knowledge_navigate
Submitted arguments
{
"node": 2273
}Native result and verdict
{
"does_not_license": {
"reading": "ANCHOR: node 2273 (node), resolving to 1 node(s).\n\nROLLUP for procedure 0003M (node 2273): everything the graph holds one hop away, every relation in both directions.\n addresses in (13 node(s)): Medicare Coverage Database articles that name 0003M. Stored article → procedure or DRG; from a code, step `in`\n 2264 article 59636\n 2266 article 59641\n 2268 article 59642\n 2269 article 59646\n 2271 article 59649\n 2274 article 60204\n 2275 article 60205\n 2276 article 60214\n 2277 article 60215\n 2278 article 60216\n 2279 article 60217\n 2280 article 60305\n 2281 article 60306\n bundled_with out (5 node(s)): NCCI procedure-to-procedure edits in which 0003M is column 1: each code listed is column 2, the code denied when it is billed with 0003M. Stored procedure (NCCI column 1) → procedure (column 2, the code denied); from a code, step `out`\n 2263 procedure 0002M\n 2371 procedure 80048\n 2372 procedure 80053\n 2373 procedure 80061\n 2375 procedure 80076\n priced_by out (1 node(s)): the schedule class that prices 0003M; absence from a class is a statement about which schedule prices it, never a missing figure. Stored procedure → pricing class; from a code, step `out`\n 2696 pricing_class clfs_priced\n rate_observed in (10 node(s)): payers that published a rate for 0003M; the rate itself is a quantity and lives in the rate table, never on the edge. Stored payer → procedure or DRG; from a code, step `in`\n 2700 payer highmark\n 2701 payer anthem\n 2702 payer bcbs-mn\n 2703 payer hcsc\n 2704 payer aetna\n 2705 payer cigna\n 2706 payer bcbs-north-carolina\n 2707 payer centene\n 20652 payer independence-blue-cross\n 20653 payer unitedhealthcare\n member_of out (1 node(s)): the declared code set 0003M was searched as part of, which is curatorial and never clinical. Stored procedure or DRG → code set; from a code, step `out`\n 2262 code_set liver-12\n co_priced out (25 of 3415 node(s) shown, most facilities first): codes some payer filed a rate for at the same facility in the same month as 0003M, per the compacted rate lake, each with the count of facilities and of payer-months it was seen at, most facilities first; the relation is symmetric, so this is also every code 0003M is reached from, and it is a co-occurrence count and never a statement that the pair is billed together, which is the NCCI edit file's question and bundled_with's edge. Stored procedure or DRG → procedure or DRG, stored both ways; from a code, step `out`\n 2375 procedure 80076 n_facilities=2491288 n_payer_months=23\n 2365 procedure 76705 n_facilities=2488551 n_payer_months=23\n 2368 procedure 76981 n_facilities=2487586 n_payer_months=23\n 2598 procedure 91200 n_facilities=2483708 n_payer_months=23\n 2263 procedure 0002M n_facilities=2480404 n_payer_months=20\n 2369 procedure 76982 n_facilities=2468046 n_payer_months=23\n 2370 procedure 76983 n_facilities=2466488 n_payer_months=23\n 2596 procedure 90960 n_facilities=2463088 n_payer_months=17\n 2597 procedure 90961 n_facilities=2462577 n_payer_months=17\n 2593 procedure 90935 n_facilities=2461978 n_payer_months=17\n 2350 procedure 50200 n_facilities=2461090 n_payer_months=17\n 2595 procedure 90945 n_facilities=2459915 n_payer_months=17\n 2594 procedure 90937 n_facilities=2452761 n_payer_months=17\n 2577 procedure 81517 n_facilities=2445312 n_payer_months=20\n 2353 procedure 50370 n_facilities=2439733 n_payer_months=15\n 2351 procedure 50360 n_facilities=2439586 n_payer_months=17\n 2289 procedure 0320U n_facilities=2424749 n_payer_months=19\n 2283 procedure 0319U n_facilities=2423798 n_payer_months=19\n 2352 procedure 50365 n_facilities=2422048 n_payer_months=15\n 2312 procedure 0690T n_facilities=2364386 n_payer_months=23\n 2305 procedure 0540U n_facilities=2338515 n_payer_months=17\n 2755 procedure 72148 n_facilities=1990916 n_payer_months=9\n 2754 procedure 