knowledge_navigate
Submitted arguments
{
"node": 2373
}Native result and verdict
{
"does_not_license": {
"reading": "ANCHOR: node 2373 (node), resolving to 1 node(s).\n\nROLLUP for procedure 80061 (node 2373): everything the graph holds one hop away, every relation in both directions.\n addresses in (1 node(s)): Medicare Coverage Database articles that name 80061. Stored article → procedure or DRG; from a code, step `in`\n 2374 article 56420\n bundled_with out (1 node(s)): NCCI procedure-to-procedure edits in which 80061 is column 1: each code listed is column 2, the code denied when it is billed with 80061. Stored procedure (NCCI column 1) → procedure (column 2, the code denied); from a code, step `out`\n 2581 procedure 83718\n bundled_with in (3 node(s)): NCCI procedure-to-procedure edits in which 80061 is column 2, the code denied: each code listed is the column 1 it is bundled into. Stored procedure (NCCI column 1) → procedure (column 2, the code denied); from a code, step `in`\n 2263 procedure 0002M\n 2273 procedure 0003M\n 2282 procedure 0014M\n priced_by out (2 node(s)): the schedule class that prices 80061; 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 2699 pricing_class mpfs_statutory_exclusion\n rate_observed in (10 node(s)): payers that published a rate for 80061; 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 80061 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 about_code in (5 node(s)): span-validated claims extracted from payer documents that are about 80061. Stored claim → procedure or DRG; from a code, step `in`\n 9261 claim 18ab9be413aa28425a4ea1ae\n 9360 claim f1d734b9ebf496091ca00fb6\n 9361 claim 0a54fa2bd44812722b477d63\n 9531 claim 8b026bd1b2cd2010ff89b9d4\n 9532 claim 3aa17de59c485800560cf005\n co_priced out (25 of 156 node(s) shown, most facilities first): codes some payer filed a rate for at the same facility in the same month as 80061, 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 80061 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 2673 procedure 99213 n_facilities=2150791 n_payer_months=10\n 2676 procedure 99214 n_facilities=2150459 n_payer_months=10\n 2677 procedure 99215 n_facilities=2147719 n_payer_months=9\n 2599 procedure 93000 n_facilities=2137488 n_payer_months=10\n 2592 procedure 84443 n_facilities=2134196 n_payer_months=10\n 2603 procedure 93306 n_facilities=2131784 n_payer_months=10\n 2602 procedure 93010 n_facilities=2129834 n_payer_months=9\n 2617 procedure 93880 n_facilities=2124247 n_payer_months=10\n 2365 procedure 76705 n_facilities=2123928 n_payer_months=9\n 2609 procedure 93308 n_facilities=2122532 n_payer_months=10\n 2371 procedure 80048 n_facilities=2119696 n_payer_months=10\n 2366 procedure 76770 n_facilities=2119681 n_payer_months=10\n 2690 procedure 99495 n_facilities=2117876 n_payer_months=9\n 2623 procedure 93975 n_facilities=2117620 n_payer_months=10\n 2691 procedure 99496 n_facilities=2117519 n_payer_months=9\n 2579 procedure 83036 n_facilities=2113754 n_payer_months=10\n 2372 procedure 80053 n_facilities=2098927 n_payer_months=10\n 2368 procedure 76981 n_facilities=2078119 n_payer_months=9\n 2688 procedure 99490 n_facilities=2072753 n_payer_months=9\n 2683 procedure 99457 n_facilities=2071775 n_payer_months=9\n 2598 procedure 91200 n_facilities=2071010 n_payer_months=9\n 2682 procedure 99454 n_facilities=2066553 n_payer_months=9\n 2578 procedure 82043 n_facilities=2065318 n_payer_months=10\n 2681 procedure 99453 n_facilities=2064334 n_payer_months=8\n 2647 procedure 97116 n_facilities=2060976 n_payer_months=7\n manual_names in (4 node(s)): payer-manual claims whose