UB_7__P1 / added_tokens.json
Laskari-Naveen's picture
Upload processor (#2)
69feaa1 verified
{
"</s_10_DOB>": 57657,
"</s_11_Sex>": 57908,
"</s_12_AdmissionDate>": 57791,
"</s_13_AdmissionHour>": 57736,
"</s_14_AdmissionType>": 57537,
"</s_15_AdmissionSource>": 57545,
"</s_16_DischargeHour>": 57792,
"</s_17_DischargeStatus>": 57547,
"</s_18_CC>": 57703,
"</s_19_CC>": 57941,
"</s_1_BillProvAddr1>": 57696,
"</s_1_BillProvCity>": 57632,
"</s_1_BillProvOrgName>": 57639,
"</s_1_BillProvPhoneNumber>": 57641,
"</s_1_BillProvPostCode>": 57766,
"</s_1_BillProvState>": 57725,
"</s_1_MPAddr1>": 57699,
"</s_1_MPAddr2>": 57905,
"</s_1_MPCity>": 57613,
"</s_1_MPCredential>": 57916,
"</s_1_MPFullName>": 57926,
"</s_1_MPFullPost>": 57535,
"</s_1_MPLName>": 57777,
"</s_1_MPMI>": 57920,
"</s_1_MPOrgName>": 57882,
"</s_1_MPPhoneNumber>": 57825,
"</s_1_MPPostCode>": 57892,
"</s_1_MPPostCodeExt>": 57734,
"</s_1_MPPrefix>": 57865,
"</s_1_MPState>": 57779,
"</s_1_MPSuffix>": 57685,
"</s_1_MPvFName>": 57754,
"</s_20_CC>": 57918,
"</s_21_CC>": 57575,
"</s_22_CC>": 57598,
"</s_23_CC>": 57817,
"</s_24_CC>": 57863,
"</s_25_CC>": 57935,
"</s_26_CC>": 57652,
"</s_27_CC>": 57835,
"</s_28_CC>": 57800,
"</s_29_AccdtSt>": 57606,
"</s_2_PayToProvAddr1>": 57784,
"</s_2_PayToProvAddr2>": 57930,
"</s_2_PayToProvCity>": 57741,
"</s_2_PayToProvFedIdCode>": 57790,
"</s_2_PayToProvFullPost>": 57720,
"</s_2_PayToProvNPI>": 57833,
"</s_2_PayToProvOrgName>": 57669,
"</s_2_PayToProvPhoneNumber>": 57849,
"</s_2_PayToProvPostCode>": 57674,
"</s_2_PayToProvPostCodeExt>": 57648,
"</s_2_PayToProvState>": 57638,
"</s_31_OccCode>": 57628,
"</s_31_OccDate>": 57899,
"</s_32_OccCode>": 57728,
"</s_32_OccDate>": 57533,
"</s_33_OccCode>": 57680,
"</s_33_OccDate>": 57796,
"</s_34_OccCode>": 57633,
"</s_34_OccDate>": 57769,
"</s_35_OccFromDate>": 57904,
"</s_35_OccSpanCode>": 57650,
"</s_35_OccThruDate>": 57876,
"</s_36_OccFromDate>": 57807,
"</s_36_OccSpanCode>": 57885,
"</s_36_OccThruDate>": 57592,
"</s_38_InsAddr1>": 57760,
"</s_38_InsCity>": 57808,
"</s_38_InsFName>": 57552,
"</s_38_InsFullName>": 57712,
"</s_38_InsFullPost>": 57866,
"</s_38_InsLName>": 57526,
"</s_38_InsMI>": 57534,
"</s_38_InsOrgName>": 57637,
"</s_38_InsPostCode>": 57819,
"</s_38_InsPrefix>": 57891,
"</s_38_InsState>": 57582,
"</s_38_InsSuffix>": 57609,
