From 2e6f477ae4b2c5352d5d9630fd296fded558517e Mon Sep 17 00:00:00 2001 From: =?UTF-8?q?Nacho=20Marti=CC=81nez?= Date: Tue, 30 May 2023 10:37:17 -0300 Subject: [PATCH] Added IN2 & FT1 support --- lib/segments/ft1.json | 61 +++++++++++++++++++++++++++++++++ lib/segments/in2.json | 78 +++++++++++++++++++++++++++++++++++++++++++ 2 files changed, 139 insertions(+) create mode 100644 lib/segments/ft1.json create mode 100644 lib/segments/in2.json diff --git a/lib/segments/ft1.json b/lib/segments/ft1.json new file mode 100644 index 0000000..6e4b124 --- /dev/null +++ b/lib/segments/ft1.json @@ -0,0 +1,61 @@ +{ + "name": "FT1", + "fields": [ + "Set ID - FT1", + "Transaction ID", + "Transaction Batch ID", + "Transaction Date", + "Transaction Posting Date", + "Transaction Type", + "Transaction Code", + "Transaction Description", + "Transaction Description - Alt", + "Transaction Quantity", + "Transaction Amount - Extended", + "Transaction Amount - Unit", + "Department Code", + "Health Plan ID", + "Insurance Amount", + "Assigned Patient Location", + "Fee Schedule", + "Patient Type", + "Diagnosis Code - FT1", + "Performed By Code", + "Ordered By Code", + "Unit Cost", + "Filler Order Number", + "Entered By Code", + "Procedure Code", + "Procedure Code Modifier", + "Advanced Beneficiary Notice Code", + "Medically Necessary Duplicate Procedure Reason", + "NDC Code", + "Payment Reference ID", + "Transaction Reference Key", + "Performing Facility", + "Ordering Facility", + "Item Number", + "Model Number", + "Special Processing Code", + "Clinic Code", + "Referral Number", + "Authorization Number", + "Service Provider Taxonomy Code", + "Revenue Code", + "Prescription Number", + "NDC Qty and UOM", + "DME Certificate of Medical Necessity Transmission Code", + "DME Certification Type Code", + "DME Duration Value", + "DME Certification Revision Date", + "DME Initial Certification Date", + "DME Last Certification Date", + "DME Length of Medical Necessity Days", + "DME Rental Price", + "DME Purchase Price", + "DME Frequency Code", + "DME Certification Condition Indicator", + "DME Condition Indicator Code", + "Service Reason Code" + ] +} diff --git a/lib/segments/in2.json b/lib/segments/in2.json new file mode 100644 index 0000000..73a384f --- /dev/null +++ b/lib/segments/in2.json @@ -0,0 +1,78 @@ +{ + "name": "IN2", + "fields": [ + "Insured's Employee Id", + "Insured's Social Security Number", + "Insured's Employer's Name And Id", + "Employer Information Data", + "Mail Claim Party", + "Medicare Health Ins Card Number", + "Medicaid Case Name", + "Medicaid Case Number", + "Military Sponsor Name", + "Military Id Number", + "Dependent Of Military Recipient", + "Military Organization", + "Military Station", + "Military Service", + "Military Rank/Grade", + "Military Status", + "Military Retire Date", + "Military Non-avail Cert On File", + "Baby Coverage", + "Combine Baby Bill", + "Blood Deductible", + "Special Coverage Approval Name", + "Special Coverage Approval Title", + "Non-covered Insurance Code", + "Payor Id", + "Payor Subscriber Id", + "Eligibility Source", + "Room Coverage Type/Amount", + "Policy Type/Amount", + "Daily Deductible", + "Living Dependency", + "Ambulatory Status", + "Citizenship", + "Primary Language", + "Living Arrangement", + "Publicity Code", + "Protection Indicator", + "Student Indicator", + "Religion", + "Mother's Maiden Name", + "Nationality", + "Ethnic Group", + "Marital Status", + "Insured's Employment Start Date", + "Employment Stop Date", + "Job Title", + "Job Code/Class", + "Job Status", + "Employer Contact Person Name", + "Employer Contact Person Phone Number", + "Employer Contact Reason", + "Insured's Contact Person's Name", + "Insured's Contact Person Phone Number", + "Insured's Contact Person Reason", + "Relationship To The Patient Start Date", + "Relationship To The Patient Stop Date", + "Insurance Co Contact Reason", + "Insurance Co Contact Phone Number", + "Policy Scope", + "Policy Source", + "Patient Member Number", + "Guarantor's Relationship To Insured", + "Insured's Phone Number - Home", + "Insured's Employer Phone Number", + "Military Handicapped Program", + "Suspend Flag", + "Copay Limit Flag", + "Stoploss Limit Flag", + "Insured Organization Name And Id", + "Insured Employer Organization Name And Id", + "Race", + "Patient's Relationship To Insured", + "Co-Pay Amount" + ] +}