added days of week to reccurence widget (#286)

[openemr.git] / library / edihistory / codes / edih_271_code_class.php

<?php
/*
 * test_271_codes.php
 * 
 * Copyright 2016 Kevin McCormick <kevin@kt61p>
 * 
 * This program is free software; you can redistribute it and/or modify
 * it under the terms of the GNU General Public License as published by
 * the Free Software Foundation; either version 2 of the License, or
 * (at your option) any later version.
 * 
 * This program is distributed in the hope that it will be useful,
 * but WITHOUT ANY WARRANTY; without even the implied warranty of
 * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
 * GNU General Public License for more details.
 * 
 * You should have received a copy of the GNU General Public License
 * along with this program; if not, write to the Free Software
 * Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston,
 * MA 02110-1301, USA.
 * 
 * 
 */

class edih_271_codes {
//
//public $code271 = array();
private $code271 = array();
private $ds = '';
private $dr = '';
// the key_match array is a concept of matching code lists to 
// segment elements when diferent segments are looking for the same 
// code or reference lists  
//  -- a very tedious project and immediately put on hold
//public $key_match = array('HCR04'=>array('CRC02');
//
function __construct($component_separator, $repetition_separator) {
//
// echo "class edih_271_codes ds=$component_separator dr=$repetition_separator".PHP_EOL;
//
$this->ds = $component_separator;
$this->dr = $repetition_separator;
//
$this->code271['BHT02'] = array(
'13'=>'Request',
'08'=>'Status',
'06'=>'Confirmation',
'11'=>'Response',
'00'=>'Original',
'18'=>'Reissue',
'01'=>'Cancellation',
'36'=>'Auth (Reply)'
);

// transaction type code 
$this->code271['BHT06'] = array(
'18'=>'Response - no further updates',
'19'=>'Response - further updates to follow',
'31'=>'Subrogation Demand',
'AT'=>'Administrative Action',
'CH'=>'Chargeable',
'DG'=>'Response',
'RP'=>'Reporting',
'RT'=>'Spend Down',
'RU'=>'Medical Services Reservation',
'TH'=>'Receipt Acknowledgment'
);

// AAA reject reason code
$this->code271['AAA03'] = array(
'04'=>'Authorized quantity exceeded',
'15'=>'Required application data missing',
'33'=>'Input Errors',
'35'=>'Out of Network',
'41'=>'Authorization/Access restrictions',
'42'=>'Unable to respond at current time.',
'43'=>'Invalid/Missing provider information',
'44'=>'Invalid/Missing provider name',
'45'=>'Invalid/Missing provider speciality',
'46'=>'Invalid/Missing provider phone number',
'47'=>'Invalid/Missing provider state',
'48'=>'Invalid/Missing referring provider identification number',
'49'=>'Provider is not primary care physician',
'50'=>'Provider ineligible for inquiries',
'51'=>'Provider not on file',
'52'=>'Service dates not within provider plan enrollment',
'53'=>'Inquired benefit inconsistent with provider type',
'56'=>'Inappropriate date',
'57'=>'Invalid/Missing dates of service',
'58'=>'Invalid/Missing date of birth',
'60'=>'Date of birth follows date of service',
'61'=>'Date of death preceeds dates of service',
'62'=>'Date of service not within allowable inquiry period',
'63'=>'Date of service in future',
'64'=>'Invalid/Missing patient ID',
'65'=>'Invalid/Missing patient name',
'66'=>'Invalid/Missing patient gender code',
'67'=>'Patient not found',
'69'=>'Inconsistent with patient age.',
'70'=>'Inconsistent with patient gender.',
'71'=>'Patient birth date does not match that for the patient in the database',
'72'=>'Invalid/Missing subscriber/insured ID',
'73'=>'Invalid/Missing subscriber/insured name',
'74'=>'Invalid/Missing subscriber/insured gender code',
'75'=>'Subscriber/Insured not found',
'76'=>'Duplicate Subscriber/Insured ID number',
'77'=>'Subscriber found, patient not found',
'78'=>'Subscriber/Insured not in Group/Plan identified',
'79'=>'Invalid participant identification',
'97'=>'invalid or missing provider address',
'T4'=>'Payer name or identifier missing',
'T5'=>'Certification Information Missing',
'80'=>'No response received by clearinghouse',
'98'=>'Expiremental service or procedure.',
'AA'=>'Authorization number not found.',
'AE'=>'Requires primary care physician authorization.',
'AF'=>'Invalid/Missing diagnosis codes.',
'AG'=>'Invalid/Missing procedure codes.',
'AO'=>'Additional patient condition information required.',
'CI'=>'Certification information does not match patient.',
'E8'=>'Requires medical review.',
'IA'=>'Invalid authorization number format.',
'MA'=>'Missing authorization number.'
);



