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Document Understanding 新式项目用户指南

上次更新日期 2025年10月1日

CMS 1500 - 文档类型

概述

CMS-1500 是医疗索赔的标准表格,非机构提供商或供应商使用该表格向医疗保险承保公司和耐用医疗设备区域承保公司 (DMERC) 开具账单。它也用于向某些州立医疗补助机构开具账单。

此 ML 包经过训练,可以自动检测关键信息,并从此类表格中提取相关数据。它包含 80 多个字段,涵盖此类表格可包含的所有类型的信息。

特殊性

该模型会自动检测以下数据:

  • 付款方名称和地址。
  • 患者地址、电话号码、出生日期。
  • 保险公司名称和地址。
  • 患病日期、理赔信息、住院日期。
  • 疾病性质、诊断性质、服务日期、服务地点。

Extracted fields

注意:如果您正在使用公共端点,例如https://du.uipath.com/ie/invoices,所有字段均可使用。但是,如果您正在使用自定义训练的提取程序,提取字段的可用性取决于您当前使用的版本。
您还可以在 /info/model 对象中查看任何端点的字段和类型列表。要访问此服务,只需将 /info/model 添加到任意端点,如下所示:https://du.uipath.com/ie/invoices/info/model。为了增强字段列表的阅读体验,建议在浏览器中安装 JSON 查看器扩展程序。
表格 1. CMS 1500 提取字段列表
显示名称字段名称字段类型内容类型
Payment Namepayment-nameregular字符串
Payment Addresspayment-addressregular字符串
Health Insurance Coverage Typehealth-insurance-coverage-typeregular字符串
Insured's I.D Numberinsured-s-i-d-numberregular字符串
Patient's Namepatient-nameregular字符串
Patient's Addresspatient-addressregular字符串
Patient's Birthdatepatient-birthdateregular日期
Patient Relationship To Insuredpatient-relationship-to-insuredregular字符串
Insured's Nameinsured-nameregular字符串
Insured Addressinsured-addressregular字符串
Other Insured's Nameother-insured-nameregular字符串
Other Insured's I.D.other-insured-idregular字符串
Patient's Condition Related To Employmentcondition-employmentregular字符串
Patient's Condition Related To Auto Accidentcondition-auto-accidentregular字符串
Auto Accident Stateauto-accident-stateregular字符串
Insured Policy Group Or Feca Numberinsured-policy-feca-idregular字符串
Insured's Birth Dateinsured-birth-dateregular日期
Insured's Genderinsured-sexregular字符串
Other Claim IDother-claim-idregular字符串
Insurance Plan Nameinsurance-plan-nameregular字符串
Another Health Benefit Plananother-health-planregular字符串
Claim Codesclaim-codesregular字符串
Other Insurance Plan Nameother-insurance-planregular字符串
Patient's Signaturepatient-signatureregular字符串
Patient's Signature Datepatient-signature-dateregular日期
Insured's Signatureinsured-signatureregular字符串
Current Health Condition Datehealth-condition-dateregular日期
Current Health Qualifiercurrent-health-qualifierregular字符串
Other Health Condition Dateother-health-condition-dateregular日期
Other Health Condition Qualifierother-health-condition-qualifierregular字符串
Patient Unable To Work Date Fromunable-to-work-date-fromregular日期
Unable To Work Tounable-to-work-toregular日期
Name Of Referring Providername-of-referring-providerregular字符串
Referring Provider IDreferring-provider-idregular字符串
Referring Provider NPIreferring-provider-npiregular字符串
Hospitalization Dates Fromhospitalization-dates-fromregular日期
Hospitalization Dates Tohospitalization-dates-toregular日期
Additional Claim Informationadditional-claim-informationregular字符串
Services Outside Labservices-outside-labregular字符串
Chargesoutside-lab-chargesregular字符串
Diagnosis Codesdiagnosis-codesregular字符串
ICD Indicatoricd-indicatorregular字符串
Resubmission Coderesubmission-coderegular字符串
Original Reference Codeoriginal-reference-coderegular字符串
Prior Authorization Numberprior-authorization-numberregular字符串
Patient's Account Numberpatient-account-numberregular字符串
Total Chargetotal-chargeregular字符串
Amount Paidamount-paidregular字符串
Signature Of Physician Or Suppliersignature-of-physician-or-supplierregular字符串
Physician Or Supplier Signature Datephysician-supplier-signature-dateregular日期
Service Facility Location NPIservice-location-npiregular字符串
Service Facility Location ID Numberservice-location-idregular字符串
Billing Namebilling-nameregular字符串
Billing Addressbilling-addressregular字符串
Billing Phone Numberbilling-phone-numberregular字符串
Billing NPIbilling-npiregular字符串
Billing IDbilling-idregular字符串
Patient's Phone Numberpatient-phone-numberregular字符串
Insured Phone Numberinsured-phone-numberregular字符串
Patient's Condition Related To Other Accidentcondition-other-accidentregular字符串
Reported ID Numberreported-id-numberregular字符串
Assignment Acceptanceassignment-acceptanceregular字符串
Patient Genderpatient-genderregular字符串
Federal Tax ID Numberfederal-tax-id-numberregular字符串
Service Facility Nameservice-facility-nameregular字符串
Service Facility Addressservice-facility-addressregular字符串
Medical Service Details - Date Of Service Fromdate-of-service-from项目日期
Medical Service Details - Date Of Service Todate-of-service-to项目日期
Medical Service Details - Place Of Serviceplace-of-service项目字符串
Medical Service Details - CPT/HCPCScpt-hcpcs-number项目字符串
Medical Service Details - Modifiermodifier项目字符串
Medical Service Details - Diagnosis Pointerdiagnosis-pointer项目字符串
Medical Service Details - Charges Amountcharges项目字符串
Medical Service Details - Days Or Unitsdays-or-units项目字符串
Medical Service Details - EPSDT Codesepsdt-codes项目字符串
Medical Service Details - EPSDT Family Planningepsdt-family-planning项目字符串
Medical Service Details - ID Qualifierid-qualifier项目字符串
Medical Service Details - Rendering Provider NPIrendering-provider-npi项目字符串
Medical Service Details - Rendering Provider Other IDrendering-provider-other-id项目字符串
Medical Service Details - Supplemental Informationsupplemental-information项目字符串
Medical Service Details - Emergency Indicatoremergency-indicator项目字符串

示例

以下是已填写表单的示例:

CMS 1500 示例文件
  • 概述
  • 特殊性
  • Extracted fields
  • 示例

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