{"Codes":{"1292254648":{"C":",0019,","P":null},"644031687":{"C":",00,18,","P":null},"-652896323":{"C":",CH,RP,","P":null},"-1947087435":{"C":",87,","P":null},"1686880560":{"C":",41,","P":null},"-498800139":{"C":",1,2,","P":null},"-1620685843":{"C":",46,","P":null},"919945300":{"C":",IC,","P":null},"970278157":{"C":",ED,EM,FX,TE,","P":null},"539400364":{"C":",ED,EM,EX,FX,TE,","P":null},"1804323893":{"C":",40,","P":null},"1620444627":{"C":",2,","P":null},"-337569925":{"C":",20,","P":null},"-602335111":{"C":",1,","P":null},"1573321045":{"C":",BI,PT,","P":null},"-799560795":{"C":",ZZ,","P":null},"1838026226":{"C":",85,","P":null},"92728802":{"C":",24,34,XX,","P":null},"520649581":{"C":",0B,1A,1B,1C,1D,1G,1H,1J,B3,BQ,EI,FH,G2,G5,LU,SY,U3,X5,","P":null},"436069938":{"C":",06,8U,EM,IJ,RB,ST,TT,","P":null},"556177983":{"C":",EM,FX,TE,","P":null},"505845126":{"C":",EM,EX,FX,TE,","P":null},"1787546274":{"C":",87,","P":null},"-236904211":{"C":",22,","P":null},"504961440":{"C":",0,1,","P":null},"-735372266":{"C":",P,S,T,","P":null},"-2025946652":{"C":",18,","P":null},"-1934893483":{"C":",12,13,14,15,16,41,42,43,47,","P":null},"-275867605":{"C":",09,10,11,12,13,14,15,16,AM,BL,CH,CI,DS,HM,LI,LM,MB,MC,OF,TV,VA,WC,ZZ,","P":null},"-9291472":{"C":",D8,","P":null},"372191729":{"C":",01,","P":null},"-87583682":{"C":",Y,","P":null},"-1506888853":{"C":",IL,","P":null},"193394516":{"C":",MI,ZZ,","P":null},"1804998436":{"C":",F,M,U,","P":null},"469330986":{"C":",1W,23,IG,SY,","P":null},"536735652":{"C":",Y4,","P":null},"-158260172":{"C":",PR,","P":null},"109506421":{"C":",PI,XV,","P":null},"486402795":{"C":",2U,FY,NF,TJ,","P":null},"1753991036":{"C":",QD,","P":null},"1770768655":{"C":",AO,","P":null},"-7936912":{"C":",MI,","P":null},"469625176":{"C":",AB,BB,","P":null},"-70806063":{"C":",N,Y,","P":null},"248656063":{"C":",A,B,C,P,","P":null},"1743533197":{"C":",A,I,M,N,O,Y,","P":null},"-89109771":{"C":",B,C,M,P,S,","P":null},"1114972418":{"C":",AA,AP,EM,OA,","P":null},"1821825814":{"C":",01,02,03,05,07,08,09,","P":null},"-206700199":{"C":",P,","P":null},"540760369":{"C":",1,2,3,4,5,6,7,8,9,10,11,","P":null},"-861879855":{"C":",454,","P":null},"-828324617":{"C":",304,","P":null},"-1029950235":{"C":",431,","P":null},"-912212712":{"C":",453,","P":null},"-878657474":{"C":",438,","P":null},"-198388258":{"C":",439,","P":null},"57819004":{"C":",D8,DT,","P":null},"-181610639":{"C":",484,","P":null},"-895435093":{"C":",455,","P":null},"-997233640":{"C":",471,","P":null},"-980456021":{"C":",360,","P":null},"-963678402":{"C":",361,","P":null},"-946900783":{"C":",297,","P":null},"-930123164":{"C":",296,","P":null},"-131277782":{"C":",435,","P":null},"-114500163":{"C":",096,","P":null},"-913345545":{"C":",090,091,","P":null},"-1044162135":{"C":",77,AS,B2,B3,B4,CT,DA,DG,DS,EB,MT,NN,OB,OZ,PN,PO,PZ,RB,RR,RT,","P":null},"-882950394":{"C":",AA,BM,EL,EM,FX,","P":null},"42395945":{"C":",AC,","P":null},"1028796692":{"C":",02,03,04,05,06,09,","P":null},"675398837":{"C":",MA,","P":null},"557955504":{"C":",F5,","P":null},"1618760864":{"C":",NE,","P":null},"183964368":{"C":",4N,","P":null},"-1862213602":{"C":",F5,","P":null},"-1945954602":{"C":",EW,","P":null},"486108605":{"C":",9F,G1,","P":null},"217519606":{"C":",F8,","P":null},"-1761400793":{"C":",X4,","P":null},"301407701":{"C":",9A,","P":null},"284630082":{"C":",9C,","P":null},"234297225":{"C":",LX,","P":null},"251074844":{"C":",D9,","P":null},"-1979656935":{"C":",1S,","P":null},"418851034":{"C":",EA,","P":null},"435628653":{"C":",P4,","P":null},"-1569113574":{"C":",ADD,CER,DCP,DGN,PMT,TPO,","P":null},"439302205":{"C":",LB,","P":null},"1941570508":{"C":",I,R,T,X,","P":null},"1958348127":{"C":",A,B,C,D,E,","P":null},"405746967":{"C":",DH,","P":null},"28480657":{"C":",A,C,D,E,F,G,M,","P":null},"-1081394817":{"C":",07,","P":null},"603702408":{"C":",01,02,03,04,05,06,07,08,09,60,","P":null},"-1014284341":{"C":",E1,E2,E3,","P":null},"-513477378":{"C":",L1,L2,L3,L4,L5,","P":null},"-567596076":{"C":",75,","P":null},"570147170":{"C":",IH,","P":null},"-1031061960":{"C":",ZZ,","P":null},"586924789":{"C":",AV,NU,S2,ST,","P":null},"-825945055":{"C":",BK,","P":null},"-775612198":{"C":",BF,","P":null},"-2048449147":{"C":",00,01,02,03,04,05,07,08,09,10,11,12,13,14,","P":null},"-2039750936":{"C":",T1,T2,T3,T4,T5,T6,","P":null},"747835837":{"C":",1,2,3,4,5,","P":null},"731058218":{"C":",1,2,3,4,5,6,","P":null},"-1408649161":{"C":",AI,MS,OT,PT,SN,ST,","P":null},"-1223745675":{"C":",VS,","P":null},"1135817798":{"C":",DA,MO,Q1,WK,","P":null},"-911826939":{"C":",7,35,","P":null},"1217944936":{"C":",1,2,3,4,5,6,7,A,B,C,D,E,F,G,H,J,K,L,N,O,S,W,SA,SB,SC,SD,SG,SL,SP,SX,SY,SZ,","P":null},"1234722555":{"C":",D,E,F,","P":null},"1720435798":{"C":",DN,P3,","P":null},"1640431521":{"C":",RF,","P":null},"-1862066507":{"C":",0B,1B,1C,1D,1G,1H,EI,G2,LU,N5,SY,X5,","P":null},"1737360512":{"C":",82,","P":null},"1623653902":{"C":",PE,","P":null},"1653178227":{"C":",QB,","P":null},"-1962732221":{"C":",0B,1A,1B,1C,1D,1G,1H,EI,G2,LU,N5,SY,U3,X5,","P":null},"1904989607":{"C":",77,FA,LI,TL,","P":null},"-1878844126":{"C":",0B,1A,1B,1C,1D,1G,1H,G2,LU,N5,TJ,X4,X5,","P":null},"1888211988":{"C":",DQ,","P":null},"-515577758":{"C":",1,","P":null},"-1992391414":{"C":",01,04,05,07,10,15,17,18,19,20,21,22,23,24,29,32,33,36,39,40,41,43,53,G8,","P":null},"-2052336816":{"C":",AP,C1,CP,GP,HM,IP,LD,LT,MB,MC,MI,MP,OT,PP,SP,","P":null},"-292645224":{"C":",CO,CR,OA,PI,PR,","P":null},"574733123":{"C":",D,","P":null},"658621218":{"C":",AAE,","P":null},"742509313":{"C":",B6,","P":null},"725731694":{"C":",F2,","P":null},"1719426578":{"C":",AU,","P":null},"1736204197":{"C":",D8,","P":null},"1702648959":{"C":",DY,","P":null},"641843599":{"C":",T,","P":null},"1652316102":{"C":",T2,","P":null},"-1130615949":{"C":",573,","P":null},"435775748":{"C":",2U,F8,FY,NF,TJ,","P":null},"452700462":{"C":",T4,","P":null},"-1490111234":{"C":",QC,","P":null},"368665272":{"C":",1B,1C,1D,EI,G2,LU,N5,","P":null},"-1946101697":{"C":",1A,1B,1C,1D,EI,G2,LU,N5,","P":null},"-1962879316":{"C":",1A,1B,1C,1D,G2,LU,N5,","P":null},"-1912546459":{"C":",1B,1C,1D,EI,G2,N5,","P":null},"927293255":{"C":",HC,IV,ZZ,","P":null},"355414110":{"C":",F2,MJ,UN,","P":null},"-2068324360":{"C":",0,","P":null},"960848493":{"C":",HC,","P":null},"422524586":{"C":",DA,","P":null},"553768462":{"C":",1,4,6,","P":null},"-1060939754":{"C":",CT,","P":null},"-832617537":{"C":",AB,AD,AF,AG,NS,","P":null},"836035358":{"C":",I,R,S,","P":null},"388969348":{"C":",MO,","P":null},"334683245":{"C":",E,R,S,","P":null},"-105887390":{"C":",1,","P":null},"984573039":{"C":",2,","P":null},"967795420":{"C":",3,","P":null},"-1098172436":{"C":",70,","P":null},"620480027":{"C":",65,","P":null},"-1047839579":{"C":",09,11,","P":null},"637257646":{"C":",37,38,AL,P1,ZV,","P":null},"-215165877":{"C":",472,","P":null},"119422153":{"C":",D8,RD8,","P":null},"-878804569":{"C":",607,","P":null},"-1063358378":{"C":",463,","P":null},"-1046580759":{"C":",461,","P":null},"-845102236":{"C":",738,739,","P":null},"-794769379":{"C":",119,480,481,","P":null},"-811546998":{"C":",011,","P":null},"-619112730":{"C":",OG,TR,","P":null},"-434558921":{"C":",GRA,HT,R1,R2,R3,R4,ZO,","P":null},"1344508037":{"C":",01,02,03,04,05,06,09,","P":null},"-1979509840":{"C":",9B,","P":null},"-1929176983":{"C":",9D,","P":null},"419145224":{"C":",6R,","P":null},"-1778178412":{"C":",F4,","P":null},"-1996434554":{"C":",BT,","P":null},"-2029989792":{"C":",TP,","P":null},"-2013212173":{"C":",OZ,VP,","P":null},"1685871340":{"C":",F4,","P":null},"-1552335955":{"C":",ADD,DCP,PMT,TPO,","P":null},"-1468625772":{"C":",7,34,35,","P":null},"1498975717":{"C":",1,2,3,4,5,6,7,A,B,C,D,E,F,G,H,J,K,L,N,O,SA,SB,SC,SD,SG,SL,SP,SX,SY,SZ,W,","P":null},"972827336":{"C":",00,01,02,03,04,05,06,07,08,09,10,11,12,13,14,","P":null},"1303593988":{"C":",DA,UN,","P":null},"944070874":{"C":",N4,","P":null},"1320371607":{"C":",F2,GR,ML,UN,","P":null},"385442891":{"C":",XZ,","P":null},"1737213417":{"C":",DK,","P":null},"608582129":{"C":",AS,UT,","P":null},"-37250825":{"C":",N,W,Y,","P":null},"-253681830":{"C":",23,","P":null},"521739059":{"C":",0,","P":null},"-2059501890":{"C":",01,04,05,07,09,10,15,17,19,20,21,22,23,24,29,32,33,34,36,39,40,41,43,53,G8,","P":null}},"Elements":{"-1629967458":{"Tag":"143","Min":3,"Max":3,"T":"X12_AN"},"1308129813":{"Tag":"329","Min":4,"Max":9,"T":"X12_AN"},"-307671776":{"Tag":"1705","Min":1,"Max":35,"T":"X12_AN"},"1292254648":{"Tag":"1005","Min":0,"Max":0,"T":"X12_ID_1005_2"},"644031687":{"Tag":"353","Min":0,"Max":0,"T":"X12_ID_353_4"},"-272333178":{"Tag":"","Min":1,"Max":30,"T":"X12_AN"},"286562019":{"Tag":"","Min":8,"Max":8,"T":"X12_DT"},"-2103063876":{"Tag":"","Min":4,"Max":8,"T":"X12_TM"},"-652896323":{"Tag":"640","Min":0,"Max":0,"T":"X12_ID_640_3"},"-1947087435":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_17"},"1570531853":{"Tag":"","Min":1,"Max":80,"T":"X12_AN"},"200506270":{"Tag":"","Min":1,"Max":1,"T":"X12_AN"},"1686880560":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_34"},"-498800139":{"Tag":"1065","Min":0,"Max":0,"T":"X12_ID_1065_3"},"-71249891":{"Tag":"","Min":1,"Max":35,"T":"X12_AN"},"-219568840":{"Tag":"","Min":1,"Max":25,"T":"X12_AN"},"-1473959604":{"Tag":"","Min":1,"Max":10,"T":"X12_AN"},"-1620685843":{"Tag":"66","Min":0,"Max":0,"T":"X12_ID_66_10"},"-359602736":{"Tag":"","Min":2,"Max":80,"T":"X12_AN"},"1412709936":{"Tag":"","Min":2,"Max":2,"T":"X12_AN"},"154703179":{"Tag":"","Min":2,"Max":3,"T":"X12_AN"},"919945300":{"Tag":"366","Min":0,"Max":0,"T":"X12_ID_366"},"-330917653":{"Tag":"","Min":1,"Max":60,"T":"X12_AN"},"970278157":{"Tag":"365","Min":0,"Max":0,"T":"X12_ID_365"},"539400364":{"Tag":"365","Min":0,"Max":0,"T":"X12_ID_365_2"},"1570142959":{"Tag":"","Min":1,"Max":20,"T":"X12_AN"},"1804323893":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_33"},"1620444627":{"Tag":"1065","Min":0,"Max":0,"T":"X12_ID_1065"},"-1158158802":{"Tag":"","Min":1,"Max":12,"T":"X12_AN"},"-337569925":{"Tag":"735","Min":0,"Max":0,"T":"X12_ID_735_4"},"-602335111":{"Tag":"736","Min":0,"Max":0,"T":"X12_ID_736"},"1573321045":{"Tag":"1221","Min":0,"Max":0,"T":"X12_ID_1221_5"},"-799560795":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_6"},"-791514334":{"Tag":"","Min":3,"Max":3,"T":"X12_AN"},"1838026226":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_21"},"182276227":{"Tag":"","Min":0,"Max":0,"T":"X12_R"},"92728802":{"Tag":"66","Min":0,"Max":0,"T":"X12_ID_66_2"},"-519081633":{"Tag":"","Min":1,"Max":55,"T":"X12_AN"},"-813812133":{"Tag":"","Min":2,"Max":30,"T":"X12_AN"},"25763329":{"Tag":"","Min":3,"Max":15,"T":"X12_AN"},"-7428745":{"Tag":"","Min":1,"Max":2,"T":"X12_AN"},"520649581":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_84"},"436069938":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_49"},"556177983":{"Tag":"365","Min":0,"Max":0,"T":"X12_ID_365_3"},"505845126":{"Tag":"365","Min":0,"Max":0,"T":"X12_ID_365_4"},"1787546274":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_32"},"-236904211":{"Tag":"735","Min":0,"Max":0,"T":"X12_ID_735_2"},"504961440":{"Tag":"736","Min":0,"Max":0,"T":"X12_ID_736_2"},"-735372266":{"Tag":"1138","Min":0,"Max":0,"T":"X12_ID_1138"},"-2025946652":{"Tag":"1069","Min":0,"Max":0,"T":"X12_ID_1069_4"},"-1934893483":{"Tag":"1336","Min":0,"Max":0,"T":"X12_ID_1336_4"},"-275867605":{"Tag":"1032","Min":0,"Max":0,"T":"X12_ID_1032"},"-9291472":{"Tag":"1250","Min":0,"Max":0,"T":"X12_ID_1250_2"},"372191729":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_15"},"-87583682":{"Tag":"1073","Min":0,"Max":0,"T":"X12_ID_1073_3"},"-1506888853":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_6"},"193394516":{"Tag":"66","Min":0,"Max":0,"T":"X12_ID_66_8"},"1804998436":{"Tag":"1068","Min":0,"Max":0,"T":"X12_ID_1068"},"469330986":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_27"},"536735652":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_43"},"-158260172":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_16"},"109506421":{"Tag":"66","Min":0,"Max":0,"T":"X12_ID_66_3"},"486402795":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_46"},"1753991036":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_30"},"1770768655":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_31"},"-7936912":{"Tag":"66","Min":0,"Max":0,"T":"X12_ID_66_4"},"469625176":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_47"},"1874724222":{"Tag":"","Min":1,"Max":38,"T":"X12_AN"},"-70806063":{"Tag":"1073","Min":0,"Max":0,"T":"X12_ID_1073_2"},"248656063":{"Tag":"1359","Min":0,"Max":0,"T":"X12_ID_1359_3"},"1743533197":{"Tag":"1363","Min":0,"Max":0,"T":"X12_ID_1363_2"},"-89109771":{"Tag":"1351","Min":0,"Max":0,"T":"X12_ID_1351"},"1114972418":{"Tag":"1362","Min":0,"Max":0,"T":"X12_ID_1362_2"},"1821825814":{"Tag":"1366","Min":0,"Max":0,"T":"X12_ID_1366_2"},"1312097468":{"Tag":"","Min":1,"Max":3,"T":"X12_AN"},"-206700199":{"Tag":"1360","Min":0,"Max":0,"T":"X12_ID_1360"},"540760369":{"Tag":"1514","Min":0,"Max":0,"T":"X12_ID_1514_2"},"-861879855":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_36"},"-828324617":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_30"},"-1029950235":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_10"},"-912212712":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_35"},"-878657474":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_37"},"-198388258":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_6"},"57819004":{"Tag":"1250","Min":0,"Max":0,"T":"X12_ID_1250_6"},"-181610639":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_7"},"-895435093":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_34"},"-997233640":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_40"},"-980456021":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_41"},"-963678402":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_42"},"-946900783":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_43"},"-930123164":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_44"},"-131277782":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_2"},"-114500163":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_3"},"-913345545":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_45"},"-1044162135":{"Tag":"755","Min":0,"Max":0,"T":"X12_ID_755_4"},"-882950394":{"Tag":"756","Min":0,"Max":0,"T":"X12_ID_756_2"},"-715421435":{"Tag":"","Min":0,"Max":0,"T":"X12_N0"},"42395945":{"Tag":"66","Min":0,"Max":0,"T":"X12_ID_66_7"},"1028796692":{"Tag":"1166","Min":0,"Max":0,"T":"X12_ID_1166_2"},"675398837":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_4"},"557955504":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_3"},"1618760864":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_16"},"183964368":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_36"},"-1862213602":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_78"},"-1945954602":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_67"},"486108605":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_26"},"217519606":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_34"},"-1761400793":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_68"},"301407701":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_31"},"284630082":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_30"},"234297225":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_35"},"251074844":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_32"},"-1979656935":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_71"},"418851034":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_38"},"435628653":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_39"},"-1569113574":{"Tag":"363","Min":0,"Max":0,"T":"X12_ID_363_2"},"439302205":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_11"},"1941570508":{"Tag":"1316","Min":0,"Max":0,"T":"X12_ID_1316"},"1958348127":{"Tag":"1317","Min":0,"Max":0,"T":"X12_ID_1317"},"405746967":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_13"},"28480657":{"Tag":"1342","Min":0,"Max":0,"T":"X12_ID_1342"},"-1081394817":{"Tag":"1136","Min":0,"Max":0,"T":"X12_ID_1136_4"},"603702408":{"Tag":"1321","Min":0,"Max":0,"T":"X12_ID_1321_7"},"-1014284341":{"Tag":"1136","Min":0,"Max":0,"T":"X12_ID_1136_8"},"-513477378":{"Tag":"1321","Min":0,"Max":0,"T":"X12_ID_1321_10"},"-567596076":{"Tag":"1136","Min":0,"Max":0,"T":"X12_ID_1136"},"570147170":{"Tag":"1321","Min":0,"Max":0,"T":"X12_ID_1321_9"},"-1031061960":{"Tag":"1136","Min":0,"Max":0,"T":"X12_ID_1136_9"},"586924789":{"Tag":"1321","Min":0,"Max":0,"T":"X12_ID_1321_8"},"-825945055":{"Tag":"1270","Min":0,"Max":0,"T":"X12_ID_1270_7"},"-775612198":{"Tag":"1270","Min":0,"Max":0,"T":"X12_ID_1270_2"},"-2048449147":{"Tag":"1473","Min":0,"Max":0,"T":"X12_ID_1473_2"},"-1253920903":{"Tag":"","Min":1,"Max":48,"T":"X12_AN"},"-2039750936":{"Tag":"901","Min":0,"Max":0,"T":"X12_ID_901_11"},"747835837":{"Tag":"1526","Min":0,"Max":0,"T":"X12_ID_1526"},"731058218":{"Tag":"1527","Min":0,"Max":0,"T":"X12_ID_1527"},"-1408649161":{"Tag":"921","Min":0,"Max":0,"T":"X12_ID_921"},"-1223745675":{"Tag":"673","Min":0,"Max":0,"T":"X12_ID_673_5"},"1135817798":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_9"},"-911826939":{"Tag":"615","Min":0,"Max":0,"T":"X12_ID_615"},"1217944936":{"Tag":"678","Min":0,"Max":0,"T":"X12_ID_678"},"1234722555":{"Tag":"679","Min":0,"Max":0,"T":"X12_ID_679"},"1720435798":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_36"},"1640431521":{"Tag":"1221","Min":0,"Max":0,"T":"X12_ID_1221_9"},"-1862066507":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_62"},"1737360512":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_27"},"1623653902":{"Tag":"1221","Min":0,"Max":0,"T":"X12_ID_1221_8"},"1653178227":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_40"},"-1962732221":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_64"},"1904989607":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_39"},"-1878844126":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_63"},"1888211988":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_38"},"-515577758":{"Tag":"1065","Min":0,"Max":0,"T":"X12_ID_1065_2"},"-1992391414":{"Tag":"1069","Min":0,"Max":0,"T":"X12_ID_1069_6"},"-2052336816":{"Tag":"1336","Min":0,"Max":0,"T":"X12_ID_1336_3"},"-292645224":{"Tag":"1033","Min":0,"Max":0,"T":"X12_ID_1033"},"1521695682":{"Tag":"","Min":1,"Max":5,"T":"X12_AN"},"574733123":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_2"},"658621218":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_5"},"742509313":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_8"},"725731694":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_9"},"1719426578":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_10"},"1736204197":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_11"},"1702648959":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_13"},"641843599":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_6"},"1652316102":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_14"},"-1130615949":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_16"},"435775748":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_25"},"452700462":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_56"},"-1490111234":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_5"},"368665272":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_21"},"-1946101697":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_77"},"-1962879316":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_76"},"-1912546459":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_75"},"927293255":{"Tag":"235","Min":0,"Max":0,"T":"X12_ID_235_5"},"355414110":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_14"},"-2068324360":{"Tag":"1327","Min":0,"Max":0,"T":"X12_ID_1327"},"960848493":{"Tag":"235","Min":0,"Max":0,"T":"X12_ID_235_7"},"422524586":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_10"},"553768462":{"Tag":"594","Min":0,"Max":0,"T":"X12_ID_594_2"},"-1060939754":{"Tag":"755","Min":0,"Max":0,"T":"X12_ID_755_5"},"-832617537":{"Tag":"756","Min":0,"Max":0,"T":"X12_ID_756_5"},"836035358":{"Tag":"1322","Min":0,"Max":0,"T":"X12_ID_1322_2"},"388969348":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_12"},"334683245":{"Tag":"1349","Min":0,"Max":0,"T":"X12_ID_1349_2"},"-105887390":{"Tag":"1350","Min":0,"Max":0,"T":"X12_ID_1350"},"984573039":{"Tag":"1350","Min":0,"Max":0,"T":"X12_ID_1350_2"},"967795420":{"Tag":"1350","Min":0,"Max":0,"T":"X12_ID_1350_3"},"-1098172436":{"Tag":"1136","Min":0,"Max":0,"T":"X12_ID_1136_5"},"620480027":{"Tag":"1321","Min":0,"Max":0,"T":"X12_ID_1321_6"},"-1047839579":{"Tag":"1136","Min":0,"Max":0,"T":"X12_ID_1136_6"},"637257646":{"Tag":"1321","Min":0,"Max":0,"T":"X12_ID_1321_5"},"-215165877":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_5"},"119422153":{"Tag":"1250","Min":0,"Max":0,"T":"X12_ID_1250"},"-878804569":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_27"},"-1063358378":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_28"},"-1046580759":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_29"},"-845102236":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_31"},"-794769379":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_32"},"-811546998":{"Tag":"374","Min":0,"Max":0,"T":"X12_ID_374_33"},"-619112730":{"Tag":"737","Min":0,"Max":0,"T":"X12_ID_737"},"-434558921":{"Tag":"738","Min":0,"Max":0,"T":"X12_ID_738"},"-41653106":{"Tag":"","Min":2,"Max":4,"T":"X12_AN"},"1344508037":{"Tag":"1166","Min":0,"Max":0,"T":"X12_ID_1166"},"-1979509840":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_65"},"-1929176983":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_66"},"419145224":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_54"},"-1778178412":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_69"},"-1996434554":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_70"},"-2029989792":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_72"},"-2013212173":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_73"},"1685871340":{"Tag":"522","Min":0,"Max":0,"T":"X12_ID_522_12"},"-1552335955":{"Tag":"363","Min":0,"Max":0,"T":"X12_ID_363_3"},"-1468625772":{"Tag":"615","Min":0,"Max":0,"T":"X12_ID_615_2"},"1498975717":{"Tag":"678","Min":0,"Max":0,"T":"X12_ID_678_2"},"972827336":{"Tag":"1473","Min":0,"Max":0,"T":"X12_ID_1473"},"1303593988":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_7"},"944070874":{"Tag":"235","Min":0,"Max":0,"T":"X12_ID_235_6"},"1320371607":{"Tag":"355","Min":0,"Max":0,"T":"X12_ID_355_6"},"385442891":{"Tag":"128","Min":0,"Max":0,"T":"X12_ID_128_20"},"1737213417":{"Tag":"98","Min":0,"Max":0,"T":"X12_ID_98_37"},"608582129":{"Tag":"1270","Min":0,"Max":0,"T":"X12_ID_1270_21"},"-37250825":{"Tag":"1073","Min":0,"Max":0,"T":"X12_ID_1073_4"},"-253681830":{"Tag":"735","Min":0,"Max":0,"T":"X12_ID_735_3"},"521739059":{"Tag":"736","Min":0,"Max":0,"T":"X12_ID_736_3"},"-2059501890":{"Tag":"1069","Min":0,"Max":0,"T":"X12_ID_1069_2"},"-1089932464":{"Tag":"96","Min":1,"Max":10,"T":"X12_N0"}},"Composites":{"1474778073":{"Tag":"C023","Rules":null,"S":[315,316,317]},"-1616464834":{"Tag":"C024","Rules":null,"S":[324,325,326,327,328]},"1368330107":{"Tag":"C022","Rules":["P0304"],"S":[565,566,567,568,569,570,571]},"70008795":{"Tag":"C022","Rules":["P0304"],"S":[573,574,575,576,577,578,579]},"1613557354":{"Tag":"C003","Rules":null,"S":[953,954,955,956,957,958,959]},"1059219885":{"Tag":"C004","Rules":null,"S":[966,967,968,969]},"1596779735":{"Tag":"C003","Rules":null,"S":[986,987,988,989,990,991,992]},"-862350283":{"Tag":"C001","Rules":null,"S":[1226,1227,1228,1229,1230,1231,1232,1233,1234,1235,1236,1237,1238,1239,1240]}},"Segments":{"-331004420":{"Tag":"ST","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[45,46,47]},"1886338135":{"Tag":"BHT","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[49,50,51,52,53,54]},"-1837211425":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[56,57,58,59]},"450657386":{"Tag":"NM1","FC":0,"SC":0,"Rules":["P0809","C1110"],"SeqC":null,"S":[62,63,64,65,66,67,68,69,70,71,72]},"-1433547430":{"Tag":"PER","FC":0,"SC":0,"Rules":["P0304","P0506","P0708"],"SeqC":null,"S":[74,75,76,77,78,79,80,81,82]},"801358360":{"Tag":"NM1","FC":0,"SC":0,"Rules":["P0809","C1110"],"SeqC":null,"S":[85,86,87,88,89,90,91,92,93,94,95]},"2131302096":{"Tag":"HL","FC":-337569925,"SC":0,"Rules":null,"SeqC":null,"S":[98,99,100,101]},"-1125907385":{"Tag":"PRV","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[103,104,105,106,107,108]},"-24962938":{"Tag":"CUR","FC":0,"SC":0,"Rules":["C0807","C0907","L101112","C1110","C1210","L131415","C1413","C1513","L161718","C1716","C1816","L192021","C2019","C2119"],"SeqC":null,"S":[110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130]},"-983775325":{"Tag":"NM1","FC":1838026226,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[134,135,136,137,138,139,140,141,142,143,144]},"2099170077":{"Tag":"N3","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[146,147]},"-501322166":{"Tag":"N4","FC":0,"SC":0,"Rules":["C0605"],"SeqC":null,"S":[149,150,151,152,153,154]},"510839287":{"Tag":"REF","FC":520649581,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[157,158,159,160]},"1058776301":{"Tag":"REF","FC":436069938,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[162,163,164,165]},"-1611528819":{"Tag":"PER","FC":0,"SC":0,"Rules":["P0304","P0506","P0708"],"SeqC":null,"S":[167,168,169,170,171,172,173,174,175]},"416605843":{"Tag":"NM1","FC":1787546274,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[178,179,180,181,182,183,184,185,186,187,188]},"194457795":{"Tag":"HL","FC":-236904211,"SC":0,"Rules":null,"SeqC":null,"S":[194,195,196,197]},"-1515167829":{"Tag":"SBR","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[199,200,201,202,203,204,205,206,207]},"-152434108":{"Tag":"PAT","FC":0,"SC":0,"Rules":["P0506","P0708"],"SeqC":null,"S":[209,210,211,212,213,214,215,216,217]},"820572488":{"Tag":"NM1","FC":-1506888853,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[221,222,223,224,225,226,227,228,229,230,231]},"963457390":{"Tag":"DMG","FC":0,"SC":0,"Rules":["P0102"],"SeqC":null,"S":[235,236,237,238,239,240,241,242,243]},"-736032695":{"Tag":"REF","FC":469330986,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[246,247,248,249]},"745676832":{"Tag":"REF","FC":536735652,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[251,252,253,254]},"1854873502":{"Tag":"NM1","FC":-158260172,"SC":1620444627,"Rules":["P0809","C1110"],"SeqC":null,"S":[257,258,259,260,261,262,263,264,265,266,267]},"-1866298042":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[271,272,273,274]},"1787