donut-base-cord-test5-CMSmodel5 / added_tokens.json
ShekDass's picture
End of training
757da45 verified
{
"</s_$CHARGES 1>": 57643,
"</s_$CHARGES 2>": 57667,
"</s_$CHARGES 3>": 57691,
"</s_1. INSURED PLAN>": 57799,
"</s_1.INSURED PLAN>": 57797,
"</s_10. PATIENT'S CONDITION>": 57789,
"</s_10a. EMPLOYMENT>": 57791,
"</s_10b. AUTO ACCIDENT>": 57793,
"</s_10c. OTHER ACCIDENT>": 57795,
"</s_11. INSURED'S POLICY GROUP OR FECA NUMBER>": 57787,
"</s_11a. INSURED'S SEX>": 57785,
"</s_11c. INSURANCE PLAN NAME>": 57783,
"</s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>": 57781,
"</s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>": 57779,
"</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>": 57777,
"</s_17>": 57801,
"</s_1a. INSURED'S I.D. NUMBER>": 57775,
"</s_2. PATIENT'S NAME>": 57773,
"</s_20. LAB $CHARGES>": 57727,
"</s_20. OUTSIDE LAB>": 57725,
"</s_21. DIAGNOSIS OR NATURE OF ILLNESS>": 57697,
"</s_22. RESUBMISSION CODE>": 57695,
"</s_23. PRIOR AUTHORIZATION NUMBER>": 57693,
"</s_24. SERVICES>": 57619,
"</s_25. FEDERAL IDENTIFICATION>": 57617,
"</s_25. FEDERAL TAX I.D. NUMBER>": 57615,
"</s_26. PATIENT'S ACCOUNT NUMBER>": 57613,
"</s_27. ACCEPT ASSIGNMENT>": 57611,
"</s_28. TOTAL CHARGE>": 57609,
"</s_29. AMOUNT PAID>": 57607,
"</s_3. PATIENT'S DATE OF BIRTH>": 57765,
"</s_3. PATIENT'S SEX>": 57763,
"</s_31. PHYSICIAN OR SUPPLIER SIGNATURE>": 57601,
"</s_32. SERVICE FACILITY LOCATION>": 57597,
"</s_32. SERVICE INFORMATION>": 57595,
"</s_32. a. NPI NUMBER>": 57599,
"</s_33. BILLING INFORMATION>": 57587,
"</s_33. BILLING PROVIDER LOCATION>": 57591,
"</s_33. BILLING PROVIDER PHONE>": 57589,
"</s_33. a. NPI NUMBER>": 57593,
"</s_4. INSURED'S NAME>": 57739,
"</s_5. PATIENT'S ADDRESS>": 57761,
"</s_5. PATIENT'S CITY>": 57759,
"</s_5. PATIENT'S STATE>": 57757,
"</s_5. PATIENT'S TELEPHONE>": 57755,
"</s_5. PATIENT'S ZIP CODE>": 57753,
"</s_6. PATIENT RELATIONSHIP>": 57751,
"</s_7. INSURED'S ADDRESS>": 57741,
"</s_7. INSURED'S CITY>": 57745,
"</s_7. INSURED'S INFO>": 57737,
"</s_7. INSURED'S STATE>": 57743,
"</s_7. INSURED'S TELEPHONE>": 57749,
"</s_7. INSURED'S ZIP CODE>": 57747,
"</s_9. OTHER INSURED'S NAME>": 57735,
"</s_9a. OTHER INSURED'S POLICY OR GROUP>": 57733,
"</s_9d. INSURANCE PLAN NAME>": 57731,
"</s_CPT/HCPCS 1>": 57641,
"</s_CPT/HCPCS 2>": 57665,
"</s_CPT/HCPCS 3>": 57689,
"</s_DATE>": 57605,
"</s_DD 1>": 57639,
"</s_DD 2>": 57663,
"</s_DD 3>": 57687,
"</s_DD>": 57771,
"</s_DIAGNOSIS POINTER 1>": 57637,
"</s_DIAGNOSIS POINTER 2>": 57661,
"</s_DIAGNOSIS POINTER 3>": 57685,
"</s_EMG 1>": 57635,
"</s_EMG 2>": 57659,
"</s_EMG 3>": 57683,
"</s_Family Plan 1>": 57633,
"</s_Family Plan 2>": 57657,
"</s_Family Plan 3>": 57681,
"</s_ILLNESS A.>": 57719,
"</s_ILLNESS B.>": 57717,
"</s_ILLNESS C.>": 57715,
"</s_ILLNESS D.>": 57713,
"</s_ILLNESS E.>": 57723,
"</s_ILLNESS F.>": 57721,