72141 n_facilities=1986876 n_payer_months=9\n 2716 procedure 22558 n_facilities=1986596 n_payer_months=13\n 2756 procedure 72158 n_facilities=1984052 n_payer_months=9\n filed_charge in (25 of 361 node(s) shown, most rows first): hospitals that filed a negotiated standard charge for 0003M under 45 CFR 180; the edge is stored hospital -> code, so from 0003M it is taken `in`, and each hospital listed is a source of the edge. The most rows behind the edge first, cut at the top with the total stated; each carries the rows, filings and distinct payer strings behind it, its NPI or the rung that found none, and the name and state its filing carried. The amount is a quantity with a methodology beside it and stays in the hospital tier, never on the edge; the filed_charge tool serves it. Stored hospital → procedure or DRG; from a code, step `in`\n 25046 hospital 1689679581 n_rows=254 n_filings=2 n_payer_strings=14 npi=1689679581 npi_resolution=declared filed_name=\"ALLE-KISKI MEDICAL CENTER\" filed_state=?\n 24021 hospital 1073587119 n_rows=136 n_filings=1 n_payer_strings=12 npi=1073587119 npi_resolution=filed filed_name=\"ST. CLAIR MEMORIAL HOSPITAL\" filed_state=?\n 24371 hospital 1285667493 n_rows=127 n_filings=1 n_payer_strings=14 npi=1285667493 npi_resolution=filed filed_name=\"WEST PENN ALLEGHENY HEALTH SYSTEM INC\" filed_state=?\n 25363 hospital 1861554438 n_rows=116 n_filings=1 n_payer_strings=24 npi=1861554438 npi_resolution=filed filed_name=\"University Medical Center, Inc.\" filed_state=?\n 24229 hospital 1205818481 n_rows=98 n_filings=1 n_payer_strings=32 npi=1205818481 npi_resolution=declared filed_name=\"ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS\" filed_state=?\n 25352 hospital 1861431751 n_rows=95 n_filings=1 n_payer_strings=51 npi=1861431751 npi_resolution=filed filed_name=\"\" filed_state=?\n 25284 hospital 1821074196 n_rows=91 n_filings=1 n_payer_strings=47 npi=1821074196 npi_resolution=filed filed_name=\"Boulder Community Health\" filed_state=?\n 24073 hospital 1104906569 n_rows=85 n_filings=1 n_payer_strings=82 npi=1104906569 npi_resolution=filed filed_name=\"Fresno Community Hospital and Medical Center\" filed_state=?\n 24418 hospital 1316027709 n_rows=85 n_filings=1 n_payer_strings=82 npi=1316027709 npi_resolution=filed filed_name=\"Fresno Community Hospital and Medical Center\" filed_state=?\n 24945 hospital 1629057302 n_rows=82 n_filings=1 n_payer_strings=29 npi=1629057302 npi_resolution=declared filed_name=\"ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS\" filed_state=?\n 24568 hospital 1396882205 n_rows=78 n_filings=1 n_payer_strings=29 npi=1396882205 npi_resolution=ccn filed_name=\"Vanderbilt University Medical Center\" filed_state=TN\n 24583 hospital 1407854771 n_rows=76 n_filings=1 n_payer_strings=26 npi=1407854771 npi_resolution=filed filed_name=\"The Toledo Hospital\" filed_state=?\n 24917 hospital 1609189604 n_rows=73 n_filings=1 n_payer_strings=36 npi=1609189604 npi_resolution=filed filed_name=\"University Hospitals Health System\" filed_state=?\n 24178 hospital 1174582050 n_rows=73 n_filings=1 n_payer_strings=25 npi=1174582050 npi_resolution=declared filed_name=\"University of Texas MD Anderson Cancer Center\" filed_state=?\n 24509 hospital 1366473183 n_rows=68 n_filings=1 n_payer_strings=18 npi=1366473183 npi_resolution=filed filed_name=\"Kaleida Health\" filed_state=NY\n 24125 hospital 1144211301 n_rows=65 n_filings=2 n_payer_strings=33 npi=1144211301 npi_resolution=filed filed_name=\"North Carolina Baptist Hospital\" filed_state=?\n 24727 hospital 1497397053 n_rows=64 n_filings=1 n_payer_strings=24 npi=1497397053 npi_resolution=filed filed_name=\"UofL Health -Shelbyville, Inc.\" filed_state=?\n 25329 hospital 1841789427 n_rows=61 n_filings=1 n_payer_strings=37 npi=1841789427 npi_resolution=filed filed_name=\"University Hospitals Health System\" filed_state=?\n 24377 hospital 1285798918 n_rows=61 n_filings=1 n_payer_strings=23 npi=1285798918 npi_resolution=filed filed_name=\"The University of Texas Southwestern Medical Center at Dallas\" filed_state=?\n 24008 hospital 1063470763 n_rows=60 n_filings=1 n_payer_strings=11 npi=1063470763 npi_resolution=filed filed_name=\"BELTON REGIONAL MEDICAL CENTER\" filed_state=MO\n 25438 hospital 1912014358 n_rows=60 n_filings=1 n_payer_strings=11 npi=1912014358 npi_resolution=filed filed_name=\"IHC Health Services Inc., DBA Intermountain Health American Fork Hospital\" filed_state=?\n 25471 hospital 1942247044 n_rows=60 n_filings=1 n_payer_strings=11 npi=1942247044 npi_resolution=filed filed_name=\"CENTERPOINT MEDICAL CENTER\" filed_state=MO\n 24113 hospital 1134172000 n_rows=59 n_filings=1 n_payer_strings=15 npi=1134172000 npi_resolution=filed filed_name=\"Conway Hospital, Inc.\" filed_state=?\n 24036 hospital 1083692941 n_rows=59 n_filings=1 n_payer_strings=11 npi=1083692941 npi_resolution=filed filed_name=\"Fairview Health Services\" filed_state=?\n 25456 hospital 1922085299 n_rows=58 n_filings=1 n_payer_strings=10 npi=1922085299 npi_resolution=filed filed_name=\"Fairview Health Services\" filed_state=?\n\nVISITED 1 node(s):\n 2273 procedure 0003M\n\nThis answer is stated against numbering e492637bb79c8fa9. A claim about any node id above is only true against that numbering, so name it.\n\nNO READING IS ATTACHED. These fields carry no interpretation, and this world does not supply one unasked. To obtain a reading, and to find out whether what you are about to write is supported, call judgement_check with receipt \"r4081\" and the claims you intend to make. A claim written without checking it is a claim this world did not license.\n\nIf you can write your claim as an expression over the figures above, for example {\"op\": \"<=\", \"left\": \"anchor.nodes[0]\", \"right\": 12, \"scope\": \"marginal\"}, call claim_check with the same receipt instead. It decides by entailment over those figures and never reads your sentence, so it answers the same way in any language. The two checks are alternatives and neither falls back to the other."
},
"kind": "served",
"licence": {
"coverage_database": "Contains information from the CMS Medicare Coverage Database.",
"cpt": "CPT is copyright the American Medical Association. Served under a distribution licence.",
"linkback": "https://hammer.ai/coverage-intelligence",
"terms": "https://hammer.ai/terms"
},
"payload": {
"anchor": {
"form": "node",
"nodes": [
2273
],
"stated": "node 2273"
},
"boundary_crossings": [],
"documents": [],
"numbering_digest": "e492637bb79c8fa9",
"receipt": "r4081",
"relations": [],
"rollups": [
{
"edges": [
{
"direction": "in",
"nodes": [
{
"key": "59636",
"kind": "article",
"node": 2264
},
{
"key": "59641",
"kind": "article",
"node": 2266
},
{
"key": "59642",
"kind": "article",
"node": 2268
},
{
"key": "59646",
"kind": "article",
"node": 2269
},
{
"key": "59649",
"kind": "article",
"node": 2271
},
{
"key": "60204",
"kind": "article",
"node": 2274
},
{
"key": "60205",
"kind": "article",
"node": 2275
},
{
"key": "60214",
"kind": "article",
"node": 2276
},
{
"key": "60215",
"kind": "article",
"node": 2277
},
{
"key": "60216",
"kind": "article",
"node": 2278
},
{
"key": "60217",
"kind": "article",
"node": 2279
},
{
"key": "60305",
"kind": "article",
"node": 2280
},
{
"key": "60306",
"kind": "article",
"node": 2281
}
],
"reads": "Medicare Coverage Database articles that name 0003M. Stored article → procedure or DRG; from a code, step `in`",
"relation": "addresses",
"total": 13
},
{
"direction": "out",
"nodes": [
{
"key": "0002M",
"kind": "procedure",
"node": 2263
},
{
"key": "80048",
"kind": "procedure",
"node": 2371
},
{
"key": "80053",
"kind": "procedure",
"node": 2372
},
{
"key": "80061",
"kind": "procedure",
"node": 2373
},
{
"key": "80076",
"kind": "procedure",
"node": 2375
}
],
"reads": "NCCI procedure-to-procedure edits in which 0003M is column 1: each code listed is column 2, the code denied when it is billed with 0003M. Stored procedure (NCCI column 1) → procedure (column 2, the code denied); from a code, step `out`",