extracted code field names 80061, each with the program whose manual it came out of, Vertex's classification of the claim and whether one reader or both produced it; the claim names the code and the classification is a claim about the claim, never a fact about the document or a statement of current policy. Stored claim → procedure or DRG; from a code, step `in`\n 9261 claim 18ab9be413aa28425a4ea1ae program=medicaid-nc vertex_ontology=code-disposition confidence=single-reader\n 9360 claim f1d734b9ebf496091ca00fb6 program=medicaid-nc vertex_ontology=code-disposition confidence=single-reader\n 22128 claim 560374402112a64004a12eac program=medicaid-nc vertex_ontology=code-disposition confidence=single-reader\n 22556 claim 81aa986e2d7dcb771144e3fa program=medicaid-nc vertex_ontology=code-disposition confidence=single-reader\n filed_charge in (25 of 960 node(s) shown, most rows first): hospitals that filed a negotiated standard charge for 80061 under 45 CFR 180; the edge is stored hospital -> code, so from 80061 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 23951 hospital 1023060472 n_rows=20580 n_filings=1 n_payer_strings=51 npi=1023060472 npi_resolution=declared filed_name=\"St. Joseph Health System, LLC\" filed_state=?\n 24415 hospital 1306897335 n_rows=18548 n_filings=1 n_payer_strings=51 npi=1306897335 npi_resolution=filed filed_name=\"IOM Health System LP\" filed_state=?\n 24526 hospital 1376594366 n_rows=16093 n_filings=1 n_payer_strings=70 npi=1376594366 npi_resolution=declared filed_name=\"Bluffton Health System LLC\" filed_state=?\n 24933 hospital 1619920949 n_rows=2167 n_filings=1 n_payer_strings=60 npi=1619920949 npi_resolution=declared filed_name=\"Dukes Health System LLC\" filed_state=?\n 24745 hospital 1497859649 n_rows=1463 n_filings=1 n_payer_strings=15 npi=1497859649 npi_resolution=filed filed_name=\"Northwestern Memorial Hospital\" filed_state=IL\n 25075 hospital 1700036696 n_rows=1154 n_filings=1 n_payer_strings=26 npi=1700036696 npi_resolution=filed filed_name=\"ROANE COUNTY MEDICAL CENTER\" filed_state=TN\n 24987 hospital 1659330173 n_rows=1008 n_filings=1 n_payer_strings=75 npi=1659330173 npi_resolution=filed filed_name=\"Mercy Medical Center\" filed_state=NY\n 25435 hospital 1902865355 n_rows=876 n_filings=1 n_payer_strings=72 npi=1902865355 npi_resolution=filed filed_name=\"Good Samaritan Hospital Medical Center\" filed_state=NY\n 24564 hospital 1396792032 n_rows=800 n_filings=1 n_payer_strings=64 npi=1396792032 npi_resolution=filed filed_name=\"River Oaks Hospital LLC\" filed_state=?\n 24847 hospital 1568435477 n_rows=619 n_filings=1 n_payer_strings=22 npi=1568435477 npi_resolution=filed filed_name=\"Penn State Health Milton S. Hershey Medical Center\" filed_state=?\n 25158 hospital 1750746285 n_rows=581 n_filings=1 n_payer_strings=51 npi=1750746285 npi_resolution=filed filed_name=\"La Porte Hospital Company LLC\" filed_state=?\n 25002 hospital 1669426631 n_rows=570 n_filings=1 n_payer_strings=15 npi=1669426631 npi_resolution=filed filed_name=\"Grand Itasca Clinic and Hospital\" filed_state=?\n 25352 hospital 1861431751 n_rows=540 n_filings=1 n_payer_strings=54 npi=1861431751 npi_resolution=filed filed_name=\"\" filed_state=?\n 24827 hospital 1548393127 n_rows=538 n_filings=1 n_payer_strings=91 npi=1548393127 npi_resolution=filed filed_name=\"University Medical Center of Southern Nevada\" filed_state=NV\n 24842 hospital 1558734095 n_rows=520 n_filings=1 n_payer_strings=27 npi=1558734095 npi_resolution=filed filed_name=\"Bartow Regional Medical Center\" filed_state=?