"</s_MM 1>": 57631,
"</s_MM 2>": 57655,
"</s_MM 3>": 57679,
"</s_MM>": 57769,
"</s_MODIFIER 1>": 57629,
"</s_MODIFIER 2>": 57653,
"</s_MODIFIER 3>": 57677,
"</s_PATIENT AND INSURED INFORMATION>": 57729,
"</s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>": 57585,
"</s_PLACE OF SERVICE 1>": 57627,
"</s_PLACE OF SERVICE 2>": 57651,
"</s_PLACE OF SERVICE 3>": 57675,
"</s_PROVIDER ID 1>": 57625,
"</s_PROVIDER ID 2>": 57649,
"</s_PROVIDER ID 3>": 57673,
"</s_SIGNED>": 57603,
"</s_UNITS 1>": 57623,
"</s_UNITS 2>": 57647,
"</s_UNITS 3>": 57671,
"</s_YY 1>": 57621,
"</s_YY 2>": 57645,
"</s_YY 3>": 57669,
"</s_YY>": 57767,
"</s_cashprice>": 57549,
"</s_changeprice>": 57551,
"</s_cnt>": 57529,
"</s_creditcardprice>": 57563,
"</s_discount_price>": 57557,
"</s_discountprice>": 57567,
"</s_emoneyprice>": 57569,
"</s_etc>": 57541,
"</s_formtype>": 57583,
"</s_itemsubtotal>": 57577,
"</s_label>": 57711,
"</s_menu>": 57525,
"</s_menuqty_cnt>": 57555,
"</s_menutype_cnt>": 57553,
"</s_meta>": 57581,
"</s_nm>": 57527,
"</s_normalizedVertices>": 57703,
"</s_num>": 57565,
"</s_othersvc_price>": 57573,
"</s_price>": 57531,
"</s_service_price>": 57537,
"</s_sub>": 57547,
"</s_sub_total>": 57533,
"</s_subtotal_price>": 57535,
"</s_tax_price>": 57539,
"</s_text>": 57709,
"</s_total>": 57543,
"</s_total_etc>": 57561,
"</s_total_price>": 57545,
"</s_unitprice>": 57559,
"</s_vatyn>": 57575,
"</s_void_menu>": 57571,
"</s_word>": 57701,
"</s_words>": 57699,
"</s_x>": 57707,
"</s_y>": 57705,
"<s_$CHARGES 1>": 57642,
"<s_$CHARGES 2>": 57666,
"<s_$CHARGES 3>": 57690,
"<s_1. INSURED PLAN>": 57798,
"<s_1.INSURED PLAN>": 57796,
"<s_10. PATIENT'S CONDITION>": 57788,
"<s_10a. EMPLOYMENT>": 57790,
"<s_10b. AUTO ACCIDENT>": 57792,
"<s_10c. OTHER ACCIDENT>": 57794,
"<s_11. INSURED'S POLICY GROUP OR FECA NUMBER>": 57786,
"<s_11a. INSURED'S SEX>": 57784,
"<s_11c. INSURANCE PLAN NAME>": 57782,
"<s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>": 57780,
"<s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>": 57778,
"<s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>": 57776,
"<s_17>": 57800,
"<s_1a. INSURED'S I.D. NUMBER>": 57774,
"<s_2. PATIENT'S NAME>": 57772,
"<s_20. LAB $CHARGES>": 57726,
"<s_20. OUTSIDE LAB>": 57724,
"<s_21. DIAGNOSIS OR NATURE OF ILLNESS>": 57696,
"<s_22. RESUBMISSION CODE>": 57694,
"<s_23. PRIOR AUTHORIZATION NUMBER>": 57692,
"<s_24. SERVICES>": 57618,
"<s_25. FEDERAL IDENTIFICATION>": 57616,
"<s_25. FEDERAL TAX I.D. NUMBER>": 57614,
"<s_26. PATIENT'S ACCOUNT NUMBER>": 57612,
"<s_27. ACCEPT ASSIGNMENT>": 57610,
"<s_28. TOTAL CHARGE>": 57608,
"<s_29. AMOUNT PAID>": 57606,
"<s_3. PATIENT'S DATE OF BIRTH>": 57764,
"<s_3. PATIENT'S SEX>": 57762,
"<s_31. PHYSICIAN OR SUPPLIER SIGNATURE>": 57600,
"<s_32. SERVICE FACILITY LOCATION>": 57596,
"<s_32. SERVICE INFORMATION>": 57594,