// follow-up action code
$this->code271['AAA04'] = array(
'C'=>'Please correct and resubmit',
'N'=>'Resubmission not allowed',
'P'=>'Please resubmit original transaction',
'R'=>'Resubmission allowed',
'S'=>'Do not resubmit; Inquiry initiated to a third party',
'W'=>'Please wait 30 days and resubmit',
'X'=>'Please wait 10 days and resubmit',  // 'Y'=>'Do not resubmit; We will hold your request and respond again shortly'
'Y'=>'Do not resubmit; We will respond again shortly'
);

// provider PRV codes           
$this->code271['PRV'] = array(
'AD'=>'Admitting',
'AT'=>'Attending',
'BI'=>'Billing',
'CO'=>'Consulting',
'CV'=>'Covering',
'H'=>'Hospital',
'HH'=>'Home Health Care',
'LA'=>'Laboratory',
'OT'=>'Other Physician',
'P1'=>'Pharmacy',
'PC'=>'Primary Care Physician',
'PE'=>'Performing',
'R'=>'Rural Health Clinic',
'RF'=>'Referring',
'SB'=>'Sunmitting',
'SK'=>'Skilled Nursing Facility',
'SU'=>'Supervising'
);


// REF codes
$this->code271['REF'] = array(
"18" => "Plan Number",
"1A" => "Blue Cross Provider Number",
"1B" => "Blue Shield Provider Number",
"1C" => "Medicare Provider Number",
"1D" => "Medicaid Provider Number",
"1G" => "Provider UPIN Number",
"1H" => "CHAMPUS Identification Number",
"1J" => "Facility ID Number",
"1K" => "Payer Control Number",
"1L" => "Group or Policy Number",
"1W" => "Member ID Number",
"1S" => "Ambulatory Patient Group (APG) Number",
"2U" => "Payer Identification Number",
"3H" => "Case Number",
"49" => "Family Unit Number",
"6P" => "Group Number",
"6R" => "Provider Control Number",
"9A" => "Repriced Claim Reference Number",
"9C" => "Adjusted Repriced Claim Reference Number",
"BB" => "Authorization Number",
"BLT" => "Billing Type",
"CE" => "Class of Contract code",
"CT" => "Provider Contract Number",
"D9" => "Clearinghouse ID Number",
"D3" => "Natl Assn Bds of Pharm Number",
"E9" => "Attachment Code",
"EA" => "Medical Record ID Number",
"EI" => "Employer's ID Number",
"EJ" => "Patient Account Number",
"EO" => "Submitter Identification Number",
"EV" => "Receiver Identificaton Number",
"F2" => "Version Identification Qualifier",
"F6" => "Health Ins Claim (HIC) Number",
"F8" => "Original Reference Number",
"FJ" => "Service Item Information",
"G1" => "Prior Authorization Number",
"G2" => "Provider Commercial Number",
"G3" => "Predetermination of Benefits ID Number",
"G5" => "Provider Site Number",
"GH" => "ID Card Serial Number",
"HI" => "Health Industry Number (HIN)",
"HJ" => "Identity Card Number",
"HPI" => "CMMS Natl Provider ID",
"IF" => "Issue Number",
"IG" => "Ins Policy Number",
"LU" => "Location Number",
"N5" => "Provider Plan Network ID Number",
"N6" => "Plan Network ID Number",
"N7" => "Facility Network IID Number",
"NF" => "Natl Assn of Ins Commissn (NAIC) Code",
"NQ" => "Medicaid Recipient ID Number",
"NT" => "Administrator's Reference Number",
"0B" => "State License Number",
"Q4" => "Prior Identifier Number",
"RB" => "Rate Code Number",
"SY" => "Social Security Number",
"TJ" => "Fed Tax ID Number",
"VV" => "Voucher Number",
"XZ" => "Prescription Number",
"Y4" => "Agency Claim Number",
"ZH" => "Carrier Assigned Reference Number"
);