"relation": "bundled_with",
"total": 5
},
{
"direction": "out",
"nodes": [
{
"key": "clfs_priced",
"kind": "pricing_class",
"node": 2696
}
],
"reads": "the schedule class that prices 0003M; absence from a class is a statement about which schedule prices it, never a missing figure. Stored procedure → pricing class; from a code, step `out`",
"relation": "priced_by",
"total": 1
},
{
"direction": "in",
"nodes": [
{
"key": "highmark",
"kind": "payer",
"node": 2700
},
{
"key": "anthem",
"kind": "payer",
"node": 2701
},
{
"key": "bcbs-mn",
"kind": "payer",
"node": 2702
},
{
"key": "hcsc",
"kind": "payer",
"node": 2703
},
{
"key": "aetna",
"kind": "payer",
"node": 2704
},
{
"key": "cigna",
"kind": "payer",
"node": 2705
},
{
"key": "bcbs-north-carolina",
"kind": "payer",
"node": 2706
},
{
"key": "centene",
"kind": "payer",
"node": 2707
},
{
"key": "independence-blue-cross",
"kind": "payer",
"node": 20652
},
{
"key": "unitedhealthcare",
"kind": "payer",
"node": 20653
}
],
"reads": "payers that published a rate for 0003M; the rate itself is a quantity and lives in the rate table, never on the edge. Stored payer → procedure or DRG; from a code, step `in`",
"relation": "rate_observed",
"total": 10
},
{
"direction": "out",
"nodes": [
{
"key": "liver-12",
"kind": "code_set",
"node": 2262
}
],
"reads": "the declared code set 0003M was searched as part of, which is curatorial and never clinical. Stored procedure or DRG → code set; from a code, step `out`",
"relation": "member_of",
"total": 1
},
{
"direction": "out",
"nodes": [
{
"key": "80076",
"kind": "procedure",
"n_facilities": 2491288,
"n_payer_months": 23,
"node": 2375
},
{
"key": "76705",
"kind": "procedure",
"n_facilities": 2488551,
"n_payer_months": 23,
"node": 2365
},
{
"key": "76981",
"kind": "procedure",
"n_facilities": 2487586,
"n_payer_months": 23,
"node": 2368
},
{
"key": "91200",
"kind": "procedure",
"n_facilities": 2483708,
"n_payer_months": 23,
"node": 2598
},
{
"key": "0002M",
"kind": "procedure",
"n_facilities": 2480404,
"n_payer_months": 20,
"node": 2263
},
{
"key": "76982",
"kind": "procedure",
"n_facilities": 2468046,
"n_payer_months": 23,
"node": 2369
},
{
"key": "76983",
"kind": "procedure",
"n_facilities": 2466488,
"n_payer_months": 23,
"node": 2370
},
{
"key": "90960",
"kind": "procedure",
"n_facilities": 2463088,
"n_payer_months": 17,
"node": 2596
},
{
"key": "90961",
"kind": "procedure",
"n_facilities": 2462577,
"n_payer_months": 17,
"node": 2597
},
{
"key": "90935",
"kind": "procedure",
"n_facilities": 2461978,
"n_payer_months": 17,
"node": 2593
},
{
"key": "50200",
"kind": "procedure",
"n_facilities": 2461090,
"n_payer_months": 17,
"node": 2350
},
{
"key": "90945",
"kind": "procedure",
"n_facilities": 2459915,
"n_payer_months": 17,
"node": 2595
},
{
"key": "90937",
"kind": "procedure",
"n_facilities": 2452761,
"n_payer_months": 17,
"node": 2594
},
{
"key": "81517",
"kind": "procedure",
"n_facilities": 2445312,
"n_payer_months": 20,
"node": 2577
},
{
"key": "50370",
"kind": "procedure",
"n_facilities": 2439733,
"n_payer_months": 15,
"node": 2353
},
{
"key": "50360",
"kind": "procedure",
"n_facilities": 2439586,
"n_payer_months": 17,
"node": 2351
},
{
"key": "0320U",
"kind": "procedure",
"n_facilities": 2424749,
"n_payer_months": 19,
"node": 2289
},
{
"key": "0319U",
"kind": "procedure",
"n_facilities": 2423798,
"n_payer_months": 19,
"node": 2283
},
{
"key": "50365",
"kind": "procedure",
"n_facilities": 2422048,
"n_payer_months": 15,
"node": 2352
},
{
"key": "0690T",
"kind": "procedure",
"n_facilities": 2364386,
"n_payer_months": 23,
"node": 2312
},
{
"key": "0540U",
"kind": "procedure",
"n_facilities": 2338515,
"n_payer_months": 17,
"node": 2305
},
{
"key": "72148",
"kind": "procedure",
"n_facilities": 1990916,
"n_payer_months": 9,
"node": 2755
},
{
"key": "72141",
"kind": "procedure",
"n_facilities": 1986876,