211229":{"Tag":"NM1","FC":1753991036,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[277,278,279,280,281,282,283,284,285,286,287]},"-809728175":{"Tag":"NM1","FC":1770768655,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[292,293,294,295,296,297,298,299,300,301,302]},"1319189714":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[304,305,306,307]},"-744688962":{"Tag":"CLM","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[310,311,312,313,314,318,319,320,321,322,323,329,330,331,332,333,334,335,336,337]},"297007786":{"Tag":"DTP","FC":-861879855,"SC":-9291472,"Rules":null,"SeqC":null,"S":[340,341,342]},"1086133837":{"Tag":"DTP","FC":-828324617,"SC":-9291472,"Rules":null,"SeqC":null,"S":[344,345,346]},"1403081398":{"Tag":"DTP","FC":-1029950235,"SC":-9291472,"Rules":null,"SeqC":null,"S":[348,349,350]},"-1074848520":{"Tag":"DTP","FC":-912212712,"SC":-9291472,"Rules":null,"SeqC":null,"S":[352,353,354]},"-2010800889":{"Tag":"DTP","FC":-878657474,"SC":-9291472,"Rules":null,"SeqC":null,"S":[356,357,358]},"1560345131":{"Tag":"DTP","FC":-198388258,"SC":57819004,"Rules":null,"SeqC":null,"S":[360,361,362]},"1655392772":{"Tag":"DTP","FC":-181610639,"SC":-9291472,"Rules":null,"SeqC":null,"S":[364,365,366]},"-1457715526":{"Tag":"DTP","FC":-895435093,"SC":-9291472,"Rules":null,"SeqC":null,"S":[368,369,370]},"465761463":{"Tag":"DTP","FC":-997233640,"SC":-9291472,"Rules":null,"SeqC":null,"S":[372,373,374]},"1108484533":{"Tag":"DTP","FC":-980456021,"SC":-9291472,"Rules":null,"SeqC":null,"S":[376,377,378]},"-1330495051":{"Tag":"DTP","FC":-963678402,"SC":-9291472,"Rules":null,"SeqC":null,"S":[380,381,382]},"202994174":{"Tag":"DTP","FC":-946900783,"SC":-9291472,"Rules":null,"SeqC":null,"S":[384,385,386]},"722991649":{"Tag":"DTP","FC":-930123164,"SC":-9291472,"Rules":null,"SeqC":null,"S":[388,389,390]},"-467238253":{"Tag":"DTP","FC":-131277782,"SC":-9291472,"Rules":null,"SeqC":null,"S":[392,393,394]},"-495808454":{"Tag":"DTP","FC":-114500163,"SC":-9291472,"Rules":null,"SeqC":null,"S":[396,397,398]},"647874844":{"Tag":"DTP","FC":-913345545,"SC":-9291472,"Rules":null,"SeqC":null,"S":[400,401,402]},"-1781312048":{"Tag":"PWK","FC":0,"SC":0,"Rules":["P0506"],"SeqC":null,"S":[404,405,406,407,408,409,410,411,412]},"-1393220058":{"Tag":"CN1","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[414,415,416,417,418,419]},"-831598885":{"Tag":"AMT","FC":675398837,"SC":0,"Rules":null,"SeqC":null,"S":[422,423,424]},"-1742434287":{"Tag":"AMT","FC":557955504,"SC":0,"Rules":null,"SeqC":null,"S":[426,427,428]},"-691988050":{"Tag":"AMT","FC":1618760864,"SC":0,"Rules":null,"SeqC":null,"S":[430,431,432]},"-271478145":{"Tag":"REF","FC":183964368,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[435,436,437,438]},"572617023":{"Tag":"REF","FC":-1862213602,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[440,441,442,443]},"-83225020":{"Tag":"REF","FC":-1945954602,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[445,446,447,448]},"1088239961":{"Tag":"REF","FC":486108605,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[450,451,452,453]},"1349801857":{"Tag":"REF","FC":217519606,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[455,456,457,458]},"-653629759":{"Tag":"REF","FC":-1761400793,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[460,461,462,463]},"-2117251260":{"Tag":"REF","FC":301407701,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[465,466,467,468]},"-1758888618":{"Tag":"REF","FC":284630082,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[470,471,472,473]},"-40087136":{"Tag":"REF","FC":234297225,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[475,476,477,478]},"1744730155":{"Tag":"REF","FC":251074844,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[480,481,482,483]},"-703331775":{"Tag":"REF","FC":-1979656935,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[485,486,487,488]},"713378515":{"Tag":"REF","FC":418851034,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[490,491,492,493]},"24692830":{"Tag":"REF","FC":435628653,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[495,496,497,498]},"1598543690":{"Tag":"K3","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[500,501,502]},"1079048083":{"Tag":"NTE","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[504,505]},"1090803551":{"Tag":"CR1","FC":0,"SC":0,"Rules":["P0102","P0506"],"SeqC":null,"S":[507,508,509,510,511,512,513,514,515,516]},"1570775536":{"Tag":"CR2","FC":0,"SC":0,"Rules":["P0102","C0403","P0506"],"SeqC":null,"S":[518,519,520,521,522,523,524,525,526,527,528,529]},"998413964":{"Tag":"CRC","FC":-1081394817,"SC":-70806063,"Rules":null,"SeqC":null,"S":[532,533,534,535,536,537,538]},"-2109336164":{"Tag":"CRC","FC":-1014284341,"SC":-70806063,"Rules":null,"SeqC":null,"S":[540,541,542,543,544,545,546]},"-534897714":{"Tag":"CRC","FC":-567596076,"SC":-87583682,"Rules":null,"SeqC":null,"S":[548,549,550,551,552,553,554]},"1702744939":{"Tag":"CRC","FC":-1031061960,"SC":-70806063,"Rules":null,"SeqC":null,"S":[556,557,558,559,560,561,562]},"1044764962":{"Tag":"HI","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[564,572,580,581,582,583,584,585,586,587,588,589]},"-1985398628":{"Tag":"HCP","FC":0,"SC":0,"Rules":["R0113","P0910","P1112"],"SeqC":null,"S":[591,592,593,594,595,596,597,598,599,600,601,602,603,604,605]},"1372255379":{"Tag":"CR7","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[608,609,610]},"-1932369209":{"Tag":"HSD","FC":0,"SC":0,"Rules":["P0102","C0605"],"SeqC":null,"S":[612,613,614,615,616,617,618,619]},"1623049752":{"Tag":"NM1","FC":1720435798,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[623,624,625,626,627,628,629,630,631,632,633]},"-860506799":{"Tag":"PRV","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[635,636,637,638,639,640]},"1789291152":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[642,643,644,645]},"-27955432":{"Tag":"NM1","FC":1737360512,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[648,649,650,651,652,653,654,655,656,657,658]},"361350945":{"Tag":"PRV","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[660,661,662,663,664,665]},"-1703786240":{"Tag":"NM1","FC":1653178227,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[669,670,671,672,673,674,675,676,677,678,679]},"-206081488":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[681,682,683,684]},"199594327":{"Tag":"NM1","FC":1904989607,"SC":1620444627,"Rules":["P0809","C1110"],"SeqC":null,"S":[687,688,689,690,691,692,693,694,695,696,697]},"-1639252218":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[701,702,703,704]},"1053487357":{"Tag":"NM1","FC":1888211988,"SC":-515577758,"Rules":["P0809","C1110"],"SeqC":null,"S":[707,708,709,710,711,712,713,714,715,716,717]},"-1409226853":{"Tag":"SBR","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[721,722,723,724,725,726,727,728,729]},"-2008753540":{"Tag":"CAS","FC":0,"SC":0,"Rules":["L050607","C0605","C0705","L080910","C0908","C1008","L111213","C1211","C1311","L141516","C1514","C1614","L171819","C1817","C1917"],"SeqC":null,"S":[731,732,733,734,735,736,737,738,739,740,741,742,743,744,745,746,747,748,749]},"-1039485239":{"Tag":"AMT","FC":574733123,"SC":0,"Rules":null,"SeqC":null,"S":[752,753,754]},"1990871739":{"Tag":"AMT","FC":658621218,"SC":0,"Rules":null,"SeqC":null,"S":[756,757,758]},"534151490":{"Tag":"AMT","FC":742509313,"SC":0,"Rules":null,"SeqC":null,"S":[760,761,762]},"-1593201731":{"Tag":"AMT","FC":725731694,"SC":0,"Rules":null,"SeqC":null,"S":[764,765,766]},"-1143020764":{"Tag":"AMT","FC":1719426578,"SC":0,"Rules":null,"SeqC":null,"S":[768,769,770]},"-22871783":{"Tag":"AMT","FC":1736204197,"SC":0,"Rules":null,"SeqC":null,"S":[772,773,774]},"-515067004":{"Tag":"AMT","FC":1702648959,"SC":0,"Rules":null,"SeqC":null,"S":[776,777,778]},"-817991449":{"Tag":"AMT","FC":641843599,"SC":0,"Rules":null,"SeqC":null,"S":[781,782,783]},"1294712540":{"Tag":"AMT","FC":1652316102,"SC":0,"Rules":null,"SeqC":null,"S":[785,786,787]},"-1407344846":{"Tag":"OI","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[790,791,792,793,794,795]},"729742171":{"Tag":"MOA","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[797,798,799,800,801,802,803,804,805]},"-309701159":{"Tag":"NM1","FC":-1506888853,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[809,810,811,812,813,814,815,816,817,818,819]},"1156921047":{"Tag":"N4","FC":0,"SC":0,"Rules":["C0605"],"SeqC":null,"S":[822,823,824,825,826,827]},"1104974147":{"Tag":"DTP","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[833,834,835]},"-889023843":{"Tag":"REF","FC":435775748,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[838,839,840,841]},"1277771314":{"Tag":"REF","FC":452700462,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[844,845,846,847]},"1993317960":{"Tag":"NM1","FC":-1490111234,"SC":-515577758,"Rules":["P0809","C1110"],"SeqC":null,"S":[850,851,852,853,854,855,856,857,858,859,860]},"529686002":{"Tag":"NM1","FC":1720435798,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[864,865,866,867,868,869,870,871,872,873,874]},"-724318667":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[876,877,878,879]},"1285485530":{"Tag":"NM1","FC":1737360512,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[882,883,884,885,886,887,888,889,890,891,892]},"801486040":{"Tag":"NM1","FC":1653178227,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[896,897,898,899,900,901,902,903,904,905,906]},"171223629":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[908,909,910,911]},"233705978":{"Tag":"NM1","FC":1904989607,"SC":1620444627,"Rules":["P0809","C1110"],"SeqC":null,"S":[914,915,916,917,918,919,920,921,922,923,924]},"2062633513":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[926,927,928,929]},"2086607531":{"Tag":"NM1","FC":1888211988,"SC":-515577758,"Rules":["P0809","C1110"],"SeqC":null,"S":[932,933,934,935,936,937,938,939,940,941,942]},"-1750047328":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[944,945,946,947]},"-920133248":{"Tag":"LX","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[950]},"515967300":{"Tag":"SV1","FC":0,"SC":0,"Rules":["P0304"],"SeqC":null,"S":[952,960,961,962,963,964,965,970,971,972,973,974,975,976,977,978,979,980,981,982,983]},"-1835125869":{"Tag":"SV5","FC":0,"SC":0,"Rules":["R0405","C0604"],"SeqC":null,"S":[985,993,994,995,996,997,998]},"-1599809662":{"Tag":"PWK","FC":0,"SC":0,"Rules":["P0506"],"SeqC":null,"S":[1000,1001,1002,1003,1004,1005,1006,1007,1008]},"-1476878512":{"Tag":"CR3","FC":0,"SC":0,"Rules":["P0203"],"SeqC":null,"S":[1012,1013,1014,1015,1016]},"253627838":{"Tag":"CR5","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[1018,1019,1020,1021,1022,1023,1024,1025,1026,1027,1028,1029,1030,1031,1032,1033,1034,1035]},"-355232838":{"Tag":"CRC","FC":-1098172436,"SC":-70806063,"Rules":null,"SeqC":null,"S":[1039,1040,1041,1042,1043,1044,1045]},"-1033275953":{"Tag":"CRC","FC":-1047839579,"SC":-70806063,"Rules":null,"SeqC":null,"S":[1047,1048,1049,1050,1051,1052,1053]},"-270510259":{"Tag":"DTP","FC":-215165877,"SC":119422153,"Rules":null,"SeqC":null,"S":[1056,1057,1058]},"1430439913":{"Tag":"DTP","FC":-878804569,"SC":-9291472,"Rules":null,"SeqC":null,"S":[1060,1061,1062]},"-356565992":{"Tag":"DTP","FC":-1063358378,"SC":-9291472,"Rules":null,"SeqC":null,"S":[1064,1065,1066]},"2097698056":{"Tag":"DTP","FC":-1046580759,"SC":-9291472,"Rules":null,"SeqC":null,"S":[1068,1069,1070]},"-968392994":{"Tag":"DTP","FC":-845102236,"SC":-9291472,"Rules":null,"SeqC":null,"S":[1073,1074,1075]},"2117927231":{"Tag":"DTP","FC":-794769379,"SC":-9291472,"Rules":null,"SeqC":null,"S":[1077,1078,1079]},"-503530491":{"Tag":"DTP","FC":-811546998,"SC":-9291472,"Rules":null,"SeqC":null,"S":[1081,1082,1083]},"-123486216":{"Tag":"MEA","FC":0,"SC":0,"Rules":["R03050608","C0504","C0604","L07030506","E0803"],"SeqC":null,"S":[1090,1091,1092,1093,1094,1095,1096,1097,1098,1099]},"-707517717":{"Tag":"CN1","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[1101,1102,1103,1104,1105,1106]},"706379714":{"Tag":"REF","FC":-1979509840,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1109,1110,1111,1112]},"-531811280":{"Tag":"REF","FC":-1929176983,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1114,1115,1116,1117]},"-367088812":{"Tag":"REF","FC":419145224,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1120,1121,1122,1123]},"-640227430":{"Tag":"REF","FC":-1778178412,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1127,1128,1129,1130]},"1905478320":{"Tag":"REF","FC":-1996434554,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1132,1133,1134,1135]},"202142695":{"Tag":"REF","FC":-2029989792,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1138,1139,1140,1141]},"-343967255":{"Tag":"REF","FC":-2013212173,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1143,1144,1145,1146]},"1721865410":{"Tag":"AMT","FC":1685871340,"SC":0,"Rules":null,"SeqC":null,"S":[1151,1152,1153]},"1747532923":{"Tag":"NTE","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[1156,1157]},"-2126138688":{"Tag":"PS1","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[1159,1160,1161]},"-1949146828":{"Tag":"HSD","FC":0,"SC":0,"Rules":["P0102","C0605"],"SeqC":null,"S":[1163,1164,1165,1166,1167,1168,1169,1170]},"741897264":{"Tag":"HCP","FC":0,"SC":0,"Rules":["R0113","P0910","P1112"],"SeqC":null,"S":[1172,1173,1174,1175,1176,1177,1178,1179,1180,1181,1182,1183,1184,1185,1186]},"1957290883":{"Tag":"LIN","FC":0,"SC":0,"Rules":["P0405","P0607","P0809","P1011","P1213","P1415","P1617","P1819","P2021","P2223","P2425","P2627","P2829","P3031"],"SeqC":null,"S":[1189,1190,1191,1192,1193,1194,1195,1196,1197,1198,1199,1200,1201,1202,1203,1204,1205,1206,1207,1208,1209,1210,1211,1212,1213,1214,1215,1216,1217,1218,1219]},"-2046144641":{"Tag":"CTP","FC":0,"SC":0,"Rules":["P0405","C0607","C0902","C1002","C1103"],"SeqC":null,"S":[1221,1222,1223,1224,1225,1241,1242,1243,1244,1245,1246]},"1606511116":{"Tag":"REF","FC":0,"SC":0,"Rules":["R0203"],"SeqC":null,"S":[1248,1249,1250,1251]},"-1365922643":{"Tag":"NM1","FC":1653178227,"SC":-498800139,"Rules":["P0809","C1110"],"SeqC":null,"S":[1259,1260,1261,1262,1263,1264,1265,1266,1267,1268,1269]},"1232508780":{"Tag":"NM1","FC":1737213417,"SC":-515577758,"Rules":["P0809","C1110"],"SeqC":null,"S":[1281,1282,1283,1284,1285,1286,1287,1288,1289,1290,1291]},"1726117845":{"Tag":"NM1","FC":1720435798,"SC":-515577758,"Rules":["P0809","C1110"],"SeqC":null,"S":[1298,1299,1300,1301,1302,1303,1304,1305,1306,1307,1308]},"-1496407474":{"Tag":"SVD","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[1316,1317,1318,1319,1320,1321]},"-1599040964":{"Tag":"LQ","FC":0,"SC":0,"Rules":["C0102"],"SeqC":null,"S":[1326,1327]},"-1283509964":{"Tag":"FRM","FC":0,"SC":0,"Rules":["R02030405"],"SeqC":null,"S":[1329,1330,1331,1332,1333]},"-428570181":{"Tag":"HL","FC":-253681830,"SC":0,"Rules":null,"SeqC":null,"S":[1336,1337,1338,1339]},"386224585":{"Tag":"PAT","FC":0,"SC":0,"Rules":["P0506","P0708"],"SeqC":null,"S":[1341,1342,1343,1344,1345,1346,1347,1348,1349]},"-348548679":{"Tag":"NM1","FC":0,"SC":0,"Rules":["P0809","C1110"],"SeqC":null,"S":[1352,1353,1354,1355,1356,1357,1358,1359,1360,1361,1362]},"-582668705":{"Tag":"SE","FC":0,"SC":0,"Rules":null,"SeqC":null,"S":[1580,1581]}},"Groups":{"1008815282":{"Tag":"NM1","S":[61,73]},"-258141132":{"Tag":"NM1","S":[84]},"876724655":{"Tag":"HL","S":[97,102,109,131,192]},"-1439578576":{"Tag":null,"S":[132,176]},"476728494":{"Tag":"NM1","S":[133,145,148,155,166]},"1389323815":{"Tag":null,"S":[156,161]},"-1317269538":{"Tag":"NM1","S":[177,189,190,191]},"1109776146":{"Tag":"HL","S":[193,198,208,218,308,1334]},"-666851164":{"Tag":null,"S":[219,255,275,290]},"1966160918":{"Tag":"NM1","S":[220,232,233,234,244]},"-765023972":{"Tag":null,"S":[245,250]},"1323357694":{"Tag":"NM1","S":[256,268,269,270]},"1130691982":{"Tag":"NM1","S":[276,288,289]},"1917467582":{"Tag":"NM1","S":[291,303]},"-1573659647":{"Tag":"CLM","S":[309,338,403,413,420,433,499,503,506,517,530,563,590,606,620,719,948]},"-128998098":{"Tag":null,"S":[339,343,347,351,355,359,363,367,371,375,379,383,387,391,395,399]},"-583219569":{"Tag":null,"S":[421,425,429]},"-1056831757":{"Tag":null,"S":[434,439,444,449,454,459,464,469,474,479,484,489,494]},"-2089577024":{"Tag":null,"S":[531,539,547,555]},"1871338148":{"Tag":"CR7","S":[607,611]},"937060922":{"Tag":null,"S":[621,646,667,685,705]},"1760305572":{"Tag":"NM1","S":[622,634,641]},"1079745492":{"Tag":"NM1","S":[647,659,666]},"-836655292":{"Tag":"NM1","S":[668,680]},"-910326692":{"Tag":"NM1","S":[686,698,699,700]},"-208558716":{"Tag":"NM1","S":[706,718]},"49550835":{"Tag":"SBR","S":[720,730,750,788,789,796,806]},"803641604":{"Tag":null,"S":[751,755,759,763,767,771,775,779,780,784]},"-116845826":{"Tag":null,"S":[807,829,848,862,880,894,912,930]},"452327887":{"Tag":"NM1","S":[808,820,821,828]},"-13774713":{"Tag":"NM1","S":[830,831,832,836]},"722986746":{"Tag":null,"S":[837,842,843]},"-277999505":{"Tag":"NM1","S":[849,861]},"1739710319":{"Tag":"NM1","S":[863,875]},"-1162709217":{"Tag":"NM1","S":[881,893]},"797885959":{"Tag":"NM1","S":[895,907]},"915657359":{"Tag":"NM1","S":[913,925]},"-1166167361":{"Tag":"NM1","S":[931,943]},"-1235963903":{"Tag":"LX","S":[949,951,984,999,1009,1010,1011,1017,1036,1054,1089,1100,1107,1147,1154,1155,1158,1162,1171,1187,1252,1314,1324]},"1584878305":{"Tag":null,"S":[1037,1038,1046]},"733348675":{"Tag":null,"S":[1055,1059,1063,1067,1071,1072,1076,1080,1084,1085,1086,1087,1088]},"-1805055997":{"Tag":null,"S":[1108,1113,1118,1119,1124,1125,1126,1131,1136,1137,1142]},"111990729":{"Tag":null,"S":[1148,1149,1150]},"-67658735":{"Tag":"LIN","S":[1188,1220,1247]},"-1818377298":{"Tag":null,"S":[1253,1257,1271,1276,1279,1296,1311]},"1732648475":{"Tag":"NM1","S":[1254,1255,1256]},"-329916573":{"Tag":"NM1","S":[1258,1270]},"-1326557557":{"Tag":"NM1","S":[1272,1273,1274,1275]},"-144318885":{"Tag":"NM1","S":[1277,1278]},"-282112309":{"Tag":"NM1","S":[1280,1292,1293,1294,1295]},"-1896975965":{"Tag":"NM1","S":[1297,1309,1310]},"352168619":{"Tag":"NM1","S":[1312,1313]},"-1790723475":{"Tag":"SVD","S":[1315,1322,1323]},"-1639943609":{"Tag":"LQ","S":[1325,1328]},"-1131353253":{"Tag":"HL","S":[1335,1340,1350,1367]},"875845923":{"Tag":"NM1","S":[1351,1363,1364,1365,1366]},"1303529432":{"Tag":"CLM","S":[1368,1369,1386,1387,1388,1392,1406,1407,1408,1409,1410,1415,1416,1417,1420,1440,1489]},"-112220479":{"Tag":null,"S":[1370,1371,1372,1373,1374,1375,1376,1377,1378,1379,1380,1381,1382,1383,1384,1385]},"-599997188":{"Tag":null,"S":[1389,1390,1391]},"-1073609376":{"Tag":null,"S":[1393,1394,1395,1396,1397,1398,1399,1400,1401,1402,1403,1404,1405]},"-2072799405":{"Tag":null,"S":[1411,1412,1413,1414]},"1888115767":{"Tag":"CR7","S":[1418,1419]},"953838541":{"Tag":null,"S":[1421,1425,1429,1432,1437]},"1810638429":{"Tag":"NM1","S":[1422,1423,1424]},"1130078349":{"Tag":"NM1","S":[1426,1427,1428]},"-786322435":{"Tag":"NM1","S":[1430,1431]},"-859993835":{"Tag":"NM1","S":[1433,1434,1435,1436]},"-158225859":{"Tag":"NM1","S":[1438,1439]},"32773216":{"Tag":"SBR","S":[1441,1442,1443,1454,1455,1456,1457]},"853974461":{"Tag":null,"S":[1444,1445,1446,1447,1448,1449,1450,1451,1452,1453]},"-133623445":{"Tag":null,"S":[1458,1463,1471,1474,1477,1480,1483,1486]},"435550268":{"Tag":"NM1","S":[1459,1460,1461,1462]},"-30552332":{"Tag":"NM1","S":[1464,1465,1466,1467]},"504877699":{"Tag":null,"S":[1468,1469,1470]},"-294777124":{"Tag":"NM1","S":[1472,1473]},"1722932700":{"Tag":"NM1","S":[1475,1476]},"-1179486836":{"Tag":"NM1","S":[1478,1479]},"781108340":{"Tag":"NM1","S":[1481,1482]},"898879740":{"Tag":"NM1","S":[1484,1485]},"-1182944980":{"Tag":"NM1","S":[1487,1488]},"-1252741522":{"Tag":"LX","S":[1490,1491,1492,1493,1494,1495,1496,1497,1498,1502,1516,1517,1518,1530,1534,1535,1536,1537,1538,1539,1543,1572,1576]},"1534545448":{"Tag":null,"S":[1499,1500,1501]},"750126294":{"Tag":null,"S":[1503,1504,1505,1506,1507,1508,1509,1510,1511,1512,1513,1514,1515]},"-1788278378":{"Tag":null,"S":[1519,1520,1521,1522,1523,1524,1525,1526,1527,1528,1529]},"61657872":{"Tag":null,"S":[1531,1532,1533]},"-117991592":{"Tag":"LIN","S":[1540,1541,1542]},"-1835154917":{"Tag":null,"S":[1544,1548,1551,1556,1559,1565,1569]},"1715870856":{"Tag":"NM1","S":[1545,1546,1547]},"-346694192":{"Tag":"NM1","S":[1549,1550]},"-1343335176":{"Tag":"NM1","S":[1552,1553,1554,1555]},"-161096504":{"Tag":"NM1","S":[1557,1558]},"-298889928":{"Tag":"NM1","S":[1560,1561,1562,1563,1564]},"-1913753584":{"Tag":"NM1","S":[1566,1567,1568]},"335391000":{"Tag":"NM1","S":[1570,1571]},"-1841056332":{"Tag":"SVD","S":[1573,1574,1575]},"-1623165990":{"Tag":"LQ","S":[1577,1578]}},"Messages":{"837P_EdiNation.X12.HIPAA.004010":{"Format":"X12","Version":"004010X098A1","Model":"EdiNation.X12.HIPAA.004010","Type":"837P","S":[44,48,55,60,83,96,1579]}},"Terms":{"44":{"Id":-331004420,"L":1,"T":5,"O":44,"P":1,"U":"M","R":"1","D":"ST","PId":-1},"45":{"Id":-1629967458,"L":2,"T":2,"O":45,"P":1,"U":"M","R":"1","D":"TransactionSetIdentifierCode_01","PId":44},"46":{"Id":1308129813,"L":2,"T":2,"O":46,"P":2,"U":"M","R":"1","D":"TransactionSetControlNumber_02","PId":44},"47":{"Id":-307671776,"L":2,"T":2,"O":47,"P":3,"U":"O","R":"1","D":"ImplementationConventionPreference_03","PId":44},"48":{"Id":1886338135,"L":1,"T":5,"O":48,"P":2,"U":"M","R":"1","D":"BHT_BeginningOfHierarchicalTransaction","PId":-1},"49":{"Id":1292254648,"L":2,"T":2,"O":49,"P":1,"U":"M","R":"1","D":"HierarchicalStructureCode_01","PId":48},"50":{"Id":644031687,"L":2,"T":2,"O":50,"P":2,"U":"M","R":"1","D":"TransactionSetPurposeCode_02","PId":48},"51":{"Id":-272333178,"L":2,"T":2,"O":51,"P":3,"U":"M","R":"1","D":"SubmitterTransactionIdentifier_03","PId":48},"52":{"Id":286562019,"L":2,"T":2,"O":52,"P":4,"U":"M","R":"1","D":"TransactionSetCreationDate_04","PId":48},"53":{"Id":-2103063876,"L":2,"T":2,"O":53,"P":5,"U":"M","R":"1","D":"TransactionSetCreationTime_05","PId":48},"54":{"Id":-652896323,"L":2,"T":2,"O":54,"P":6,"U":"M","R":"1","D":"TransactionTypeCode_06","PId":48},"55":{"Id":-1837211425,"L":1,"T":5,"O":55,"P":3,"U":"M","R":"1","D":"REF_TransmissionTypeIdentification","PId":-1},"56":{"Id":-1947087435,"L":2,"T":2,"O":56,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":55},"57":{"Id":-272333178,"L":2,"T":2,"O":57,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":55},"58":{"Id":1570531853,"L":2,"T":2,"O":58,"P":3,"U":"O","R":"1","D":"Description_03","PId":55},"59":{"Id":200506270,"L":2,"T":2,"O":59,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":55},"60":{"Id":1008815282,"L":1,"T":6,"O":60,"P":4,"U":"M","R":"1","D":"Loop1000A","PId":-1},"61":{"Id":450657386,"L":2,"T":5,"O":61,"P":1,"U":"M","R":"1","D":"NM1_SubmitterName","PId":60},"62":{"Id":1686880560,"L":3,"T":2,"O":62,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":61},"63":{"Id":-498800139,"L":3,"T":2,"O":63,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":61},"64":{"Id":-71249891,"L":3,"T":2,"O":64,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":61},"65":{"Id":-219568840,"L":3,"T":2,"O":65,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":61},"66":{"Id":-219568840,"L":3,"T":2,"O":66,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":61},"67":{"Id":-1473959604,"L":3,"T":2,"O":67,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":61},"68":{"Id":-1473959604,"L":3,"T":2,"O":68,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":61},"69":{"Id":-1620685843,"L":3,"T":2,"O":69,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":61},"70":{"Id":-359602736,"L":3,"T":2,"O":70,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":61},"71":{"Id":1412709936,"L":3,"T":2,"O":71,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":61},"72":{"Id":154703179,"L":3,"T":2,"O":72,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":61},"73":{"Id":-1433547430,"L":2,"T":5,"O":73,"P":2,"U":"M","R":"2","D":"PER_SubmitterEDIContactInformation","PId":60},"74":{"Id":919945300,"L":3,"T":2,"O":74,"P":1,"U":"M","R":"1","D":"ContactFunctionCode_01","PId":73},"75":{"Id":-330917653,"L":3,"T":2,"O":75,"P":2,"U":"M","R":"1","D":"ResponseContactName_02","PId":73},"76":{"Id":970278157,"L":3,"T":2,"O":76,"P":3,"U":"M","R":"1","D":"CommunicationNumberQualifier_03","PId":73},"77":{"Id":1570531853,"L":3,"T":2,"O":77,"P":4,"U":"M","R":"1","D":"ResponseContactCommunicationNumber_04","PId":73},"78":{"Id":539400364,"L":3,"T":2,"O":78,"P":5,"U":"O","R":"1","D":"CommunicationNumberQualifier_05","PId":73},"79":{"Id":1570531853,"L":3,"T":2,"O":79,"P":6,"U":"O","R":"1","D":"ResponseContactCommunicationNumber_06","PId":73},"80":{"Id":539400364,"L":3,"T":2,"O":80,"P":7,"U":"O","R":"1","D":"CommunicationNumberQualifier_07","PId":73},"81":{"Id":1570531853,"L":3,"T":2,"O":81,"P":8,"U":"O","R":"1","D":"ResponseContactCommunicationNumber_08","PId":73},"82":{"Id":1570142959,"L":3,"T":2,"O":82,"P":9,"U":"O","R":"1","D":"ContactInquiryReference_09","PId":73},"83":{"Id":-258141132,"L":1,"T":6,"O":83,"P":5,"U":"M","R":"1","D":"Loop1000B","PId":-1},"84":{"Id":801358360,"L":2,"T":5,"O":84,"P":1,"U":"M","R":"1","D":"NM1_ReceiverName","PId":83},"85":{"Id":1804323893,"L":3,"T":2,"O":85,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":84},"86":{"Id":1620444627,"L":3,"T":2,"O":86,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":84},"87":{"Id":-71249891,"L":3,"T":2,"O":87,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":84},"88":{"Id":-219568840,"L":3,"T":2,"O":88,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":84},"89":{"Id":-219568840,"L":3,"T":2,"O":89,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":84},"90":{"Id":-1473959604,"L":3,"T":2,"O":90,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":84},"91":{"Id":-1473959604,"L":3,"T":2,"O":91,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":84},"92":{"Id":-1620685843,"L":3,"T":2,"O":92,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":84},"93":{"Id":-359602736,"L":3,"T":2,"O":93,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":84},"94":{"Id":1412709936,"L":3,"T":2,"O":94,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":84},"95":{"Id":154703179,"L":3,"T":2,"O":95,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":84},"96":{"Id":876724655,"L":1,"T":6,"O":96,"P":6,"U":"M","R":"\u003E1","D":"Loop2000A","PId":-1},"97":{"Id":2131302096,"L":2,"T":5,"O":97,"P":1,"U":"M","R":"1","D":"HL_BillingPaytoProviderHierarchicalLevel","PId":96},"98":{"Id":-1158158802,"L":3,"T":2,"O":98,"P":1,"U":"M","R":"1","D":"HierarchicalIDNumber_01","PId":97},"99":{"Id":-1158158802,"L":3,"T":2,"O":99,"P":2,"U":"O","R":"1","D":"HierarchicalParentIDNumber_02","PId":97},"100":{"Id":-337569925,"L":3,"T":2,"O":100,"P":3,"U":"M","R":"1","D":"HierarchicalLevelCode_03","PId":97},"101":{"Id":-602335111,"L":3,"T":2,"O":101,"P":4,"U":"M","R":"1","D":"HierarchicalChildCode_04","PId":97},"102":{"Id":-1125907385,"L":2,"T":5,"O":102,"P":2,"U":"O","R":"1","D":"PRV_BillingPaytoProviderSpecialtyInformation","PId":96},"103":{"Id":1573321045,"L":3,"T":2,"O":103,"P":1,"U":"M","R":"1","D":"ProviderCode_01","PId":102},"104":{"Id":-799560795,"L":3,"T":2,"O":104,"P":2,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_02","PId":102},"105":{"Id":-272333178,"L":3,"T":2,"O":105,"P":3,"U":"M","R":"1","D":"ProviderTaxonomyCode_03","PId":102},"106":{"Id":1412709936,"L":3,"T":2,"O":106,"P":4,"U":"O","R":"1","D":"StateorProvinceCode_04","PId":102},"107":{"Id":200506270,"L":3,"T":2,"O":107,"P":5,"U":"O","R":"1","D":"ProviderSpecialtyInformation_05","PId":102},"108":{"Id":-791514334,"L":3,"T":2,"O":108,"P":6,"U":"O","R":"1","D":"ProviderOrganizationCode_06","PId":102},"109":{"Id":-24962938,"L":2,"T":5,"O":109,"P":3,"U":"O","R":"1","D":"CUR_ForeignCurrencyInformation","PId":96},"110":{"Id":1838026226,"L":3,"T":2,"O":110,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":109},"111":{"Id":-791514334,"L":3,"T":2,"O":111,"P":2,"U":"M","R":"1","D":"CurrencyCode_02","PId":109},"112":{"Id":182276227,"L":3,"T":2,"O":112,"P":3,"U":"O","R":"1","D":"ExchangeRate_03","PId":109},"113":{"Id":154703179,"L":3,"T":2,"O":113,"P":4,"U":"O","R":"1","D":"EntityIdentifierCode_04","PId":109},"114":{"Id":-791514334,"L":3,"T":2,"O":114,"P":5,"U":"O","R":"1","D":"CurrencyCode_05","PId":109},"115":{"Id":-791514334,"L":3,"T":2,"O":115,"P":6,"U":"O","R":"1","D":"CurrencyMarketExchangeCode_06","PId":109},"116":{"Id":-791514334,"L":3,"T":2,"O":116,"P":7,"U":"O","R":"1","D":"DateTimeQualifier_07","PId":109},"117":{"Id":286562019,"L":3,"T":2,"O":117,"P":8,"U":"O","R":"1","D":"Date_08","PId":109},"118":{"Id":-2103063876,"L":3,"T":2,"O":118,"P":9,"U":"O","R":"1","D":"Time_09","PId":109},"119":{"Id":-791514334,"L":3,"T":2,"O":119,"P":10,"U":"O","R":"1","D":"DateTimeQualifier_10","PId":109},"120":{"Id":286562019,"L":3,"T":2,"O":120,"P":11,"U":"O","R":"1","D":"Date_11","PId":109},"121":{"Id":-2103063876,"L":3,"T":2,"O":121,"P":12,"U":"O","R":"1","D":"Time_12","PId":109},"122":{"Id":-791514334,"L":3,"T":2,"O":122,"P":13,"U":"O","R":"1","D":"DateTimeQualifier_13","PId":109},"123":{"Id":286562019,"L":3,"T":2,"O":123,"P":14,"U":"O","R":"1","D":"Date_14","PId":109},"124":{"Id":-2103063876,"L":3,"T":2,"O":124,"P":15,"U":"O","R":"1","D":"Time_15","PId":109},"125":{"Id":-791514334,"L":3,"T":2,"O":125,"P":16,"U":"O","R":"1","D":"DateTimeQualifier_16","PId":109},"126":{"Id":286562019,"L":3,"T":2,"O":126,"P":17,"U":"O","R":"1","D":"Date_17","PId":109},"127":{"Id":-2103063876,"L":3,"T":2,"O":127,"P":18,"U":"O","R":"1","D":"Time_18","PId":109},"128":{"Id":-791514334,"L":3,"T":2,"O":128,"P":19,"U":"O","R":"1","D":"DateTimeQualifier_19","PId":109},"129":{"Id":286562019,"L":3,"T":2,"O":129,"P":20,"U":"O","R":"1","D":"Date_20","PId":109},"130":{"Id":-2103063876,"L":3,"T":2,"O":130,"P":21,"U":"O","R":"1","D":"Time_21","PId":109},"131":{"Id":-1439578576,"L":2,"T":7,"O":131,"P":4,"U":"M","R":"1","D":"All2010A","PId":96},"132":{"Id":476728494,"L":3,"T":6,"O":132,"P":1,"U":"M","R":"1","D":"Loop2010AA","PId":131},"133":{"Id":-983775325,"L":4,"T":5,"O":133,"P":1,"U":"M","R":"1","D":"NM1_BillingProviderName_2010AA","PId":132},"134":{"Id":1838026226,"L":5,"T":2,"O":134,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":133},"135":{"Id":-498800139,"L":5,"T":2,"O":135,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":133},"136":{"Id":-71249891,"L":5,"T":2,"O":136,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":133},"137":{"Id":-219568840,"L":5,"T":2,"O":137,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":133},"138":{"Id":-219568840,"L":5,"T":2,"O":138,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":133},"139":{"Id":-1473959604,"L":5,"T":2,"O":139,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":133},"140":{"Id":-1473959604,"L":5,"T":2,"O":140,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":133},"141":{"Id":92728802,"L":5,"T":2,"O":141,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":133},"142":{"Id":-359602736,"L":5,"T":2,"O":142,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":133},"143":{"Id":1412709936,"L":5,"T":2,"O":143,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":133},"144":{"Id":154703179,"L":5,"T":2,"O":144,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":133},"145":{"Id":2099170077,"L":4,"T":5,"O":145,"P":2,"U":"M","R":"1","D":"N3_BillingProviderAddress_2010AA","PId":132},"146":{"Id":-519081633,"L":5,"T":2,"O":146,"P":1,"U":"M","R":"1","D":"ResponseContactAddressLine_01","PId":145},"147":{"Id":-519081633,"L":5,"T":2,"O":147,"P":2,"U":"O","R":"1","D":"ResponseContactAddressLine_02","PId":145},"148":{"Id":-501322166,"L":4,"T":5,"O":148,"P":3,"U":"M","R":"1","D":"N4_BillingProviderCityStateZIPCode_2010AA","PId":132},"149":{"Id":-813812133,"L":5,"T":2,"O":149,"P":1,"U":"M","R":"1","D":"AdditionalPatientInformationContactCityName_01","PId":148},"150":{"Id":1412709936,"L":5,"T":2,"O":150,"P":2,"U":"M","R":"1","D":"AdditionalPatientInformationContactStateCode_02","PId":148},"151":{"Id":25763329,"L":5,"T":2,"O":151,"P":3,"U":"M","R":"1","D":"AdditionalPatientInformationContactPostalZoneorZIPCode_03","PId":148},"152":{"Id":154703179,"L":5,"T":2,"O":152,"P":4,"U":"O","R":"1","D":"CountryCode_04","PId":148},"153":{"Id":-7428745,"L":5,"T":2,"O":153,"P":5,"U":"O","R":"1","D":"LocationQualifier_05","PId":148},"154":{"Id":-272333178,"L":5,"T":2,"O":154,"P":6,"U":"O","R":"1","D":"LocationIdentifier_06","PId":148},"155":{"Id":1389323815,"L":4,"T":7,"O":155,"P":4,"U":"O","R":"1","D":"AllREF","PId":132},"156":{"Id":510839287,"L":5,"T":5,"O":156,"P":1,"U":"O","R":"8","D":"REF_BillingProviderSecondaryIdentification_2010AA","PId":155},"157":{"Id":520649581,"L":6,"T":2,"O":157,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":156},"158":{"Id":-272333178,"L":6,"T":2,"O":158,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":156},"159":{"Id":1570531853,"L":6,"T":2,"O":159,"P":3,"U":"O","R":"1","D":"Description_03","PId":156},"160":{"Id":200506270,"L":6,"T":2,"O":160,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":156},"161":{"Id":1058776301,"L":5,"T":5,"O":161,"P":2,"U":"O","R":"8","D":"REF_CreditDebitCardBillingInformation_2010AA","PId":155},"162":{"Id":436069938,"L":6,"T":2,"O":162,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":161},"163":{"Id":-272333178,"L":6,"T":2,"O":163,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":161},"164":{"Id":1570531853,"L":6,"T":2,"O":164,"P":3,"U":"O","R":"1","D":"Description_03","PId":161},"165":{"Id":200506270,"L":6,"T":2,"O":165,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":161},"166":{"Id":-1611528819,"L":4,"T":5,"O":166,"P":5,"U":"O","R":"2","D":"PER_BillingProviderContactInformation_2010AA","PId":132},"167":{"Id":919945300,"L":5,"T":2,"O":167,"P":1,"U":"M","R":"1","D":"ContactFunctionCode_01","PId":166},"168":{"Id":-330917653,"L":5,"T":2,"O":168,"P":2,"U":"M","R":"1","D":"ResponseContactName_02","PId":166},"169":{"Id":556177983,"L":5,"T":2,"O":169,"P":3,"U":"M","R":"1","D":"CommunicationNumberQualifier_03","PId":166},"170":{"Id":1570531853,"L":5,"T":2,"O":170,"P":4,"U":"M","R":"1","D":"ResponseContactCommunicationNumber_04","PId":166},"171":{"Id":505845126,"L":5,"T":2,"O":171,"P":5,"U":"O","R":"1","D":"CommunicationNumberQualifier_05","PId":166},"172":{"Id":1570531853,"L":5,"T":2,"O":172,"P":6,"U":"O","R":"1","D":"ResponseContactCommunicationNumber_06","PId":166},"173":{"Id":505845126,"L":5,"T":2,"O":173,"P":7,"U":"O","R":"1","D":"CommunicationNumberQualifier_07","PId":166},"174":{"Id":1570531853,"L":5,"T":2,"O":174,"P":8,"U":"O","R":"1","D":"ResponseContactCommunicationNumber_08","PId":166},"175":{"Id":1570142959,"L":5,"T":2,"O":175,"P":9,"U":"O","R":"1","D":"ContactInquiryReference_09","PId":166},"176":{"Id":-1317269538,"L":3,"T":6,"O":176,"P":2,"U":"O","R":"1","D":"Loop2010AB","PId":131},"177":{"Id":416605843,"L":4,"T":5,"O":177,"P":1,"U":"M","R":"1","D":"NM1_PaytoProviderName_2010AB","PId":176},"178":{"Id":1787546274,"L":5,"T":2,"O":178,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":177},"179":{"Id":-498800139,"L":5,"T":2,"O":179,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":177},"180":{"Id":-71249891,"L":5,"T":2,"O":180,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":177},"181":{"Id":-219568840,"L":5,"T":2,"O":181,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":177},"182":{"Id":-219568840,"L":5,"T":2,"O":182,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":177},"183":{"Id":-1473959604,"L":5,"T":2,"O":183,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":177},"184":{"Id":-1473959604,"L":5,"T":2,"O":184,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":177},"185":{"Id":92728802,"L":5,"T":2,"O":185,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":177},"186":{"Id":-359602736,"L":5,"T":2,"O":186,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":177},"187":{"Id":1412709936,"L":5,"T":2,"O":187,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":177},"188":{"Id":154703179,"L":5,"T":2,"O":188,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":177},"189":{"Id":2099170077,"L":4,"T":5,"O":189,"P":2,"U":"M","R":"1","D":"N3_PaytoProviderAddress_2010AB","PId":176},"190":{"Id":-501322166,"L":4,"T":5,"O":190,"P":3,"U":"M","R":"1","D":"N4_PaytoProviderCityStateZIPCode_2010AB","PId":176},"191":{"Id":510839287,"L":4,"T":5,"O":191,"P":4,"U":"O","R":"5","D":"REF_PaytoProviderSecondaryIdentification_2010AB","PId":176},"192":{"Id":1109776146,"L":2,"T":6,"O":192,"P":5,"U":"M","R":"\u003E1","D":"Loop2000B","PId":96},"193":{"Id":194457795,"L":3,"T":5,"O":193,"P":1,"U":"M","R":"1","D":"HL_SubscriberHierarchicalLevel","PId":192},"194":{"Id":-1158158802,"L":4,"T":2,"O":194,"P":1,"U":"M","R":"1","D":"HierarchicalIDNumber_01","PId":193},"195":{"Id":-1158158802,"L":4,"T":2,"O":195,"P":2,"U":"M","R":"1","D":"HierarchicalParentIDNumber_02","PId":193},"196":{"Id":-236904211,"L":4,"T":2,"O":196,"P":3,"U":"M","R":"1","D":"HierarchicalLevelCode_03","PId":193},"197":{"Id":504961440,"L":4,"T":2,"O":197,"P":4,"U":"M","R":"1","D":"HierarchicalChildCode_04","PId":193},"198":{"Id":-1515167829,"L":3,"T":5,"O":198,"P":2,"U":"M","R":"1","D":"SBR_SubscriberInformation","PId":192},"199":{"Id":-735372266,"L":4,"T":2,"O":199,"P":1,"U":"M","R":"1","D":"PayerResponsibilitySequenceNumberCode_01","PId":198},"200":{"Id":-2025946652,"L":4,"T":2,"O":200,"P":2,"U":"O","R":"1","D":"IndividualRelationshipCode_02","PId":198},"201":{"Id":-272333178,"L":4,"T":2,"O":201,"P":3,"U":"O","R":"1","D":"InsuredGrouporPolicyNumber_03","PId":198},"202":{"Id":-330917653,"L":4,"T":2,"O":202,"P":4,"U":"O","R":"1","D":"OtherInsuredGroupName_04","PId":198},"203":{"Id":-1934893483,"L":4,"T":2,"O":203,"P":5,"U":"O","R":"1","D":"InsuranceTypeCode_05","PId":198},"204":{"Id":200506270,"L":4,"T":2,"O":204,"P":6,"U":"O","R":"1","D":"CoordinationofBenefitsCode_06","PId":198},"205":{"Id":200506270,"L":4,"T":2,"O":205,"P":7,"U":"O","R":"1","D":"YesNoConditionorResponseCode_07","PId":198},"206":{"Id":1412709936,"L":4,"T":2,"O":206,"P":8,"U":"O","R":"1","D":"EmploymentStatusCode_08","PId":198},"207":{"Id":-275867605,"L":4,"T":2,"O":207,"P":9,"U":"O","R":"1","D":"ClaimFilingIndicatorCode_09","PId":198},"208":{"Id":-152434108,"L":3,"T":5,"O":208,"P":3,"U":"O","R":"1","D":"PAT_PatientInformation","PId":192},"209":{"Id":1412709936,"L":4,"T":2,"O":209,"P":1,"U":"O","R":"1","D":"IndividualRelationshipCode_01","PId":208},"210":{"Id":200506270,"L":4,"T":2,"O":210,"P":2,"U":"O","R":"1","D":"PatientLocationCode_02","PId":208},"211":{"Id":1412709936,"L":4,"T":2,"O":211,"P":3,"U":"O","R":"1","D":"EmploymentStatusCode_03","PId":208},"212":{"Id":200506270,"L":4,"T":2,"O":212,"P":4,"U":"O","R":"1","D":"StudentStatusCode_04","PId":208},"213":{"Id":-9291472,"L":4,"T":2,"O":213,"P":5,"U":"O","R":"1","D":"DateTimePeriodFormatQualifier_05","PId":208},"214":{"Id":-71249891,"L":4,"T":2,"O":214,"P":6,"U":"O","R":"1","D":"PatientDeathDate_06","PId":208},"215":{"Id":372191729,"L":4,"T":2,"O":215,"P":7,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_07","PId":208},"216":{"Id":182276227,"L":4,"T":2,"O":216,"P":8,"U":"O","R":"1","D":"PatientWeight_08","PId":208},"217":{"Id":-87583682,"L":4,"T":2,"O":217,"P":9,"U":"O","R":"1","D":"PregnancyIndicator_09","PId":208},"218":{"Id":-666851164,"L":3,"T":7,"O":218,"P":4,"U":"M","R":"1","D":"All2010B","PId":192},"219":{"Id":1966160918,"L":4,"T":6,"O":219,"P":1,"U":"M","R":"1","D":"Loop2010BA","PId":218},"220":{"Id":820572488,"L":5,"T":5,"O":220,"P":1,"U":"M","R":"1","D":"NM1_SubscriberName_2010BA","PId":219},"221":{"Id":-1506888853,"L":6,"T":2,"O":221,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":220},"222":{"Id":-498800139,"L":6,"T":2,"O":222,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":220},"223":{"Id":-71249891,"L":6,"T":2,"O":223,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":220},"224":{"Id":-219568840,"L":6,"T":2,"O":224,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":220},"225":{"Id":-219568840,"L":6,"T":2,"O":225,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":220},"226":{"Id":-1473959604,"L":6,"T":2,"O":226,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":220},"227":{"Id":-1473959604,"L":6,"T":2,"O":227,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":220},"228":{"Id":193394516,"L":6,"T":2,"O":228,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":220},"229":{"Id":-359602736,"L":6,"T":2,"O":229,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":220},"230":{"Id":1412709936,"L":6,"T":2,"O":230,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":220},"231":{"Id":154703179,"L":6,"T":2,"O":231,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":220},"232":{"Id":2099170077,"L":5,"T":5,"O":232,"P":2,"U":"O","R":"1","D":"N3_SubscriberAddress_2010BA","PId":219},"233":{"Id":-501322166,"L":5,"T":5,"O":233,"P":3,"U":"O","R":"1","D":"N4_SubscriberCityStateZIPCode_2010BA","PId":219},"234":{"Id":963457390,"L":5,"T":5,"O":234,"P":4,"U":"O","R":"1","D":"DMG_SubscriberDemographicInformation_2010BA","PId":219},"235":{"Id":-9291472,"L":6,"T":2,"O":235,"P":1,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_01","PId":234},"236":{"Id":-71249891,"L":6,"T":2,"O":236,"P":2,"U":"M","R":"1","D":"DependentBirthDate_02","PId":234},"237":{"Id":1804998436,"L":6,"T":2,"O":237,"P":3,"U":"M","R":"1","D":"DependentGenderCode_03","PId":234},"238":{"Id":200506270,"L":6,"T":2,"O":238,"P":4,"U":"O","R":"1","D":"MaritalStatusCode_04","PId":234},"239":{"Id":200506270,"L":6,"T":2,"O":239,"P":5,"U":"O","R":"1","D":"CompositeRaceOrEthnicityInformation_05","PId":234},"240":{"Id":-7428745,"L":6,"T":2,"O":240,"P":6,"U":"O","R":"1","D":"CitizenshipStatusCode_06","PId":234},"241":{"Id":154703179,"L":6,"T":2,"O":241,"P":7,"U":"O","R":"1","D":"CountryCode_07","PId":234},"242":{"Id":-7428745,"L":6,"T":2,"O":242,"P":8,"U":"O","R":"1","D":"BasisofVerificationCode_08","PId":234},"243":{"Id":182276227,"L":6,"T":2,"O":243,"P":9,"U":"O","R":"1","D":"Quantity_09","PId":234},"244":{"Id":-765023972,"L":5,"T":7,"O":244,"P":5,"U":"O","R":"1","D":"AllREF","PId":219},"245":{"Id":-736032695,"L":6,"T":5,"O":245,"P":1,"U":"O","R":"4","D":"REF_SubscriberSecondaryIdentification_2010BA","PId":244},"246":{"Id":469330986,"L":7,"T":2,"O":246,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":245},"247":{"Id":-272333178,"L":7,"T":2,"O":247,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":245},"248":{"Id":1570531853,"L":7,"T":2,"O":248,"P":3,"U":"O","R":"1","D":"Description_03","PId":245},"249":{"Id":200506270,"L":7,"T":2,"O":249,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":245},"250":{"Id":745676832,"L":6,"T":5,"O":250,"P":2,"U":"O","R":"1","D":"REF_PropertyAndCasualtyClaimNumber_2010BA","PId":244},"251":{"Id":536735652,"L":7,"T":2,"O":251,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":250},"252":{"Id":-272333178,"L":7,"T":2,"O":252,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":250},"253":{"Id":1570531853,"L":7,"T":2,"O":253,"P":3,"U":"O","R":"1","D":"Description_03","PId":250},"254":{"Id":200506270,"L":7,"T":2,"O":254,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":250},"255":{"Id":1323357694,"L":4,"T":6,"O":255,"P":2,"U":"M","R":"1","D":"Loop2010BB","PId":218},"256":{"Id":1854873502,"L":5,"T":5,"O":256,"P":1,"U":"M","R":"1","D":"NM1_PayerName_2010BB","PId":255},"257":{"Id":-158260172,"L":6,"T":2,"O":257,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":256},"258":{"Id":1620444627,"L":6,"T":2,"O":258,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":256},"259":{"Id":-71249891,"L":6,"T":2,"O":259,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":256},"260":{"Id":-219568840,"L":6,"T":2,"O":260,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":256},"261":{"Id":-219568840,"L":6,"T":2,"O":261,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":256},"262":{"Id":-1473959604,"L":6,"T":2,"O":262,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":256},"263":{"Id":-1473959604,"L":6,"T":2,"O":263,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":256},"264":{"Id":109506421,"L":6,"T":2,"O":264,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":256},"265":{"Id":-359602736,"L":6,"T":2,"O":265,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":256},"266":{"Id":1412709936,"L":6,"T":2,"O":266,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":256},"267":{"Id":154703179,"L":6,"T":2,"O":267,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":256},"268":{"Id":2099170077,"L":5,"T":5,"O":268,"P":2,"U":"O","R":"1","D":"N3_PayerAddress_2010BB","PId":255},"269":{"Id":-501322166,"L":5,"T":5,"O":269,"P":3,"U":"O","R":"1","D":"N4_PayerCityStateZIPCode_2010BB","PId":255},"270":{"Id":-1866298042,"L":5,"T":5,"O":270,"P":4,"U":"O","R":"3","D":"REF_PayerSecondaryIdentification_2010BB","PId":255},"271":{"Id":486402795,"L":6,"T":2,"O":271,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":270},"272":{"Id":-272333178,"L":6,"T":2,"O":272,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":270},"273":{"Id":1570531853,"L":6,"T":2,"O":273,"P":3,"U":"O","R":"1","D":"Description_03","PId":270},"274":{"Id":200506270,"L":6,"T":2,"O":274,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":270},"275":{"Id":1130691982,"L":4,"T":6,"O":275,"P":3,"U":"O","R":"1","D":"Loop2010BC","PId":218},"276":{"Id":1787211229,"L":5,"T":5,"O":276,"P":1,"U":"M","R":"1","D":"NM1_ResponsiblePartyName_2010BC","PId":275},"277":{"Id":1753991036,"L":6,"T":2,"O":277,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":276},"278":{"Id":-498800139,"L":6,"T":2,"O":278,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":276},"279":{"Id":-71249891,"L":6,"T":2,"O":279,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":276},"280":{"Id":-219568840,"L":6,"T":2,"O":280,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":276},"281":{"Id":-219568840,"L":6,"T":2,"O":281,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":276},"282":{"Id":-1473959604,"L":6,"T":2,"O":282,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":276},"283":{"Id":-1473959604,"L":6,"T":2,"O":283,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":276},"284":{"Id":-7428745,"L":6,"T":2,"O":284,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":276},"285":{"Id":-359602736,"L":6,"T":2,"O":285,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":276},"286":{"Id":1412709936,"L":6,"T":2,"O":286,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":276},"287":{"Id":154703179,"L":6,"T":2,"O":287,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":276},"288":{"Id":2099170077,"L":5,"T":5,"O":288,"P":2,"U":"M","R":"1","D":"N3_ResponsiblePartyAddress_2010BC","PId":275},"289":{"Id":-501322166,"L":5,"T":5,"O":289,"P":3,"U":"M","R":"1","D":"N4_ResponsiblePartyCityStateZIPCode_2010BC","PId":275},"290":{"Id":1917467582,"L":4,"T":6,"O":290,"P":4,"U":"O","R":"1","D":"Loop2010BD","PId":218},"291":{"Id":-809728175,"L":5,"T":5,"O":291,"P":1,"U":"M","R":"1","D":"NM1_CreditDebitCardHolderName_2010BD","PId":290},"292":{"Id":1770768655,"L":6,"T":2,"O":292,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":291},"293":{"Id":-498800139,"L":6,"T":2,"O":293,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":291},"294":{"Id":-71249891,"L":6,"T":2,"O":294,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":291},"295":{"Id":-219568840,"L":6,"T":2,"O":295,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":291},"296":{"Id":-219568840,"L":6,"T":2,"O":296,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":291},"297":{"Id":-1473959604,"L":6,"T":2,"O":297,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":291},"298":{"Id":-1473959604,"L":6,"T":2,"O":298,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":291},"299":{"Id":-7936912,"L":6,"T":2,"O":299,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":291},"300":{"Id":-359602736,"L":6,"T":2,"O":300,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":291},"301":{"Id":1412709936,"L":6,"T":2,"O":301,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":291},"302":{"Id":154703179,"L":6,"T":2,"O":302,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":291},"303":{"Id":1319189714,"L":5,"T":5,"O":303,"P":2,"U":"O","R":"2","D":"REF_CreditDebitCardInformation_2010BD","PId":290},"304":{"Id":469625176,"L":6,"T":2,"O":304,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":303},"305":{"Id":-272333178,"L":6,"T":2,"O":305,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":303},"306":{"Id":1570531853,"L":6,"T":2,"O":306,"P":3,"U":"O","R":"1","D":"Description_03","PId":303},"307":{"Id":200506270,"L":6,"T":2,"O":307,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":303},"308":{"Id":-1573659647,"L":3,"T":6,"O":308,"P":5,"U":"O","R":"100","D":"Loop2300","PId":192},"309":{"Id":-744688962,"L":4,"T":5,"O":309,"P":1,"U":"M","R":"1","D":"CLM_ClaimInformation","PId":308},"310":{"Id":1874724222,"L":5,"T":2,"O":310,"P":1,"U":"M","R":"1","D":"PatientControlNumber_01","PId":309},"311":{"Id":182276227,"L":5,"T":2,"O":311,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":309},"312":{"Id":-7428745,"L":5,"T":2,"O":312,"P":3,"U":"O","R":"1","D":"ClaimFilingIndicatorCode_03","PId":309},"313":{"Id":-7428745,"L":5,"T":2,"O":313,"P":4,"U":"O","R":"1","D":"NonInstitutionalClaimTypeCode_04","PId":309},"314":{"Id":1474778073,"L":5,"T":4,"O":314,"P":5,"U":"M","R":"1","D":"HealthCareServiceLocationInformation_05","PId":309},"315":{"Id":-7428745,"L":6,"T":2,"O":315,"P":1,"U":"M","R":"1","D":"FacilityTypeCode_01","PId":314},"316":{"Id":-7428745,"L":6,"T":2,"O":316,"P":2,"U":"O","R":"1","D":"FacilityCodeQualifier_02","PId":314},"317":{"Id":200506270,"L":6,"T":2,"O":317,"P":3,"U":"M","R":"1","D":"ClaimFrequencyTypeCode_03","PId":314},"318":{"Id":-70806063,"L":5,"T":2,"O":318,"P":6,"U":"M","R":"1","D":"ProviderorSupplierSignatureIndicator_06","PId":309},"319":{"Id":248656063,"L":5,"T":2,"O":319,"P":7,"U":"M","R":"1","D":"AssignmentorPlanParticipationCode_07","PId":309},"320":{"Id":-70806063,"L":5,"T":2,"O":320,"P":8,"U":"M","R":"1","D":"BenefitsAssignmentCertificationIndicator_08","PId":309},"321":{"Id":1743533197,"L":5,"T":2,"O":321,"P":9,"U":"M","R":"1","D":"ReleaseofInformationCode_09","PId":309},"322":{"Id":-89109771,"L":5,"T":2,"O":322,"P":10,"U":"O","R":"1","D":"PatientSignatureSourceCode_10","PId":309},"323":{"Id":-1616464834,"L":5,"T":4,"O":323,"P":11,"U":"O","R":"1","D":"RelatedCausesInformation_11","PId":309},"324":{"Id":1114972418,"L":6,"T":2,"O":324,"P":1,"U":"M","R":"1","D":"RelatedCausesCode_01","PId":323},"325":{"Id":1114972418,"L":6,"T":2,"O":325,"P":2,"U":"O","R":"1","D":"RelatedCausesCode_02","PId":323},"326":{"Id":1114972418,"L":6,"T":2,"O":326,"P":3,"U":"O","R":"1","D":"RelatedCausesCode_03","PId":323},"327":{"Id":1412709936,"L":6,"T":2,"O":327,"P":4,"U":"O","R":"1","D":"StateorProvinceCode_04","PId":323},"328":{"Id":154703179,"L":6,"T":2,"O":328,"P":5,"U":"O","R":"1","D":"CountryCode_05","PId":323},"329":{"Id":1821825814,"L":5,"T":2,"O":329,"P":12,"U":"O","R":"1","D":"SpecialProgramIndicator_12","PId":309},"330":{"Id":200506270,"L":5,"T":2,"O":330,"P":13,"U":"O","R":"1","D":"YesNoConditionorResponseCode_13","PId":309},"331":{"Id":1312097468,"L":5,"T":2,"O":331,"P":14,"U":"O","R":"1","D":"LevelofServiceCode_14","PId":309},"332":{"Id":200506270,"L":5,"T":2,"O":332,"P":15,"U":"O","R":"1","D":"YesNoConditionorResponseCode_15","PId":309},"333":{"Id":-206700199,"L":5,"T":2,"O":333,"P":16,"U":"O","R":"1","D":"ProviderAgreementCode_16","PId":309},"334":{"Id":-7428745,"L":5,"T":2,"O":334,"P":17,"U":"O","R":"1","D":"ClaimStatusCode_17","PId":309},"335":{"Id":200506270,"L":5,"T":2,"O":335,"P":18,"U":"O","R":"1","D":"YesNoConditionorResponseCode_18","PId":309},"336":{"Id":1412709936,"L":5,"T":2,"O":336,"P":19,"U":"O","R":"1","D":"PredeterminationofBenefitsCode_19","PId":309},"337":{"Id":540760369,"L":5,"T":2,"O":337,"P":20,"U":"O","R":"1","D":"DelayReasonCode_20","PId":309},"338":{"Id":-128998098,"L":4,"T":7,"O":338,"P":2,"U":"O","R":"1","D":"AllDTP","PId":308},"339":{"Id":297007786,"L":5,"T":5,"O":339,"P":1,"U":"O","R":"1","D":"DTP_DateInitialTreatment","PId":338},"340":{"Id":-861879855,"L":6,"T":2,"O":340,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":339},"341":{"Id":-9291472,"L":6,"T":2,"O":341,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":339},"342":{"Id":-71249891,"L":6,"T":2,"O":342,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":339},"343":{"Id":1086133837,"L":5,"T":5,"O":343,"P":2,"U":"O","R":"1","D":"DTP_DateDateLastSeen","PId":338},"344":{"Id":-828324617,"L":6,"T":2,"O":344,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":343},"345":{"Id":-9291472,"L":6,"T":2,"O":345,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":343},"346":{"Id":-71249891,"L":6,"T":2,"O":346,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":343},"347":{"Id":1403081398,"L":5,"T":5,"O":347,"P":3,"U":"O","R":"1","D":"DTP_DateOnsetOfCurrentIllnessSymptom","PId":338},"348":{"Id":-1029950235,"L":6,"T":2,"O":348,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":347},"349":{"Id":-9291472,"L":6,"T":2,"O":349,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":347},"350":{"Id":-71249891,"L":6,"T":2,"O":350,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":347},"351":{"Id":-1074848520,"L":5,"T":5,"O":351,"P":4,"U":"O","R":"5","D":"DTP_DateAcuteManifestation","PId":338},"352":{"Id":-912212712,"L":6,"T":2,"O":352,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":351},"353":{"Id":-9291472,"L":6,"T":2,"O":353,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":351},"354":{"Id":-71249891,"L":6,"T":2,"O":354,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":351},"355":{"Id":-2010800889,"L":5,"T":5,"O":355,"P":5,"U":"O","R":"10","D":"DTP_DateSimilarIllnessSymptomOnset","PId":338},"356":{"Id":-878657474,"L":6,"T":2,"O":356,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":355},"357":{"Id":-9291472,"L":6,"T":2,"O":357,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":355},"358":{"Id":-71249891,"L":6,"T":2,"O":358,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":355},"359":{"Id":1560345131,"L":5,"T":5,"O":359,"P":6,"U":"O","R":"10","D":"DTP_DateAccident","PId":338},"360":{"Id":-198388258,"L":6,"T":2,"O":360,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":359},"361":{"Id":57819004,"L":6,"T":2,"O":361,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":359},"362":{"Id":-71249891,"L":6,"T":2,"O":362,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":359},"363":{"Id":1655392772,"L":5,"T":5,"O":363,"P":7,"U":"O","R":"1","D":"DTP_DateLastMenstrualPeriod","PId":338},"364":{"Id":-181610639,"L":6,"T":2,"O":364,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":363},"365":{"Id":-9291472,"L":6,"T":2,"O":365,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":363},"366":{"Id":-71249891,"L":6,"T":2,"O":366,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":363},"367":{"Id":-1457715526,"L":5,"T":5,"O":367,"P":8,"U":"O","R":"1","D":"DTP_DateLastXray","PId":338},"368":{"Id":-895435093,"L":6,"T":2,"O":368,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":367},"369":{"Id":-9291472,"L":6,"T":2,"O":369,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":367},"370":{"Id":-71249891,"L":6,"T":2,"O":370,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":367},"371":{"Id":465761463,"L":5,"T":5,"O":371,"P":9,"U":"O","R":"1","D":"DTP_DateHearingAndVisionPrescriptionDate","PId":338},"372":{"Id":-997233640,"L":6,"T":2,"O":372,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":371},"373":{"Id":-9291472,"L":6,"T":2,"O":373,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":371},"374":{"Id":-71249891,"L":6,"T":2,"O":374,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":371},"375":{"Id":1108484533,"L":5,"T":5,"O":375,"P":10,"U":"O","R":"5","D":"DTP_DateDisabilityBegin","PId":338},"376":{"Id":-980456021,"L":6,"T":2,"O":376,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":375},"377":{"Id":-9291472,"L":6,"T":2,"O":377,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":375},"378":{"Id":-71249891,"L":6,"T":2,"O":378,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":375},"379":{"Id":-1330495051,"L":5,"T":5,"O":379,"P":11,"U":"O","R":"5","D":"DTP_DateDisabilityEnd","PId":338},"380":{"Id":-963678402,"L":6,"T":2,"O":380,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":379},"381":{"Id":-9291472,"L":6,"T":2,"O":381,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":379},"382":{"Id":-71249891,"L":6,"T":2,"O":382,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":379},"383":{"Id":202994174,"L":5,"T":5,"O":383,"P":12,"U":"O","R":"1","D":"DTP_DateLastWorked","PId":338},"384":{"Id":-946900783,"L":6,"T":2,"O":384,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":383},"385":{"Id":-9291472,"L":6,"T":2,"O":385,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":383},"386":{"Id":-71249891,"L":6,"T":2,"O":386,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":383},"387":{"Id":722991649,"L":5,"T":5,"O":387,"P":13,"U":"O","R":"1","D":"DTP_DateAuthorizedReturnToWork","PId":338},"388":{"Id":-930123164,"L":6,"T":2,"O":388,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":387},"389":{"Id":-9291472,"L":6,"T":2,"O":389,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":387},"390":{"Id":-71249891,"L":6,"T":2,"O":390,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":387},"391":{"Id":-467238253,"L":5,"T":5,"O":391,"P":14,"U":"O","R":"1","D":"DTP_DateAdmission","PId":338},"392":{"Id":-131277782,"L":6,"T":2,"O":392,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":391},"393":{"Id":-9291472,"L":6,"T":2,"O":393,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":391},"394":{"Id":-71249891,"L":6,"T":2,"O":394,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":391},"395":{"Id":-495808454,"L":5,"T":5,"O":395,"P":15,"U":"O","R":"1","D":"DTP_DateDischarge","PId":338},"396":{"Id":-114500163,"L":6,"T":2,"O":396,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":395},"397":{"Id":-9291472,"L":6,"T":2,"O":397,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":395},"398":{"Id":-71249891,"L":6,"T":2,"O":398,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":395},"399":{"Id":647874844,"L":5,"T":5,"O":399,"P":16,"U":"O","R":"2","D":"DTP_DateAssumedAndRelinquishedCareDates","PId":338},"400":{"Id":-913345545,"L":6,"T":2,"O":400,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":399},"401":{"Id":-9291472,"L":6,"T":2,"O":401,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":399},"402":{"Id":-71249891,"L":6,"T":2,"O":402,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":399},"403":{"Id":-1781312048,"L":4,"T":5,"O":403,"P":3,"U":"O","R":"10","D":"PWK_ClaimSupplementalInformation","PId":308},"404":{"Id":-1044162135,"L":5,"T":2,"O":404,"P":1,"U":"M","R":"1","D":"AttachmentReportTypeCode_01","PId":403},"405":{"Id":-882950394,"L":5,"T":2,"O":405,"P":2,"U":"M","R":"1","D":"ReportTransmissionCode_02","PId":403},"406":{"Id":-715421435,"L":5,"T":2,"O":406,"P":3,"U":"O","R":"1","D":"ReportCopiesNeeded_03","PId":403},"407":{"Id":154703179,"L":5,"T":2,"O":407,"P":4,"U":"O","R":"1","D":"EntityIdentifierCode_04","PId":403},"408":{"Id":42395945,"L":5,"T":2,"O":408,"P":5,"U":"O","R":"1","D":"IdentificationCodeQualifier_05","PId":403},"409":{"Id":-359602736,"L":5,"T":2,"O":409,"P":6,"U":"O","R":"1","D":"AttachmentControlNumber_06","PId":403},"410":{"Id":1570531853,"L":5,"T":2,"O":410,"P":7,"U":"O","R":"1","D":"AttachmentDescription_07","PId":403},"411":{"Id":200506270,"L":5,"T":2,"O":411,"P":8,"U":"O","R":"1","D":"ActionsIndicated_08","PId":403},"412":{"Id":-7428745,"L":5,"T":2,"O":412,"P":9,"U":"O","R":"1","D":"RequestCategoryCode_09","PId":403},"413":{"Id":-1393220058,"L":4,"T":5,"O":413,"P":4,"U":"O","R":"1","D":"CN1_ContractInformation","PId":308},"414":{"Id":1028796692,"L":5,"T":2,"O":414,"P":1,"U":"M","R":"1","D":"ContractTypeCode_01","PId":413},"415":{"Id":182276227,"L":5,"T":2,"O":415,"P":2,"U":"O","R":"1","D":"ContractAmount_02","PId":413},"416":{"Id":182276227,"L":5,"T":2,"O":416,"P":3,"U":"O","R":"1","D":"ContractPercentage_03","PId":413},"417":{"Id":-272333178,"L":5,"T":2,"O":417,"P":4,"U":"O","R":"1","D":"ContractCode_04","PId":413},"418":{"Id":182276227,"L":5,"T":2,"O":418,"P":5,"U":"O","R":"1","D":"TermsDiscountPercentage_05","PId":413},"419":{"Id":-272333178,"L":5,"T":2,"O":419,"P":6,"U":"O","R":"1","D":"ContractVersionIdentifier_06","PId":413},"420":{"Id":-583219569,"L":4,"T":7,"O":420,"P":5,"U":"O","R":"1","D":"AllAMT","PId":308},"421":{"Id":-831598885,"L":5,"T":5,"O":421,"P":1,"U":"O","R":"1","D":"AMT_CreditDebitCardMaximumAmount","PId":420},"422":{"Id":675398837,"L":6,"T":2,"O":422,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":421},"423":{"Id":182276227,"L":6,"T":2,"O":423,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":421},"424":{"Id":200506270,"L":6,"T":2,"O":424,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":421},"425":{"Id":-1742434287,"L":5,"T":5,"O":425,"P":2,"U":"O","R":"1","D":"AMT_PatientAmountPaid","PId":420},"426":{"Id":557955504,"L":6,"T":2,"O":426,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":425},"427":{"Id":182276227,"L":6,"T":2,"O":427,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":425},"428":{"Id":200506270,"L":6,"T":2,"O":428,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":425},"429":{"Id":-691988050,"L":5,"T":5,"O":429,"P":3,"U":"O","R":"1","D":"AMT_TotalPurchasedServiceAmount","PId":420},"430":{"Id":1618760864,"L":6,"T":2,"O":430,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":429},"431":{"Id":182276227,"L":6,"T":2,"O":431,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":429},"432":{"Id":200506270,"L":6,"T":2,"O":432,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":429},"433":{"Id":-1056831757,"L":4,"T":7,"O":433,"P":6,"U":"O","R":"1","D":"AllREF","PId":308},"434":{"Id":-271478145,"L":5,"T":5,"O":434,"P":1,"U":"O","R":"1","D":"REF_ServiceAuthorizationExceptionCode","PId":433},"435":{"Id":183964368,"L":6,"T":2,"O":435,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":434},"436":{"Id":-272333178,"L":6,"T":2,"O":436,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":434},"437":{"Id":1570531853,"L":6,"T":2,"O":437,"P":3,"U":"O","R":"1","D":"Description_03","PId":434},"438":{"Id":200506270,"L":6,"T":2,"O":438,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":434},"439":{"Id":572617023,"L":5,"T":5,"O":439,"P":2,"U":"O","R":"1","D":"REF_MandatoryMedicareSection4081CrossoverIndicator","PId":433},"440":{"Id":-1862213602,"L":6,"T":2,"O":440,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":439},"441":{"Id":-272333178,"L":6,"T":2,"O":441,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":439},"442":{"Id":1570531853,"L":6,"T":2,"O":442,"P":3,"U":"O","R":"1","D":"Description_03","PId":439},"443":{"Id":200506270,"L":6,"T":2,"O":443,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":439},"444":{"Id":-83225020,"L":5,"T":5,"O":444,"P":3,"U":"O","R":"1","D":"REF_MammographyCertificationNumber","PId":433},"445":{"Id":-1945954602,"L":6,"T":2,"O":445,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":444},"446":{"Id":-272333178,"L":6,"T":2,"O":446,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":444},"447":{"Id":1570531853,"L":6,"T":2,"O":447,"P":3,"U":"O","R":"1","D":"Description_03","PId":444},"448":{"Id":200506270,"L":6,"T":2,"O":448,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":444},"449":{"Id":1088239961,"L":5,"T":5,"O":449,"P":4,"U":"O","R":"2","D":"REF_PriorAuthorizationOrReferralNumber","PId":433},"450":{"Id":486108605,"L":6,"T":2,"O":450,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":449},"451":{"Id":-272333178,"L":6,"T":2,"O":451,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":449},"452":{"Id":1570531853,"L":6,"T":2,"O":452,"P":3,"U":"O","R":"1","D":"Description_03","PId":449},"453":{"Id":200506270,"L":6,"T":2,"O":453,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":449},"454":{"Id":1349801857,"L":5,"T":5,"O":454,"P":5,"U":"O","R":"1","D":"REF_OriginalReferenceNumberICNDCN","PId":433},"455":{"Id":217519606,"L":6,"T":2,"O":455,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":454},"456":{"Id":-272333178,"L":6,"T":2,"O":456,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":454},"457":{"Id":1570531853,"L":6,"T":2,"O":457,"P":3,"U":"O","R":"1","D":"Description_03","PId":454},"458":{"Id":200506270,"L":6,"T":2,"O":458,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":454},"459":{"Id":-653629759,"L":5,"T":5,"O":459,"P":6,"U":"O","R":"3","D":"REF_ClinicalLaboratoryImprovementAmendmentCLIANumber","PId":433},"460":{"Id":-1761400793,"L":6,"T":2,"O":460,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":459},"461":{"Id":-272333178,"L":6,"T":2,"O":461,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":459},"462":{"Id":1570531853,"L":6,"T":2,"O":462,"P":3,"U":"O","R":"1","D":"Description_03","PId":459},"463":{"Id":200506270,"L":6,"T":2,"O":463,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":459},"464":{"Id":-2117251260,"L":5,"T":5,"O":464,"P":7,"U":"O","R":"1","D":"REF_RepricedClaimNumber","PId":433},"465":{"Id":301407701,"L":6,"T":2,"O":465,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":464},"466":{"Id":-272333178,"L":6,"T":2,"O":466,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":464},"467":{"Id":1570531853,"L":6,"T":2,"O":467,"P":3,"U":"O","R":"1","D":"Description_03","PId":464},"468":{"Id":200506270,"L":6,"T":2,"O":468,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":464},"469":{"Id":-1758888618,"L":5,"T":5,"O":469,"P":8,"U":"O","R":"1","D":"REF_AdjustedRepricedClaimNumber","PId":433},"470":{"Id":284630082,"L":6,"T":2,"O":470,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":469},"471":{"Id":-272333178,"L":6,"T":2,"O":471,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":469},"472":{"Id":1570531853,"L":6,"T":2,"O":472,"P":3,"U":"O","R":"1","D":"Description_03","PId":469},"473":{"Id":200506270,"L":6,"T":2,"O":473,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":469},"474":{"Id":-40087136,"L":5,"T":5,"O":474,"P":9,"U":"O","R":"1","D":"REF_InvestigationalDeviceExemptionNumber","PId":433},"475":{"Id":234297225,"L":6,"T":2,"O":475,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":474},"476":{"Id":-272333178,"L":6,"T":2,"O":476,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":474},"477":{"Id":1570531853,"L":6,"T":2,"O":477,"P":3,"U":"O","R":"1","D":"Description_03","PId":474},"478":{"Id":200506270,"L":6,"T":2,"O":478,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":474},"479":{"Id":1744730155,"L":5,"T":5,"O":479,"P":10,"U":"O","R":"1","D":"REF_ClaimIdentificationNumberForClearingHousesAndOtherTransmissionIntermediaries","PId":433},"480":{"Id":251074844,"L":6,"T":2,"O":480,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":479},"481":{"Id":-272333178,"L":6,"T":2,"O":481,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":479},"482":{"Id":1570531853,"L":6,"T":2,"O":482,"P":3,"U":"O","R":"1","D":"Description_03","PId":479},"483":{"Id":200506270,"L":6,"T":2,"O":483,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":479},"484":{"Id":-703331775,"L":5,"T":5,"O":484,"P":11,"U":"O","R":"4","D":"REF_AmbulatoryPatientGroupAPG","PId":433},"485":{"Id":-1979656935,"L":6,"T":2,"O":485,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":484},"486":{"Id":-272333178,"L":6,"T":2,"O":486,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":484},"487":{"Id":1570531853,"L":6,"T":2,"O":487,"P":3,"U":"O","R":"1","D":"Description_03","PId":484},"488":{"Id":200506270,"L":6,"T":2,"O":488,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":484},"489":{"Id":713378515,"L":5,"T":5,"O":489,"P":12,"U":"O","R":"1","D":"REF_MedicalRecordNumber","PId":433},"490":{"Id":418851034,"L":6,"T":2,"O":490,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":489},"491":{"Id":-272333178,"L":6,"T":2,"O":491,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":489},"492":{"Id":1570531853,"L":6,"T":2,"O":492,"P":3,"U":"O","R":"1","D":"Description_03","PId":489},"493":{"Id":200506270,"L":6,"T":2,"O":493,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":489},"494":{"Id":24692830,"L":5,"T":5,"O":494,"P":13,"U":"O","R":"1","D":"REF_DemonstrationProjectIdentifier","PId":433},"495":{"Id":435628653,"L":6,"T":2,"O":495,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":494},"496":{"Id":-272333178,"L":6,"T":2,"O":496,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":494},"497":{"Id":1570531853,"L":6,"T":2,"O":497,"P":3,"U":"O","R":"1","D":"Description_03","PId":494},"498":{"Id":200506270,"L":6,"T":2,"O":498,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":494},"499":{"Id":1598543690,"L":4,"T":5,"O":499,"P":7,"U":"O","R":"10","D":"K3_FileInformation","PId":308},"500":{"Id":1570531853,"L":5,"T":2,"O":500,"P":1,"U":"M","R":"1","D":"FixedFormatInformation_01","PId":499},"501":{"Id":-7428745,"L":5,"T":2,"O":501,"P":2,"U":"O","R":"1","D":"RecordFormatCode_02","PId":499},"502":{"Id":200506270,"L":5,"T":2,"O":502,"P":3,"U":"O","R":"1","D":"CompositeUnitOfMeasure_03","PId":499},"503":{"Id":1079048083,"L":4,"T":5,"O":503,"P":8,"U":"O","R":"1","D":"NTE_ClaimNote","PId":308},"504":{"Id":-1569113574,"L":5,"T":2,"O":504,"P":1,"U":"M","R":"1","D":"NoteReferenceCode_01","PId":503},"505":{"Id":1570531853,"L":5,"T":2,"O":505,"P":2,"U":"M","R":"1","D":"BillingNoteText_02","PId":503},"506":{"Id":1090803551,"L":4,"T":5,"O":506,"P":9,"U":"O","R":"1","D":"CR1_AmbulanceTransportInformation","PId":308},"507":{"Id":439302205,"L":5,"T":2,"O":507,"P":1,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_01","PId":506},"508":{"Id":182276227,"L":5,"T":2,"O":508,"P":2,"U":"O","R":"1","D":"PatientWeight_02","PId":506},"509":{"Id":1941570508,"L":5,"T":2,"O":509,"P":3,"U":"M","R":"1","D":"AmbulanceTransportCode_03","PId":506},"510":{"Id":1958348127,"L":5,"T":2,"O":510,"P":4,"U":"M","R":"1","D":"AmbulanceTransportReasonCode_04","PId":506},"511":{"Id":405746967,"L":5,"T":2,"O":511,"P":5,"U":"M","R":"1","D":"UnitorBasisforMeasurementCode_05","PId":506},"512":{"Id":182276227,"L":5,"T":2,"O":512,"P":6,"U":"M","R":"1","D":"TransportDistance_06","PId":506},"513":{"Id":-519081633,"L":5,"T":2,"O":513,"P":7,"U":"O","R":"1","D":"AddressInformation_07","PId":506},"514":{"Id":-519081633,"L":5,"T":2,"O":514,"P":8,"U":"O","R":"1","D":"AddressInformation_08","PId":506},"515":{"Id":1570531853,"L":5,"T":2,"O":515,"P":9,"U":"O","R":"1","D":"RoundTripPurposeDescription_09","PId":506},"516":{"Id":1570531853,"L":5,"T":2,"O":516,"P":10,"U":"O","R":"1","D":"StretcherPurposeDescription_10","PId":506},"517":{"Id":1570775536,"L":4,"T":5,"O":517,"P":10,"U":"O","R":"1","D":"CR2_SpinalManipulationServiceInformation","PId":308},"518":{"Id":-715421435,"L":5,"T":2,"O":518,"P":1,"U":"O","R":"1","D":"Count_01","PId":517},"519":{"Id":182276227,"L":5,"T":2,"O":519,"P":2,"U":"O","R":"1","D":"Quantity_02","PId":517},"520":{"Id":154703179,"L":5,"T":2,"O":520,"P":3,"U":"O","R":"1","D":"SubluxationLevelCode_03","PId":517},"521":{"Id":154703179,"L":5,"T":2,"O":521,"P":4,"U":"O","R":"1","D":"SubluxationLevelCode_04","PId":517},"522":{"Id":1412709936,"L":5,"T":2,"O":522,"P":5,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_05","PId":517},"523":{"Id":182276227,"L":5,"T":2,"O":523,"P":6,"U":"O","R":"1","D":"Quantity_06","PId":517},"524":{"Id":182276227,"L":5,"T":2,"O":524,"P":7,"U":"O","R":"1","D":"Quantity_07","PId":517},"525":{"Id":28480657,"L":5,"T":2,"O":525,"P":8,"U":"M","R":"1","D":"PatientConditionCode_08","PId":517},"526":{"Id":200506270,"L":5,"T":2,"O":526,"P":9,"U":"O","R":"1","D":"YesNoConditionorResponseCode_09","PId":517},"527":{"Id":1570531853,"L":5,"T":2,"O":527,"P":10,"U":"O","R":"1","D":"PatientConditionDescription_10","PId":517},"528":{"Id":1570531853,"L":5,"T":2,"O":528,"P":11,"U":"O","R":"1","D":"PatientConditionDescription_11","PId":517},"529":{"Id":-70806063,"L":5,"T":2,"O":529,"P":12,"U":"O","R":"1","D":"YesNoConditionorResponseCode_12","PId":517},"530":{"Id":-2089577024,"L":4,"T":7,"O":530,"P":11,"U":"O","R":"1","D":"AllCRC","PId":308},"531":{"Id":998413964,"L":5,"T":5,"O":531,"P":1,"U":"O","R":"3","D":"CRC_AmbulanceCertification","PId":530},"532":{"Id":-1081394817,"L":6,"T":2,"O":532,"P":1,"U":"M","R":"1","D":"CodeCategory_01","PId":531},"533":{"Id":-70806063,"L":6,"T":2,"O":533,"P":2,"U":"M","R":"1","D":"CertificationConditionIndicator_02","PId":531},"534":{"Id":603702408,"L":6,"T":2,"O":534,"P":3,"U":"M","R":"1","D":"ConditionCode_03","PId":531},"535":{"Id":603702408,"L":6,"T":2,"O":535,"P":4,"U":"O","R":"1","D":"ConditionCode_04","PId":531},"536":{"Id":603702408,"L":6,"T":2,"O":536,"P":5,"U":"O","R":"1","D":"ConditionCode_05","PId":531},"537":{"Id":603702408,"L":6,"T":2,"O":537,"P":6,"U":"O","R":"1","D":"ConditionCode_06","PId":531},"538":{"Id":603702408,"L":6,"T":2,"O":538,"P":7,"U":"O","R":"1","D":"ConditionCode_07","PId":531},"539":{"Id":-2109336164,"L":5,"T":5,"O":539,"P":2,"U":"O","R":"3","D":"CRC_PatientConditionInformationVision","PId":530},"540":{"Id":-1014284341,"L":6,"T":2,"O":540,"P":1,"U":"M","R":"1","D":"CodeCategory_01","PId":539},"541":{"Id":-70806063,"L":6,"T":2,"O":541,"P":2,"U":"M","R":"1","D":"CertificationConditionIndicator_02","PId":539},"542":{"Id":-513477378,"L":6,"T":2,"O":542,"P":3,"U":"M","R":"1","D":"ConditionCode_03","PId":539},"543":{"Id":-513477378,"L":6,"T":2,"O":543,"P":4,"U":"O","R":"1","D":"ConditionCode_04","PId":539},"544":{"Id":-513477378,"L":6,"T":2,"O":544,"P":5,"U":"O","R":"1","D":"ConditionCode_05","PId":539},"545":{"Id":-513477378,"L":6,"T":2,"O":545,"P":6,"U":"O","R":"1","D":"ConditionCode_06","PId":539},"546":{"Id":-513477378,"L":6,"T":2,"O":546,"P":7,"U":"O","R":"1","D":"ConditionCode_07","PId":539},"547":{"Id":-534897714,"L":5,"T":5,"O":547,"P":3,"U":"O","R":"1","D":"CRC_HomeboundIndicator","PId":530},"548":{"Id":-567596076,"L":6,"T":2,"O":548,"P":1,"U":"M","R":"1","D":"CodeCategory_01","PId":547},"549":{"Id":-87583682,"L":6,"T":2,"O":549,"P":2,"U":"M","R":"1","D":"CertificationConditionIndicator_02","PId":547},"550":{"Id":570147170,"L":6,"T":2,"O":550,"P":3,"U":"M","R":"1","D":"ConditionCode_03","PId":547},"551":{"Id":1412709936,"L":6,"T":2,"O":551,"P":4,"U":"O","R":"1","D":"ConditionCode_04","PId":547},"552":{"Id":1412709936,"L":6,"T":2,"O":552,"P":5,"U":"O","R":"1","D":"ConditionCode_05","PId":547},"553":{"Id":1412709936,"L":6,"T":2,"O":553,"P":6,"U":"O","R":"1","D":"ConditionCode_06","PId":547},"554":{"Id":1412709936,"L":6,"T":2,"O":554,"P":7,"U":"O","R":"1","D":"ConditionCode_07","PId":547},"555":{"Id":1702744939,"L":5,"T":5,"O":555,"P":4,"U":"O","R":"1","D":"CRC_EPSDTReferral","PId":530},"556":{"Id":-1031061960,"L":6,"T":2,"O":556,"P":1,"U":"M","R":"1","D":"CodeCategory_01","PId":555},"557":{"Id":-70806063,"L":6,"T":2,"O":557,"P":2,"U":"M","R":"1","D":"CertificationConditionIndicator_02","PId":555},"558":{"Id":586924789,"L":6,"T":2,"O":558,"P":3,"U":"M","R":"1","D":"ConditionCode_03","PId":555},"559":{"Id":586924789,"L":6,"T":2,"O":559,"P":4,"U":"O","R":"1","D":"ConditionCode_04","PId":555},"560":{"Id":586924789,"L":6,"T":2,"O":560,"P":5,"U":"O","R":"1","D":"ConditionCode_05","PId":555},"561":{"Id":1412709936,"L":6,"T":2,"O":561,"P":6,"U":"O","R":"1","D":"ConditionCode_06","PId":555},"562":{"Id":1412709936,"L":6,"T":2,"O":562,"P":7,"U":"O","R":"1","D":"ConditionCode_07","PId":555},"563":{"Id":1044764962,"L":4,"T":5,"O":563,"P":12,"U":"O","R":"1","D":"HI_HealthCareDiagnosisCode","PId":308},"564":{"Id":1368330107,"L":5,"T":4,"O":564,"P":1,"U":"M","R":"1","D":"HealthCareCodeInformation_01","PId":563},"565":{"Id":-825945055,"L":6,"T":2,"O":565,"P":1,"U":"M","R":"1","D":"CodeListQualifierCode_01","PId":564},"566":{"Id":-272333178,"L":6,"T":2,"O":566,"P":2,"U":"M","R":"1","D":"IndustryCode_02","PId":564},"567":{"Id":154703179,"L":6,"T":2,"O":567,"P":3,"U":"O","R":"1","D":"DateTimePeriodFormatQualifier_03","PId":564},"568":{"Id":-71249891,"L":6,"T":2,"O":568,"P":4,"U":"O","R":"1","D":"DateTimePeriod_04","PId":564},"569":{"Id":182276227,"L":6,"T":2,"O":569,"P":5,"U":"O","R":"1","D":"MonetaryAmount_05","PId":564},"570":{"Id":182276227,"L":6,"T":2,"O":570,"P":6,"U":"O","R":"1","D":"Quantity_06","PId":564},"571":{"Id":-272333178,"L":6,"T":2,"O":571,"P":7,"U":"O","R":"1","D":"VersionIdentifier_07","PId":564},"572":{"Id":70008795,"L":5,"T":4,"O":572,"P":2,"U":"O","R":"1","D":"HealthCareCodeInformation_02","PId":563},"573":{"Id":-775612198,"L":6,"T":2,"O":573,"P":1,"U":"M","R":"1","D":"CodeListQualifierCode_01","PId":572},"574":{"Id":-272333178,"L":6,"T":2,"O":574,"P":2,"U":"M","R":"1","D":"IndustryCode_02","PId":572},"575":{"Id":154703179,"L":6,"T":2,"O":575,"P":3,"U":"O","R":"1","D":"DateTimePeriodFormatQualifier_03","PId":572},"576":{"Id":-71249891,"L":6,"T":2,"O":576,"P":4,"U":"O","R":"1","D":"DateTimePeriod_04","PId":572},"577":{"Id":182276227,"L":6,"T":2,"O":577,"P":5,"U":"O","R":"1","D":"MonetaryAmount_05","PId":572},"578":{"Id":182276227,"L":6,"T":2,"O":578,"P":6,"U":"O","R":"1","D":"Quantity_06","PId":572},"579":{"Id":-272333178,"L":6,"T":2,"O":579,"P":7,"U":"O","R":"1","D":"VersionIdentifier_07","PId":572},"580":{"Id":70008795,"L":5,"T":4,"O":580,"P":3,"U":"O","R":"1","D":"HealthCareCodeInformation_03","PId":563},"581":{"Id":70008795,"L":5,"T":4,"O":581,"P":4,"U":"O","R":"1","D":"HealthCareCodeInformation_04","PId":563},"582":{"Id":70008795,"L":5,"T":4,"O":582,"P":5,"U":"O","R":"1","D":"HealthCareCodeInformation_05","PId":563},"583":{"Id":70008795,"L":5,"T":4,"O":583,"P":6,"U":"O","R":"1","D":"HealthCareCodeInformation_06","PId":563},"584":{"Id":70008795,"L":5,"T":4,"O":584,"P":7,"U":"O","R":"1","D":"HealthCareCodeInformation_07","PId":563},"585":{"Id":70008795,"L":5,"T":4,"O":585,"P":8,"U":"O","R":"1","D":"HealthCareCodeInformation_08","PId":563},"586":{"Id":200506270,"L":5,"T":2,"O":586,"P":9,"U":"O","R":"1","D":"C022_09","PId":563},"587":{"Id":200506270,"L":5,"T":2,"O":587,"P":10,"U":"O","R":"1","D":"C022_10","PId":563},"588":{"Id":200506270,"L":5,"T":2,"O":588,"P":11,"U":"O","R":"1","D":"C022_11","PId":563},"589":{"Id":200506270,"L":5,"T":2,"O":589,"P":12,"U":"O","R":"1","D":"C022_12","PId":563},"590":{"Id":-1985398628,"L":4,"T":5,"O":590,"P":13,"U":"O","R":"1","D":"HCP_ClaimPricingRepricingInformation","PId":308},"591":{"Id":-2048449147,"L":5,"T":2,"O":591,"P":1,"U":"M","R":"1","D":"PricingMethodology_01","PId":590},"592":{"Id":182276227,"L":5,"T":2,"O":592,"P":2,"U":"M","R":"1","D":"RepricedAllowedAmount_02","PId":590},"593":{"Id":182276227,"L":5,"T":2,"O":593,"P":3,"U":"O","R":"1","D":"RepricedSavingAmount_03","PId":590},"594":{"Id":-272333178,"L":5,"T":2,"O":594,"P":4,"U":"O","R":"1","D":"RepricingOrganizationIdentifier_04","PId":590},"595":{"Id":182276227,"L":5,"T":2,"O":595,"P":5,"U":"O","R":"1","D":"RepricingPerDiemorFlatRateAmount_05","PId":590},"596":{"Id":-272333178,"L":5,"T":2,"O":596,"P":6,"U":"O","R":"1","D":"RepricedApprovedAmbulatoryPatientGroupCode_06","PId":590},"597":{"Id":182276227,"L":5,"T":2,"O":597,"P":7,"U":"O","R":"1","D":"MonetaryAmount_07","PId":590},"598":{"Id":-1253920903,"L":5,"T":2,"O":598,"P":8,"U":"O","R":"1","D":"ProductServiceID_08","PId":590},"599":{"Id":1412709936,"L":5,"T":2,"O":599,"P":9,"U":"O","R":"1","D":"ProductServiceIDQualifier_09","PId":590},"600":{"Id":-1253920903,"L":5,"T":2,"O":600,"P":10,"U":"O","R":"1","D":"ProductServiceID_10","PId":590},"601":{"Id":1412709936,"L":5,"T":2,"O":601,"P":11,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_11","PId":590},"602":{"Id":182276227,"L":5,"T":2,"O":602,"P":12,"U":"O","R":"1","D":"Quantity_12","PId":590},"603":{"Id":-2039750936,"L":5,"T":2,"O":603,"P":13,"U":"O","R":"1","D":"RejectReasonCode_13","PId":590},"604":{"Id":747835837,"L":5,"T":2,"O":604,"P":14,"U":"O","R":"1","D":"PolicyComplianceCode_14","PId":590},"605":{"Id":731058218,"L":5,"T":2,"O":605,"P":15,"U":"O","R":"1","D":"ExceptionCode_15","PId":590},"606":{"Id":1871338148,"L":4,"T":6,"O":606,"P":14,"U":"O","R":"6","D":"Loop2305","PId":308},"607":{"Id":1372255379,"L":5,"T":5,"O":607,"P":1,"U":"M","R":"1","D":"CR7_HomeHealthCarePlanInformation","PId":606},"608":{"Id":-1408649161,"L":6,"T":2,"O":608,"P":1,"U":"M","R":"1","D":"DisciplineTypeCode_01","PId":607},"609":{"Id":-715421435,"L":6,"T":2,"O":609,"P":2,"U":"M","R":"1","D":"TotalVisitsRenderedCount_02","PId":607},"610":{"Id":-715421435,"L":6,"T":2,"O":610,"P":3,"U":"M","R":"1","D":"CertificationPeriodProjectedVisitCount_03","PId":607},"611":{"Id":-1932369209,"L":5,"T":5,"O":611,"P":2,"U":"O","R":"3","D":"HSD_HealthCareServicesDelivery","PId":606},"612":{"Id":-1223745675,"L":6,"T":2,"O":612,"P":1,"U":"O","R":"1","D":"QuantityQualifier_01","PId":611},"613":{"Id":182276227,"L":6,"T":2,"O":613,"P":2,"U":"O","R":"1","D":"BenefitQuantity_02","PId":611},"614":{"Id":1135817798,"L":6,"T":2,"O":614,"P":3,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_03","PId":611},"615":{"Id":182276227,"L":6,"T":2,"O":615,"P":4,"U":"O","R":"1","D":"SampleSelectionModulus_04","PId":611},"616":{"Id":-911826939,"L":6,"T":2,"O":616,"P":5,"U":"O","R":"1","D":"TimePeriodQualifier_05","PId":611},"617":{"Id":-715421435,"L":6,"T":2,"O":617,"P":6,"U":"O","R":"1","D":"PeriodCount_06","PId":611},"618":{"Id":1217944936,"L":6,"T":2,"O":618,"P":7,"U":"O","R":"1","D":"DeliveryFrequencyCode_07","PId":611},"619":{"Id":1234722555,"L":6,"T":2,"O":619,"P":8,"U":"O","R":"1","D":"DeliveryPatternTimeCode_08","PId":611},"620":{"Id":937060922,"L":4,"T":7,"O":620,"P":15,"U":"O","R":"1","D":"All2310","PId":308},"621":{"Id":1760305572,"L":5,"T":6,"O":621,"P":1,"U":"O","R":"2","D":"Loop2310A","PId":620},"622":{"Id":1623049752,"L":6,"T":5,"O":622,"P":1,"U":"M","R":"1","D":"NM1_ReferringProviderName","PId":621},"623":{"Id":1720435798,"L":7,"T":2,"O":623,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":622},"624":{"Id":-498800139,"L":7,"T":2,"O":624,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":622},"625":{"Id":-71249891,"L":7,"T":2,"O":625,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":622},"626":{"Id":-219568840,"L":7,"T":2,"O":626,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":622},"627":{"Id":-219568840,"L":7,"T":2,"O":627,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":622},"628":{"Id":-1473959604,"L":7,"T":2,"O":628,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":622},"629":{"Id":-1473959604,"L":7,"T":2,"O":629,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":622},"630":{"Id":92728802,"L":7,"T":2,"O":630,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":622},"631":{"Id":-359602736,"L":7,"T":2,"O":631,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":622},"632":{"Id":1412709936,"L":7,"T":2,"O":632,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":622},"633":{"Id":154703179,"L":7,"T":2,"O":633,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":622},"634":{"Id":-860506799,"L":6,"T":5,"O":634,"P":2,"U":"O","R":"1","D":"PRV_ReferringProviderSpecialtyInformation","PId":621},"635":{"Id":1640431521,"L":7,"T":2,"O":635,"P":1,"U":"M","R":"1","D":"ProviderCode_01","PId":634},"636":{"Id":-799560795,"L":7,"T":2,"O":636,"P":2,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_02","PId":634},"637":{"Id":-272333178,"L":7,"T":2,"O":637,"P":3,"U":"M","R":"1","D":"ProviderTaxonomyCode_03","PId":634},"638":{"Id":1412709936,"L":7,"T":2,"O":638,"P":4,"U":"O","R":"1","D":"StateorProvinceCode_04","PId":634},"639":{"Id":200506270,"L":7,"T":2,"O":639,"P":5,"U":"O","R":"1","D":"ProviderSpecialtyInformation_05","PId":634},"640":{"Id":-791514334,"L":7,"T":2,"O":640,"P":6,"U":"O","R":"1","D":"ProviderOrganizationCode_06","PId":634},"641":{"Id":1789291152,"L":6,"T":5,"O":641,"P":3,"U":"O","R":"5","D":"REF_ReferringProviderSecondaryIdentification","PId":621},"642":{"Id":-1862066507,"L":7,"T":2,"O":642,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":641},"643":{"Id":-272333178,"L":7,"T":2,"O":643,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":641},"644":{"Id":1570531853,"L":7,"T":2,"O":644,"P":3,"U":"O","R":"1","D":"Description_03","PId":641},"645":{"Id":200506270,"L":7,"T":2,"O":645,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":641},"646":{"Id":1079745492,"L":5,"T":6,"O":646,"P":2,"U":"O","R":"1","D":"Loop2310B","PId":620},"647":{"Id":-27955432,"L":6,"T":5,"O":647,"P":1,"U":"M","R":"1","D":"NM1_RenderingProviderName","PId":646},"648":{"Id":1737360512,"L":7,"T":2,"O":648,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":647},"649":{"Id":-498800139,"L":7,"T":2,"O":649,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":647},"650":{"Id":-71249891,"L":7,"T":2,"O":650,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":647},"651":{"Id":-219568840,"L":7,"T":2,"O":651,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":647},"652":{"Id":-219568840,"L":7,"T":2,"O":652,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":647},"653":{"Id":-1473959604,"L":7,"T":2,"O":653,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":647},"654":{"Id":-1473959604,"L":7,"T":2,"O":654,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":647},"655":{"Id":92728802,"L":7,"T":2,"O":655,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":647},"656":{"Id":-359602736,"L":7,"T":2,"O":656,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":647},"657":{"Id":1412709936,"L":7,"T":2,"O":657,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":647},"658":{"Id":154703179,"L":7,"T":2,"O":658,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":647},"659":{"Id":361350945,"L":6,"T":5,"O":659,"P":2,"U":"O","R":"1","D":"PRV_RenderingProviderSpecialtyInformation","PId":646},"660":{"Id":1623653902,"L":7,"T":2,"O":660,"P":1,"U":"M","R":"1","D":"ProviderCode_01","PId":659},"661":{"Id":-799560795,"L":7,"T":2,"O":661,"P":2,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_02","PId":659},"662":{"Id":-272333178,"L":7,"T":2,"O":662,"P":3,"U":"M","R":"1","D":"ProviderTaxonomyCode_03","PId":659},"663":{"Id":1412709936,"L":7,"T":2,"O":663,"P":4,"U":"O","R":"1","D":"StateorProvinceCode_04","PId":659},"664":{"Id":200506270,"L":7,"T":2,"O":664,"P":5,"U":"O","R":"1","D":"ProviderSpecialtyInformation_05","PId":659},"665":{"Id":-791514334,"L":7,"T":2,"O":665,"P":6,"U":"O","R":"1","D":"ProviderOrganizationCode_06","PId":659},"666":{"Id":1789291152,"L":6,"T":5,"O":666,"P":3,"U":"O","R":"5","D":"REF_RenderingProviderSecondaryIdentification","PId":646},"667":{"Id":-836655292,"L":5,"T":6,"O":667,"P":3,"U":"O","R":"1","D":"Loop2310C","PId":620},"668":{"Id":-1703786240,"L":6,"T":5,"O":668,"P":1,"U":"M","R":"1","D":"NM1_PurchasedServiceProviderName","PId":667},"669":{"Id":1653178227,"L":7,"T":2,"O":669,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":668},"670":{"Id":-498800139,"L":7,"T":2,"O":670,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":668},"671":{"Id":-71249891,"L":7,"T":2,"O":671,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":668},"672":{"Id":-219568840,"L":7,"T":2,"O":672,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":668},"673":{"Id":-219568840,"L":7,"T":2,"O":673,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":668},"674":{"Id":-1473959604,"L":7,"T":2,"O":674,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":668},"675":{"Id":-1473959604,"L":7,"T":2,"O":675,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":668},"676":{"Id":92728802,"L":7,"T":2,"O":676,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":668},"677":{"Id":-359602736,"L":7,"T":2,"O":677,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":668},"678":{"Id":1412709936,"L":7,"T":2,"O":678,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":668},"679":{"Id":154703179,"L":7,"T":2,"O":679,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":668},"680":{"Id":-206081488,"L":6,"T":5,"O":680,"P":2,"U":"O","R":"5","D":"REF_PurchasedServiceProviderSecondaryIdentification","PId":667},"681":{"Id":-1962732221,"L":7,"T":2,"O":681,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":680},"682":{"Id":-272333178,"L":7,"T":2,"O":682,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":680},"683":{"Id":1570531853,"L":7,"T":2,"O":683,"P":3,"U":"O","R":"1","D":"Description_03","PId":680},"684":{"Id":200506270,"L":7,"T":2,"O":684,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":680},"685":{"Id":-910326692,"L":5,"T":6,"O":685,"P":4,"U":"O","R":"1","D":"Loop2310D","PId":620},"686":{"Id":199594327,"L":6,"T":5,"O":686,"P":1,"U":"M","R":"1","D":"NM1_ServiceFacilityLocation","PId":685},"687":{"Id":1904989607,"L":7,"T":2,"O":687,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":686},"688":{"Id":1620444627,"L":7,"T":2,"O":688,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":686},"689":{"Id":-71249891,"L":7,"T":2,"O":689,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":686},"690":{"Id":-219568840,"L":7,"T":2,"O":690,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":686},"691":{"Id":-219568840,"L":7,"T":2,"O":691,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":686},"692":{"Id":-1473959604,"L":7,"T":2,"O":692,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":686},"693":{"Id":-1473959604,"L":7,"T":2,"O":693,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":686},"694":{"Id":92728802,"L":7,"T":2,"O":694,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":686},"695":{"Id":-359602736,"L":7,"T":2,"O":695,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":686},"696":{"Id":1412709936,"L":7,"T":2,"O":696,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":686},"697":{"Id":154703179,"L":7,"T":2,"O":697,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":686},"698":{"Id":2099170077,"L":6,"T":5,"O":698,"P":2,"U":"M","R":"1","D":"N3_ServiceFacilityLocationAddress","PId":685},"699":{"Id":-501322166,"L":6,"T":5,"O":699,"P":3,"U":"M","R":"1","D":"N4_ServiceFacilityLocationCityStateZIP","PId":685},"700":{"Id":-1639252218,"L":6,"T":5,"O":700,"P":4,"U":"O","R":"5","D":"REF_ServiceFacilityLocationSecondaryIdentification","PId":685},"701":{"Id":-1878844126,"L":7,"T":2,"O":701,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":700},"702":{"Id":-272333178,"L":7,"T":2,"O":702,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":700},"703":{"Id":1570531853,"L":7,"T":2,"O":703,"P":3,"U":"O","R":"1","D":"Description_03","PId":700},"704":{"Id":200506270,"L":7,"T":2,"O":704,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":700},"705":{"Id":-208558716,"L":5,"T":6,"O":705,"P":5,"U":"O","R":"1","D":"Loop2310E","PId":620},"706":{"Id":1053487357,"L":6,"T":5,"O":706,"P":1,"U":"M","R":"1","D":"NM1_SupervisingProviderName","PId":705},"707":{"Id":1888211988,"L":7,"T":2,"O":707,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":706},"708":{"Id":-515577758,"L":7,"T":2,"O":708,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":706},"709":{"Id":-71249891,"L":7,"T":2,"O":709,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":706},"710":{"Id":-219568840,"L":7,"T":2,"O":710,"P":4,"U":"M","R":"1","D":"ResponseContactFirstName_04","PId":706},"711":{"Id":-219568840,"L":7,"T":2,"O":711,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":706},"712":{"Id":-1473959604,"L":7,"T":2,"O":712,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":706},"713":{"Id":-1473959604,"L":7,"T":2,"O":713,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":706},"714":{"Id":92728802,"L":7,"T":2,"O":714,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":706},"715":{"Id":-359602736,"L":7,"T":2,"O":715,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":706},"716":{"Id":1412709936,"L":7,"T":2,"O":716,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":706},"717":{"Id":154703179,"L":7,"T":2,"O":717,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":706},"718":{"Id":1789291152,"L":6,"T":5,"O":718,"P":2,"U":"O","R":"5","D":"REF_SupervisingProviderSecondaryIdentification","PId":705},"719":{"Id":49550835,"L":4,"T":6,"O":719,"P":16,"U":"O","R":"10","D":"Loop2320","PId":308},"720":{"Id":-1409226853,"L":5,"T":5,"O":720,"P":1,"U":"M","R":"1","D":"SBR_OtherSubscriberInformation","PId":719},"721":{"Id":-735372266,"L":6,"T":2,"O":721,"P":1,"U":"M","R":"1","D":"PayerResponsibilitySequenceNumberCode_01","PId":720},"722":{"Id":-1992391414,"L":6,"T":2,"O":722,"P":2,"U":"M","R":"1","D":"IndividualRelationshipCode_02","PId":720},"723":{"Id":-272333178,"L":6,"T":2,"O":723,"P":3,"U":"O","R":"1","D":"InsuredGrouporPolicyNumber_03","PId":720},"724":{"Id":-330917653,"L":6,"T":2,"O":724,"P":4,"U":"O","R":"1","D":"OtherInsuredGroupName_04","PId":720},"725":{"Id":-2052336816,"L":6,"T":2,"O":725,"P":5,"U":"M","R":"1","D":"InsuranceTypeCode_05","PId":720},"726":{"Id":200506270,"L":6,"T":2,"O":726,"P":6,"U":"O","R":"1","D":"CoordinationofBenefitsCode_06","PId":720},"727":{"Id":200506270,"L":6,"T":2,"O":727,"P":7,"U":"O","R":"1","D":"YesNoConditionorResponseCode_07","PId":720},"728":{"Id":1412709936,"L":6,"T":2,"O":728,"P":8,"U":"O","R":"1","D":"EmploymentStatusCode_08","PId":720},"729":{"Id":-275867605,"L":6,"T":2,"O":729,"P":9,"U":"O","R":"1","D":"ClaimFilingIndicatorCode_09","PId":720},"730":{"Id":-2008753540,"L":5,"T":5,"O":730,"P":2,"U":"O","R":"5","D":"CAS_ClaimLevelAdjustments","PId":719},"731":{"Id":-292645224,"L":6,"T":2,"O":731,"P":1,"U":"M","R":"1","D":"ClaimAdjustmentGroupCode_01","PId":730},"732":{"Id":1521695682,"L":6,"T":2,"O":732,"P":2,"U":"M","R":"1","D":"AdjustmentReasonCode_02","PId":730},"733":{"Id":182276227,"L":6,"T":2,"O":733,"P":3,"U":"M","R":"1","D":"AdjustmentAmount_03","PId":730},"734":{"Id":182276227,"L":6,"T":2,"O":734,"P":4,"U":"O","R":"1","D":"AdjustmentQuantity_04","PId":730},"735":{"Id":1521695682,"L":6,"T":2,"O":735,"P":5,"U":"O","R":"1","D":"AdjustmentReasonCode_05","PId":730},"736":{"Id":182276227,"L":6,"T":2,"O":736,"P":6,"U":"O","R":"1","D":"AdjustmentAmount_06","PId":730},"737":{"Id":182276227,"L":6,"T":2,"O":737,"P":7,"U":"O","R":"1","D":"AdjustmentQuantity_07","PId":730},"738":{"Id":1521695682,"L":6,"T":2,"O":738,"P":8,"U":"O","R":"1","D":"AdjustmentReasonCode_08","PId":730},"739":{"Id":182276227,"L":6,"T":2,"O":739,"P":9,"U":"O","R":"1","D":"AdjustmentAmount_09","PId":730},"740":{"Id":182276227,"L":6,"T":2,"O":740,"P":10,"U":"O","R":"1","D":"AdjustmentQuantity_10","PId":730},"741":{"Id":1521695682,"L":6,"T":2,"O":741,"P":11,"U":"O","R":"1","D":"AdjustmentReasonCode_11","PId":730},"742":{"Id":182276227,"L":6,"T":2,"O":742,"P":12,"U":"O","R":"1","D":"AdjustmentAmount_12","PId":730},"743":{"Id":182276227,"L":6,"T":2,"O":743,"P":13,"U":"O","R":"1","D":"AdjustmentQuantity_13","PId":730},"744":{"Id":1521695682,"L":6,"T":2,"O":744,"P":14,"U":"O","R":"1","D":"AdjustmentReasonCode_14","PId":730},"745":{"Id":182276227,"L":6,"T":2,"O":745,"P":15,"U":"O","R":"1","D":"AdjustmentAmount_15","PId":730},"746":{"Id":182276227,"L":6,"T":2,"O":746,"P":16,"U":"O","R":"1","D":"AdjustmentQuantity_16","PId":730},"747":{"Id":1521695682,"L":6,"T":2,"O":747,"P":17,"U":"O","R":"1","D":"AdjustmentReasonCode_17","PId":730},"748":{"Id":182276227,"L":6,"T":2,"O":748,"P":18,"U":"O","R":"1","D":"AdjustmentAmount_18","PId":730},"749":{"Id":182276227,"L":6,"T":2,"O":749,"P":19,"U":"O","R":"1","D":"AdjustmentQuantity_19","PId":730},"750":{"Id":803641604,"L":5,"T":7,"O":750,"P":3,"U":"O","R":"1","D":"AllAMT","PId":719},"751":{"Id":-1039485239,"L":6,"T":5,"O":751,"P":1,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPayerPaidAmount","PId":750},"752":{"Id":574733123,"L":7,"T":2,"O":752,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":751},"753":{"Id":182276227,"L":7,"T":2,"O":753,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":751},"754":{"Id":200506270,"L":7,"T":2,"O":754,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":751},"755":{"Id":1990871739,"L":6,"T":5,"O":755,"P":2,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBApprovedAmount","PId":750},"756":{"Id":658621218,"L":7,"T":2,"O":756,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":755},"757":{"Id":182276227,"L":7,"T":2,"O":757,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":755},"758":{"Id":200506270,"L":7,"T":2,"O":758,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":755},"759":{"Id":534151490,"L":6,"T":5,"O":759,"P":3,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBAllowedAmount","PId":750},"760":{"Id":742509313,"L":7,"T":2,"O":760,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":759},"761":{"Id":182276227,"L":7,"T":2,"O":761,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":759},"762":{"Id":200506270,"L":7,"T":2,"O":762,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":759},"763":{"Id":-1593201731,"L":6,"T":5,"O":763,"P":4,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPatientResponsibilityAmount","PId":750},"764":{"Id":725731694,"L":7,"T":2,"O":764,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":763},"765":{"Id":182276227,"L":7,"T":2,"O":765,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":763},"766":{"Id":200506270,"L":7,"T":2,"O":766,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":763},"767":{"Id":-1143020764,"L":6,"T":5,"O":767,"P":5,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBCoveredAmount","PId":750},"768":{"Id":1719426578,"L":7,"T":2,"O":768,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":767},"769":{"Id":182276227,"L":7,"T":2,"O":769,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":767},"770":{"Id":200506270,"L":7,"T":2,"O":770,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":767},"771":{"Id":-22871783,"L":6,"T":5,"O":771,"P":6,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBDiscountAmount","PId":750},"772":{"Id":1736204197,"L":7,"T":2,"O":772,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":771},"773":{"Id":182276227,"L":7,"T":2,"O":773,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":771},"774":{"Id":200506270,"L":7,"T":2,"O":774,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":771},"775":{"Id":-515067004,"L":6,"T":5,"O":775,"P":7,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPerDayLimitAmount","PId":750},"776":{"Id":1702648959,"L":7,"T":2,"O":776,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":775},"777":{"Id":182276227,"L":7,"T":2,"O":777,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":775},"778":{"Id":200506270,"L":7,"T":2,"O":778,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":775},"779":{"Id":-1742434287,"L":6,"T":5,"O":779,"P":8,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPatientPaidAmount","PId":750},"780":{"Id":-817991449,"L":6,"T":5,"O":780,"P":9,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBTaxAmount","PId":750},"781":{"Id":641843599,"L":7,"T":2,"O":781,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":780},"782":{"Id":182276227,"L":7,"T":2,"O":782,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":780},"783":{"Id":200506270,"L":7,"T":2,"O":783,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":780},"784":{"Id":1294712540,"L":6,"T":5,"O":784,"P":10,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBTotalClaimBeforeTaxesAmount","PId":750},"785":{"Id":1652316102,"L":7,"T":2,"O":785,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":784},"786":{"Id":182276227,"L":7,"T":2,"O":786,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":784},"787":{"Id":200506270,"L":7,"T":2,"O":787,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":784},"788":{"Id":963457390,"L":5,"T":5,"O":788,"P":4,"U":"O","R":"1","D":"DMG_SubscriberDemographicInformation","PId":719},"789":{"Id":-1407344846,"L":5,"T":5,"O":789,"P":5,"U":"M","R":"1","D":"OI_OtherInsuranceCoverageInformation","PId":719},"790":{"Id":-7428745,"L":6,"T":2,"O":790,"P":1,"U":"O","R":"1","D":"ClaimFilingIndicatorCode_01","PId":789},"791":{"Id":1412709936,"L":6,"T":2,"O":791,"P":2,"U":"O","R":"1","D":"ClaimSubmissionReasonCode_02","PId":789},"792":{"Id":-70806063,"L":6,"T":2,"O":792,"P":3,"U":"M","R":"1","D":"BenefitsAssignmentCertificationIndicator_03","PId":789},"793":{"Id":-89109771,"L":6,"T":2,"O":793,"P":4,"U":"O","R":"1","D":"PatientSignatureSourceCode_04","PId":789},"794":{"Id":200506270,"L":6,"T":2,"O":794,"P":5,"U":"O","R":"1","D":"ProviderAgreementCode_05","PId":789},"795":{"Id":1743533197,"L":6,"T":2,"O":795,"P":6,"U":"M","R":"1","D":"ReleaseofInformationCode_06","PId":789},"796":{"Id":729742171,"L":5,"T":5,"O":796,"P":6,"U":"O","R":"1","D":"MOA_MedicareOutpatientAdjudicationInformation","PId":719},"797":{"Id":182276227,"L":6,"T":2,"O":797,"P":1,"U":"O","R":"1","D":"ReimbursementRate_01","PId":796},"798":{"Id":182276227,"L":6,"T":2,"O":798,"P":2,"U":"O","R":"1","D":"HCPCSPayableAmount_02","PId":796},"799":{"Id":-272333178,"L":6,"T":2,"O":799,"P":3,"U":"O","R":"1","D":"ClaimPaymentRemarkCode_03","PId":796},"800":{"Id":-272333178,"L":6,"T":2,"O":800,"P":4,"U":"O","R":"1","D":"ClaimPaymentRemarkCode_04","PId":796},"801":{"Id":-272333178,"L":6,"T":2,"O":801,"P":5,"U":"O","R":"1","D":"ClaimPaymentRemarkCode_05","PId":796},"802":{"Id":-272333178,"L":6,"T":2,"O":802,"P":6,"U":"O","R":"1","D":"ClaimPaymentRemarkCode_06","PId":796},"803":{"Id":-272333178,"L":6,"T":2,"O":803,"P":7,"U":"O","R":"1","D":"ClaimPaymentRemarkCode_07","PId":796},"804":{"Id":182276227,"L":6,"T":2,"O":804,"P":8,"U":"O","R":"1","D":"MonetaryAmount_08","PId":796},"805":{"Id":182276227,"L":6,"T":2,"O":805,"P":9,"U":"O","R":"1","D":"NonPayableProfessionalComponentBilledAmount_09","PId":796},"806":{"Id":-116845826,"L":5,"T":7,"O":806,"P":7,"U":"M","R":"1","D":"All2330","PId":719},"807":{"Id":452327887,"L":6,"T":6,"O":807,"P":1,"U":"M","R":"1","D":"Loop2330A","PId":806},"808":{"Id":-309701159,"L":7,"T":5,"O":808,"P":1,"U":"M","R":"1","D":"NM1_OtherSubscriberName","PId":807},"809":{"Id":-1506888853,"L":8,"T":2,"O":809,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":808},"810":{"Id":-498800139,"L":8,"T":2,"O":810,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":808},"811":{"Id":-71249891,"L":8,"T":2,"O":811,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":808},"812":{"Id":-219568840,"L":8,"T":2,"O":812,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":808},"813":{"Id":-219568840,"L":8,"T":2,"O":813,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":808},"814":{"Id":-1473959604,"L":8,"T":2,"O":814,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":808},"815":{"Id":-1473959604,"L":8,"T":2,"O":815,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":808},"816":{"Id":193394516,"L":8,"T":2,"O":816,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":808},"817":{"Id":-359602736,"L":8,"T":2,"O":817,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":808},"818":{"Id":1412709936,"L":8,"T":2,"O":818,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":808},"819":{"Id":154703179,"L":8,"T":2,"O":819,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":808},"820":{"Id":2099170077,"L":7,"T":5,"O":820,"P":2,"U":"O","R":"1","D":"N3_OtherSubscriberAddress","PId":807},"821":{"Id":1156921047,"L":7,"T":5,"O":821,"P":3,"U":"O","R":"1","D":"N4_OtherSubscriberCityStateZIPCode","PId":807},"822":{"Id":-813812133,"L":8,"T":2,"O":822,"P":1,"U":"O","R":"1","D":"AdditionalPatientInformationContactCityName_01","PId":821},"823":{"Id":1412709936,"L":8,"T":2,"O":823,"P":2,"U":"O","R":"1","D":"AdditionalPatientInformationContactStateCode_02","PId":821},"824":{"Id":25763329,"L":8,"T":2,"O":824,"P":3,"U":"O","R":"1","D":"AdditionalPatientInformationContactPostalZoneorZIPCode_03","PId":821},"825":{"Id":154703179,"L":8,"T":2,"O":825,"P":4,"U":"O","R":"1","D":"CountryCode_04","PId":821},"826":{"Id":-7428745,"L":8,"T":2,"O":826,"P":5,"U":"O","R":"1","D":"LocationQualifier_05","PId":821},"827":{"Id":-272333178,"L":8,"T":2,"O":827,"P":6,"U":"O","R":"1","D":"LocationIdentifier_06","PId":821},"828":{"Id":-736032695,"L":7,"T":5,"O":828,"P":4,"U":"O","R":"3","D":"REF_OtherSubscriberSecondaryIdentification","PId":807},"829":{"Id":-13774713,"L":6,"T":6,"O":829,"P":2,"U":"M","R":"1","D":"Loop2330B","PId":806},"830":{"Id":1854873502,"L":7,"T":5,"O":830,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerName","PId":829},"831":{"Id":-1433547430,"L":7,"T":5,"O":831,"P":2,"U":"O","R":"2","D":"PER_OtherPayerContactInformation","PId":829},"832":{"Id":1104974147,"L":7,"T":5,"O":832,"P":3,"U":"O","R":"1","D":"DTP_ClaimAdjudicationDate","PId":829},"833":{"Id":-1130615949,"L":8,"T":2,"O":833,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":832},"834":{"Id":-9291472,"L":8,"T":2,"O":834,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":832},"835":{"Id":-71249891,"L":8,"T":2,"O":835,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":832},"836":{"Id":722986746,"L":7,"T":7,"O":836,"P":4,"U":"O","R":"1","D":"AllREF","PId":829},"837":{"Id":-889023843,"L":8,"T":5,"O":837,"P":1,"U":"O","R":"2","D":"REF_OtherPayerSecondaryIdentifier","PId":836},"838":{"Id":435775748,"L":9,"T":2,"O":838,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":837},"839":{"Id":-272333178,"L":9,"T":2,"O":839,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":837},"840":{"Id":1570531853,"L":9,"T":2,"O":840,"P":3,"U":"O","R":"1","D":"Description_03","PId":837},"841":{"Id":200506270,"L":9,"T":2,"O":841,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":837},"842":{"Id":1088239961,"L":8,"T":5,"O":842,"P":2,"U":"O","R":"2","D":"REF_OtherPayerPriorAuthorizationOrReferralNumber","PId":836},"843":{"Id":1277771314,"L":8,"T":5,"O":843,"P":3,"U":"O","R":"2","D":"REF_OtherPayerClaimAdjustmentIndicator","PId":836},"844":{"Id":452700462,"L":9,"T":2,"O":844,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":843},"845":{"Id":-272333178,"L":9,"T":2,"O":845,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":843},"846":{"Id":1570531853,"L":9,"T":2,"O":846,"P":3,"U":"O","R":"1","D":"Description_03","PId":843},"847":{"Id":200506270,"L":9,"T":2,"O":847,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":843},"848":{"Id":-277999505,"L":6,"T":6,"O":848,"P":3,"U":"O","R":"1","D":"Loop2330C","PId":806},"849":{"Id":1993317960,"L":7,"T":5,"O":849,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerPatientInformation","PId":848},"850":{"Id":-1490111234,"L":8,"T":2,"O":850,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":849},"851":{"Id":-515577758,"L":8,"T":2,"O":851,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":849},"852":{"Id":-71249891,"L":8,"T":2,"O":852,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":849},"853":{"Id":-219568840,"L":8,"T":2,"O":853,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":849},"854":{"Id":-219568840,"L":8,"T":2,"O":854,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":849},"855":{"Id":-1473959604,"L":8,"T":2,"O":855,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":849},"856":{"Id":-1473959604,"L":8,"T":2,"O":856,