"</s_39_ValueAmount>": 57558,
"</s_39_ValueCode>": 57937,
"</s_3_ControlNumber>": 57692,
"</s_3_MedicalRecordNo>": 57538,
"</s_40_ValueAmount>": 57636,
"</s_40_ValueCode>": 57895,
"</s_41_ValueAmount>": 57851,
"</s_41_ValueCode>": 57915,
"</s_42_MedicaidPaidAmount>": 57738,
"</s_4_TypeofBill>": 57614,
"</s_50_Payer>": 57950,
"</s_51_ProvId>": 57770,
"</s_52_RelInfo>": 57893,
"</s_53_AsgBen>": 57834,
"</s_54_PriorPay>": 57750,
"</s_55_EstAmount>": 57909,
"</s_56_BillProvNPI>": 57906,
"</s_56_MPNPI>": 57681,
"</s_57_BillProvOtherId>": 57656,
"</s_57_BillProvOtherIdQual>": 57588,
"</s_58_InsFullName>": 57605,
"</s_59_InsRel>": 57555,
"</s_5_BillProvFedIdCode>": 57907,
"</s_5_MedicaidTaxId>": 57686,
"</s_60_InsIdCode>": 57821,
"</s_61_GrpName>": 57797,
"</s_62_GrpNum>": 57812,
"</s_63_TreatAutoCode>": 57525,
"</s_64_DocCtrlNum>": 57947,
"</s_65_EmpName>": 57587,
"</s_66_ICDCode>": 57842,
"</s_67A_ODC>": 57938,
"</s_67A_ODPOA>": 57874,
"</s_67B_ODC>": 57713,
"</s_67B_ODPOA>": 57649,
"</s_67C_ODC>": 57724,
"</s_67C_ODPOA>": 57878,
"</s_67D_ODC>": 57813,
"</s_67D_ODPOA>": 57541,
"</s_67E_ODC>": 57624,
"</s_67E_ODPOA>": 57694,
"</s_67F_ODC>": 57543,
"</s_67F_ODPOA>": 57622,
"</s_67G_ODC>": 57688,
"</s_67G_ODPOA>": 57719,
"</s_67H_ODC>": 57764,
"</s_67H_ODPOA>": 57919,
"</s_67I_ODC>": 57539,
"</s_67I_ODPOA>": 57557,
"</s_67J_ODC>": 57946,
"</s_67J_ODPOA>": 57668,
"</s_67K_ODC>": 57809,
"</s_67K_ODPOA>": 57870,
"</s_67L_ODC>": 57682,
"</s_67L_ODPOA>": 57578,
"</s_67M_ODC>": 57677,
"</s_67M_ODPOA>": 57706,
"</s_67N_ODC>": 57618,
"</s_67N_ODPOA>": 57549,
"</s_67O_ODC>": 57755,
"</s_67O_ODPOA>": 57913,
"</s_67P_ODC>": 57601,
"</s_67P_ODPOA>": 57559,
"</s_67Q_ODC>": 57853,
"</s_67Q_ODPOA>": 57690,
"</s_67_PrinDiagCode>": 57698,
"</s_67_PrinPOA>": 57867,
"</s_68A_Other>": 57823,
"</s_68B_Other>": 57934,
"</s_69_AdmDiagCode>": 57945,
"</s_6_StateCovFrom>": 57795,
"</s_6_StateCovTo>": 57929,
"</s_70A_ReasonCode>": 57746,
"</s_70B_ReasonCode>": 57868,
"</s_70C_ReasonCode>": 57530,
"</s_71_PPSCode>": 57837,
"</s_72A_Ecode>": 57917,
"</s_72B_Ecode>": 57691,
"</s_72C_Ecode>": 57663,
"</s_74A_Code>": 57783,
"</s_74A_Date>": 57830,
"</s_74B_Code>": 57880,
"</s_74B_Date>": 57803,
"</s_74C_Code>": 57789,
"</s_74C_Date>": 57884,
"</s_74D_Code>": 57661,
"</s_74D_Date>": 57689,
