYPERBARIC_TREATMENT_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1191	If the contract includes a carve out for Hyperbaric Treatment, describe reference year or version		HYPERBARIC_TREATMENT_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1192	If the contract includes a carve out for Hyperbaric Treatment, describe reimbursement rate		HYPERBARIC_TREATMENT_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1193	Does the contract include a carve out for Clinic Visits (Yes/No)?		CLINIC_VISITS_CAREVEOUT_IND	VARCHAR	F	ACTIVE
1194	Does the contract include a carve out for Clinic Visits (Yes/No)? (Page#)		CLINIC_VISITS_CAREVEOUT_IND_PG	NUMERIC	F	ACTIVE
1195	If the contract includes a carve out for Clinic Visits, list the applicable codes or code ranges		CLINIC_VISITS_CAREVOUT_CODES	VARCHAR	F	ACTIVE
1196	If the contract includes a carve out for Clinic Visits, describe how these codes are reimbursed		CLINIC_VISITS_CARVEOUT_REIMBURSEMENT_METHODOLOGY	VARCHAR	G	ACTIVE
1197	If the contract includes a carve out for Clinic Visits, describe schedule name		CLINIC_VISITS_CARVEOUT_SCHEDULE_NAME	VARCHAR	G	ACTIVE
1198	If the contract includes a carve out for Clinic Visits, describe reference year or version		CLINIC_VISITS_CAREVEOUT_SCHEDULE_VERSION	VARCHAR	G	ACTIVE
1199	If the contract includes a carve out for Clinic Visits, describe reimbursement rate		CLINIC_VISITS_CARVEOUT_DESCRIBE	VARCHAR	G	ACTIVE
1200
1201
1202	Does the contract include reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits?		REIMBURSEMENT_EXHAUST_MEDI_BENEFITS_IND	VARCHAR	B	ACTIVE
1203	Does the contract include reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits? (Page#)		REIMBURSEMENT_EXHAUST_MEDI_BENEFITS_IND_PG	NUMERIC	B	ACTIVE
1204	If the contract includes reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits, is there lesser of language?		REIMBURSEMENT_EXHAUST_MEDI_BENEFITS_IS_LESSER_OF	VARCHAR	B	ACTIVE
1205	If the contract includes reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits, describe primary reimbursement		REIMBURSEMENT_EXHAUST_MEDI_PRIMARY_BENEFITS	VARCHAR	B	ACTIVE
1206	If the contract includes reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits, describe secondary reimbursement		REIMBURSEMENT_EXHAUST_MEDI_SECONDARY_BENEFITS	VARCHAR	B	ACTIVE
1207	If the contract includes reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits, describe tertiary reimbursement		REIMBURSEMENT_EXHAUST_MEDI_TERTIARY_BENEFITS	VARCHAR	B	ACTIVE
1208	If the contract includes reimbursement language for members who have exhausted Medicare benefits and Medicaid provides benefits, describe quaternary reimbursement		REIMBURSEMENT_EXHAUST_MEDI_QUATERNARY_BENEFITS	VARCHAR	B	ACTIVE
1209	Does the contract include reimbursement language for members who have not selected Medicare coverage?		REIMBURSEMENT_EXHAUST_MEDICARE_BENEFITS_IND	VARCHAR	B	ACTIVE
1210	Does the contract include reimbursement language for members who have not selected Medicare coverage? (Page#)		REIMBURSEMENT_EXHAUST_NO_MEDICARE_BENEFITS_IND_PG	NUMERIC	B	ACTIVE
1211	If the contract includes reimbursement language for members who have not selected Medicare coverage, is there lesser of language?		REIMBURSEMENT_EXHAUST_NO_MEDICARE_BENEFITS_IS_LESSER_OF	VARCHAR	B	ACTIVE
1212	If the contract includes reimbursement language for members who have not selected Medicare coverage, describe primary reimbursement		REIMBURSEMENT_EXHAUST_NO_MEDICARE_PRIMARY_BENEFITS	VARCHAR	B	ACTIVE
1213	If the contract includes reimbursement language for members who have not selected Medicare coverage, describe secondary reimbursement		REIMBURSEMENT_EXHAUST_NO_MEDICARE_SECONDARY_BENEFITS	VARCHAR	B	ACTIVE
1214	If the contract includes reimbursement language for members who have not selected Medicare coverage, describe tertiary reimbursement		REIMBURSEMENT_EXHAUST_NO_MEDICARE_TERTIARY_BENEFITS	VARCHAR	B	ACTIVE
1215	If the contract includes reimbursement language for members who have not selected Medicare coverage, describe quaternary reimbursement		REIMBURSEMENT_EXHAUST_NO_MEDICARE_QUATERNARY_BENEFITS	VARCHAR	B	ACTIVE
1216	Does the contract have default language?		CONTRACT_HAS_DEFAULT_LANG	VARCHAR	C	ACTIVE
1217	Does the contract have default language? (Page#)		CONTRACT_HAS_DEFAULT_LANG_PG	NUMERIC	C	ACTIVE