// DTP date qualifiers
$this->code271['DTP'] = array(
'ABC'=>'Estimated Date of Birth',
'AAH'=>'Event',
'007'=>'Effective',
'036'=>'Expiration',
'050'=>'Received',
'096'=>'Discharge',
'102'=>'Issue',
'150'=>'Service period start',
'151'=>'Service period end',
'152'=>'Effective date of change',
'232'=>'Claim stmt period start',
'233'=>'Claim stmt period end',
'291'=>'Plan',
'303'=>'Maintenance effective',
'307'=>'Eligibility',
'318'=>'Added',
'340'=>'COBRA begin',
'341'=>'COBRA end',
'342'=>'Premium paid to date begin',
'343'=>'Premium paid to date end',
'346'=>'Plan begin',
'347'=>'Plan end',
'348'=>'Benefit date',
'349'=>'Benefit end',
'356'=>'Eligibility begin',
'357'=>'Eligibility end',
'382'=>'Enrollment',
'405'=>'Production',
'435'=>'Admission',
'431'=>'Onset of Current Symptoms or Illness',
'439'=>'Accident',
'442'=>'Date of death',
'458'=>'Certification',
'472'=>'Service',
'484'=>'Last Menstrual Period',
'539'=>'Policy effective',
'540'=>'Policy expiration',
'598'=>'Rejected',
'636'=>'Date of last update',
'771'=>'Status',
);


// entity identifier code  --code source 237
// NM101 STC01-3 N101
$this->code271['NM101'] = array(
'03'=>'Dependent',
'13'=>'Contracted Service Provider',
'17'=>'Consultant\'s Office',
'1E'=>'Health Maintenance Organization (HMO)',
'1G'=>'Oncology Center',
'1H'=>'Kidney Dialysis Unit',
'1I'=>'Preferred Provider Organization (PPO)',
'1O'=>'Acute Care Hospital',
'1P'=>'Provider',
'1Q'=>'Military facility',
'1R'=>'University, College, or School',
'1S'=>'Outpatient Surgicenter',
'1T'=>'Physician, Clinic or Group Practice',
'1U'=>'Long Term Care Facility',
'1V'=>'Extended Care Facility',
'1W'=>'Psychiatric Health Facility',
'1X'=>'Laboratory',
'1Y'=>'Retail Pharmacy',
'2A'=>'Federal, State, County or City Facility',
'2B'=>'Third-Party Administrator',
'2I'=>'Church Operated Facility',
'2P'=>'Public Health Service Facility',
'2Q'=>'Veterans Administration Facility',
'4M'=>'Adult Day Care Program Facility',
'4R'=>'Geriatric Clinics',
'5C'=>'Blood Bank',
'5T'=>'X-Ray Radiation Therapy Unit',
'5U'=>'CT Scanner Unit',
'5V'=>'Diagnostic Radioisotope Facility',
'5W'=>'Magnetic Resonance Imaging (MRI) Facility',
'5X'=>'Ultrasound Unit',
'5Y'=>'Rehabilitation Inpatient Unit',
'5Z'=>'Rehabilitation Outpatient Services',
'36'=>'Employer',
'40'=>'Receiver',
'41'=>'Submitter',
'45'=>'Drop-off Location',
'61'=>'Performed At',
'6A'=>'Reproductive Health Services',
'6G'=>'Sports Medicine Clinic/Services',
'6O'=>'Physical Therapy Services',
'6S'=>'Women\'s Health Center/Services',
'6Y'=>'Case Manager',
'70'=>'Prior Incorrect Insured',
'71'=>'Attending Physician',
'72'=>'Operating Physician',
'73'=>'Other Physician',
'74'=>'Corrected Insured',
'75'=>'Participant',
'77'=>'Service Location',
'82'=>'Rendering Provider',
'85'=>'Billing Provider',
'87'=>'Pay-to Provider',
'AAG'=>'Ground Ambulance Services',
'AAJ'=>'Admitting Services',
'AAK'=>'Primary Surgeon',
'AAL'=>'Medical Nurse',
'AAM'=>'Cardiac Rehabilitation Services',
'AAN'=>'Skilled Nursing Services',
'AAO'=>'Observation Room Services',
'AAQ'=>'Anesthesiology Services',
'CA'=>'Carrier',
'DD'=>'Assistant Surgeon',
'DK'=>'Ordering Physician',
'DN'=>'Referring Provider',
'EXS'=>'Ex-spouse',
'FA'=>'Facility',
'FS'=>'Final Scheduled Destination',
'G3'=>'Clinic',
'GB'=>'Other Insured',
'GD'=>'Guardian',
'GG'=>'Intermediary',
'GM'=>'Spouse Insured',
'GP'=>'Gateway Provider',
'GW'=>'Group',
'HF'=>'HPSA Facility',
'HH'=>'Home Health Agency',
'I3'=>'Independent Physicians Association (IPA)',
'IL'=>'Insured or Subscriber',
'IR'=>'Self Insured',
'LR'=>'Legal Representative',
'MSC'=>'Mammography Screening Center',
'NCT'=>'Name Changed To',
'ND'=>'Next Destination',
'NZ'=>'Primary Physician',
'OC'=>'Origin Carrier',
'OO'=>'Alternate Insurer',
'ORI'=>'Original Name',
'P2'=>'Primary Insured or Subscriber',
'P3'=>'Primary Care Provider',
'P4'=>'Prior Insurance Carrier',
'P5'=>'Plan Sponsor',
'PE'=>'Payee',
'PR'=>'Payer',
'PRP'=>'Primary Payer',
'PW'=>'Pickup Address',
'QB'=>'Purchase Service Provider',
'QC'=>'Patient',
'QV'=>'Group Practice',
'R3'=>'Next Scheduled Destination',
'SEP'=>'Secondary Payer',
'SJ'=>'Service Provider',
'TT'=>'Transfer To',
'TTP'=>'Tertiary Payer',
'VER'=>'Party Performing Verification',
'VN'=>'Vendor',
'VY'=>'Organization Completing Configuration Change',
'X3'=>'Utilization Management Organization',
'X4'=>'Spouse',
'Y2'=>'Managed Care Organization'
);


// entity ID type code
// NM108  N101
$this->code271['NM108'] = array(
"AD"=>"BCBS Assoc Plan Code",
"NI"=>"NAIC ID",
"24"=>"Employer ID Number (EIN)",
"34"=>"Social Security No",
"46"=>"Electronic Transmiter ID (ETIN)",
"BD"=>"Blue Cross Provider No",
"BS"=>"Blue Shield Provider No",
"C"=>"Insured's Changed Unique ID",
"PC"=>"Provider Commercial No",
"FI"=>"Federal Taxpayer ID",
"II"=>"Standard Unique Health ID",
"HN"=>"Health Ins Claim No",
"MC"=>"Medicaid Provider No",
"MI"=>"Member ID",
"MR"=>"Medicaid Recipient ID No",
"NI"=>"NAIC Identification",
"PI"=>"Payer ID",
"PP"=>"Pharmacy Processor No",
"UP"=>"UPIN",
"SV"=>"Service Provider Number",
"XV"=>"CMS Plan ID",
"XX"=>"CMS National ID"
);

// entity relationship code
$this->code271['NM110'] = array(
'01'=>'Parent',
'02'=>'Child',
'27'=>'Domestic Partner',
'41'=>'Spouse',
'48'=>'Employee',
'65'=>'Other',
'72'=>'Unknown'
);

//      contact number identifier
$this->code271['PER03'] = array(
'ED'=>'EDI Access Number',
'EM'=>'Electronic Mail',
'EX'=>'Telephone Extension',
'FX'=>'Facsimile',
'TE'=>'Telephone',
'UR'=>'URL'
);

//      contact type identifier
$this->code271['PER01'] = array(
'CX'=>'Cliams Office',
'BL'=>'Technical Dept',
'IC'=>'Information Contact',
);

// MPI  qualifiers Military Service
// the MPI03 Service affiliation qualifiers have 'SB' prepended
$this->code271['MPI'] = array(
'A'=>'Partial',
'C'=>'Current',
'L'=>'Latest',
'O'=>'Oldest',
'P'=>'Prior',
'S'=>'Second most current',
'T'=>'Third most current',
'AE'=>'Active reserve',
'AO'=>'Active military-overseas',
'AS'=>'Academy student',
'AT'=>'Presidential appointee',
'CC'=>'Contractor',
'DD'=>'Dishonorably discharges',
'HD'=>'Honorably discharges',
'IR'=>'Inactive reserve',
'LX'=>'Leave of absence: military',
'PE'=>'Plan to enlist',
'RE'=>'REcommissioned',
'RM'=>'Retired military-overseas',
'RR'=>'Retired without recall',
'RU'=>'REtired military-USA',
'SBA'=>'Air Force',
'SBB'=>'Air Force Reserves',
'SBC'=>'Army',
'SBD'=>'Army Reserves',
'SBE'=>'Coast Guard',
'SBF'=>'Marine Corps',
'SBG'=>'Marine Corps Reserves',
'SBH'=>'National Guard',
'SBI'=>'Navy',
'SBJ'=>'Navy Reserves',
'SBK'=>'Other',
'SBL'=>'Peace Corp',
'SBM'=>'Regular Armed Forces',
'SBN'=>'Reserves',
'SBO'=>'U.S. Public Health Service',
'SBQ'=>'Foreign Military',
'SBR'=>'American Red Cross',
'SBS'=>'Department of Defvense',
'SBU'=>'Unites Services Organization',
'SBW'=>'Military Sealift Command',
'A1'=>'Admiral',
'A2'=>'Airman',
'A3'=>'Airman First Class',
'B1'=>'Basic Airman',
'B2'=>'Brigadier General',
'C1'=>'Captain',
'C2'=>'Chief Master Sergeant',
'C3'=>'Chief Petty Officer',
'C4'=>'Chief Warrant',
'C5'=>'Colonel',
'C6'=>'Commander',
'C7'=>'Commodore',
'C8'=>'Corporal',
'C9'=>'Corporal Specialist 4',
'E1'=>'Ensign',
'F1'=>'First Lieutenant',
'F2'=>'First Sergeant',
'F3'=>'First Sergeant-Master Sergeant',
'F4'=>'Fleet Admiral',
'G1'=>'General',
'G4'=>'Gunnery Sergeant',
'L1'=>'Lance Corporal',
'L2'=>'Lieutenant',
'L3'=>'Lieutenant Colonel',
'L4'=>'Lieutenant Commander',
'L5'=>'Lieutenant General',
'L6'=>'Lieutenant Junior Grade',
'M1'=>'Major',
'M2'=>'Major General',
'M3'=>'Master Chief Petty Officer',
'M4'=>'Master Gunnery Sergeant Major',
'M5'=>'Master Sergeant',
'M6'=>'Master Sergeant Specialist 8',
'P1'=>'Petty Officer First Class',
'P2'=>'Petty Officer Second Class',
'P3'=>'Petty Officer Third Class',
'P4'=>'Private',
'P5'=>'Private First Class',
'R1'=>'Rear Admiral',
'R2'=>'Recruit',
'S1'=>'Seaman',
'S2'=>'Seaman Apprentice',
'S3'=>'Seaman Recruit',
'S4'=>'Second Lieutenant',
'S5'=>'Senior Chief Petty Officer',
'S6'=>'Senior Master Sergeant',
'S7'=>'Sergeant',
'S8'=>'Sergeant First Class Specialist 7',
'S9'=>'Sergeant Major Specialist 9',
'SA'=>'Sergeant Specialist 5',
'SB'=>'Staff Sergeant',
'SC'=>'Staff Sergeant Specialist 6',
'T1'=>'Technical Sergeant',
'V1'=>'Vice Admiral',
'W1'=>'Warrant Officer'
);

// eligibility or benifit information code
$this->code271['EB01'] = array(
'1'=>'Active Coverage',
'2'=>'Active-Full Risk Capitation',
'3'=>'Active-Services Capitated',                       //      '4'=>'Active - Services Capitated to Primary Care Physician',
'4'=>'Active-Capitated to PCP',
'5'=>'Active-Pending Investigation',
'6'=>'Inactive',                                                        //      '7'=>'Inactive - Pending Eligibility Update',
'7'=>'Inactive-Pending Elig Update',
'8'=>'Inactive-Pending Investigation',
'A'=>'Co-Insurance',
'B'=>'Co-Payment',
'C'=>'Deductible',
'D'=>'Benefit Description',
'E'=>'Exclusions',
'F'=>'Limitations',
'G'=>'Out of Pocket (Stop Loss)',
'H'=>'Unlimited',
'I'=>'Non-Covered',
'J'=>'Cost Containment',
'K'=>'Reserve',
'L'=>'Primary Care Provider',
'M'=>'Pre-existing Condition',
'N'=>'Services Restricted to Following Provider',
'O'=>'Not Deemed a Medical Necessity',
'P'=>'Benefit Disclaimer',
'Q'=>'Second Surgical Opinion Required',
'R'=>'Other or Additional Payer',
'S'=>'Prior Year(s) History',
'T'=>'Card(s) Reported Lost/Stolen',            //      'U'=>'Contact Following Entity for Eligibility or Benefit Information',
'U'=>'Contact Entity for Information',
'V'=>'Cannot Process',
'W'=>'Other Source of Data',
'X'=>'Health Care Facility',
'Y'=>'Spend Down',
'CB'=>'Coverage Basis',
'MC'=>'Managed Care Coordinator'
);

// coverage level code          
$this->code271['EB02'] = array(
'CHD'=>'Children Only',
'DEP'=>'Dependents Only',
'E1D'=>'Employee and One Dependent',
'E2D'=>'Employee and Two Dependents',
'E3D'=>'Employee and Three Dependents',
'E5D'=>'Employee and One or More Dependents',
'E6D'=>'Employee and Two or More Dependents',
'E7D'=>'Employee and Three or More Dependents',
'E8D'=>'Employee and Four or More Dependents',
'E9D'=>'Employee and Five or More Dependents',
'ECH'=>'Employee and Children',
'EMP'=>'Employee Only',
'ESP'=>'Employee and Spouse',
'FAM'=>'Family',
'IND'=>'Individual',
'SPC'=>'Spouse and Children',
'SPO'=>'Spouse Only',
'TWO'=>'Two Party'
);