\n 24229 hospital 1205818481 n_rows=508 n_filings=1 n_payer_strings=33 npi=1205818481 npi_resolution=declared filed_name=\"ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS\" filed_state=?\n 24556 hospital 1396739165 n_rows=495 n_filings=1 n_payer_strings=26 npi=1396739165 npi_resolution=filed filed_name=\"PARKWEST MEDICAL CENTER\" filed_state=TN\n 25071 hospital 1699868398 n_rows=461 n_filings=1 n_payer_strings=54 npi=1699868398 npi_resolution=filed filed_name=\"Childrens Hospital at Mission - Cerner\" filed_state=?\n 24778 hospital 1528042884 n_rows=440 n_filings=1 n_payer_strings=22 npi=1528042884 npi_resolution=declared filed_name=\"BAPTIST HOSPITAL OF MIAMI\" filed_state=?\n 24361 hospital 1275591984 n_rows=440 n_filings=1 n_payer_strings=21 npi=1275591984 npi_resolution=declared filed_name=\"TUALITY HEALTHCARE\" filed_state=?\n 24945 hospital 1629057302 n_rows=436 n_filings=1 n_payer_strings=30 npi=1629057302 npi_resolution=declared filed_name=\"ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS\" filed_state=?\n 24036 hospital 1083692941 n_rows=418 n_filings=1 n_payer_strings=17 npi=1083692941 npi_resolution=filed filed_name=\"Fairview Health Services\" filed_state=?\n 24722 hospital 1487743480 n_rows=412 n_filings=1 n_payer_strings=22 npi=1487743480 npi_resolution=filed filed_name=\"NYU Langone Hospital?Suffolk\" filed_state=NY\n 24622 hospital 1427616002 n_rows=411 n_filings=1 n_payer_strings=21 npi=1427616002 npi_resolution=filed filed_name=\"NYU Langone\" filed_state=NY\n 25456 hospital 1922085299 n_rows=411 n_filings=1 n_payer_strings=17 npi=1922085299 npi_resolution=filed filed_name=\"Fairview Health Services\" filed_state=?\n\nVISITED 1 node(s):\n 2373 procedure 80061\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 \"r5308\" 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": [
2373
],
"stated": "node 2373"
},
"boundary_crossings": [],
"documents": [],
"numbering_digest": "e492637bb79c8fa9",
"receipt": "r5308",
"relations": [],
"rollups": [
{
"edges": [
{
"direction": "in",
"nodes": [
{
"key": "56420",
"kind": "article",
"node": 2374
}
],
"reads": "Medicare Coverage Database articles that name 80061. Stored article → procedure or DRG; from a code, step `in`",
"relation": "addresses",
"total": 1
},
{
"direction": "out",
"nodes": [
{
"key": "83718",
"kind": "procedure",
"node": 2581
}
],
"reads": "NCCI procedure-to-procedure edits in which 80061 is column 1: each code listed is column 2, the code denied when it is billed with 80061. Stored procedure (NCCI column 1) → procedure (column 2, the code denied); from a code, step `out`",
"relation": "bundled_with",
"total": 1
},
{
"direction": "in",
"nodes": [
{
"key": "0002M",
"kind": "procedure",
"node": 2263
},
{
"key": "0003M",
"kind": "procedure",
"node": 2273
},
{
"key": "0014M",
"kind": "procedure",
"node": 2282
}
],
"reads": "NCCI procedure-to-procedure edits in which 80061 is column 2, the code denied: each code listed is the column 1 it is bundled into. Stored procedure (NCCI column 1) → procedure (column 2, the code denied); from a code, step `in`",
"relation": "bundled_with",
"total": 3
},
{
"direction": "out",
"nodes": [
{
"key": "clfs_priced",
"kind": "pricing_class",
"node": 2696
},
{
"key": "mpfs_statutory_exclusion",
"kind": "pricing_class",
"node": 2699
}
],
"reads": "the schedule class that prices 80061; 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": 2
},
{
"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 80061; 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 80061 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": "in",
"nodes": [
{
"key": "18ab9be413aa28425a4ea1ae",
"kind": "claim",
"node": 9261
},
{
