payer_manual_claims/2026-09-16/claims

Source: data/payer_manual_claims/2026-09-16/claims.parquet. Source vintage: Package vintage 2026-10-01; source path partition 2026-09-16; inspect record and rule clocks separately. Grain: Packaged source record; inspect schema and linked world method before aggregation. Snapshot: 7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba.

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Source records. NULL means missing; empty text is labelled separately.
seq
Int64
claim_id
Utf8
document_sha256
Utf8
program
Utf8
program_kind
Utf8
vertex_ontology
Utf8
confidence
Utf8
readers
Utf8
code
Utf8
code_shape
Utf8
text
Utf8
__row_id
Int64
550
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001a1412d8854eb45fcb335d
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31ed15494f453f342213d6a5a75d71ad80126f7a9a75ddbaae0ead4c0841322c
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hcsc
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payer
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furnishing-rule
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single-reader
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vision
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NULLnone
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who may perform: Provider offices are prohibited from providing client access
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0
551
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001ea6f3642209d6c5a548ff
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60d331a28c35d554d7fda452aa70c1bfa464e4a1078906df36920a91afdbf51e
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medicaid-wa
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program
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code-disposition
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confirmed
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layout+vision
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A0425
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hcpcs
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disposition: payable-with-criteria
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1
552
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001ede89c87fe42a5ff19ced
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24cd8f7376878ee398e817bcbb39b3f201aba3f2bd35d97af83ee66ca74a9359
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medicaid-co
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program
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document-header
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confirmed
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layout+vision
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NULLnone
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effective date: October 1, 2025
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2
553
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0022a8ba146cb7c13de959a4
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18c8d0469b509a6607c4600ed99f14887b7ccf7e0938b199e787af706cfda3e6
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medicaid-oh
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program
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code-disposition
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single-reader
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layout
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APR-DRG 750 – 760
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prose
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disposition: payable
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3
554
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002498b94fbe19d58d469a19
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3f379ae0a7a376ebe68a09edd07ec4a227378f853da941ff2268229a9632944c
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kaiser
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payer
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furnishing-rule
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single-reader
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vision
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NULLnone
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supervision level: under the Kaiser Permanente contracted provider's supervision.
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4
555
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0029cbacb58812f34e3250be
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d5eed6aff139a1db3dcf5974383b7dad316b009e34e643c4fd81a22da2ca3e48
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highmark
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payer
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furnishing-rule
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single-reader
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vision
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NULLnone
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who may perform: visiting nurses
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5
556
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003dc7c70be8af80505c6c56
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500c51b522bf0980a16afcb843157b171d3eb608dc5adbaeeb450350cfbfdf42
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cms-iom
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program
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furnishing-rule
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single-reader
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layout
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NULLnone
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accreditation required: Accreditation based on a survey by a CMS- approved Medicare accreditation program of a national accrediting organization may be used by CMS to “deem” a provider or supplier as complying with the applicable regulatory standards.6
557
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003eb9042ed1626bc49f8e67
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0defd27cf08fa8573a5a54c8dd50262be09b37a1ce4f25b64e574d09a7fedade
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medicaid-wa
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program
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code-disposition
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confirmed
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layout+vision
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L8699
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hcpcs
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disposition: prior-authorization-required
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7
558
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003f15a8ee9c25582b6b7424
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130e89613f3f131f0aa5358b5839627086b5286a247dd247aa44642982d5e674
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medicaid-az
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program
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furnishing-rule
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confirmed
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layout+vision
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NULLnone
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who may perform: select individuals at AHCCCS and the SMI Vendor
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8
559
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0047632a68cd5e552ee4467d
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1c3ba446c285f2da97089a7001843fcbff42ff42bb9a32680b93103bbcbb3751
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medicaid-il
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program
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furnishing-rule
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single-reader
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vision
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NULLnone
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supervision level: under the direction of a qualified school psychologist
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9

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Evidence receipt r1580

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