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":849},"857":{"Id":-7936912,"L":8,"T":2,"O":857,"P":8,"U":"M","R":"1","D":"IdentificationCodeQualifier_08","PId":849},"858":{"Id":-359602736,"L":8,"T":2,"O":858,"P":9,"U":"M","R":"1","D":"ResponseContactIdentifier_09","PId":849},"859":{"Id":1412709936,"L":8,"T":2,"O":859,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":849},"860":{"Id":154703179,"L":8,"T":2,"O":860,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":849},"861":{"Id":-736032695,"L":7,"T":5,"O":861,"P":2,"U":"O","R":"3","D":"REF_OtherPayerPatientIdentification","PId":848},"862":{"Id":1739710319,"L":6,"T":6,"O":862,"P":4,"U":"O","R":"2","D":"Loop2330D","PId":806},"863":{"Id":529686002,"L":7,"T":5,"O":863,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerReferringProvider","PId":862},"864":{"Id":1720435798,"L":8,"T":2,"O":864,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":863},"865":{"Id":-498800139,"L":8,"T":2,"O":865,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":863},"866":{"Id":-71249891,"L":8,"T":2,"O":866,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":863},"867":{"Id":-219568840,"L":8,"T":2,"O":867,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":863},"868":{"Id":-219568840,"L":8,"T":2,"O":868,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":863},"869":{"Id":-1473959604,"L":8,"T":2,"O":869,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":863},"870":{"Id":-1473959604,"L":8,"T":2,"O":870,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":863},"871":{"Id":-7428745,"L":8,"T":2,"O":871,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":863},"872":{"Id":-359602736,"L":8,"T":2,"O":872,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":863},"873":{"Id":1412709936,"L":8,"T":2,"O":873,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":863},"874":{"Id":154703179,"L":8,"T":2,"O":874,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":863},"875":{"Id":-724318667,"L":7,"T":5,"O":875,"P":2,"U":"M","R":"3","D":"REF_OtherPayerReferringProviderIdentification","PId":862},"876":{"Id":368665272,"L":8,"T":2,"O":876,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":875},"877":{"Id":-272333178,"L":8,"T":2,"O":877,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":875},"878":{"Id":1570531853,"L":8,"T":2,"O":878,"P":3,"U":"O","R":"1","D":"Description_03","PId":875},"879":{"Id":200506270,"L":8,"T":2,"O":879,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":875},"880":{"Id":-1162709217,"L":6,"T":6,"O":880,"P":5,"U":"O","R":"1","D":"Loop2330E","PId":806},"881":{"Id":1285485530,"L":7,"T":5,"O":881,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerRenderingProvider","PId":880},"882":{"Id":1737360512,"L":8,"T":2,"O":882,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":881},"883":{"Id":-498800139,"L":8,"T":2,"O":883,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":881},"884":{"Id":-71249891,"L":8,"T":2,"O":884,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":881},"885":{"Id":-219568840,"L":8,"T":2,"O":885,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":881},"886":{"Id":-219568840,"L":8,"T":2,"O":886,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":881},"887":{"Id":-1473959604,"L":8,"T":2,"O":887,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":881},"888":{"Id":-1473959604,"L":8,"T":2,"O":888,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":881},"889":{"Id":-7428745,"L":8,"T":2,"O":889,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":881},"890":{"Id":-359602736,"L":8,"T":2,"O":890,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":881},"891":{"Id":1412709936,"L":8,"T":2,"O":891,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":881},"892":{"Id":154703179,"L":8,"T":2,"O":892,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":881},"893":{"Id":-724318667,"L":7,"T":5,"O":893,"P":2,"U":"M","R":"3","D":"REF_OtherPayerRenderingProviderSecondaryIdentification","PId":880},"894":{"Id":797885959,"L":6,"T":6,"O":894,"P":6,"U":"O","R":"1","D":"Loop2330F","PId":806},"895":{"Id":801486040,"L":7,"T":5,"O":895,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerPurchasedServiceProvider","PId":894},"896":{"Id":1653178227,"L":8,"T":2,"O":896,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":895},"897":{"Id":-498800139,"L":8,"T":2,"O":897,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":895},"898":{"Id":-71249891,"L":8,"T":2,"O":898,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":895},"899":{"Id":-219568840,"L":8,"T":2,"O":899,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":895},"900":{"Id":-219568840,"L":8,"T":2,"O":900,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":895},"901":{"Id":-1473959604,"L":8,"T":2,"O":901,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":895},"902":{"Id":-1473959604,"L":8,"T":2,"O":902,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":895},"903":{"Id":-7428745,"L":8,"T":2,"O":903,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":895},"904":{"Id":-359602736,"L":8,"T":2,"O":904,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":895},"905":{"Id":1412709936,"L":8,"T":2,"O":905,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":895},"906":{"Id":154703179,"L":8,"T":2,"O":906,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":895},"907":{"Id":171223629,"L":7,"T":5,"O":907,"P":2,"U":"M","R":"3","D":"REF_OtherPayerPurchasedServiceProviderIdentification","PId":894},"908":{"Id":-1946101697,"L":8,"T":2,"O":908,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":907},"909":{"Id":-272333178,"L":8,"T":2,"O":909,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":907},"910":{"Id":1570531853,"L":8,"T":2,"O":910,"P":3,"U":"O","R":"1","D":"Description_03","PId":907},"911":{"Id":200506270,"L":8,"T":2,"O":911,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":907},"912":{"Id":915657359,"L":6,"T":6,"O":912,"P":7,"U":"O","R":"1","D":"Loop2330G","PId":806},"913":{"Id":233705978,"L":7,"T":5,"O":913,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerServiceFacilityLocation","PId":912},"914":{"Id":1904989607,"L":8,"T":2,"O":914,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":913},"915":{"Id":1620444627,"L":8,"T":2,"O":915,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":913},"916":{"Id":-71249891,"L":8,"T":2,"O":916,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":913},"917":{"Id":-219568840,"L":8,"T":2,"O":917,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":913},"918":{"Id":-219568840,"L":8,"T":2,"O":918,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":913},"919":{"Id":-1473959604,"L":8,"T":2,"O":919,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":913},"920":{"Id":-1473959604,"L":8,"T":2,"O":920,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":913},"921":{"Id":-7428745,"L":8,"T":2,"O":921,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":913},"922":{"Id":-359602736,"L":8,"T":2,"O":922,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":913},"923":{"Id":1412709936,"L":8,"T":2,"O":923,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":913},"924":{"Id":154703179,"L":8,"T":2,"O":924,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":913},"925":{"Id":2062633513,"L":7,"T":5,"O":925,"P":2,"U":"M","R":"3","D":"REF_OtherPayerServiceFacilityLocationIdentification","PId":912},"926":{"Id":-1962879316,"L":8,"T":2,"O":926,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":925},"927":{"Id":-272333178,"L":8,"T":2,"O":927,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":925},"928":{"Id":1570531853,"L":8,"T":2,"O":928,"P":3,"U":"O","R":"1","D":"Description_03","PId":925},"929":{"Id":200506270,"L":8,"T":2,"O":929,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":925},"930":{"Id":-1166167361,"L":6,"T":6,"O":930,"P":8,"U":"O","R":"1","D":"Loop2330H","PId":806},"931":{"Id":2086607531,"L":7,"T":5,"O":931,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerSupervisingProvider","PId":930},"932":{"Id":1888211988,"L":8,"T":2,"O":932,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":931},"933":{"Id":-515577758,"L":8,"T":2,"O":933,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":931},"934":{"Id":-71249891,"L":8,"T":2,"O":934,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":931},"935":{"Id":-219568840,"L":8,"T":2,"O":935,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":931},"936":{"Id":-219568840,"L":8,"T":2,"O":936,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":931},"937":{"Id":-1473959604,"L":8,"T":2,"O":937,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":931},"938":{"Id":-1473959604,"L":8,"T":2,"O":938,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":931},"939":{"Id":-7428745,"L":8,"T":2,"O":939,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":931},"940":{"Id":-359602736,"L":8,"T":2,"O":940,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":931},"941":{"Id":1412709936,"L":8,"T":2,"O":941,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":931},"942":{"Id":154703179,"L":8,"T":2,"O":942,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":931},"943":{"Id":-1750047328,"L":7,"T":5,"O":943,"P":2,"U":"M","R":"3","D":"REF_OtherPayerSupervisingProviderIdentification","PId":930},"944":{"Id":-1912546459,"L":8,"T":2,"O":944,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":943},"945":{"Id":-272333178,"L":8,"T":2,"O":945,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":943},"946":{"Id":1570531853,"L":8,"T":2,"O":946,"P":3,"U":"O","R":"1","D":"Description_03","PId":943},"947":{"Id":200506270,"L":8,"T":2,"O":947,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":943},"948":{"Id":-1235963903,"L":4,"T":6,"O":948,"P":17,"U":"M","R":"50","D":"Loop2400","PId":308},"949":{"Id":-920133248,"L":5,"T":5,"O":949,"P":1,"U":"M","R":"1","D":"LX_ServiceLine","PId":948},"950":{"Id":-715421435,"L":6,"T":2,"O":950,"P":1,"U":"M","R":"1","D":"AssignedNumber_01","PId":949},"951":{"Id":515967300,"L":5,"T":5,"O":951,"P":2,"U":"M","R":"1","D":"SV1_ProfessionalService","PId":948},"952":{"Id":1613557354,"L":6,"T":4,"O":952,"P":1,"U":"M","R":"1","D":"CompositeMedicalProcedureIdentifier_01","PId":951},"953":{"Id":927293255,"L":7,"T":2,"O":953,"P":1,"U":"M","R":"1","D":"ProductorServiceIDQualifier_01","PId":952},"954":{"Id":-1253920903,"L":7,"T":2,"O":954,"P":2,"U":"M","R":"1","D":"ProcedureCode_02","PId":952},"955":{"Id":1412709936,"L":7,"T":2,"O":955,"P":3,"U":"O","R":"1","D":"ProcedureModifier_03","PId":952},"956":{"Id":1412709936,"L":7,"T":2,"O":956,"P":4,"U":"O","R":"1","D":"ProcedureModifier_04","PId":952},"957":{"Id":1412709936,"L":7,"T":2,"O":957,"P":5,"U":"O","R":"1","D":"ProcedureModifier_05","PId":952},"958":{"Id":1412709936,"L":7,"T":2,"O":958,"P":6,"U":"O","R":"1","D":"ProcedureModifier_06","PId":952},"959":{"Id":1570531853,"L":7,"T":2,"O":959,"P":7,"U":"O","R":"1","D":"Description_07","PId":952},"960":{"Id":182276227,"L":6,"T":2,"O":960,"P":2,"U":"M","R":"1","D":"LineItemChargeAmount_02","PId":951},"961":{"Id":355414110,"L":6,"T":2,"O":961,"P":3,"U":"M","R":"1","D":"UnitorBasisforMeasurementCode_03","PId":951},"962":{"Id":182276227,"L":6,"T":2,"O":962,"P":4,"U":"M","R":"1","D":"ServiceUnitCount_04","PId":951},"963":{"Id":-7428745,"L":6,"T":2,"O":963,"P":5,"U":"O","R":"1","D":"PlaceofServiceCode_05","PId":951},"964":{"Id":-7428745,"L":6,"T":2,"O":964,"P":6,"U":"O","R":"1","D":"ServiceTypeCode_06","PId":951},"965":{"Id":1059219885,"L":6,"T":4,"O":965,"P":7,"U":"O","R":"1","D":"CompositeDiagnosisCodePointer_07","PId":951},"966":{"Id":-715421435,"L":7,"T":2,"O":966,"P":1,"U":"M","R":"1","D":"DiagnosisCodePointer_01","PId":965},"967":{"Id":-715421435,"L":7,"T":2,"O":967,"P":2,"U":"O","R":"1","D":"DiagnosisCodePointer_02","PId":965},"968":{"Id":-715421435,"L":7,"T":2,"O":968,"P":3,"U":"O","R":"1","D":"DiagnosisCodePointer_03","PId":965},"969":{"Id":-715421435,"L":7,"T":2,"O":969,"P":4,"U":"O","R":"1","D":"DiagnosisCodePointer_04","PId":965},"970":{"Id":182276227,"L":6,"T":2,"O":970,"P":8,"U":"O","R":"1","D":"MonetaryAmount_08","PId":951},"971":{"Id":-87583682,"L":6,"T":2,"O":971,"P":9,"U":"O","R":"1","D":"EmergencyIndicator_09","PId":951},"972":{"Id":-7428745,"L":6,"T":2,"O":972,"P":10,"U":"O","R":"1","D":"MultipleProcedureCode_10","PId":951},"973":{"Id":-87583682,"L":6,"T":2,"O":973,"P":11,"U":"O","R":"1","D":"EPSDTIndicator_11","PId":951},"974":{"Id":-87583682,"L":6,"T":2,"O":974,"P":12,"U":"O","R":"1","D":"FamilyPlanningIndicator_12","PId":951},"975":{"Id":-7428745,"L":6,"T":2,"O":975,"P":13,"U":"O","R":"1","D":"ReviewCode_13","PId":951},"976":{"Id":-7428745,"L":6,"T":2,"O":976,"P":14,"U":"O","R":"1","D":"NationalorLocalAssignedReviewValue_14","PId":951},"977":{"Id":-2068324360,"L":6,"T":2,"O":977,"P":15,"U":"O","R":"1","D":"CoPayStatusCode_15","PId":951},"978":{"Id":200506270,"L":6,"T":2,"O":978,"P":16,"U":"O","R":"1","D":"HealthCareProfessionalShortageAreaCode_16","PId":951},"979":{"Id":-272333178,"L":6,"T":2,"O":979,"P":17,"U":"O","R":"1","D":"ReferenceIdentification_17","PId":951},"980":{"Id":25763329,"L":6,"T":2,"O":980,"P":18,"U":"O","R":"1","D":"PostalCode_18","PId":951},"981":{"Id":182276227,"L":6,"T":2,"O":981,"P":19,"U":"O","R":"1","D":"MonetaryAmount_19","PId":951},"982":{"Id":200506270,"L":6,"T":2,"O":982,"P":20,"U":"O","R":"1","D":"LevelofCareCode_20","PId":951},"983":{"Id":200506270,"L":6,"T":2,"O":983,"P":21,"U":"O","R":"1","D":"ProviderAgreementCode_21","PId":951},"984":{"Id":-1835125869,"L":5,"T":5,"O":984,"P":3,"U":"O","R":"1","D":"SV5_DurableMedicalEquipmentService","PId":948},"985":{"Id":1596779735,"L":6,"T":4,"O":985,"P":1,"U":"M","R":"1","D":"CompositeMedicalProcedureIdentifier_01","PId":984},"986":{"Id":960848493,"L":7,"T":2,"O":986,"P":1,"U":"M","R":"1","D":"ProductorServiceIDQualifier_01","PId":985},"987":{"Id":-1253920903,"L":7,"T":2,"O":987,"P":2,"U":"M","R":"1","D":"ProcedureCode_02","PId":985},"988":{"Id":1412709936,"L":7,"T":2,"O":988,"P":3,"U":"O","R":"1","D":"ProcedureModifier_03","PId":985},"989":{"Id":1412709936,"L":7,"T":2,"O":989,"P":4,"U":"O","R":"1","D":"ProcedureModifier_04","PId":985},"990":{"Id":1412709936,"L":7,"T":2,"O":990,"P":5,"U":"O","R":"1","D":"ProcedureModifier_05","PId":985},"991":{"Id":1412709936,"L":7,"T":2,"O":991,"P":6,"U":"O","R":"1","D":"ProcedureModifier_06","PId":985},"992":{"Id":1570531853,"L":7,"T":2,"O":992,"P":7,"U":"O","R":"1","D":"Description_07","PId":985},"993":{"Id":422524586,"L":6,"T":2,"O":993,"P":2,"U":"M","R":"1","D":"UnitorBasisforMeasurementCode_02","PId":984},"994":{"Id":182276227,"L":6,"T":2,"O":994,"P":3,"U":"M","R":"1","D":"LengthofMedicalNecessity_03","PId":984},"995":{"Id":182276227,"L":6,"T":2,"O":995,"P":4,"U":"O","R":"1","D":"DMERentalPrice_04","PId":984},"996":{"Id":182276227,"L":6,"T":2,"O":996,"P":5,"U":"O","R":"1","D":"DMEPurchasePrice_05","PId":984},"997":{"Id":553768462,"L":6,"T":2,"O":997,"P":6,"U":"O","R":"1","D":"RentalUnitPriceIndicator_06","PId":984},"998":{"Id":200506270,"L":6,"T":2,"O":998,"P":7,"U":"O","R":"1","D":"PrognosisCode_07","PId":984},"999":{"Id":-1599809662,"L":5,"T":5,"O":999,"P":4,"U":"O","R":"1","D":"PWK_DMERCCMNIndicator","PId":948},"1000":{"Id":-1060939754,"L":6,"T":2,"O":1000,"P":1,"U":"M","R":"1","D":"AttachmentReportTypeCode_01","PId":999},"1001":{"Id":-832617537,"L":6,"T":2,"O":1001,"P":2,"U":"M","R":"1","D":"ReportTransmissionCode_02","PId":999},"1002":{"Id":-715421435,"L":6,"T":2,"O":1002,"P":3,"U":"O","R":"1","D":"ReportCopiesNeeded_03","PId":999},"1003":{"Id":154703179,"L":6,"T":2,"O":1003,"P":4,"U":"O","R":"1","D":"EntityIdentifierCode_04","PId":999},"1004":{"Id":-7428745,"L":6,"T":2,"O":1004,"P":5,"U":"O","R":"1","D":"IdentificationCodeQualifier_05","PId":999},"1005":{"Id":-359602736,"L":6,"T":2,"O":1005,"P":6,"U":"O","R":"1","D":"AttachmentControlNumber_06","PId":999},"1006":{"Id":1570531853,"L":6,"T":2,"O":1006,"P":7,"U":"O","R":"1","D":"AttachmentDescription_07","PId":999},"1007":{"Id":200506270,"L":6,"T":2,"O":1007,"P":8,"U":"O","R":"1","D":"ActionsIndicated_08","PId":999},"1008":{"Id":-7428745,"L":6,"T":2,"O":1008,"P":9,"U":"O","R":"1","D":"RequestCategoryCode_09","PId":999},"1009":{"Id":1090803551,"L":5,"T":5,"O":1009,"P":5,"U":"O","R":"1","D":"CR1_AmbulanceTransportInformation","PId":948},"1010":{"Id":1570775536,"L":5,"T":5,"O":1010,"P":6,"U":"O","R":"5","D":"CR2_SpinalManipulationServiceInformation","PId":948},"1011":{"Id":-1476878512,"L":5,"T":5,"O":1011,"P":7,"U":"O","R":"1","D":"CR3_DurableMedicalEquipmentCertification","PId":948},"1012":{"Id":836035358,"L":6,"T":2,"O":1012,"P":1,"U":"M","R":"1","D":"CertificationTypeCode_01","PId":1011},"1013":{"Id":388969348,"L":6,"T":2,"O":1013,"P":2,"U":"M","R":"1","D":"UnitorBasisforMeasurementCode_02","PId":1011},"1014":{"Id":182276227,"L":6,"T":2,"O":1014,"P":3,"U":"M","R":"1","D":"DurableMedicalEquipmentDuration_03","PId":1011},"1015":{"Id":200506270,"L":6,"T":2,"O":1015,"P":4,"U":"O","R":"1","D":"InsulinDependentCode_04","PId":1011},"1016":{"Id":1570531853,"L":6,"T":2,"O":1016,"P":5,"U":"O","R":"1","D":"Description_05","PId":1011},"1017":{"Id":253627838,"L":5,"T":5,"O":1017,"P":8,"U":"O","R":"1","D":"CR5_HomeOxygenTherapyInformation","PId":948},"1018":{"Id":836035358,"L":6,"T":2,"O":1018,"P":1,"U":"M","R":"1","D":"CertificationTypeCode_01","PId":1017},"1019":{"Id":182276227,"L":6,"T":2,"O":1019,"P":2,"U":"M","R":"1","D":"Quantity_02","PId":1017},"1020":{"Id":200506270,"L":6,"T":2,"O":1020,"P":3,"U":"O","R":"1","D":"OxygenEquipmentTypeCode_03","PId":1017},"1021":{"Id":200506270,"L":6,"T":2,"O":1021,"P":4,"U":"O","R":"1","D":"OxygenEquipmentTypeCode_04","PId":1017},"1022":{"Id":1570531853,"L":6,"T":2,"O":1022,"P":5,"U":"O","R":"1","D":"EquipmentReasonDescription_05","PId":1017},"1023":{"Id":182276227,"L":6,"T":2,"O":1023,"P":6,"U":"O","R":"1","D":"OxygenFlowRate_06","PId":1017},"1024":{"Id":182276227,"L":6,"T":2,"O":1024,"P":7,"U":"O","R":"1","D":"DailyOxygenUseCount_07","PId":1017},"1025":{"Id":182276227,"L":6,"T":2,"O":1025,"P":8,"U":"O","R":"1","D":"OxygenUsePeriodHourCount_08","PId":1017},"1026":{"Id":1570531853,"L":6,"T":2,"O":1026,"P":9,"U":"O","R":"1","D":"RespiratoryTherapistOrderText_09","PId":1017},"1027":{"Id":182276227,"L":6,"T":2,"O":1027,"P":10,"U":"O","R":"1","D":"ArterialBloodGasQuantity_10","PId":1017},"1028":{"Id":182276227,"L":6,"T":2,"O":1028,"P":11,"U":"O","R":"1","D":"OxygenSaturationQuantity_11","PId":1017},"1029":{"Id":334683245,"L":6,"T":2,"O":1029,"P":12,"U":"M","R":"1","D":"OxygenTestConditionCode_12","PId":1017},"1030":{"Id":-105887390,"L":6,"T":2,"O":1030,"P":13,"U":"O","R":"1","D":"OxygenTestFindingsCode_13","PId":1017},"1031":{"Id":984573039,"L":6,"T":2,"O":1031,"P":14,"U":"O","R":"1","D":"OxygenTestFindingsCode_14","PId":1017},"1032":{"Id":967795420,"L":6,"T":2,"O":1032,"P":15,"U":"O","R":"1","D":"OxygenTestFindingsCode_15","PId":1017},"1033":{"Id":182276227,"L":6,"T":2,"O":1033,"P":16,"U":"O","R":"1","D":"PortableOxygenSystemFlowRate_16","PId":1017},"1034":{"Id":200506270,"L":6,"T":2,"O":1034,"P":17,"U":"O","R":"1","D":"OxygenDeliverySystemCode_17","PId":1017},"1035":{"Id":200506270,"L":6,"T":2,"O":1035,"P":18,"U":"O","R":"1","D":"OxygenEquipmentTypeCode_18","PId":1017},"1036":{"Id":1584878305,"L":5,"T":7,"O":1036,"P":9,"U":"O","R":"1","D":"AllCRC","PId":948},"1037":{"Id":998413964,"L":6,"T":5,"O":1037,"P":1,"U":"O","R":"3","D":"CRC_AmbulanceCertification","PId":1036},"1038":{"Id":-355232838,"L":6,"T":5,"O":1038,"P":2,"U":"O","R":"1","D":"CRC_HospiceEmployeeIndicator","PId":1036},"1039":{"Id":-1098172436,"L":7,"T":2,"O":1039,"P":1,"U":"M","R":"1","D":"CodeCategory_01","PId":1038},"1040":{"Id":-70806063,"L":7,"T":2,"O":1040,"P":2,"U":"M","R":"1","D":"CertificationConditionIndicator_02","PId":1038},"1041":{"Id":620480027,"L":7,"T":2,"O":1041,"P":3,"U":"M","R":"1","D":"ConditionCode_03","PId":1038},"1042":{"Id":1412709936,"L":7,"T":2,"O":1042,"P":4,"U":"O","R":"1","D":"ConditionCode_04","PId":1038},"1043":{"Id":1412709936,"L":7,"T":2,"O":1043,"P":5,"U":"O","R":"1","D":"ConditionCode_05","PId":1038},"1044":{"Id":1412709936,"L":7,"T":2,"O":1044,"P":6,"U":"O","R":"1","D":"ConditionCode_06","PId":1038},"1045":{"Id":1412709936,"L":7,"T":2,"O":1045,"P":7,"U":"O","R":"1","D":"ConditionCode_07","PId":1038},"1046":{"Id":-1033275953,"L":6,"T":5,"O":1046,"P":3,"U":"O","R":"2","D":"CRC_DMERCConditionIndicator","PId":1036},"1047":{"Id":-1047839579,"L":7,"T":2,"O":1047,"P":1,"U":"M","R":"1","D":"CodeCategory_01","PId":1046},"1048":{"Id":-70806063,"L":7,"T":2,"O":1048,"P":2,"U":"M","R":"1","D":"CertificationConditionIndicator_02","PId":1046},"1049":{"Id":637257646,"L":7,"T":2,"O":1049,"P":3,"U":"M","R":"1","D":"ConditionCode_03","PId":1046},"1050":{"Id":637257646,"L":7,"T":2,"O":1050,"P":4,"U":"O","R":"1","D":"ConditionCode_04","PId":1046},"1051":{"Id":637257646,"L":7,"T":2,"O":1051,"P":5,"U":"O","R":"1","D":"ConditionCode_05","PId":1046},"1052":{"Id":637257646,"L":7,"T":2,"O":1052,"P":6,"U":"O","R":"1","D":"ConditionCode_06","PId":1046},"1053":{"Id":637257646,"L":7,"T":2,"O":1053,"P":7,"U":"O","R":"1","D":"ConditionCode_07","PId":1046},"1054":{"Id":733348675,"L":5,"T":7,"O":1054,"P":10,"U":"M","R":"1","D":"AllDTP","PId":948},"1055":{"Id":-270510259,"L":6,"T":5,"O":1055,"P":1,"U":"M","R":"1","D":"DTP_DateServiceDate","PId":1054},"1056":{"Id":-215165877,"L":7,"T":2,"O":1056,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1055},"1057":{"Id":119422153,"L":7,"T":2,"O":1057,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1055},"1058":{"Id":-71249891,"L":7,"T":2,"O":1058,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1055},"1059":{"Id":1430439913,"L":6,"T":5,"O":1059,"P":2,"U":"O","R":"1","D":"DTP_DateCertificationRevisionDate","PId":1054},"1060":{"Id":-878804569,"L":7,"T":2,"O":1060,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1059},"1061":{"Id":-9291472,"L":7,"T":2,"O":1061,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1059},"1062":{"Id":-71249891,"L":7,"T":2,"O":1062,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1059},"1063":{"Id":-356565992,"L":6,"T":5,"O":1063,"P":3,"U":"O","R":"1","D":"DTP_DateBeginTherapyDate","PId":1054},"1064":{"Id":-1063358378,"L":7,"T":2,"O":1064,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1063},"1065":{"Id":-9291472,"L":7,"T":2,"O":1065,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1063},"1066":{"Id":-71249891,"L":7,"T":2,"O":1066,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1063},"1067":{"Id":2097698056,"L":6,"T":5,"O":1067,"P":4,"U":"O","R":"1","D":"DTP_DateLastCertificationDate","PId":1054},"1068":{"Id":-1046580759,"L":7,"T":2,"O":1068,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1067},"1069":{"Id":-9291472,"L":7,"T":2,"O":1069,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1067},"1070":{"Id":-71249891,"L":7,"T":2,"O":1070,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1067},"1071":{"Id":1086133837,"L":6,"T":5,"O":1071,"P":5,"U":"O","R":"1","D":"DTP_DateDateLastSeen","PId":1054},"1072":{"Id":-968392994,"L":6,"T":5,"O":1072,"P":6,"U":"O","R":"2","D":"DTP_DateTest","PId":1054},"1073":{"Id":-845102236,"L":7,"T":2,"O":1073,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1072},"1074":{"Id":-9291472,"L":7,"T":2,"O":1074,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1072},"1075":{"Id":-71249891,"L":7,"T":2,"O":1075,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1072},"1076":{"Id":2117927231,"L":6,"T":5,"O":1076,"P":7,"U":"O","R":"3","D":"DTP_DateOxygenSaturationArterialBloodGasTest","PId":1054},"1077":{"Id":-794769379,"L":7,"T":2,"O":1077,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1076},"1078":{"Id":-9291472,"L":7,"T":2,"O":1078,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1076},"1079":{"Id":-71249891,"L":7,"T":2,"O":1079,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1076},"1080":{"Id":-503530491,"L":6,"T":5,"O":1080,"P":8,"U":"O","R":"1","D":"DTP_DateShipped","PId":1054},"1081":{"Id":-811546998,"L":7,"T":2,"O":1081,"P":1,"U":"M","R":"1","D":"DateTimeQualifier_01","PId":1080},"1082":{"Id":-9291472,"L":7,"T":2,"O":1082,"P":2,"U":"M","R":"1","D":"DateTimePeriodFormatQualifier_02","PId":1080},"1083":{"Id":-71249891,"L":7,"T":2,"O":1083,"P":3,"U":"M","R":"1","D":"DateTimePeriod_03","PId":1080},"1084":{"Id":1403081398,"L":6,"T":5,"O":1084,"P":9,"U":"O","R":"1","D":"DTP_DateOnsetOfCurrentSymptomIllness","PId":1054},"1085":{"Id":-1457715526,"L":6,"T":5,"O":1085,"P":10,"U":"O","R":"1","D":"DTP_DateLastXray","PId":1054},"1086":{"Id":-1074848520,"L":6,"T":5,"O":1086,"P":11,"U":"O","R":"1","D":"DTP_DateAcuteManifestation","PId":1054},"1087":{"Id":297007786,"L":6,"T":5,"O":1087,"P":12,"U":"O","R":"1","D":"DTP_DateInitialTreatment","PId":1054},"1088":{"Id":-2010800889,"L":6,"T":5,"O":1088,"P":13,"U":"O","R":"1","D":"DTP_DateSimilarIllnessSymptomOnset","PId":1054},"1089":{"Id":-123486216,"L":5,"T":5,"O":1089,"P":11,"U":"O","R":"20","D":"MEA_TestResult","PId":948},"1090":{"Id":-619112730,"L":6,"T":2,"O":1090,"P":1,"U":"M","R":"1","D":"MeasurementReferenceIdentificationCode_01","PId":1089},"1091":{"Id":-434558921,"L":6,"T":2,"O":1091,"P":2,"U":"M","R":"1","D":"MeasurementQualifier_02","PId":1089},"1092":{"Id":182276227,"L":6,"T":2,"O":1092,"P":3,"U":"M","R":"1","D":"TestResults_03","PId":1089},"1093":{"Id":200506270,"L":6,"T":2,"O":1093,"P":4,"U":"O","R":"1","D":"CompositeUnitOfMeasure_04","PId":1089},"1094":{"Id":182276227,"L":6,"T":2,"O":1094,"P":5,"U":"O","R":"1","D":"RangeMinimum_05","PId":1089},"1095":{"Id":182276227,"L":6,"T":2,"O":1095,"P":6,"U":"O","R":"1","D":"RangeMaximum_06","PId":1089},"1096":{"Id":1412709936,"L":6,"T":2,"O":1096,"P":7,"U":"O","R":"1","D":"MeasurementSignificanceCode_07","PId":1089},"1097":{"Id":1412709936,"L":6,"T":2,"O":1097,"P":8,"U":"O","R":"1","D":"MeasurementAttributeCode_08","PId":1089},"1098":{"Id":1412709936,"L":6,"T":2,"O":1098,"P":9,"U":"O","R":"1","D":"SurfaceLayerPositionCode_09","PId":1089},"1099":{"Id":-41653106,"L":6,"T":2,"O":1099,"P":10,"U":"O","R":"1","D":"MeasurementMethodorDevice_10","PId":1089},"1100":{"Id":-707517717,"L":5,"T":5,"O":1100,"P":12,"U":"O","R":"1","D":"CN1_ContractInformation","PId":948},"1101":{"Id":1344508037,"L":6,"T":2,"O":1101,"P":1,"U":"M","R":"1","D":"ContractTypeCode_01","PId":1100},"1102":{"Id":182276227,"L":6,"T":2,"O":1102,"P":2,"U":"O","R":"1","D":"ContractAmount_02","PId":1100},"1103":{"Id":182276227,"L":6,"T":2,"O":1103,"P":3,"U":"O","R":"1","D":"ContractPercentage_03","PId":1100},"1104":{"Id":-272333178,"L":6,"T":2,"O":1104,"P":4,"U":"O","R":"1","D":"ContractCode_04","PId":1100},"1105":{"Id":182276227,"L":6,"T":2,"O":1105,"P":5,"U":"O","R":"1","D":"TermsDiscountPercentage_05","PId":1100},"1106":{"Id":-272333178,"L":6,"T":2,"O":1106