"<s_32. a. NPI NUMBER>": 57598,
"<s_33. BILLING INFORMATION>": 57586,
"<s_33. BILLING PROVIDER LOCATION>": 57590,
"<s_33. BILLING PROVIDER PHONE>": 57588,
"<s_33. a. NPI NUMBER>": 57592,
"<s_4. INSURED'S NAME>": 57738,
"<s_5. PATIENT'S ADDRESS>": 57760,
"<s_5. PATIENT'S CITY>": 57758,
"<s_5. PATIENT'S STATE>": 57756,
"<s_5. PATIENT'S TELEPHONE>": 57754,
"<s_5. PATIENT'S ZIP CODE>": 57752,
"<s_6. PATIENT RELATIONSHIP>": 57750,
"<s_7. INSURED'S ADDRESS>": 57740,
"<s_7. INSURED'S CITY>": 57744,
"<s_7. INSURED'S INFO>": 57736,
"<s_7. INSURED'S STATE>": 57742,
"<s_7. INSURED'S TELEPHONE>": 57748,
"<s_7. INSURED'S ZIP CODE>": 57746,
"<s_9. OTHER INSURED'S NAME>": 57734,
"<s_9a. OTHER INSURED'S POLICY OR GROUP>": 57732,
"<s_9d. INSURANCE PLAN NAME>": 57730,
"<s_CPT/HCPCS 1>": 57640,
"<s_CPT/HCPCS 2>": 57664,
"<s_CPT/HCPCS 3>": 57688,
"<s_DATE>": 57604,
"<s_DD 1>": 57638,
"<s_DD 2>": 57662,
"<s_DD 3>": 57686,
"<s_DD>": 57770,
"<s_DIAGNOSIS POINTER 1>": 57636,
"<s_DIAGNOSIS POINTER 2>": 57660,
"<s_DIAGNOSIS POINTER 3>": 57684,
"<s_EMG 1>": 57634,
"<s_EMG 2>": 57658,
"<s_EMG 3>": 57682,
"<s_Family Plan 1>": 57632,
"<s_Family Plan 2>": 57656,
"<s_Family Plan 3>": 57680,
"<s_ILLNESS A.>": 57718,
"<s_ILLNESS B.>": 57716,
"<s_ILLNESS C.>": 57714,
"<s_ILLNESS D.>": 57712,
"<s_ILLNESS E.>": 57722,
"<s_ILLNESS F.>": 57720,
"<s_MM 1>": 57630,
"<s_MM 2>": 57654,
"<s_MM 3>": 57678,
"<s_MM>": 57768,
"<s_MODIFIER 1>": 57628,
"<s_MODIFIER 2>": 57652,
"<s_MODIFIER 3>": 57676,
"<s_PATIENT AND INSURED INFORMATION>": 57728,
"<s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>": 57584,
"<s_PLACE OF SERVICE 1>": 57626,
"<s_PLACE OF SERVICE 2>": 57650,
"<s_PLACE OF SERVICE 3>": 57674,
"<s_PROVIDER ID 1>": 57624,
"<s_PROVIDER ID 2>": 57648,
"<s_PROVIDER ID 3>": 57672,
"<s_SIGNED>": 57602,
"<s_UNITS 1>": 57622,
"<s_UNITS 2>": 57646,
"<s_UNITS 3>": 57670,
"<s_YY 1>": 57620,
"<s_YY 2>": 57644,
"<s_YY 3>": 57668,
"<s_YY>": 57766,
"<s_cashprice>": 57550,
"<s_changeprice>": 57552,
"<s_cnt>": 57530,
"<s_cord-v2>": 57579,
"<s_creditcardprice>": 57564,
"<s_discount_price>": 57558,
"<s_discountprice>": 57568,
"<s_emoneyprice>": 57570,
"<s_etc>": 57542,
"<s_formtype>": 57582,
"<s_iitcdip>": 57523,
"<s_itemsubtotal>": 57578,
"<s_label>": 57710,
"<s_menu>": 57526,
"<s_menuqty_cnt>": 57556,
"<s_menutype_cnt>": 57554,
"<s_meta>": 57580,
"<s_nm>": 57528,
"<s_normalizedVertices>": 57702,
"<s_num>": 57566,
"<s_othersvc_price>": 57574,
"<s_price>": 57532,
"<s_service_price>": 57538,
"<s_sub>": 57548,
"<s_sub_total>": 57534,
"<s_subtotal_price>": 57536,
"<s_synthdog>": 57524,
"<s_tax_price>": 57540,
"<s_text>": 57708,
"<s_total>": 57544,
"<s_total_etc>": 57562,
"<s_total_price>": 57546,
"<s_unitprice>": 57560,
"<s_vatyn>": 57576,
"<s_void_menu>": 57572,
"<s_word>": 57700,
"<s_words>": 57698,
"<s_x>": 57706,
"<s_y>": 57704,
"<sep/>": 57522
}