"n_payer_months": 9,
"node": 2754
},
{
"key": "22558",
"kind": "procedure",
"n_facilities": 1986596,
"n_payer_months": 13,
"node": 2716
},
{
"key": "72158",
"kind": "procedure",
"n_facilities": 1984052,
"n_payer_months": 9,
"node": 2756
}
],
"nodes_cut": true,
"reads": "codes some payer filed a rate for at the same facility in the same month as 0003M, per the compacted rate lake, each with the count of facilities and of payer-months it was seen at, most facilities first; the relation is symmetric, so this is also every code 0003M is reached from, and it is a co-occurrence count and never a statement that the pair is billed together, which is the NCCI edit file's question and bundled_with's edge. Stored procedure or DRG → procedure or DRG, stored both ways; from a code, step `out`",
"relation": "co_priced",
"total": 3415
},
{
"direction": "in",
"nodes": [
{
"filed_name": "ALLE-KISKI MEDICAL CENTER",
"filed_state": "",
"key": "1689679581",
"kind": "hospital",
"n_filings": 2,
"n_partitions": 2,
"n_payer_strings": 14,
"n_rows": 254,
"node": 25046,
"npi": "1689679581",
"npi_resolution": "declared"
},
{
"filed_name": "ST. CLAIR MEMORIAL HOSPITAL",
"filed_state": "",
"key": "1073587119",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 12,
"n_rows": 136,
"node": 24021,
"npi": "1073587119",
"npi_resolution": "filed"
},
{
"filed_name": "WEST PENN ALLEGHENY HEALTH SYSTEM INC",
"filed_state": "",
"key": "1285667493",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 14,
"n_rows": 127,
"node": 24371,
"npi": "1285667493",
"npi_resolution": "filed"
},
{
"filed_name": "University Medical Center, Inc.",
"filed_state": "",
"key": "1861554438",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 24,
"n_rows": 116,
"node": 25363,
"npi": "1861554438",
"npi_resolution": "filed"
},
{
"filed_name": "ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS",
"filed_state": "",
"key": "1205818481",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 32,
"n_rows": 98,
"node": 24229,
"npi": "1205818481",
"npi_resolution": "declared"
},
{
"filed_name": "",
"filed_state": "",
"key": "1861431751",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 51,
"n_rows": 95,
"node": 25352,
"npi": "1861431751",
"npi_resolution": "filed"
},
{
"filed_name": "Boulder Community Health",
"filed_state": "",
"key": "1821074196",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 47,
"n_rows": 91,
"node": 25284,
"npi": "1821074196",
"npi_resolution": "filed"
},
{
"filed_name": "Fresno Community Hospital and Medical Center",
"filed_state": "",
"key": "1104906569",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 82,
"n_rows": 85,
"node": 24073,
"npi": "1104906569",
"npi_resolution": "filed"
},
{
"filed_name": "Fresno Community Hospital and Medical Center",
"filed_state": "",
"key": "1316027709",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 82,
"n_rows": 85,
"node": 24418,
"npi": "1316027709",
"npi_resolution": "filed"
},
{
"filed_name": "ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS",
"filed_state": "",
"key": "1629057302",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 29,
"n_rows": 82,
"node": 24945,
"npi": "1629057302",
"npi_resolution": "declared"
},
{
"filed_name": "Vanderbilt University Medical Center",
"filed_state": "TN",
"key": "1396882205",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 29,
"n_rows": 78,
"node": 24568,
"npi": "1396882205",
"npi_resolution": "ccn"
},
{
"filed_name": "The Toledo Hospital",
"filed_state": "",
"key": "1407854771",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 26,
"n_rows": 76,
"node": 24583,
"npi": "1407854771",
"npi_resolution": "filed"
},
{
"filed_name": "University Hospitals Health System",
"filed_state": "",
"key": "1609189604",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 36,
"n_rows": 73,
"node": 24917,
"npi": "1609189604",
"npi_resolution": "filed"
},
{
"filed_name": "University of Texas MD Anderson Cancer Center",
"filed_state": "",