,"P":6,"U":"O","R":"1","D":"ContractVersionIdentifier_06","PId":1100},"1107":{"Id":-1805055997,"L":5,"T":7,"O":1107,"P":13,"U":"O","R":"1","D":"AllREF","PId":948},"1108":{"Id":706379714,"L":6,"T":5,"O":1108,"P":1,"U":"O","R":"1","D":"REF_RepricedLineItemReferenceNumber","PId":1107},"1109":{"Id":-1979509840,"L":7,"T":2,"O":1109,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1108},"1110":{"Id":-272333178,"L":7,"T":2,"O":1110,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1108},"1111":{"Id":1570531853,"L":7,"T":2,"O":1111,"P":3,"U":"O","R":"1","D":"Description_03","PId":1108},"1112":{"Id":200506270,"L":7,"T":2,"O":1112,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1108},"1113":{"Id":-531811280,"L":6,"T":5,"O":1113,"P":2,"U":"O","R":"1","D":"REF_AdjustedRepricedLineItemReferenceNumber","PId":1107},"1114":{"Id":-1929176983,"L":7,"T":2,"O":1114,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1113},"1115":{"Id":-272333178,"L":7,"T":2,"O":1115,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1113},"1116":{"Id":1570531853,"L":7,"T":2,"O":1116,"P":3,"U":"O","R":"1","D":"Description_03","PId":1113},"1117":{"Id":200506270,"L":7,"T":2,"O":1117,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1113},"1118":{"Id":1088239961,"L":6,"T":5,"O":1118,"P":3,"U":"O","R":"2","D":"REF_PriorAuthorizationOrReferralNumber","PId":1107},"1119":{"Id":-367088812,"L":6,"T":5,"O":1119,"P":4,"U":"O","R":"1","D":"REF_LineItemControlNumber","PId":1107},"1120":{"Id":419145224,"L":7,"T":2,"O":1120,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1119},"1121":{"Id":-272333178,"L":7,"T":2,"O":1121,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1119},"1122":{"Id":1570531853,"L":7,"T":2,"O":1122,"P":3,"U":"O","R":"1","D":"Description_03","PId":1119},"1123":{"Id":200506270,"L":7,"T":2,"O":1123,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1119},"1124":{"Id":-83225020,"L":6,"T":5,"O":1124,"P":5,"U":"O","R":"1","D":"REF_MammographyCertificationNumber","PId":1107},"1125":{"Id":-653629759,"L":6,"T":5,"O":1125,"P":6,"U":"O","R":"1","D":"REF_ClinicalLaboratoryImprovementAmendmentCLIAIdentification","PId":1107},"1126":{"Id":-640227430,"L":6,"T":5,"O":1126,"P":7,"U":"O","R":"1","D":"REF_ReferringClinicalLaboratoryImprovementAmendmentCLIAFacilityIdentification","PId":1107},"1127":{"Id":-1778178412,"L":7,"T":2,"O":1127,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1126},"1128":{"Id":-272333178,"L":7,"T":2,"O":1128,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1126},"1129":{"Id":1570531853,"L":7,"T":2,"O":1129,"P":3,"U":"O","R":"1","D":"Description_03","PId":1126},"1130":{"Id":200506270,"L":7,"T":2,"O":1130,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1126},"1131":{"Id":1905478320,"L":6,"T":5,"O":1131,"P":8,"U":"O","R":"1","D":"REF_ImmunizationBatchNumber","PId":1107},"1132":{"Id":-1996434554,"L":7,"T":2,"O":1132,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1131},"1133":{"Id":-272333178,"L":7,"T":2,"O":1133,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1131},"1134":{"Id":1570531853,"L":7,"T":2,"O":1134,"P":3,"U":"O","R":"1","D":"Description_03","PId":1131},"1135":{"Id":200506270,"L":7,"T":2,"O":1135,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1131},"1136":{"Id":-703331775,"L":6,"T":5,"O":1136,"P":9,"U":"O","R":"4","D":"REF_AmbulatoryPatientGroupAPG","PId":1107},"1137":{"Id":202142695,"L":6,"T":5,"O":1137,"P":10,"U":"O","R":"1","D":"REF_OxygenFlowRate","PId":1107},"1138":{"Id":-2029989792,"L":7,"T":2,"O":1138,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1137},"1139":{"Id":-272333178,"L":7,"T":2,"O":1139,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1137},"1140":{"Id":1570531853,"L":7,"T":2,"O":1140,"P":3,"U":"O","R":"1","D":"Description_03","PId":1137},"1141":{"Id":200506270,"L":7,"T":2,"O":1141,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1137},"1142":{"Id":-343967255,"L":6,"T":5,"O":1142,"P":11,"U":"O","R":"1","D":"REF_UniversalProductNumberUPN","PId":1107},"1143":{"Id":-2013212173,"L":7,"T":2,"O":1143,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1142},"1144":{"Id":-272333178,"L":7,"T":2,"O":1144,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1142},"1145":{"Id":1570531853,"L":7,"T":2,"O":1145,"P":3,"U":"O","R":"1","D":"Description_03","PId":1142},"1146":{"Id":200506270,"L":7,"T":2,"O":1146,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1142},"1147":{"Id":111990729,"L":5,"T":7,"O":1147,"P":14,"U":"O","R":"1","D":"AllAMT","PId":948},"1148":{"Id":-817991449,"L":6,"T":5,"O":1148,"P":1,"U":"O","R":"1","D":"AMT_SalesTaxAmount","PId":1147},"1149":{"Id":1990871739,"L":6,"T":5,"O":1149,"P":2,"U":"O","R":"1","D":"AMT_ApprovedAmount","PId":1147},"1150":{"Id":1721865410,"L":6,"T":5,"O":1150,"P":3,"U":"O","R":"1","D":"AMT_PostageClaimedAmount","PId":1147},"1151":{"Id":1685871340,"L":7,"T":2,"O":1151,"P":1,"U":"M","R":"1","D":"AmountQualifierCode_01","PId":1150},"1152":{"Id":182276227,"L":7,"T":2,"O":1152,"P":2,"U":"M","R":"1","D":"TotalClaimChargeAmount_02","PId":1150},"1153":{"Id":200506270,"L":7,"T":2,"O":1153,"P":3,"U":"O","R":"1","D":"CreditDebitFlagCode_03","PId":1150},"1154":{"Id":1598543690,"L":5,"T":5,"O":1154,"P":15,"U":"O","R":"10","D":"K3_FileInformation","PId":948},"1155":{"Id":1747532923,"L":5,"T":5,"O":1155,"P":16,"U":"O","R":"1","D":"NTE_LineNote","PId":948},"1156":{"Id":-1552335955,"L":6,"T":2,"O":1156,"P":1,"U":"M","R":"1","D":"NoteReferenceCode_01","PId":1155},"1157":{"Id":1570531853,"L":6,"T":2,"O":1157,"P":2,"U":"M","R":"1","D":"BillingNoteText_02","PId":1155},"1158":{"Id":-2126138688,"L":5,"T":5,"O":1158,"P":17,"U":"O","R":"1","D":"PS1_PurchasedServiceInformation","PId":948},"1159":{"Id":-272333178,"L":6,"T":2,"O":1159,"P":1,"U":"M","R":"1","D":"PurchasedServiceProviderIdentifier_01","PId":1158},"1160":{"Id":182276227,"L":6,"T":2,"O":1160,"P":2,"U":"M","R":"1","D":"PurchasedServiceChargeAmount_02","PId":1158},"1161":{"Id":1412709936,"L":6,"T":2,"O":1161,"P":3,"U":"O","R":"1","D":"StateorProvinceCode_03","PId":1158},"1162":{"Id":-1949146828,"L":5,"T":5,"O":1162,"P":18,"U":"O","R":"1","D":"HSD_HealthCareServicesDelivery","PId":948},"1163":{"Id":-1223745675,"L":6,"T":2,"O":1163,"P":1,"U":"O","R":"1","D":"QuantityQualifier_01","PId":1162},"1164":{"Id":182276227,"L":6,"T":2,"O":1164,"P":2,"U":"O","R":"1","D":"BenefitQuantity_02","PId":1162},"1165":{"Id":1135817798,"L":6,"T":2,"O":1165,"P":3,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_03","PId":1162},"1166":{"Id":182276227,"L":6,"T":2,"O":1166,"P":4,"U":"O","R":"1","D":"SampleSelectionModulus_04","PId":1162},"1167":{"Id":-1468625772,"L":6,"T":2,"O":1167,"P":5,"U":"O","R":"1","D":"TimePeriodQualifier_05","PId":1162},"1168":{"Id":-715421435,"L":6,"T":2,"O":1168,"P":6,"U":"O","R":"1","D":"PeriodCount_06","PId":1162},"1169":{"Id":1498975717,"L":6,"T":2,"O":1169,"P":7,"U":"O","R":"1","D":"DeliveryFrequencyCode_07","PId":1162},"1170":{"Id":1234722555,"L":6,"T":2,"O":1170,"P":8,"U":"O","R":"1","D":"DeliveryPatternTimeCode_08","PId":1162},"1171":{"Id":741897264,"L":5,"T":5,"O":1171,"P":19,"U":"O","R":"1","D":"HCP_LinePricingRepricingInformation","PId":948},"1172":{"Id":972827336,"L":6,"T":2,"O":1172,"P":1,"U":"M","R":"1","D":"PricingMethodology_01","PId":1171},"1173":{"Id":182276227,"L":6,"T":2,"O":1173,"P":2,"U":"M","R":"1","D":"RepricedAllowedAmount_02","PId":1171},"1174":{"Id":182276227,"L":6,"T":2,"O":1174,"P":3,"U":"O","R":"1","D":"RepricedSavingAmount_03","PId":1171},"1175":{"Id":-272333178,"L":6,"T":2,"O":1175,"P":4,"U":"O","R":"1","D":"RepricingOrganizationIdentifier_04","PId":1171},"1176":{"Id":182276227,"L":6,"T":2,"O":1176,"P":5,"U":"O","R":"1","D":"RepricingPerDiemorFlatRateAmount_05","PId":1171},"1177":{"Id":-272333178,"L":6,"T":2,"O":1177,"P":6,"U":"O","R":"1","D":"RepricedApprovedAmbulatoryPatientGroupCode_06","PId":1171},"1178":{"Id":182276227,"L":6,"T":2,"O":1178,"P":7,"U":"O","R":"1","D":"MonetaryAmount_07","PId":1171},"1179":{"Id":-1253920903,"L":6,"T":2,"O":1179,"P":8,"U":"O","R":"1","D":"ProductServiceID_08","PId":1171},"1180":{"Id":927293255,"L":6,"T":2,"O":1180,"P":9,"U":"O","R":"1","D":"ProductServiceIDQualifier_09","PId":1171},"1181":{"Id":-1253920903,"L":6,"T":2,"O":1181,"P":10,"U":"O","R":"1","D":"ProductServiceID_10","PId":1171},"1182":{"Id":1303593988,"L":6,"T":2,"O":1182,"P":11,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_11","PId":1171},"1183":{"Id":182276227,"L":6,"T":2,"O":1183,"P":12,"U":"O","R":"1","D":"Quantity_12","PId":1171},"1184":{"Id":-2039750936,"L":6,"T":2,"O":1184,"P":13,"U":"O","R":"1","D":"RejectReasonCode_13","PId":1171},"1185":{"Id":747835837,"L":6,"T":2,"O":1185,"P":14,"U":"O","R":"1","D":"PolicyComplianceCode_14","PId":1171},"1186":{"Id":731058218,"L":6,"T":2,"O":1186,"P":15,"U":"O","R":"1","D":"ExceptionCode_15","PId":1171},"1187":{"Id":-67658735,"L":5,"T":6,"O":1187,"P":20,"U":"O","R":"25","D":"Loop2410","PId":948},"1188":{"Id":1957290883,"L":6,"T":5,"O":1188,"P":1,"U":"M","R":"1","D":"LIN_DrugIdentification","PId":1187},"1189":{"Id":1570142959,"L":7,"T":2,"O":1189,"P":1,"U":"O","R":"1","D":"AssignedIdentification_01","PId":1188},"1190":{"Id":944070874,"L":7,"T":2,"O":1190,"P":2,"U":"M","R":"1","D":"ProductorServiceIDQualifier_02","PId":1188},"1191":{"Id":-1253920903,"L":7,"T":2,"O":1191,"P":3,"U":"M","R":"1","D":"NationalDrugCode_03","PId":1188},"1192":{"Id":1412709936,"L":7,"T":2,"O":1192,"P":4,"U":"O","R":"1","D":"ProductServiceIDQualifier_04","PId":1188},"1193":{"Id":-1253920903,"L":7,"T":2,"O":1193,"P":5,"U":"O","R":"1","D":"ProductServiceID_05","PId":1188},"1194":{"Id":1412709936,"L":7,"T":2,"O":1194,"P":6,"U":"O","R":"1","D":"ProductServiceIDQualifier_06","PId":1188},"1195":{"Id":-1253920903,"L":7,"T":2,"O":1195,"P":7,"U":"O","R":"1","D":"ProductServiceID_07","PId":1188},"1196":{"Id":1412709936,"L":7,"T":2,"O":1196,"P":8,"U":"O","R":"1","D":"ProductServiceIDQualifier_08","PId":1188},"1197":{"Id":-1253920903,"L":7,"T":2,"O":1197,"P":9,"U":"O","R":"1","D":"ProductServiceID_09","PId":1188},"1198":{"Id":1412709936,"L":7,"T":2,"O":1198,"P":10,"U":"O","R":"1","D":"ProductServiceIDQualifier_10","PId":1188},"1199":{"Id":-1253920903,"L":7,"T":2,"O":1199,"P":11,"U":"O","R":"1","D":"ProductServiceID_11","PId":1188},"1200":{"Id":1412709936,"L":7,"T":2,"O":1200,"P":12,"U":"O","R":"1","D":"ProductServiceIDQualifier_12","PId":1188},"1201":{"Id":-1253920903,"L":7,"T":2,"O":1201,"P":13,"U":"O","R":"1","D":"ProductServiceID_13","PId":1188},"1202":{"Id":1412709936,"L":7,"T":2,"O":1202,"P":14,"U":"O","R":"1","D":"ProductServiceIDQualifier_14","PId":1188},"1203":{"Id":-1253920903,"L":7,"T":2,"O":1203,"P":15,"U":"O","R":"1","D":"ProductServiceID_15","PId":1188},"1204":{"Id":1412709936,"L":7,"T":2,"O":1204,"P":16,"U":"O","R":"1","D":"ProductServiceIDQualifier_16","PId":1188},"1205":{"Id":-1253920903,"L":7,"T":2,"O":1205,"P":17,"U":"O","R":"1","D":"ProductServiceID_17","PId":1188},"1206":{"Id":1412709936,"L":7,"T":2,"O":1206,"P":18,"U":"O","R":"1","D":"ProductServiceIDQualifier_18","PId":1188},"1207":{"Id":-1253920903,"L":7,"T":2,"O":1207,"P":19,"U":"O","R":"1","D":"ProductServiceID_19","PId":1188},"1208":{"Id":1412709936,"L":7,"T":2,"O":1208,"P":20,"U":"O","R":"1","D":"ProductServiceIDQualifier_20","PId":1188},"1209":{"Id":-1253920903,"L":7,"T":2,"O":1209,"P":21,"U":"O","R":"1","D":"ProductServiceID_21","PId":1188},"1210":{"Id":1412709936,"L":7,"T":2,"O":1210,"P":22,"U":"O","R":"1","D":"ProductServiceIDQualifier_22","PId":1188},"1211":{"Id":-1253920903,"L":7,"T":2,"O":1211,"P":23,"U":"O","R":"1","D":"ProductServiceID_23","PId":1188},"1212":{"Id":1412709936,"L":7,"T":2,"O":1212,"P":24,"U":"O","R":"1","D":"ProductServiceIDQualifier_24","PId":1188},"1213":{"Id":-1253920903,"L":7,"T":2,"O":1213,"P":25,"U":"O","R":"1","D":"ProductServiceID_25","PId":1188},"1214":{"Id":1412709936,"L":7,"T":2,"O":1214,"P":26,"U":"O","R":"1","D":"ProductServiceIDQualifier_26","PId":1188},"1215":{"Id":-1253920903,"L":7,"T":2,"O":1215,"P":27,"U":"O","R":"1","D":"ProductServiceID_27","PId":1188},"1216":{"Id":1412709936,"L":7,"T":2,"O":1216,"P":28,"U":"O","R":"1","D":"ProductServiceIDQualifier_28","PId":1188},"1217":{"Id":-1253920903,"L":7,"T":2,"O":1217,"P":29,"U":"O","R":"1","D":"ProductServiceID_29","PId":1188},"1218":{"Id":1412709936,"L":7,"T":2,"O":1218,"P":30,"U":"O","R":"1","D":"ProductServiceIDQualifier_30","PId":1188},"1219":{"Id":-1253920903,"L":7,"T":2,"O":1219,"P":31,"U":"O","R":"1","D":"ProductServiceID_31","PId":1188},"1220":{"Id":-2046144641,"L":6,"T":5,"O":1220,"P":2,"U":"O","R":"1","D":"CTP_DrugPricing","PId":1187},"1221":{"Id":1412709936,"L":7,"T":2,"O":1221,"P":1,"U":"O","R":"1","D":"ClassofTradeCode_01","PId":1220},"1222":{"Id":-791514334,"L":7,"T":2,"O":1222,"P":2,"U":"O","R":"1","D":"PriceIdentifierCode_02","PId":1220},"1223":{"Id":182276227,"L":7,"T":2,"O":1223,"P":3,"U":"M","R":"1","D":"UnitPrice_03","PId":1220},"1224":{"Id":182276227,"L":7,"T":2,"O":1224,"P":4,"U":"M","R":"1","D":"NationalDrugUnitCount_04","PId":1220},"1225":{"Id":-862350283,"L":7,"T":4,"O":1225,"P":5,"U":"M","R":"1","D":"CompositeUnitOfMeasure_05","PId":1220},"1226":{"Id":1320371607,"L":8,"T":2,"O":1226,"P":1,"U":"M","R":"1","D":"UnitorBasisforMeasurementCode_01","PId":1225},"1227":{"Id":182276227,"L":8,"T":2,"O":1227,"P":2,"U":"O","R":"1","D":"Exponent_02","PId":1225},"1228":{"Id":182276227,"L":8,"T":2,"O":1228,"P":3,"U":"O","R":"1","D":"Multiplier_03","PId":1225},"1229":{"Id":1412709936,"L":8,"T":2,"O":1229,"P":4,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_04","PId":1225},"1230":{"Id":182276227,"L":8,"T":2,"O":1230,"P":5,"U":"O","R":"1","D":"Exponent_05","PId":1225},"1231":{"Id":182276227,"L":8,"T":2,"O":1231,"P":6,"U":"O","R":"1","D":"Multiplier_06","PId":1225},"1232":{"Id":1412709936,"L":8,"T":2,"O":1232,"P":7,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_07","PId":1225},"1233":{"Id":182276227,"L":8,"T":2,"O":1233,"P":8,"U":"O","R":"1","D":"Exponent_08","PId":1225},"1234":{"Id":182276227,"L":8,"T":2,"O":1234,"P":9,"U":"O","R":"1","D":"Multiplier_09","PId":1225},"1235":{"Id":1412709936,"L":8,"T":2,"O":1235,"P":10,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_10","PId":1225},"1236":{"Id":182276227,"L":8,"T":2,"O":1236,"P":11,"U":"O","R":"1","D":"Exponent_11","PId":1225},"1237":{"Id":182276227,"L":8,"T":2,"O":1237,"P":12,"U":"O","R":"1","D":"Multiplier_12","PId":1225},"1238":{"Id":1412709936,"L":8,"T":2,"O":1238,"P":13,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_13","PId":1225},"1239":{"Id":182276227,"L":8,"T":2,"O":1239,"P":14,"U":"O","R":"1","D":"Exponent_14","PId":1225},"1240":{"Id":182276227,"L":8,"T":2,"O":1240,"P":15,"U":"O","R":"1","D":"Multiplier_15","PId":1225},"1241":{"Id":-791514334,"L":7,"T":2,"O":1241,"P":6,"U":"O","R":"1","D":"PriceMultiplierQualifier_06","PId":1220},"1242":{"Id":182276227,"L":7,"T":2,"O":1242,"P":7,"U":"O","R":"1","D":"Multiplier_07","PId":1220},"1243":{"Id":182276227,"L":7,"T":2,"O":1243,"P":8,"U":"O","R":"1","D":"MonetaryAmount_08","PId":1220},"1244":{"Id":1412709936,"L":7,"T":2,"O":1244,"P":9,"U":"O","R":"1","D":"BasisofUnitPriceCode_09","PId":1220},"1245":{"Id":-1473959604,"L":7,"T":2,"O":1245,"P":10,"U":"O","R":"1","D":"ConditionValue_10","PId":1220},"1246":{"Id":-715421435,"L":7,"T":2,"O":1246,"P":11,"U":"O","R":"1","D":"MultiplePriceQuantity_11","PId":1220},"1247":{"Id":1606511116,"L":6,"T":5,"O":1247,"P":3,"U":"O","R":"1","D":"REF_PrescriptionNumber","PId":1187},"1248":{"Id":385442891,"L":7,"T":2,"O":1248,"P":1,"U":"M","R":"1","D":"ReferenceIdentificationQualifier_01","PId":1247},"1249":{"Id":-272333178,"L":7,"T":2,"O":1249,"P":2,"U":"M","R":"1","D":"MemberGrouporPolicyNumber_02","PId":1247},"1250":{"Id":1570531853,"L":7,"T":2,"O":1250,"P":3,"U":"O","R":"1","D":"Description_03","PId":1247},"1251":{"Id":200506270,"L":7,"T":2,"O":1251,"P":4,"U":"O","R":"1","D":"ReferenceIdentifier_04","PId":1247},"1252":{"Id":-1818377298,"L":5,"T":7,"O":1252,"P":21,"U":"O","R":"1","D":"All2420","PId":948},"1253":{"Id":1732648475,"L":6,"T":6,"O":1253,"P":1,"U":"O","R":"1","D":"Loop2420A","PId":1252},"1254":{"Id":-27955432,"L":7,"T":5,"O":1254,"P":1,"U":"M","R":"1","D":"NM1_RenderingProviderName","PId":1253},"1255":{"Id":361350945,"L":7,"T":5,"O":1255,"P":2,"U":"O","R":"1","D":"PRV_RenderingProviderSpecialtyInformation","PId":1253},"1256":{"Id":1789291152,"L":7,"T":5,"O":1256,"P":3,"U":"O","R":"5","D":"REF_RenderingProviderSecondaryIdentification","PId":1253},"1257":{"Id":-329916573,"L":6,"T":6,"O":1257,"P":2,"U":"O","R":"1","D":"Loop2420B","PId":1252},"1258":{"Id":-1365922643,"L":7,"T":5,"O":1258,"P":1,"U":"M","R":"1","D":"NM1_PurchasedServiceProviderName","PId":1257},"1259":{"Id":1653178227,"L":8,"T":2,"O":1259,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":1258},"1260":{"Id":-498800139,"L":8,"T":2,"O":1260,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":1258},"1261":{"Id":-71249891,"L":8,"T":2,"O":1261,"P":3,"U":"O","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":1258},"1262":{"Id":-219568840,"L":8,"T":2,"O":1262,"P":4,"U":"O","R":"1","D":"ResponseContactFirstName_04","PId":1258},"1263":{"Id":-219568840,"L":8,"T":2,"O":1263,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":1258},"1264":{"Id":-1473959604,"L":8,"T":2,"O":1264,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":1258},"1265":{"Id":-1473959604,"L":8,"T":2,"O":1265,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":1258},"1266":{"Id":92728802,"L":8,"T":2,"O":1266,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":1258},"1267":{"Id":-359602736,"L":8,"T":2,"O":1267,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":1258},"1268":{"Id":1412709936,"L":8,"T":2,"O":1268,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":1258},"1269":{"Id":154703179,"L":8,"T":2,"O":1269,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":1258},"1270":{"Id":-206081488,"L":7,"T":5,"O":1270,"P":2,"U":"O","R":"5","D":"REF_PurchasedServiceProviderSecondaryIdentification","PId":1257},"1271":{"Id":-1326557557,"L":6,"T":6,"O":1271,"P":3,"U":"O","R":"1","D":"Loop2420C","PId":1252},"1272":{"Id":199594327,"L":7,"T":5,"O":1272,"P":1,"U":"M","R":"1","D":"NM1_ServiceFacilityLocation","PId":1271},"1273":{"Id":2099170077,"L":7,"T":5,"O":1273,"P":2,"U":"M","R":"1","D":"N3_ServiceFacilityLocationAddress","PId":1271},"1274":{"Id":-501322166,"L":7,"T":5,"O":1274,"P":3,"U":"M","R":"1","D":"N4_ServiceFacilityLocationCityStateZIP","PId":1271},"1275":{"Id":-1639252218,"L":7,"T":5,"O":1275,"P":4,"U":"O","R":"5","D":"REF_ServiceFacilityLocationSecondaryIdentification","PId":1271},"1276":{"Id":-144318885,"L":6,"T":6,"O":1276,"P":4,"U":"O","R":"1","D":"Loop2420D","PId":1252},"1277":{"Id":1053487357,"L":7,"T":5,"O":1277,"P":1,"U":"M","R":"1","D":"NM1_SupervisingProviderName","PId":1276},"1278":{"Id":1789291152,"L":7,"T":5,"O":1278,"P":2,"U":"O","R":"5","D":"REF_SupervisingProviderSecondaryIdentification","PId":1276},"1279":{"Id":-282112309,"L":6,"T":6,"O":1279,"P":5,"U":"O","R":"1","D":"Loop2420E","PId":1252},"1280":{"Id":1232508780,"L":7,"T":5,"O":1280,"P":1,"U":"M","R":"1","D":"NM1_OrderingProviderName","PId":1279},"1281":{"Id":1737213417,"L":8,"T":2,"O":1281,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":1280},"1282":{"Id":-515577758,"L":8,"T":2,"O":1282,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":1280},"1283":{"Id":-71249891,"L":8,"T":2,"O":1283,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":1280},"1284":{"Id":-219568840,"L":8,"T":2,"O":1284,"P":4,"U":"M","R":"1","D":"ResponseContactFirstName_04","PId":1280},"1285":{"Id":-219568840,"L":8,"T":2,"O":1285,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":1280},"1286":{"Id":-1473959604,"L":8,"T":2,"O":1286,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":1280},"1287":{"Id":-1473959604,"L":8,"T":2,"O":1287,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":1280},"1288":{"Id":92728802,"L":8,"T":2,"O":1288,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":1280},"1289":{"Id":-359602736,"L":8,"T":2,"O":1289,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":1280},"1290":{"Id":1412709936,"L":8,"T":2,"O":1290,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":1280},"1291":{"Id":154703179,"L":8,"T":2,"O":1291,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":1280},"1292":{"Id":2099170077,"L":7,"T":5,"O":1292,"P":2,"U":"O","R":"1","D":"N3_OrderingProviderAddress","PId":1279},"1293":{"Id":-501322166,"L":7,"T":5,"O":1293,"P":3,"U":"O","R":"1","D":"N4_OrderingProviderCityStateZIPCode","PId":1279},"1294":{"Id":1789291152,"L":7,"T":5,"O":1294,"P":4,"U":"O","R":"5","D":"REF_OrderingProviderSecondaryIdentification","PId":1279},"1295":{"Id":-1611528819,"L":7,"T":5,"O":1295,"P":5,"U":"O","R":"1","D":"PER_OrderingProviderContactInformation","PId":1279},"1296":{"Id":-1896975965,"L":6,"T":6,"O":1296,"P":6,"U":"O","R":"2","D":"Loop2420F","PId":1252},"1297":{"Id":1726117845,"L":7,"T":5,"O":1297,"P":1,"U":"M","R":"1","D":"NM1_ReferringProviderName","PId":1296},"1298":{"Id":1720435798,"L":8,"T":2,"O":1298,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":1297},"1299":{"Id":-515577758,"L":8,"T":2,"O":1299,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":1297},"1300":{"Id":-71249891,"L":8,"T":2,"O":1300,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":1297},"1301":{"Id":-219568840,"L":8,"T":2,"O":1301,"P":4,"U":"M","R":"1","D":"ResponseContactFirstName_04","PId":1297},"1302":{"Id":-219568840,"L":8,"T":2,"O":1302,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":1297},"1303":{"Id":-1473959604,"L":8,"T":2,"O":1303,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":1297},"1304":{"Id":-1473959604,"L":8,"T":2,"O":1304,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":1297},"1305":{"Id":92728802,"L":8,"T":2,"O":1305,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":1297},"1306":{"Id":-359602736,"L":8,"T":2,"O":1306,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":1297},"1307":{"Id":1412709936,"L":8,"T":2,"O":1307,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":1297},"1308":{"Id":154703179,"L":8,"T":2,"O":1308,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":1297},"1309":{"Id":-860506799,"L":7,"T":5,"O":1309,"P":2,"U":"O","R":"1","D":"PRV_ReferringProviderSpecialtyInformation","PId":1296},"1310":{"Id":1789291152,"L":7,"T":5,"O":1310,"P":3,"U":"O","R":"5","D":"REF_ReferringProviderSecondaryIdentification","PId":1296},"1311":{"Id":352168619,"L":6,"T":6,"O":1311,"P":7,"U":"O","R":"4","D":"Loop2420G","PId":1252},"1312":{"Id":1854873502,"L":7,"T":5,"O":1312,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerPriorAuthorizationOrReferralNumber","PId":1311},"1313":{"Id":1088239961,"L":7,"T":5,"O":1313,"P":2,"U":"M","R":"2","D":"REF_OtherPayerPriorAuthorizationOrReferralNumber","PId":1311},"1314":{"Id":-1790723475,"L":5,"T":6,"O":1314,"P":22,"U":"O","R":"25","D":"Loop2430","PId":948},"1315":{"Id":-1496407474,"L":6,"T":5,"O":1315,"P":1,"U":"M","R":"1","D":"SVD_LineAdjudicationInformation","PId":1314},"1316":{"Id":-359602736,"L":7,"T":2,"O":1316,"P":1,"U":"M","R":"1","D":"OtherPayerPrimaryIdentifier_01","PId":1315},"1317":{"Id":182276227,"L":7,"T":2,"O":1317,"P":2,"U":"M","R":"1","D":"ServiceLinePaidAmount_02","PId":1315},"1318":{"Id":1613557354,"L":7,"T":4,"O":1318,"P":3,"U":"M","R":"1","D":"CompositeMedicalProcedureIdentifier_03","PId":1315},"1319":{"Id":-1253920903,"L":7,"T":2,"O":1319,"P":4,"U":"O","R":"1","D":"ProductServiceID_04","PId":1315},"1320":{"Id":182276227,"L":7,"T":2,"O":1320,"P":5,"U":"M","R":"1","D":"PaidServiceUnitCount_05","PId":1315},"1321":{"Id":-715421435,"L":7,"T":2,"O":1321,"P":6,"U":"O","R":"1","D":"BundledorUnbundledLineNumber_06","PId":1315},"1322":{"Id":-2008753540,"L":6,"T":5,"O":1322,"P":2,"U":"O","R":"99","D":"CAS_LineAdjustment","PId":1314},"1323":{"Id":1104974147,"L":6,"T":5,"O":1323,"P":3,"U":"M","R":"1","D":"DTP_LineAdjudicationDate","PId":1314},"1324":{"Id":-1639943609,"L":5,"T":6,"O":1324,"P":23,"U":"O","R":"5","D":"Loop2440","PId":948},"1325":{"Id":-1599040964,"L":6,"T":5,"O":1325,"P":1,"U":"M","R":"1","D":"LQ_FormIdentificationCode","PId":1324},"1326":{"Id":608582129,"L":7,"T":2,"O":1326,"P":1,"U":"M","R":"1","D":"CodeListQualifierCode_01","PId":1325},"1327":{"Id":-272333178,"L":7,"T":2,"O":1327,"P":2,"U":"M","R":"1","D":"FormIdentifier_02","PId":1325},"1328":{"Id":-1283509964,"L":6,"T":5,"O":1328,"P":2,"U":"M","R":"99","D":"FRM_SupportingDocumentation","PId":1324},"1329":{"Id":1570142959,"L":7,"T":2,"O":1329,"P":1,"U":"M","R":"1","D":"QuestionNumberLetter_01","PId":1328},"1330":{"Id":-37250825,"L":7,"T":2,"O":1330,"P":2,"U":"O","R":"1","D":"QuestionResponse_02","PId":1328},"1331":{"Id":-272333178,"L":7,"T":2,"O":1331,"P":3,"U":"O","R":"1","D":"QuestionResponse_03","PId":1328},"1332":{"Id":286562019,"L":7,"T":2,"O":1332,"P":4,"U":"O","R":"1","D":"QuestionResponse_04","PId":1328},"1333":{"Id":182276227,"L":7,"T":2,"O":1333,"P":5,"U":"O","R":"1","D":"QuestionResponse_05","PId":1328},"1334":{"Id":-1131353253,"L":3,"T":6,"O":1334,"P":6,"U":"O","R":"\u003E1","D":"Loop2000C","PId":192},"1335":{"Id":-428570181,"L":4,"T":5,"O":1335,"P":1,"U":"M","R":"1","D":"HL_PatientHierarchicalLevel","PId":1334},"1336":{"Id":-1158158802,"L":5,"T":2,"O":1336,"P":1,"U":"M","R":"1","D":"HierarchicalIDNumber_01","PId":1335},"1337":{"Id":-1158158802,"L":5,"T":2,"O":1337,"P":2,"U":"M","R":"1","D":"HierarchicalParentIDNumber_02","PId":1335},"1338":{"Id":-253681830,"L":5,"T":2,"O":1338,"P":3,"U":"M","R":"1","D":"HierarchicalLevelCode_03","PId":1335},"1339":{"Id":521739059,"L":5,"T":2,"O":1339,"P":4,"U":"M","R":"1","D":"HierarchicalChildCode_04","PId":1335},"1340":{"Id":386224585,"L":4,"T":5,"O":1340,"P":2,"U":"M","R":"1","D":"PAT_PatientInformation","PId":1334},"1341":{"Id":-2059501890,"L":5,"T":2,"O":1341,"P":1,"U":"M","R":"1","D":"IndividualRelationshipCode_01","PId":1340},"1342":{"Id":200506270,"L":5,"T":2,"O":1342,"P":2,"U":"O","R":"1","D":"PatientLocationCode_02","PId":1340},"1343":{"Id":1412709936,"L":5,"T":2,"O":1343,"P":3,"U":"O","R":"1","D":"EmploymentStatusCode_03","PId":1340},"1344":{"Id":200506270,"L":5,"T":2,"O":1344,"P":4,"U":"O","R":"1","D":"StudentStatusCode_04","PId":1340},"1345":{"Id":-9291472,"L":5,"T":2,"O":1345,"P":5,"U":"O","R":"1","D":"DateTimePeriodFormatQualifier_05","PId":1340},"1346":{"Id":-71249891,"L":5,"T":2,"O":1346,"P":6,"U":"O","R":"1","D":"PatientDeathDate_06","PId":1340},"1347":{"Id":372191729,"L":5,"T":2,"O":1347,"P":7,"U":"O","R":"1","D":"UnitorBasisforMeasurementCode_07","PId":1340},"1348":{"Id":182276227,"L":5,"T":2,"O":1348,"P":8,"U":"O","R":"1","D":"PatientWeight_08","PId":1340},"1349":{"Id":-87583682,"L":5,"T":2,"O":1349,"P":9,"U":"O","R":"1","D":"PregnancyIndicator_09","PId":1340},"1350":{"Id":875845923,"L":4,"T":6,"O":1350,"P":3,"U":"M","R":"1","D":"Loop2010CA","PId":1334},"1351":{"Id":-348548679,"L":5,"T":5,"O":1351,"P":1,"U":"M","R":"1","D":"NM1_PatientName_2010CA","PId":1350},"1352":{"Id":-1490111234,"L":6,"T":2,"O":1352,"P":1,"U":"M","R":"1","D":"EntityIdentifierCode_01","PId":1351},"1353":{"Id":-515577758,"L":6,"T":2,"O":1353,"P":2,"U":"M","R":"1","D":"EntityTypeQualifier_02","PId":1351},"1354":{"Id":-71249891,"L":6,"T":2,"O":1354,"P":3,"U":"M","R":"1","D":"ResponseContactLastorOrganizationName_03","PId":1351},"1355":{"Id":-219568840,"L":6,"T":2,"O":1355,"P":4,"U":"M","R":"1","D":"ResponseContactFirstName_04","PId":1351},"1356":{"Id":-219568840,"L":6,"T":2,"O":1356,"P":5,"U":"O","R":"1","D":"ResponseContactMiddleName_05","PId":1351},"1357":{"Id":-1473959604,"L":6,"T":2,"O":1357,"P":6,"U":"O","R":"1","D":"NamePrefix_06","PId":1351},"1358":{"Id":-1473959604,"L":6,"T":2,"O":1358,"P":7,"U":"O","R":"1","D":"ResponseContactNameSuffix_07","PId":1351},"1359":{"Id":193394516,"L":6,"T":2,"O":1359,"P":8,"U":"O","R":"1","D":"IdentificationCodeQualifier_08","PId":1351},"1360":{"Id":-359602736,"L":6,"T":2,"O":1360,"P":9,"U":"O","R":"1","D":"ResponseContactIdentifier_09","PId":1351},"1361":{"Id":1412709936,"L":6,"T":2,"O":1361,"P":10,"U":"O","R":"1","D":"EntityRelationshipCode_10","PId":1351},"1362":{"Id":154703179,"L":6,"T":2,"O":1362,"P":11,"U":"O","R":"1","D":"EntityIdentifierCode_11","PId":1351},"1363":{"Id":2099170077,"L":5,"T":5,"O":1363,"P":2,"U":"M","R":"1","D":"N3_PatientAddress_2010CA","PId":1350},"1364":{"Id":-501322166,"L":5,"T":5,"O":1364,"P":3,"U":"M","R":"1","D":"N4_PatientCityStateZIPCode_2010CA","PId":1350},"1365":{"Id":963457390,"L":5,"T":5,"O":1365,"P":4,"U":"M","R":"1","D":"DMG_PatientDemographicInformation_2010CA","PId":1350},"1366":{"Id":-765023972,"L":5,"T":7,"O":1366,"P":5,"U":"O","R":"1","D":"AllREF","PId":1350},"1367":{"Id":1303529432,"L":4,"T":6,"O":1367,"P":4,"U":"M","R":"100","D":"Loop2300","PId":1334},"1368":{"Id":-744688962,"L":5,"T":5,"O":1368,"P":1,"U":"M","R":"1","D":"CLM_ClaimInformation","PId":1367},"1369":{"Id":-112220479,"L":5,"T":7,"O":1369,"P":2,"U":"O","R":"1","D":"AllDTP","PId":1367},"1370":{"Id":297007786,"L":6,"T":5,"O":1370,"P":1,"U":"O","R":"1","D":"DTP_DateInitialTreatment","PId":1369},"1371":{"Id":1086133837,"L":6,"T":5,"O":1371,"P":2,"U":"O","R":"1","D":"DTP_DateDateLastSeen","PId":1369},"1372":{"Id":1403081398,"L":6,"T":5,"O":1372,"P":3,"U":"O","R":"1","D":"DTP_DateOnsetOfCurrentIllnessSymptom","PId":1369},"1373":{"Id":-1074848520,"L":6,"T":5,"O":1373,"P":4,"U":"O","R":"5","D":"DTP_DateAcuteManifestation","PId":1369},"1374":{"Id":-2010800889,"L":6,"T":5,"O":1374,"P":5,"U":"O","R":"10","D":"DTP_DateSimilarIllnessSymptomOnset","PId":1369},"1375":{"Id":1560345131,"L":6,"T":5,"O":1375,"P":6,"U":"O","R":"10","D":"DTP_DateAccident","PId":1369},"1376":{"Id":1655392772,"L":6,"T":5,"O":1376,"P":7,"U":"O","R":"1","D":"DTP_DateLastMenstrualPeriod","PId":1369},"1377":{"Id":-1457715526,"L":6,"T":5,"O":1377,"P":8,"U":"O","R":"1","D":"DTP_DateLastXray","PId":1369},"1378":{"Id":465761463,"L":6,"T":5,"O":1378,"P":9,"U":"O","R":"1","D":"DTP_DateHearingAndVisionPrescriptionDate","PId":1369},"1379":{"Id":1108484533,"L":6,"T":5,"O":1379,"P":10,"U":"O","R":"5","D":"DTP_DateDisabilityBegin","PId":1369},"1380":{"Id":-1330495051,"L":6,"T":5,"O":1380,"P":11,"U":"O","R":"5","D":"DTP_DateDisabilityEnd","PId":1369},"1381":{"Id":202994174,"L":6,"T":5,"O":1381,"P":12,"U":"O","R":"1","D":"DTP_DateLastWorked","PId":1369},"1382":{"Id":722991649,"L":6,"T":5,"O":1382,"P":13,"U":"O","R":"1","D":"DTP_DateAuthorizedReturnToWork","PId":1369},"1383":{"Id":-467238253,"L":6,"T":5,"O":1383,"P":14,"U":"O","R":"1","D":"DTP_DateAdmission","PId":1369},"1384":{"Id":-495808454,"L":6,"T":5,"O":1384,"P":15,"U":"O","R":"1","D":"DTP_DateDischarge","PId":1369},"1385":{"Id":647874844,"L":6,"T":5,"O":1385,"P":16,"U":"O","R":"2","D":"DTP_DateAssumedAndRelinquishedCareDates","PId":1369},"1386":{"Id":-1781312048,"L":5,"T":5,"O":1386,"P":3,"U":"O","R":"10","D":"PWK_ClaimSupplementalInformation","PId":1367},"1387":{"Id":-1393220058,"L":5,"T":5,"O":1387,"P":4,"U":"O","R":"1","D":"CN1_ContractInformation","PId":1367},"1388":{"Id":-599997188,"L":5,"T":7,"O":1388,"P":5,"U":"O","R":"1","D":"AllAMT","PId":1367},"1389":{"Id":-831598885,"L":6,"T":5,"O":1389,"P":1,"U":"O","R":"1","D":"AMT_CreditDebitCardMaximumAmount","PId":1388},"1390":{"Id":-1742434287,"L":6,"T":5,"O":1390,"P":2,"U":"O","R":"1","D":"AMT_PatientAmountPaid","PId":1388},"1391":{"Id":-691988050,"L":6,"T":5,"O":1391,"P":3,"U":"O","R":"1","D":"AMT_TotalPurchasedServiceAmount","PId":1388},"1392":{"Id":-1073609376,"L":5,"T":7,"O":1392,"P":6,"U":"O","R":"1","D":"AllREF","PId":1367},"1393":{"Id":-271478145,"L":6,"T":5,"O":1393,"P":1,"U":"O","R":"1","D":"REF_ServiceAuthorizationExceptionCode","PId":1392},"1394":{"Id":572617023,"L":6,"T":5,"O":1394,"P":2,"U":"O","R":"1","D":"REF_MandatoryMedicareSection4081CrossoverIndicator","PId":1392},"1395":{"Id":-83225020,"L":6,"T":5,"O":1395,"P":3,"U":"O","R":"1","D":"REF_MammographyCertificationNumber","PId":1392},"1396":{"Id":1088239961,"L":6,"T":5,"O":1396,"P":4,"U":"O","R":"2","D":"REF_PriorAuthorizationOrReferralNumber","PId":1392},"1397":{"Id":1349801857,"L":6,"T":5,"O":1397,"P":5,"U":"O","R":"1","D":"REF_OriginalReferenceNumberICNDCN","PId":1392},"1398":{"Id":-653629759,"L":6,"T":5,"O":1398,"P":6,"U":"O","R":"3","D":"REF_ClinicalLaboratoryImprovementAmendmentCLIANumber","PId":1392},"1399":{"Id":-2117251260,"L":6,"T":5,"O":1399,"P":7,"U":"O","R":"1","D":"REF_RepricedClaimNumber","PId":1392},"1400":{"Id":-1758888618,"L":6,"T":5,"O":1400,"P":8,"U":"O","R":"1","D":"REF_AdjustedRepricedClaimNumber","PId":1392},"1401":{"Id":-40087136,"L":6,"T":5,"O":1401,"P":9,"U":"O","R":"1","D":"REF_InvestigationalDeviceExemptionNumber","PId":1392},"1402":{"Id":1744730155,"L":6,"T":5,"O":1402,"P":10,"U":"O","R":"1","D":"REF_ClaimIdentificationNumberForClearingHousesAndOtherTransmissionIntermediaries","PId":1392},"1403":{"Id":-703331775,"L":6,"T":5,"O":1403,"P":11,"U":"O","R":"4","D":"REF_AmbulatoryPatientGroupAPG","PId":1392},"1404":{"Id":713378515,"L":6,"T":5,"O":1404,"P":12,"U":"O","R":"1","D":"REF_MedicalRecordNumber","PId":1392},"1405":{"Id":24692830,"L":6,"T":5,"O":1405,"P":13,"U":"O","R":"1","D":"REF_DemonstrationProjectIdentifier","PId":1392},"1406":{"Id":1598543690,"L":5,"T":5,"O":1406,"P":7,"U":"O","R":"10","D":"K3_FileInformation","PId":1367},"1407":{"Id":1079048083,"L":5,"T":5,"O":1407,"P":8,"U":"O","R":"1","D":"NTE_ClaimNote","PId":1367},"1408":{"Id":1090803551,"L":5,"T":5,"O":1408,"P":9,"U":"O","R":"1","D":"CR1_AmbulanceTransportInformation","PId":1367},"1409":{"Id":1570775536,"L":5,"T":5,"O":1409,"P":10,"U":"O","R":"1","D":"CR2_SpinalManipulationServiceInformation","PId":1367},"1410":{"Id":-2072799405,"L":5,"T":7,"O":1410,"P":11,"U":"O","R":"1","D":"AllCRC","PId":1367},"1411":{"Id":998413964,"L":6,"T":5,"O":1411,"P":1,"U":"O","R":"3","D":"CRC_AmbulanceCertification","PId":1410},"1412":{"Id":-2109336164,"L":6,"T":5,"O":1412,"P":2,"U":"O","R":"3","D":"CRC_PatientConditionInformationVision","PId":1410},"1413":{"Id":-534897714,"L":6,"T":5,"O":1413,"P":3,"U":"O","R":"1","D":"CRC_HomeboundIndicator","PId":1410},"1414":{"Id":1702744939,"L":6,"T":5,"O":1414,"P":4,"U":"O","R":"1","D":"CRC_EPSDTReferral","PId":1410},"1415":{"Id":1044764962,"L":5,"T":5,"O":1415,"P":12,"U":"O","R":"1","D":"HI_HealthCareDiagnosisCode","PId":1367},"1416":{"Id":-1985398628,"L":5,"T":5,"O":1416,"P":13,"U":"O","R":"1","D":"HCP_ClaimPricingRepricingInformation","PId":1367},"1417":{"Id":1888115767,"L":5,"T":6,"O":1417,"P":14,"U":"O","R":"6","D":"Loop2305","PId":1367},"1418":{"Id":1372255379,"L":6,"T":5,"O":1418,"P":1,"U":"M","R":"1","D":"CR7_HomeHealthCarePlanInformation","PId":1417},"1419":{"Id":-1932369209,"L":6,"T":5,"O":1419,"P":2,"U":"O","R":"3","D":"HSD_HealthCareServicesDelivery","PId":1417},"1420":{"Id":953838541,"L":5,"T":7,"O":1420,"P":15,"U":"O","R":"1","D":"All2310","PId":1367},"1421":{"Id":1810638429,"L":6,"T":6,"O":1421,"P":1,"U":"O","R":"2","D":"Loop2310A","PId":1420},"1422":{"Id":1623049752,"L":7,"T":5,"O":1422,"P":1,"U":"M","R":"1","D":"NM1_ReferringProviderName","PId":1421},"1423":{"Id":-860506799,"L":7,"T":5,"O":1423,"P":2,"U":"O","R":"1","D":"PRV_ReferringProviderSpecialtyInformation","PId":1421},"1424":{"Id":1789291152,"L":7,"T":5,"O":1424,"P":3,"U":"O","R":"5","D":"REF_ReferringProviderSecondaryIdentification","PId":1421},"1425":{"Id":1130078349,"L":6,"T":6,"O":1425,"P":2,"U":"O","R":"1","D":"Loop2310B","PId":1420},"1426":{"Id":-27955432,"L":7,"T":5,"O":1426,"P":1,"U":"M","R":"1","D":"NM1_RenderingProviderName","PId":1425},"1427":{"Id":361350945,"L":7,"T":5,"O":1427,"P":2,"U":"O","R":"1","D":"PRV_RenderingProviderSpecialtyInformation","PId":1425},"1428":{"Id":1789291152,"L":7,"T":5,"O":1428,"P":3,"U":"O","R":"5","D":"REF_RenderingProviderSecondaryIdentification","PId":1425},"1429":{"Id":-786322435,"L":6,"T":6,"O":1429,"P":3,"U":"O","R":"1","D":"Loop2310C","PId":1420},"1430":{"Id":-1703786240,"L":7,"T":5,"O":1430,"P":1,"U":"M","R":"1","D":"NM1_PurchasedServiceProviderName","PId":1429},"1431":{"Id":-206081488,"L":7,"T":5,"O":1431,"P":2,"U":"O","R":"5","D":"REF_PurchasedServiceProviderSecondaryIdentification","PId":1429},"1432":{"Id":-859993835,"L":6,"T":6,"O":1432,"P":4,"U":"O","R":"1","D":"Loop2310D","PId":1420},"1433":{"Id":199594327,"L":7,"T":5,"O":1433,"P":1,"U":"M","R":"1","D":"NM1_ServiceFacilityLocation","PId":1432},"1434":{"Id":2099170077,"L":7,"T":5,"O":1434,"P":2,"U":"M","R":"1","D":"N3_ServiceFacilityLocationAddress","PId":1432},"1435":{"Id":-501322166,"L":7,"T":5,"O":1435,"P":3,"U":"M","R":"1","D":"N4_ServiceFacilityLocationCityStateZIP","PId":1432},"1436":{"Id":-1639252218,"L":7,"T":5,"O":1436,"P":4,"U":"O","R":"5","D":"REF_ServiceFacilityLocationSecondaryIdentification","PId":1432},"1437":{"Id":-158225859,"L":6,"T":6,"O":1437,"P":5,"U":"O","R":"1","D":"Loop2310E","PId":1420},"1438":{"Id":1053487357,"L":7,"T":5,"O":1438,"P":1,"U":"M","R":"1","D":"NM1_SupervisingProviderName","PId":1437},"1439":{"Id":1789291152,"L":7,"T":5,"O":1439,"P":2,"U":"O","R":"5","D":"REF_SupervisingProviderSecondaryIdentification","PId":1437},"1440":{"Id":32773216,"L":5,"T":6,"O":1440,"P":16,"U":"O","R":"10","D":"Loop2320","PId":1367},"1441":{"Id":-1409226853,"L":6,"T":5,"O":1441,"P":1,"U":"M","R":"1","D":"SBR_OtherSubscriberInformation","PId":1440},"1442":{"Id":-2008753540,"L":6,"T":5,"O":1442,"P":2,"U":"O","R":"5","D":"CAS_ClaimLevelAdjustments","PId":1440},"1443":{"Id":853974461,"L":6,"T":7,"O":1443,"P":3,"U":"O","R":"1","D":"AllAMT","PId":1440},"1444":{"Id":-1039485239,"L":7,"T":5,"O":1444,"P":1,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPayerPaidAmount","PId":1443},"1445":{"Id":1990871739,"L":7,"T":5,"O":1445,"P":2,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBApprovedAmount","PId":1443},"1446":{"Id":534151490,"L":7,"T":5,"O":1446,"P":3,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBAllowedAmount","PId":1443},"1447":{"Id":-1593201731,"L":7,"T":5,"O":1447,"P":4,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPatientResponsibilityAmount","PId":1443},"1448":{"Id":-1143020764,"L":7,"T":5,"O":1448,"P":5,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBCoveredAmount","PId":1443},"1449":{"Id":-22871783,"L":7,"T":5,"O":1449,"P":6,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBDiscountAmount","PId":1443},"1450":{"Id":-515067004,"L":7,"T":5,"O":1450,"P":7,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPerDayLimitAmount","PId":1443},"1451":{"Id":-1742434287,"L":7,"T":5,"O":1451,"P":8,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBPatientPaidAmount","PId":1443},"1452":{"Id":-817991449,"L":7,"T":5,"O":1452,"P":9,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBTaxAmount","PId":1443},"1453":{"Id":1294712540,"L":7,"T":5,"O":1453,"P":10,"U":"O","R":"1","D":"AMT_CoordinationOfBenefitsCOBTotalClaimBeforeTaxesAmount","PId":1443},"1454":{"Id":963457390,"L":6,"T":5,"O":1454,"P":4,"U":"O","R":"1","D":"DMG_SubscriberDemographicInformation","PId":1440},"1455":{"Id":-1407344846,"L":6,"T":5,"O":1455,"P":5,"U":"M","R":"1","D":"OI_OtherInsuranceCoverageInformation","PId":1440},"1456":{"Id":729742171,"L":6,"T":5,"O":1456,"P":6,"U":"O","R":"1","D":"MOA_MedicareOutpatientAdjudicationInformation","PId":1440},"1457":{"Id":-133623445,"L":6,"T":7,"O":1457,"P":7,"U":"M","R":"1","D":"All2330","PId":1440},"1458":{"Id":435550268,"L":7,"T":6,"O":1458,"P":1,"U":"M","R":"1","D":"Loop2330A","PId":1457},"1459":{"Id":-309701159,"L":8,"T":5,"O":1459,"P":1,"U":"M","R":"1","D":"NM1_OtherSubscriberName","PId":1458},"1460":{"Id":2099170077,"L":8,"T":5,"O":1460,"P":2,"U":"O","R":"1","D":"N3_OtherSubscriberAddress","PId":1458},"1461":{"Id":1156921047,"L":8,"T":5,"O":1461,"P":3,"U":"O","R":"1","D":"N4_OtherSubscriberCityStateZIPCode","PId":1458},"1462":{"Id":-736032695,"L":8,"T":5,"O":1462,"P":4,"U":"O","R":"3","D":"REF_OtherSubscriberSecondaryIdentification","PId":1458},"1463":{"Id":-30552332,"L":7,"T":6,"O":1463,"P":2,"U":"M","R":"1","D":"Loop2330B","PId":1457},"1464":{"Id":1854873502,"L":8,"T":5,"O":1464,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerName","PId":1463},"1465":{"Id":-1433547430,"L":8,"T":5,"O":1465,"P":2,"U":"O","R":"2","D":"PER_OtherPayerContactInformation","PId":1463},"1466":{"Id":1104974147,"L":8,"T":5,"O":1466,"P":3,"U":"O","R":"1","D":"DTP_ClaimAdjudicationDate","PId":1463},"1467":{"Id":504877699,"L":8,"T":7,"O":1467,"P":4,"U":"O","R":"1","D":"AllREF","PId":1463},"1468":{"Id":-889023843,"L":9,"T":5,"O":1468,"P":1,"U":"O","R":"2","D":"REF_OtherPayerSecondaryIdentifier","PId":1467},"1469":{"Id":1088239961,"L":9,"T":5,"O":1469,"P":2,"U":"O","R":"2","D":"REF_OtherPayerPriorAuthorizationOrReferralNumber","PId":1467},"1470":{"Id":1277771314,"L":9,"T":5,"O":1470,"P":3,"U":"O","R":"2","D":"REF_OtherPayerClaimAdjustmentIndicator","PId":1467},"1471":{"Id":-294777124,"L":7,"T":6,"O":1471,"P":3,"U":"O","R":"1","D":"Loop2330C","PId":1457},"1472":{"Id":1993317960,"L":8,"T":5,"O":1472,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerPatientInformation","PId":1471},"1473":{"Id":-736032695,"L":8,"T":5,"O":1473,"P":2,"U":"O","R":"3","D":"REF_OtherPayerPatientIdentification","PId":1471},"1474":{"Id":1722932700,"L":7,"T":6,"O":1474,"P":4,"U":"O","R":"2","D":"Loop2330D","PId":1457},"1475":{"Id":529686002,"L":8,"T":5,"O":1475,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerReferringProvider","PId":1474},"1476":{"Id":-724318667,"L":8,"T":5,"O":1476,"P":2,"U":"M","R":"3","D":"REF_OtherPayerReferringProviderIdentification","PId":1474},"1477":{"Id":-1179486836,"L":7,"T":6,"O":1477,"P":5,"U":"O","R":"1","D":"Loop2330E","PId":1457},"1478":{"Id":1285485530,"L":8,"T":5,"O":1478,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerRenderingProvider","PId":1477},"1479":{"Id":-724318667,"L":8,"T":5,"O":1479,"P":2,"U":"M","R":"3","D":"REF_OtherPayerRenderingProviderSecondaryIdentification","PId":1477},"1480":{"Id":781108340,"L":7,"T":6,"O":1480,"P":6,"U":"O","R":"1","D":"Loop2330F","PId":1457},"1481":{"Id":801486040,"L":8,"T":5,"O":1481,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerPurchasedServiceProvider","PId":1480},"1482":{"Id":171223629,"L":8,"T":5,"O":1482,"P":2,"U":"M","R":"3","D":"REF_OtherPayerPurchasedServiceProviderIdentification","PId":1480},"1483":{"Id":898879740,"L":7,"T":6,"O":1483,"P":7,"U":"O","R":"1","D":"Loop2330G","PId":1457},"1484":{"Id":233705978,"L":8,"T":5,"O":1484,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerServiceFacilityLocation","PId":1483},"1485":{"Id":2062633513,"L":8,"T":5,"O":1485,"P":2,"U":"M","R":"3","D":"REF_OtherPayerServiceFacilityLocationIdentification","PId":1483},"1486":{"Id":-1182944980,"L":7,"T":6,"O":1486,"P":8,"U":"O","R":"1","D":"Loop2330H","PId":1457},"1487":{"Id":2086607531,"L":8,"T":5,"O":1487,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerSupervisingProvider","PId":1486},"1488":{"Id":-1750047328,"L":8,"T":5,"O":1488,"P":2,"U":"M","R":"3","D":"REF_OtherPayerSupervisingProviderIdentification","PId":1486},"1489":{"Id":-1252741522,"L":5,"T":6,"O":1489,"P":17,"U":"M","R":"50","D":"Loop2400","PId":1367},"1490":{"Id":-920133248,"L":6,"T":5,"O":1490,"P":1,"U":"M","R":"1","D":"LX_ServiceLine","PId":1489},"1491":{"Id":515967300,"L":6,"T":5,"O":1491,"P":2,"U":"M","R":"1","D":"SV1_ProfessionalService","PId":1489},"1492":{"Id":-1835125869,"L":6,"T":5,"O":1492,"P":3,"U":"O","R":"1","D":"SV5_DurableMedicalEquipmentService","PId":1489},"1493":{"Id":-1599809662,"L":6,"T":5,"O":1493,"P":4,"U":"O","R":"1","D":"PWK_DMERCCMNIndicator","PId":1489},"1494":{"Id":1090803551,"L":6,"T":5,"O":1494,"P":5,"U":"O","R":"1","D":"CR1_AmbulanceTransportInformation","PId":1489},"1495":{"Id":1570775536,"L":6,"T":5,"O":1495,"P":6,"U":"O","R":"5","D":"CR2_SpinalManipulationServiceInformation","PId":1489},"1496":{"Id":-1476878512,"L":6,"T":5,"O":1496,"P":7,"U":"O","R":"1","D":"CR3_DurableMedicalEquipmentCertification","PId":1489},"1497":{"Id":253627838,"L":6,"T":5,"O":1497,"P":8,"U":"O","R":"1","D":"CR5_HomeOxygenTherapyInformation","PId":1489},"1498":{"Id":1534545448,"L":6,"T":7,"O":1498,"P":9,"U":"O","R":"1","D":"AllCRC","PId":1489},"1499":{"Id":998413964,"L":7,"T":5,"O":1499,"P":1,"U":"O","R":"3","D":"CRC_AmbulanceCertification","PId":1498},"1500":{"Id":-355232838,"L":7,"T":5,"O":1500,"P":2,"U":"O","R":"1","D":"CRC_HospiceEmployeeIndicator","PId":1498},"1501":{"Id":-1033275953,"L":7,"T":5,"O":1501,"P":3,"U":"O","R":"2","D":"CRC_DMERCConditionIndicator","PId":1498},"1502":{"Id":750126294,"L":6,"T":7,"O":1502,"P":10,"U":"M","R":"1","D":"AllDTP","PId":1489},"1503":{"Id":-270510259,"L":7,"T":5,"O":1503,"P":1,"U":"M","R":"1","D":"DTP_DateServiceDate","PId":1502},"1504":{"Id":1430439913,"L":7,"T":5,"O":1504,"P":2,"U":"O","R":"1","D":"DTP_DateCertificationRevisionDate","PId":1502},"1505":{"Id":-356565992,"L":7,"T":5,"O":1505,"P":3,"U":"O","R":"1","D":"DTP_DateBeginTherapyDate","PId":1502},"1506":{"Id":2097698056,"L":7,"T":5,"O":1506,"P":4,"U":"O","R":"1","D":"DTP_DateLastCertificationDate","PId":1502},"1507":{"Id":1086133837,"L":7,"T":5,"O":1507,"P":5,"U":"O","R":"1","D":"DTP_DateDateLastSeen","PId":1502},"1508":{"Id":-968392994,"L":7,"T":5,"O":1508,"P":6,"U":"O","R":"2","D":"DTP_DateTest","PId":1502},"1509":{"Id":2117927231,"L":7,"T":5,"O":1509,"P":7,"U":"O","R":"3","D":"DTP_DateOxygenSaturationArterialBloodGasTest","PId":1502},"1510":{"Id":-503530491,"L":7,"T":5,"O":1510,"P":8,"U":"O","R":"1","D":"DTP_DateShipped","PId":1502},"1511":{"Id":1403081398,"L":7,"T":5,"O":1511,"P":9,"U":"O","R":"1","D":"DTP_DateOnsetOfCurrentSymptomIllness","PId":1502},"1512":{"Id":-1457715526,"L":7,"T":5,"O":1512,"P":10,"U":"O","R":"1","D":"DTP_DateLastXray","PId":1502},"1513":{"Id":-1074848520,"L":7,"T":5,"O":1513,"P":11,"U":"O","R":"1","D":"DTP_DateAcuteManifestation","PId":1502},"1514":{"Id":297007786,"L":7,"T":5,"O":1514,"P":12,"U":"O","R":"1","D":"DTP_DateInitialTreatment","PId":1502},"1515":{"Id":-2010800889,"L":7,"T":5,"O":1515,"P":13,"U":"O","R":"1","D":"DTP_DateSimilarIllnessSymptomOnset","PId":1502},"1516":{"Id":-123486216,"L":6,"T":5,"O":1516,"P":11,"U":"O","R":"20","D":"MEA_TestResult","PId":1489},"1517":{"Id":-707517717,"L":6,"T":5,"O":1517,"P":12,"U":"O","R":"1","D":"CN1_ContractInformation","PId":1489},"1518":{"Id":-1788278378,"L":6,"T":7,"O":1518,"P":13,"U":"O","R":"1","D":"AllREF","PId":1489},"1519":{"Id":706379714,"L":7,"T":5,"O":1519,"P":1,"U":"O","R":"1","D":"REF_RepricedLineItemReferenceNumber","PId":1518},"1520":{"Id":-531811280,"L":7,"T":5,"O":1520,"P":2,"U":"O","R":"1","D":"REF_AdjustedRepricedLineItemReferenceNumber","PId":1518},"1521":{"Id":1088239961,"L":7,"T":5,"O":1521,"P":3,"U":"O","R":"2","D":"REF_PriorAuthorizationOrReferralNumber","PId":1518},"1522":{"Id":-367088812,"L":7,"T":5,"O":1522,"P":4,"U":"O","R":"1","D":"REF_LineItemControlNumber","PId":1518},"1523":{"Id":-83225020,"L":7,"T":5,"O":1523,"P":5,"U":"O","R":"1","D":"REF_MammographyCertificationNumber","PId":1518},"1524":{"Id":-653629759,"L":7,"T":5,"O":1524,"P":6,"U":"O","R":"1","D":"REF_ClinicalLaboratoryImprovementAmendmentCLIAIdentification","PId":1518},"1525":{"Id":-640227430,"L":7,"T":5,"O":1525,"P":7,"U":"O","R":"1","D":"REF_ReferringClinicalLaboratoryImprovementAmendmentCLIAFacilityIdentification","PId":1518},"1526":{"Id":1905478320,"L":7,"T":5,"O":1526,"P":8,"U":"O","R":"1","D":"REF_ImmunizationBatchNumber","PId":1518},"1527":{"Id":-703331775,"L":7,"T":5,"O":1527,"P":9,"U":"O","R":"4","D":"REF_AmbulatoryPatientGroupAPG","PId":1518},"1528":{"Id":202142695,"L":7,"T":5,"O":1528,"P":10,"U":"O","R":"1","D":"REF_OxygenFlowRate","PId":1518},"1529":{"Id":-343967255,"L":7,"T":5,"O":1529,"P":11,"U":"O","R":"1","D":"REF_UniversalProductNumberUPN","PId":1518},"1530":{"Id":61657872,"L":6,"T":7,"O":1530,"P":14,"U":"O","R":"1","D":"AllAMT","PId":1489},"1531":{"Id":-817991449,"L":7,"T":5,"O":1531,"P":1,"U":"O","R":"1","D":"AMT_SalesTaxAmount","PId":1530},"1532":{"Id":1990871739,"L":7,"T":5,"O":1532,"P":2,"U":"O","R":"1","D":"AMT_ApprovedAmount","PId":1530},"1533":{"Id":1721865410,"L":7,"T":5,"O":1533,"P":3,"U":"O","R":"1","D":"AMT_PostageClaimedAmount","PId":1530},"1534":{"Id":1598543690,"L":6,"T":5,"O":1534,"P":15,"U":"O","R":"10","D":"K3_FileInformation","PId":1489},"1535":{"Id":1747532923,"L":6,"T":5,"O":1535,"P":16,"U":"O","R":"1","D":"NTE_LineNote","PId":1489},"1536":{"Id":-2126138688,"L":6,"T":5,"O":1536,"P":17,"U":"O","R":"1","D":"PS1_PurchasedServiceInformation","PId":1489},"1537":{"Id":-1949146828,"L":6,"T":5,"O":1537,"P":18,"U":"O","R":"1","D":"HSD_HealthCareServicesDelivery","PId":1489},"1538":{"Id":741897264,"L":6,"T":5,"O":1538,"P":19,"U":"O","R":"1","D":"HCP_LinePricingRepricingInformation","PId":1489},"1539":{"Id":-117991592,"L":6,"T":6,"O":1539,"P":20,"U":"O","R":"25","D":"Loop2410","PId":1489},"1540":{"Id":1957290883,"L":7,"T":5,"O":1540,"P":1,"U":"M","R":"1","D":"LIN_DrugIdentification","PId":1539},"1541":{"Id":-2046144641,"L":7,"T":5,"O":1541,"P":2,"U":"O","R":"1","D":"CTP_DrugPricing","PId":1539},"1542":{"Id":1606511116,"L":7,"T":5,"O":1542,"P":3,"U":"O","R":"1","D":"REF_PrescriptionNumber","PId":1539},"1543":{"Id":-1835154917,"L":6,"T":7,"O":1543,"P":21,"U":"O","R":"1","D":"All2420","PId":1489},"1544":{"Id":1715870856,"L":7,"T":6,"O":1544,"P":1,"U":"O","R":"1","D":"Loop2420A","PId":1543},"1545":{"Id":-27955432,"L":8,"T":5,"O":1545,"P":1,"U":"M","R":"1","D":"NM1_RenderingProviderName","PId":1544},"1546":{"Id":361350945,"L":8,"T":5,"O":1546,"P":2,"U":"O","R":"1","D":"PRV_RenderingProviderSpecialtyInformation","PId":1544},"1547":{"Id":1789291152,"L":8,"T":5,"O":1547,"P":3,"U":"O","R":"5","D":"REF_RenderingProviderSecondaryIdentification","PId":1544},"1548":{"Id":-346694192,"L":7,"T":6,"O":1548,"P":2,"U":"O","R":"1","D":"Loop2420B","PId":1543},"1549":{"Id":-1365922643,"L":8,"T":5,"O":1549,"P":1,"U":"M","R":"1","D":"NM1_PurchasedServiceProviderName","PId":1548},"1550":{"Id":-206081488,"L":8,"T":5,"O":1550,"P":2,"U":"O","R":"5","D":"REF_PurchasedServiceProviderSecondaryIdentification","PId":1548},"1551":{"Id":-1343335176,"L":7,"T":6,"O":1551,"P":3,"U":"O","R":"1","D":"Loop2420C","PId":1543},"1552":{"Id":199594327,"L":8,"T":5,"O":1552,"P":1,"U":"M","R":"1","D":"NM1_ServiceFacilityLocation","PId":1551},"1553":{"Id":2099170077,"L":8,"T":5,"O":1553,"P":2,"U":"M","R":"1","D":"N3_ServiceFacilityLocationAddress","PId":1551},"1554":{"Id":-501322166,"L":8,"T":5,"O":1554,"P":3,"U":"M","R":"1","D":"N4_ServiceFacilityLocationCityStateZIP","PId":1551},"1555":{"Id":-1639252218,"L":8,"T":5,"O":1555,"P":4,"U":"O","R":"5","D":"REF_ServiceFacilityLocationSecondaryIdentification","PId":1551},"1556":{"Id":-161096504,"L":7,"T":6,"O":1556,"P":4,"U":"O","R":"1","D":"Loop2420D","PId":1543},"1557":{"Id":1053487357,"L":8,"T":5,"O":1557,"P":1,"U":"M","R":"1","D":"NM1_SupervisingProviderName","PId":1556},"1558":{"Id":1789291152,"L":8,"T":5,"O":1558,"P":2,"U":"O","R":"5","D":"REF_SupervisingProviderSecondaryIdentification","PId":1556},"1559":{"Id":-298889928,"L":7,"T":6,"O":1559,"P":5,"U":"O","R":"1","D":"Loop2420E","PId":1543},"1560":{"Id":1232508780,"L":8,"T":5,"O":1560,"P":1,"U":"M","R":"1","D":"NM1_OrderingProviderName","PId":1559},"1561":{"Id":2099170077,"L":8,"T":5,"O":1561,"P":2,"U":"O","R":"1","D":"N3_OrderingProviderAddress","PId":1559},"1562":{"Id":-501322166,"L":8,"T":5,"O":1562,"P":3,"U":"O","R":"1","D":"N4_OrderingProviderCityStateZIPCode","PId":1559},"1563":{"Id":1789291152,"L":8,"T":5,"O":1563,"P":4,"U":"O","R":"5","D":"REF_OrderingProviderSecondaryIdentification","PId":1559},"1564":{"Id":-1611528819,"L":8,"T":5,"O":1564,"P":5,"U":"O","R":"1","D":"PER_OrderingProviderContactInformation","PId":1559},"1565":{"Id":-1913753584,"L":7,"T":6,"O":1565,"P":6,"U":"O","R":"2","D":"Loop2420F","PId":1543},"1566":{"Id":1726117845,"L":8,"T":5,"O":1566,"P":1,"U":"M","R":"1","D":"NM1_ReferringProviderName","PId":1565},"1567":{"Id":-860506799,"L":8,"T":5,"O":1567,"P":2,"U":"O","R":"1","D":"PRV_ReferringProviderSpecialtyInformation","PId":1565},"1568":{"Id":1789291152,"L":8,"T":5,"O":1568,"P":3,"U":"O","R":"5","D":"REF_ReferringProviderSecondaryIdentification","PId":1565},"1569":{"Id":335391000,"L":7,"T":6,"O":1569,"P":7,"U":"O","R":"4","D":"Loop2420G","PId":1543},"1570":{"Id":1854873502,"L":8,"T":5,"O":1570,"P":1,"U":"M","R":"1","D":"NM1_OtherPayerPriorAuthorizationOrReferralNumber","PId":1569},"1571":{"Id":1088239961,"L":8,"T":5,"O":1571,"P":2,"U":"M","R":"2","D":"REF_OtherPayerPriorAuthorizationOrReferralNumber","PId":1569},"1572":{"Id":-1841056332,"L":6,"T":6,"O":1572,"P":22,"U":"O","R":"25","D":"Loop2430","PId":1489},"1573":{"Id":-1496407474,"L":7,"T":5,"O":1573,"P":1,"U":"M","R":"1","D":"SVD_LineAdjudicationInformation","PId":1572},"1574":{"Id":-2008753540,"L":7,"T":5,"O":1574,"P":2,"U":"O","R":"99","D":"CAS_LineAdjustment","PId":1572},"1575":{"Id":1104974147,"L":7,"T":5,"O":1575,"P":3,"U":"M","R":"1","D":"DTP_LineAdjudicationDate","PId":1572},"1576":{"Id":-1623165990,"L":6,"T":6,"O":1576,"P":23,"U":"O","R":"5","D":"Loop2440","PId":1489},"1577":{"Id":-1599040964,"L":7,"T":5,"O":1577,"P":1,"U":"M","R":"1","D":"LQ_FormIdentificationCode","PId":1576},"1578":{"Id":-1283509964,"L":7,"T":5,"O":1578,"P":2,"U":"M","R":"99","D":"FRM_SupportingDocumentation","PId":1576},"1579":{"Id":-582668705,"L":1,"T":5,"O":1579,"P":7,"U":"M","R":"1","D":"SE","PId":-1},"1580":{"Id":-1089932464,"L":2,"T":2,"O":1580,"P":1,"U":"M","R":"1","D":"NumberofIncludedSegments_01","PId":1579},"1581":{"Id":1308129813,"L":2,"T":2,"O":1581,"P":2,"U":"M","R":"1","D":"TransactionSetControlNumber_02","PId":1579}},"Rules":[],"OrdinalIndex":1583}