"key": "f1d734b9ebf496091ca00fb6",
"kind": "claim",
"node": 9360
},
{
"key": "0a54fa2bd44812722b477d63",
"kind": "claim",
"node": 9361
},
{
"key": "8b026bd1b2cd2010ff89b9d4",
"kind": "claim",
"node": 9531
},
{
"key": "3aa17de59c485800560cf005",
"kind": "claim",
"node": 9532
}
],
"reads": "span-validated claims extracted from payer documents that are about 80061. Stored claim → procedure or DRG; from a code, step `in`",
"relation": "about_code",
"total": 5
},
{
"direction": "out",
"nodes": [
{
"key": "99213",
"kind": "procedure",
"n_facilities": 2150791,
"n_payer_months": 10,
"node": 2673
},
{
"key": "99214",
"kind": "procedure",
"n_facilities": 2150459,
"n_payer_months": 10,
"node": 2676
},
{
"key": "99215",
"kind": "procedure",
"n_facilities": 2147719,
"n_payer_months": 9,
"node": 2677
},
{
"key": "93000",
"kind": "procedure",
"n_facilities": 2137488,
"n_payer_months": 10,
"node": 2599
},
{
"key": "84443",
"kind": "procedure",
"n_facilities": 2134196,
"n_payer_months": 10,
"node": 2592
},
{
"key": "93306",
"kind": "procedure",
"n_facilities": 2131784,
"n_payer_months": 10,
"node": 2603
},
{
"key": "93010",
"kind": "procedure",
"n_facilities": 2129834,
"n_payer_months": 9,
"node": 2602
},
{
"key": "93880",
"kind": "procedure",
"n_facilities": 2124247,
"n_payer_months": 10,
"node": 2617
},
{
"key": "76705",
"kind": "procedure",
"n_facilities": 2123928,
"n_payer_months": 9,
"node": 2365
},
{
"key": "93308",
"kind": "procedure",
"n_facilities": 2122532,
"n_payer_months": 10,
"node": 2609
},
{
"key": "80048",
"kind": "procedure",
"n_facilities": 2119696,
"n_payer_months": 10,
"node": 2371
},
{
"key": "76770",
"kind": "procedure",
"n_facilities": 2119681,
"n_payer_months": 10,
"node": 2366
},
{
"key": "99495",
"kind": "procedure",
"n_facilities": 2117876,
"n_payer_months": 9,
"node": 2690
},
{
"key": "93975",
"kind": "procedure",
"n_facilities": 2117620,
"n_payer_months": 10,
"node": 2623
},
{
"key": "99496",
"kind": "procedure",
"n_facilities": 2117519,
"n_payer_months": 9,
"node": 2691
},
{
"key": "83036",
"kind": "procedure",
"n_facilities": 2113754,
"n_payer_months": 10,
"node": 2579
},
{
"key": "80053",
"kind": "procedure",
"n_facilities": 2098927,
"n_payer_months": 10,
"node": 2372
},
{
"key": "76981",
"kind": "procedure",
"n_facilities": 2078119,
"n_payer_months": 9,
"node": 2368
},
{
"key": "99490",
"kind": "procedure",
"n_facilities": 2072753,
"n_payer_months": 9,
"node": 2688
},
{
"key": "99457",
"kind": "procedure",
"n_facilities": 2071775,
"n_payer_months": 9,
"node": 2683
},
{
"key": "91200",
"kind": "procedure",
"n_facilities": 2071010,
"n_payer_months": 9,
"node": 2598
},
{
"key": "99454",
"kind": "procedure",
"n_facilities": 2066553,
"n_payer_months": 9,
"node": 2682
},
{
"key": "82043",
"kind": "procedure",
"n_facilities": 2065318,
"n_payer_months": 10,
"node": 2578
},
{
"key": "99453",
"kind": "procedure",
"n_facilities": 2064334,
"n_payer_months": 8,
"node": 2681
},
{
"key": "97116",
"kind": "procedure",
"n_facilities": 2060976,
"n_payer_months": 7,
"node": 2647
}
],
"nodes_cut": true,
"reads": "codes some payer filed a rate for at the same facility in the same month as 80061, 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 80061 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": 156
},
{
"direction": "in",
"nodes": [
{
"confidence": "single-reader",
"key": "18ab9be413aa28425a4ea1ae",
"kind": "claim",
"manual": 21006,
"node": 9261,
"program": "medicaid-nc",
"program_node": 20664,
"vertex_ontology": "code-disposition"
},
{
"confidence": "single-reader",
"key": "f1d734b9ebf496091ca00fb6",
"kind": "claim",
"manual": 20871,
"node": 9360,