"key": "1174582050",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 25,
"n_rows": 73,
"node": 24178,
"npi": "1174582050",
"npi_resolution": "declared"
},
{
"filed_name": "Kaleida Health",
"filed_state": "NY",
"key": "1366473183",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 18,
"n_rows": 68,
"node": 24509,
"npi": "1366473183",
"npi_resolution": "filed"
},
{
"filed_name": "North Carolina Baptist Hospital",
"filed_state": "",
"key": "1144211301",
"kind": "hospital",
"n_filings": 2,
"n_partitions": 2,
"n_payer_strings": 33,
"n_rows": 65,
"node": 24125,
"npi": "1144211301",
"npi_resolution": "filed"
},
{
"filed_name": "UofL Health -Shelbyville, Inc.",
"filed_state": "",
"key": "1497397053",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 24,
"n_rows": 64,
"node": 24727,
"npi": "1497397053",
"npi_resolution": "filed"
},
{
"filed_name": "University Hospitals Health System",
"filed_state": "",
"key": "1841789427",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 37,
"n_rows": 61,
"node": 25329,
"npi": "1841789427",
"npi_resolution": "filed"
},
{
"filed_name": "The University of Texas Southwestern Medical Center at Dallas",
"filed_state": "",
"key": "1285798918",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 23,
"n_rows": 61,
"node": 24377,
"npi": "1285798918",
"npi_resolution": "filed"
},
{
"filed_name": "BELTON REGIONAL MEDICAL CENTER",
"filed_state": "MO",
"key": "1063470763",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 11,
"n_rows": 60,
"node": 24008,
"npi": "1063470763",
"npi_resolution": "filed"
},
{
"filed_name": "IHC Health Services Inc., DBA Intermountain Health American Fork Hospital",
"filed_state": "",
"key": "1912014358",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 11,
"n_rows": 60,
"node": 25438,
"npi": "1912014358",
"npi_resolution": "filed"
},
{
"filed_name": "CENTERPOINT MEDICAL CENTER",
"filed_state": "MO",
"key": "1942247044",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 11,
"n_rows": 60,
"node": 25471,
"npi": "1942247044",
"npi_resolution": "filed"
},
{
"filed_name": "Conway Hospital, Inc.",
"filed_state": "",
"key": "1134172000",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 15,
"n_rows": 59,
"node": 24113,
"npi": "1134172000",
"npi_resolution": "filed"
},
{
"filed_name": "Fairview Health Services",
"filed_state": "",
"key": "1083692941",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 11,
"n_rows": 59,
"node": 24036,
"npi": "1083692941",
"npi_resolution": "filed"
},
{
"filed_name": "Fairview Health Services",
"filed_state": "",
"key": "1922085299",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 10,
"n_rows": 58,
"node": 25456,
"npi": "1922085299",
"npi_resolution": "filed"
}
],
"nodes_cut": true,
"reads": "hospitals that filed a negotiated standard charge for 0003M under 45 CFR 180; the edge is stored hospital -> code, so from 0003M it is taken `in`, and each hospital listed is a source of the edge. The most rows behind the edge first, cut at the top with the total stated; each carries the rows, filings and distinct payer strings behind it, its NPI or the rung that found none, and the name and state its filing carried. The amount is a quantity with a methodology beside it and stays in the hospital tier, never on the edge; the filed_charge tool serves it. Stored hospital → procedure or DRG; from a code, step `in`",
"relation": "filed_charge",
"total": 361
}
],
"key": "0003M",
"kind": "procedure",
"node": 2273
}
],
"rows": [],
"visited": [
{
"key": "0003M",
"kind": "procedure",
"node": 2273,
"step": 0
}
]
},
"receipt": "r4081",
"session": "49ec6090f32b112cd7fc2d39a72e0974",
"tool": "knowledge_navigate",
"world": {
"build": 2,
"description": "What payers publish that they pay, code by code, and what may be said with it.",
"name": "hammer-coverage-intelligence",
"vintage": "2026-10-01"
}
}Permanent saved result
Read this evidence receipt
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