"</s_74E_Code>": 57711,
"</s_74E_Date>": 57818,
"</s_74_PrincipleProcCode>": 57872,
"</s_74_PrincipleProcDate>": 57647,
"</s_76_AttProvFName>": 57824,
"</s_76_AttProvLName>": 57532,
"</s_76_AttProvNPI>": 57811,
"</s_76_AttProvOrgName>": 57651,
"</s_76_AttProvOthId>": 57658,
"</s_76_AttProvQualId>": 57858,
"</s_77_OpProvFName>": 57634,
"</s_77_OpProvLName>": 57615,
"</s_77_OpProvNPI>": 57673,
"</s_77_OpProvOrgName>": 57828,
"</s_77_OpProvOthId>": 57829,
"</s_77_OpProvQualId>": 57756,
"</s_78_FName>": 57901,
"</s_78_LName>": 57737,
"</s_78_NPI>": 57854,
"</s_78_NPIQual>": 57676,
"</s_78_OrgName>": 57864,
"</s_78_OthId>": 57568,
"</s_78_QualId>": 57931,
"</s_79_FName>": 57678,
"</s_79_LName>": 57627,
"</s_79_NPI>": 57611,
"</s_79_NPIQual>": 57551,
"</s_79_OrgName>": 57768,
"</s_79_OthId>": 57855,
"</s_79_QualId>": 57894,
"</s_80_NYSurCharge>": 57602,
"</s_81A_Value>": 57544,
"</s_81B_Ind>": 57900,
"</s_81B_Value>": 57536,
"</s_81C_Ind>": 57757,
"</s_81C_Value>": 57589,
"</s_81D_Ind>": 57660,
"</s_81D_Value>": 57548,
"</s_8_FullName>": 57672,
"</s_9_Addr1>": 57709,
"</s_9_City>": 57607,
"</s_9_PostCode>": 57786,
"</s_9_State>": 57695,
"</s_MedicaidAmount>": 57616,
"</s_OccFromDate>": 57708,
"</s_OccSpanCode>": 57745,
"</s_OccThruDate>": 57871,
"<one>": 57951,
"<s_10_DOB>": 57722,
"<s_11_Sex>": 57886,
"<s_12_AdmissionDate>": 57898,
"<s_13_AdmissionHour>": 57805,
"<s_14_AdmissionType>": 57687,
"<s_15_AdmissionSource>": 57838,
"<s_16_DischargeHour>": 57604,
"<s_17_DischargeStatus>": 57731,
"<s_18_CC>": 57665,
"<s_19_CC>": 57700,
"<s_1_BillProvAddr1>": 57852,
"<s_1_BillProvCity>": 57717,
"<s_1_BillProvOrgName>": 57550,
"<s_1_BillProvPhoneNumber>": 57732,
"<s_1_BillProvPostCode>": 57705,
"<s_1_BillProvState>": 57542,
"<s_1_MPAddr1>": 57617,
"<s_1_MPAddr2>": 57574,
"<s_1_MPCity>": 57702,
"<s_1_MPCredential>": 57735,
"<s_1_MPFullName>": 57675,
"<s_1_MPFullPost>": 57763,
"<s_1_MPLName>": 57597,
"<s_1_MPMI>": 57710,
"<s_1_MPOrgName>": 57566,
"<s_1_MPPhoneNumber>": 57923,
"<s_1_MPPostCode>": 57567,
"<s_1_MPPostCodeExt>": 57822,
"<s_1_MPPrefix>": 57860,
"<s_1_MPState>": 57581,
"<s_1_MPSuffix>": 57573,
"<s_1_MPvFName>": 57936,
"<s_20_CC>": 57659,
"<s_21_CC>": 57774,
"<s_22_CC>": 57861,
"<s_23_CC>": 57596,
"<s_24_CC>": 57683,
"<s_25_CC>": 57767,
"<s_26_CC>": 57780,
"<s_27_CC>": 57621,