"program": "medicaid-nc",
"program_node": 20664,
"vertex_ontology": "code-disposition"
},
{
"confidence": "single-reader",
"key": "560374402112a64004a12eac",
"kind": "claim",
"manual": 21079,
"node": 22128,
"program": "medicaid-nc",
"program_node": 20664,
"vertex_ontology": "code-disposition"
},
{
"confidence": "single-reader",
"key": "81aa986e2d7dcb771144e3fa",
"kind": "claim",
"manual": 21006,
"node": 22556,
"program": "medicaid-nc",
"program_node": 20664,
"vertex_ontology": "code-disposition"
}
],
"reads": "payer-manual claims whose extracted code field names 80061, each with the program whose manual it came out of, Vertex's classification of the claim and whether one reader or both produced it; the claim names the code and the classification is a claim about the claim, never a fact about the document or a statement of current policy. Stored claim → procedure or DRG; from a code, step `in`",
"relation": "manual_names",
"total": 4
},
{
"direction": "in",
"nodes": [
{
"filed_name": "St. Joseph Health System, LLC",
"filed_state": "",
"key": "1023060472",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 51,
"n_rows": 20580,
"node": 23951,
"npi": "1023060472",
"npi_resolution": "declared"
},
{
"filed_name": "IOM Health System LP",
"filed_state": "",
"key": "1306897335",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 51,
"n_rows": 18548,
"node": 24415,
"npi": "1306897335",
"npi_resolution": "filed"
},
{
"filed_name": "Bluffton Health System LLC",
"filed_state": "",
"key": "1376594366",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 70,
"n_rows": 16093,
"node": 24526,
"npi": "1376594366",
"npi_resolution": "declared"
},
{
"filed_name": "Dukes Health System LLC",
"filed_state": "",
"key": "1619920949",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 60,
"n_rows": 2167,
"node": 24933,
"npi": "1619920949",
"npi_resolution": "declared"
},
{
"filed_name": "Northwestern Memorial Hospital",
"filed_state": "IL",
"key": "1497859649",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 15,
"n_rows": 1463,
"node": 24745,
"npi": "1497859649",
"npi_resolution": "filed"
},
{
"filed_name": "ROANE COUNTY MEDICAL CENTER",
"filed_state": "TN",
"key": "1700036696",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 26,
"n_rows": 1154,
"node": 25075,
"npi": "1700036696",
"npi_resolution": "filed"
},
{
"filed_name": "Mercy Medical Center",
"filed_state": "NY",
"key": "1659330173",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 75,
"n_rows": 1008,
"node": 24987,
"npi": "1659330173",
"npi_resolution": "filed"
},
{
"filed_name": "Good Samaritan Hospital Medical Center",
"filed_state": "NY",
"key": "1902865355",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 72,
"n_rows": 876,
"node": 25435,
"npi": "1902865355",
"npi_resolution": "filed"
},
{
"filed_name": "River Oaks Hospital LLC",
"filed_state": "",
"key": "1396792032",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 64,
"n_rows": 800,
"node": 24564,
"npi": "1396792032",
"npi_resolution": "filed"
},
{
"filed_name": "Penn State Health Milton S. Hershey Medical Center",
"filed_state": "",
"key": "1568435477",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 22,
"n_rows": 619,
"node": 24847,
"npi": "1568435477",
"npi_resolution": "filed"
},
{
"filed_name": "La Porte Hospital Company LLC",
"filed_state": "",
"key": "1750746285",
"kind": "hospital",
"n_filings": 1,
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"n_payer_strings": 51,
"n_rows": 581,
"node": 25158,
"npi": "1750746285",
"npi_resolution": "filed"
},
{
"filed_name": "Grand Itasca Clinic and Hospital",
"filed_state": "",
"key": "1669426631",
