CMS 1500 – Dokumententyp

Überblick

CMS-1500 ist ein Standardformular für medizinische Abrechnungen, das von nicht-institutionellen Anbietern oder Lieferanten verwendet wird, um Medicare-Spediteure und DMERCs (Durable Medical Equipment Regional Carriers) Rechnungen auszustellen. Es wird auch für die Abrechnung einiger staatlicher Medicaid-Behörden verwendet.

Dieses ML-Paket ist darauf trainiert, automatisch wichtige Informationen zu erkennen und relevante Daten aus dieser Art von Formular zu extrahieren. Es verfügt über 80 Felder, die alle Informationstypen abdecken, die das Formular enthalten kann.

Besonderheiten

Das Modell erkennt automatisch Daten wie z. B.:

• Name und Adresse des Zahlers.
• Adresse des Patienten, Telefonnummer, Geburtsdatum.
• Name und Adresse des Versicherers.
• Datum der Erkrankung, Anspruchsinformationen, Datum des Krankenhausaufenthalts.
• Art der Erkrankung, Art der Diagnose, Datum der Leistung, Ort der Leistung.

Extracted fields

Hinweis: Wenn Sie öffentliche Endpunkte verwenden, wie zum Beispiel https://du.uipath.com/ie/invoices, sind alle Felder verfügbar. Wenn Sie jedoch benutzerdefinierte Extraktoren verwenden, hängt die Verfügbarkeit der extrahierten Felder von der derzeit verwendeten Version ab.

Sie können auch die Liste der Felder und Typen für jeden Endpunkt im /info/modelObjekt überprüfen.Um darauf zuzugreifen, fügen Sie einfach /info/model einem beliebigen Endpunkt wie folgt dazu: https://du.uipath.com/ie/invoices/info/model. Für ein besseres Lesen der Feldliste ist die Installation einer JSON-Viewer-Erweiterung in Ihrem Browser empfohlen.

Tabelle 1. Liste der extrahierten Felder für CMS 1500

Anzeigename	Name des Felds	Feldtyp	Inhaltstyp
Payment Name	payment-name	regular	string
Payment Address	payment-address	regular	string
Health Insurance Coverage Type	health-insurance-coverage-type	regular	string
Insured's I.D Number	insured-s-i-d-number	regular	string
Patient's Name	patient-name	regular	string
Patient's Address	patient-address	regular	string
Patient's Birthdate	patient-birthdate	regular	Datum
Patient Relationship To Insured	patient-relationship-to-insured	regular	string
Insured's Name	insured-name	regular	string
Insured Address	insured-address	regular	string
Other Insured's Name	other-insured-name	regular	string
Other Insured's I.D.	other-insured-id	regular	string
Patient's Condition Related To Employment	condition-employment	regular	string
Patient's Condition Related To Auto Accident	condition-auto-accident	regular	string
Auto Accident State	auto-accident-state	regular	string
Insured Policy Group Or Feca Number	insured-policy-feca-id	regular	string
Insured's Birth Date	insured-birth-date	regular	Datum
Insured's Gender	insured-sex	regular	string
Other Claim ID	other-claim-id	regular	string
Insurance Plan Name	insurance-plan-name	regular	string
Another Health Benefit Plan	another-health-plan	regular	string
Claim Codes	claim-codes	regular	string
Other Insurance Plan Name	other-insurance-plan	regular	string
Patient's Signature	patient-signature	regular	string
Patient's Signature Date	patient-signature-date	regular	Datum
Insured's Signature	insured-signature	regular	string
Current Health Condition Date	health-condition-date	regular	Datum
Current Health Qualifier	current-health-qualifier	regular	string
Other Health Condition Date	other-health-condition-date	regular	Datum
Other Health Condition Qualifier	other-health-condition-qualifier	regular	string
Patient Unable To Work Date From	unable-to-work-date-from	regular	Datum
Unable To Work To	unable-to-work-to	regular	Datum
Name Of Referring Provider	name-of-referring-provider	regular	string
Referring Provider ID	referring-provider-id	regular	string
Referring Provider NPI	referring-provider-npi	regular	string
Hospitalization Dates From	hospitalization-dates-from	regular	Datum
Hospitalization Dates To	hospitalization-dates-to	regular	Datum
Additional Claim Information	additional-claim-information	regular	string
Services Outside Lab	services-outside-lab	regular	string
Charges	outside-lab-charges	regular	string
Diagnosis Codes	diagnosis-codes	regular	string
ICD Indicator	icd-indicator	regular	string
Resubmission Code	resubmission-code	regular	string
Original Reference Code	original-reference-code	regular	string
Prior Authorization Number	prior-authorization-number	regular	string
Patient's Account Number	patient-account-number	regular	string
Total Charge	total-charge	regular	string
Amount Paid	amount-paid	regular	string
Signature Of Physician Or Supplier	signature-of-physician-or-supplier	regular	string
Physician Or Supplier Signature Date	physician-supplier-signature-date	regular	Datum
Service Facility Location NPI	service-location-npi	regular	string
Service Facility Location ID Number	service-location-id	regular	string
Billing Name	billing-name	regular	string
Billing Address	billing-address	regular	string
Billing Phone Number	billing-phone-number	regular	string
Billing NPI	billing-npi	regular	string
Billing ID	billing-id	regular	string
Patient's Phone Number	patient-phone-number	regular	string
Insured Phone Number	insured-phone-number	regular	string
Patient's Condition Related To Other Accident	condition-other-accident	regular	string
Reported ID Number	reported-id-number	regular	string
Assignment Acceptance	assignment-acceptance	regular	string
Patient Gender	patient-gender	regular	string
Federal Tax ID Number	federal-tax-id-number	regular	string
Service Facility Name	service-facility-name	regular	string
Service Facility Address	service-facility-address	regular	string
Medical Service Details - Date Of Service From	date-of-service-from	Elemente	Datum
Medical Service Details - Date Of Service To	date-of-service-to	Elemente	Datum
Medical Service Details - Place Of Service	place-of-service	Elemente	string
Medical Service Details - CPT/HCPCS	cpt-hcpcs-number	Elemente	string
Medical Service Details - Modifier	modifier	Elemente	string
Medical Service Details - Diagnosis Pointer	diagnosis-pointer	Elemente	string
Medical Service Details - Charges Amount	charges	Elemente	string
Medical Service Details - Days Or Units	days-or-units	Elemente	string
Medical Service Details - EPSDT Codes	epsdt-codes	Elemente	string
Medical Service Details - EPSDT Family Planning	epsdt-family-planning	Elemente	string
Medical Service Details - ID Qualifier	id-qualifier	Elemente	string
Medical Service Details - Rendering Provider NPI	rendering-provider-npi	Elemente	string
Medical Service Details - Rendering Provider Other ID	rendering-provider-other-id	Elemente	string
Medical Service Details - Supplemental Information	supplemental-information	Elemente	string
Medical Service Details - Emergency Indicator	emergency-indicator	Elemente	string

Beispiele

Hier sind einige Beispiele für ein ausgefülltes Formular: