Search Criteria
Rules Found [ Show Descriptions ]
| Keys | Description | TPID | Client ID | DSID | Provider Type | Service Category | Benefit | Active | Actions |
|---|
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* Required fields
- 1 Medical Care
- 2 Surgical
- 3 Consultation
- 4 Diagnostic X-Ray
- 5 Diagnostic Lab
- 6 Radiation Therapy
- 7 Anesthesia
- 8 Surgical Assistance
- 9 Other Medical
- 10 Blood Charges
- 11 Used Durable Medical Equipment
- 12 Durable Medical Equipment Purchase
- 13 Ambulatory Service Center Facility
- 14 Renal Supplies in the Home
- 15 Alternate Method Dialysis
- 16 Chronic Renal Disease (CRD) Equipment
- 17 Pre-Admission Testing
- 18 Durable Medical Equipment Rental
- 19 Pneumonia Vaccine
- 20 Second Surgical Opinion
- 21 Third Surgical Option
- 22 Social Work
- 23 Diagnostic Dental
- 24 Periodontics
- 25 Restorative
- 26 Endontics
- 27 Maxillofacial Prosthetics
- 28 Adjunctive Dental Services
- 30 Health Benefit Plan Coverage
- 32 Plan Waiting Period
- 33 Chiropractic
- 34 Chiropractic Office Visits
- 35 Dental Care
- 36 Dental Crowns
- 37 Dental Accident
- 38 Orthodontics
- 39 Prosthodontics
- 40 Oral Surgery
- 41 Routine (Preventative) Dental
- 42 Home Health Care
- 43 Home Health Prescriptions
- 44 Home Health Visits
- 45 Hospice
- 46 Respite Care
- 47 Hospital
- 48 Hospital - Inpatient
- 49 Hospital - Room and Board
- 50 Hospital - Outpatient
- 51 Hospital - Emergency Accident
- 52 Hospital - Emergency Medical
- 53 Hospital - Ambulatory Surgical
- 54 Long Term Care
- 55 Major Medical
- 56 Medically Related Transportation
- 57 Air Transportation
- 58 Cabulance
- 59 Licensed Ambulance
- 60 General Benefits
- CHD Children Only
- DEP Dependents Only
- ECH Employee and Children
- EMP Employee Only
- ESP Employee and Spouse
- FAM Family
- IND Individual
- SPC Spouse and Children
- SPO Spouse Only
- 6 Hour
- 7 Day
- 13 24 Hours
- 21 Years
- 22 Service Year
- 23 Calendar Year
- 24 Year to Date
- 25 Contract
- 26 Episode
- 27 Visit
- 28 Outlier
- 29 Remaining
- 30 Exceeded
- 31 Not Exceeded
- 32 Lifetime
- 33 Lifetime Remaining
- 34 Month
- 35 Week
- 36 Admission
- N No
- U Unknown
- W Not Applicable
- Y Yes
Details Found
| Codes | Action | Description | Expression | Actions |
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