knowledge/lexical/codes

Source: knowledge/lexical/codes.parquet. Source vintage: Package vintage 2026-10-01; source path partition not dated; inspect record and rule clocks separately. Grain: Packaged source record; inspect schema and linked world method before aggregation. Snapshot: 7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba.

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node_id
UInt32
code
Utf8
text
Utf8
__row_id
Int64
4205
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HbA1c tests
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HbA1c tests who may perform: Primary Care Practitioners (PCPs)
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310
4283
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Pre-service review
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Pre-service review who may perform: Central Referral Center in Utilization Management
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311
4285
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Concurrent Review (Inpatient)
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Concurrent Review (Inpatient) who may perform: Inpatient Utilization Management clinicians who may perform: UM physician's and nurse managers312
4297
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Medical Aid in Dying (MAID)
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Medical Aid in Dying (MAID) who may perform: eligible terminally ill individuals with a prognosis of six months or less
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313
4430
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Carelon Behavioral Health Services
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Carelon Behavioral Health Services prior-authorization-required: require authorization
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314
4432
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services that require such
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services that require such prior-authorization-required: Failure to obtain an authorization for services that require such may result in denial of payment.315
4434
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all home health services
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all home health services prior-authorization-required: Prior authorization is required for all home health services.
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316
4436
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DME requests
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DME requests prior-authorization-required: DME requests will follow the same prior authorization process in 4.5.5
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317
4439
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Care Management
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Care Management who may perform: physicians and health care teams
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318
4717
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Community Specialists
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Community Specialists who may perform: Community Specialists
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319

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Evidence receipt r8156

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