"<s_28_CC>": 57775,
"<s_29_AccdtSt>": 57704,
"<s_2_PayToProvAddr1>": 57846,
"<s_2_PayToProvAddr2>": 57773,
"<s_2_PayToProvCity>": 57529,
"<s_2_PayToProvFedIdCode>": 57594,
"<s_2_PayToProvFullPost>": 57787,
"<s_2_PayToProvNPI>": 57844,
"<s_2_PayToProvOrgName>": 57814,
"<s_2_PayToProvPhoneNumber>": 57843,
"<s_2_PayToProvPostCode>": 57583,
"<s_2_PayToProvPostCodeExt>": 57831,
"<s_2_PayToProvState>": 57940,
"<s_31_OccCode>": 57761,
"<s_31_OccDate>": 57693,
"<s_32_OccCode>": 57666,
"<s_32_OccDate>": 57740,
"<s_33_OccCode>": 57910,
"<s_33_OccDate>": 57577,
"<s_34_OccCode>": 57655,
"<s_34_OccDate>": 57603,
"<s_35_OccFromDate>": 57610,
"<s_35_OccSpanCode>": 57619,
"<s_35_OccThruDate>": 57635,
"<s_36_OccFromDate>": 57827,
"<s_36_OccSpanCode>": 57859,
"<s_36_OccThruDate>": 57751,
"<s_38_InsAddr1>": 57924,
"<s_38_InsCity>": 57772,
"<s_38_InsFName>": 57540,
"<s_38_InsFullName>": 57585,
"<s_38_InsFullPost>": 57888,
"<s_38_InsLName>": 57742,
"<s_38_InsMI>": 57580,
"<s_38_InsOrgName>": 57850,
"<s_38_InsPostCode>": 57889,
"<s_38_InsPrefix>": 57570,
"<s_38_InsState>": 57877,
"<s_38_InsSuffix>": 57799,
"<s_39_ValueAmount>": 57553,
"<s_39_ValueCode>": 57715,
"<s_3_ControlNumber>": 57840,
"<s_3_MedicalRecordNo>": 57599,
"<s_40_ValueAmount>": 57591,
"<s_40_ValueCode>": 57782,
"<s_41_ValueAmount>": 57933,
"<s_41_ValueCode>": 57572,
"<s_42_MedicaidPaidAmount>": 57897,
"<s_4_TypeofBill>": 57701,
"<s_50_Payer>": 57912,
"<s_51_ProvId>": 57781,
"<s_52_RelInfo>": 57914,
"<s_53_AsgBen>": 57612,
"<s_54_PriorPay>": 57903,
"<s_55_EstAmount>": 57679,
"<s_56_BillProvNPI>": 57730,
"<s_56_MPNPI>": 57759,
"<s_57_BillProvOtherId>": 57554,
"<s_57_BillProvOtherIdQual>": 57879,
"<s_58_InsFullName>": 57743,
"<s_59_InsRel>": 57644,
"<s_5_BillProvFedIdCode>": 57820,
"<s_5_MedicaidTaxId>": 57697,
"<s_60_InsIdCode>": 57911,
"<s_61_GrpName>": 57806,
"<s_62_GrpNum>": 57531,
"<s_63_TreatAutoCode>": 57642,
"<s_64_DocCtrlNum>": 57561,
"<s_65_EmpName>": 57896,
"<s_66_ICDCode>": 57528,
"<s_67A_ODC>": 57816,
"<s_67A_ODPOA>": 57887,
"<s_67B_ODC>": 57562,
"<s_67B_ODPOA>": 57798,
"<s_67C_ODC>": 57943,
"<s_67C_ODPOA>": 57942,
"<s_67D_ODC>": 57939,
"<s_67D_ODPOA>": 57593,
"<s_67E_ODC>": 57608,
"<s_67E_ODPOA>": 57804,
"<s_67F_ODC>": 57630,
"<s_67F_ODPOA>": 57875,
"<s_67G_ODC>": 57869,
"<s_67G_ODPOA>": 57662,
"<s_67H_ODC>": 57771,
"<s_67H_ODPOA>": 57862,
"<s_67I_ODC>": 57785,
"<s_67I_ODPOA>": 57631,
"<s_67J_ODC>": 57600,
"<s_67J_ODPOA>": 57527,
"<s_67K_ODC>": 57670,
"<s_67K_ODPOA>": 57848,
"<s_67L_ODC>": 57629,
"<s_67L_ODPOA>": 57836,
"<s_67M_ODC>": 57664,
"<s_67M_ODPOA>": 57949,
"<s_67N_ODC>": 57749,
"<s_67N_ODPOA>": 57643,
"<s_67O_ODC>": 57584,
"<s_67O_ODPOA>": 57801,
"<s_67P_ODC>": 57620,
"<s_67P_ODPOA>": 57716,
"<s_67Q_ODC>": 57802,
"<s_67Q_ODPOA>": 57845,
"<s_67_PrinDiagCode>": 57546,
"<s_67_PrinPOA>": 57873,
"<s_68A_Other>": 57932,
"<s_68B_Other>": 57623,
"<s_69_AdmDiagCode>": 57752,
"<s_6_StateCovFrom>": 57890,
"<s_6_StateCovTo>": 57753,
"<s_70A_ReasonCode>": 57944,
"<s_70B_ReasonCode>": 57810,
"<s_70C_ReasonCode>": 57590,
"<s_71_PPSCode>": 57586,
"<s_72A_Ecode>": 57721,
"<s_72B_Ecode>": 57928,
"<s_72C_Ecode>": 57723,
"<s_74A_Code>": 57857,
"<s_74A_Date>": 57748,
"<s_74B_Code>": 57788,
"<s_74B_Date>": 57765,
"<s_74C_Code>": 57927,
"<s_74C_Date>": 57564,
"<s_74D_Code>": 57707,
"<s_74D_Date>": 57729,
"<s_74E_Code>": 57839,
"<s_74E_Date>": 57645,
"<s_74_PrincipleProcCode>": 57733,
"<s_74_PrincipleProcDate>": 57794,
"<s_76_AttProvFName>": 57826,
"<s_76_AttProvLName>": 57744,
"<s_76_AttProvNPI>": 57778,
"<s_76_AttProvOrgName>": 57793,
"<s_76_AttProvOthId>": 57595,
"<s_76_AttProvQualId>": 57556,
"<s_77_OpProvFName>": 57925,
"<s_77_OpProvLName>": 57684,
"<s_77_OpProvNPI>": 57646,
"<s_77_OpProvOrgName>": 57832,
"<s_77_OpProvOthId>": 57714,
"<s_77_OpProvQualId>": 57667,
"<s_78_FName>": 57563,
"<s_78_LName>": 57847,
"<s_78_NPI>": 57571,
"<s_78_NPIQual>": 57776,
"<s_78_OrgName>": 57560,
"<s_78_OthId>": 57883,
"<s_78_QualId>": 57653,
"<s_79_FName>": 57922,
"<s_79_LName>": 57727,
"<s_79_NPI>": 57841,
"<s_79_NPIQual>": 57739,
"<s_79_OrgName>": 57576,
"<s_79_OthId>": 57758,
"<s_79_QualId>": 57569,
"<s_80_NYSurCharge>": 57902,
"<s_81A_Value>": 57640,
"<s_81B_Ind>": 57626,
"<s_81B_Value>": 57921,
"<s_81C_Ind>": 57881,
"<s_81C_Value>": 57747,
"<s_81D_Ind>": 57856,
"<s_81D_Value>": 57815,
"<s_8_FullName>": 57671,
"<s_9_Addr1>": 57726,
"<s_9_City>": 57762,
"<s_9_PostCode>": 57948,
"<s_9_State>": 57625,
"<s_MedicaidAmount>": 57565,
"<s_OccFromDate>": 57579,
"<s_OccSpanCode>": 57654,
"<s_OccThruDate>": 57718,
"<s_iitcdip>": 57523,
"<s_synthdog>": 57524,
"<sep/>": 57522,
"[BLANK]": 57952
}