"kind": "hospital",
"n_filings": 1,
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"n_rows": 570,
"node": 25002,
"npi": "1669426631",
"npi_resolution": "filed"
},
{
"filed_name": "",
"filed_state": "",
"key": "1861431751",
"kind": "hospital",
"n_filings": 1,
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"n_payer_strings": 54,
"n_rows": 540,
"node": 25352,
"npi": "1861431751",
"npi_resolution": "filed"
},
{
"filed_name": "University Medical Center of Southern Nevada",
"filed_state": "NV",
"key": "1548393127",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 91,
"n_rows": 538,
"node": 24827,
"npi": "1548393127",
"npi_resolution": "filed"
},
{
"filed_name": "Bartow Regional Medical Center",
"filed_state": "",
"key": "1558734095",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 27,
"n_rows": 520,
"node": 24842,
"npi": "1558734095",
"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",
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"n_payer_strings": 33,
"n_rows": 508,
"node": 24229,
"npi": "1205818481",
"npi_resolution": "declared"
},
{
"filed_name": "PARKWEST MEDICAL CENTER",
"filed_state": "TN",
"key": "1396739165",
"kind": "hospital",
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"node": 24556,
"npi": "1396739165",
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},
{
"filed_name": "Childrens Hospital at Mission - Cerner",
"filed_state": "",
"key": "1699868398",
"kind": "hospital",
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"n_rows": 461,
"node": 25071,
"npi": "1699868398",
"npi_resolution": "filed"
},
{
"filed_name": "BAPTIST HOSPITAL OF MIAMI",
"filed_state": "",
"key": "1528042884",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 22,
"n_rows": 440,
"node": 24778,
"npi": "1528042884",
"npi_resolution": "declared"
},
{
"filed_name": "TUALITY HEALTHCARE",
"filed_state": "",
"key": "1275591984",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 21,
"n_rows": 440,
"node": 24361,
"npi": "1275591984",
"npi_resolution": "declared"
},
{
"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": 30,
"n_rows": 436,
"node": 24945,
"npi": "1629057302",
"npi_resolution": "declared"
},
{
"filed_name": "Fairview Health Services",
"filed_state": "",
"key": "1083692941",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 17,
"n_rows": 418,
"node": 24036,
"npi": "1083692941",
"npi_resolution": "filed"
},
{
"filed_name": "NYU Langone Hospital?Suffolk",
"filed_state": "NY",
"key": "1487743480",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 22,
"n_rows": 412,
"node": 24722,
"npi": "1487743480",
"npi_resolution": "filed"
},
{
"filed_name": "NYU Langone",
"filed_state": "NY",
"key": "1427616002",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 21,
"n_rows": 411,
"node": 24622,
"npi": "1427616002",
"npi_resolution": "filed"
},
{
"filed_name": "Fairview Health Services",
"filed_state": "",
"key": "1922085299",
"kind": "hospital",
"n_filings": 1,
"n_partitions": 1,
"n_payer_strings": 17,
"n_rows": 411,
"node": 25456,
"npi": "1922085299",
"npi_resolution": "filed"
}
],
"nodes_cut": true,
"reads": "hospitals that filed a negotiated standard charge for 80061 under 45 CFR 180; the edge is stored hospital -> code, so from 80061 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": 960
}
],
"key": "80061",
"kind": "procedure",
"node": 2373
}
],
"rows": [],
"visited": [
{
"key": "80061",
"kind": "procedure",
"node": 2373,
"step": 0
}
]
},
"receipt": "r5308",
"session": "e7e2e45e162614c673bd59ad6ba55387",
"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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