// Health Care Services Type Codes 
// ASC X12 External Code Source 958  LAST UPDATED 3/1/2016
$this->code271['EB03'] = array(
"1" => "Medical Care",
"2" => "Surgical",
"3" => "Consultation",
"4" => "Diagnostic X-Ray",
"5" => "Diagnostic Lab",
"6" => "Radiation Therapy",
"7" => "Anesthesia",
"8" => "Surgical Assistance",
"10" => "Blood",
"11" => "Durable Medical Equipment Used",
"12" => "Durable Medical Equipment Purchased",
"14" => "Renal Supplies",
"17" => "Pre-Admission Testing",
"18" => "Durable Medical Equipment Rental",
"19" => "Pneumonia Vaccine",
"20" => "Second Surgical Opinion",
"21" => "Third Surgical Opinion",
"22" => "Social Work",
"23" => "Diagnostic Dental",
"24" => "Periodontics",
"25" => "Restorative",
"26" => "Endodontics",
"27" => "Maxillofacial Prosthetics",
"28" => "Adjunctive Dental Services",
"30" => "Health Benefit Plan Coverage",
"32" => "Plan Waiting Period",
"33" => "Chiropractic",
"34" => "Chiropractic Modality",
"35" => "Dental Care",
"36" => "Dental Crowns",
"37" => "Dental Accident",
"38" => "Orthodontics",
"39" => "Prosthodontics",
"40" => "Oral Surgery",
"41" => "Preventive Dental",
"42" => "Home Health Care",
"43" => "Home Health Prescriptions",
"45" => "Hospice",
"46" => "Respite Care",
"47" => "Hospitalization",
"48" => "Hospital - Inpatient",
"49" => "Hospital - Room and Board",
"50" => "Hospital - Outpatient",
"54" => "Long Term Care",
"55" => "Major Medical",
"56" => "Medically Related Transportation",
"60" => "General Benefits",
"61" => "In-vitro Fertilization",
"62" => "MRI Scan",
"63" => "Donor Procedures",
"64" => "Acupuncture",
"65" => "Newborn Care",
"66" => "Pathology",
"67" => "Smoking Cessation",
"68" => "Well Baby Care",
"69" => "Maternity",
"70" => "Transplants",
"71" => "Audiology",
"72" => "Inhalation Therapy",
"73" => "Diagnostic Medical",
"74" => "Private Duty Nursing",
"75" => "Prosthetic Device",
"76" => "Dialysis",
"77" => "Otology",
"78" => "Chemotherapy",
"79" => "Allergy Testing",
"80" => "Immunizations",
"81" => "Routine Physical",
"82" => "Family Planning",
"83" => "Infertility",
"84" => "Abortion",
"85" => "HIV - AIDS Treatment",
"86" => "Emergency Services",
"87" => "Cancer Treatment",
"88" => "Pharmacy",
"89" => "Free Standing Prescription Drug",
"90" => "Mail Order Prescription Drug",
"91" => "Brand Name Prescription Drug",
"92" => "Generic Prescription Drug",
"93" => "Podiatry",
"98" => "Professional (Physician) Visit - Office",
"A4" => "Psychiatric",
"A6" => "Psychotherapy",
"A7" => "Psychiatric - Inpatient",
"A8" => "Psychiatric - Outpatient",
"A9" => "Rehabilitation",
"AB" => "Rehabilitation - Inpatient",
"AC" => "Rehabilitation - Outpatient",
"AD" => "Occupational Therapy",
"AE" => "Physical Medicine",
"AF" => "Speech Therapy",
"AG" => "Skilled Nursing Care",
"AI" => "Substance Abuse",
"AJ" => "Alcoholism Treatment",
"AK" => "Drug Addiction",
"AL" => "Optometry",
"AM" => "Frames",
"AO" => "Lenses",
"AP" => "Routine Eye Exam",
"AQ" => "Nonmedically Necessary Physical (e.g., insurance app, pilot license, employment or school)",
"AR" => "Experimental Drug Therapy",
"B1" => "Burn Care",
"B2" => "Brand Name Prescription Drug - Formulary",
"B3" => "Brand Name Prescription Drug - Non-Formulary",
"BA" => "Independent Medical Evaluation",
"BB" => "Psychiatric Treatment Partial Hospitalization",
"BC" => "Day Care (Psychiatric)",
"BD" => "Cognitive Therapy",
"BE" => "Massage Therapy",
"BF" => "Pulmonary Rehabilitation",
"BG" => "Cardiac Rehabilitation",
"BH" => "Pediatric",
"BI" => "Nursery Room and Board",
"BK" => "Orthopedic",
"BL" => "Cardiac",
"BM" => "Lymphatic",
"BN" => "Gastrointestinal",
"BP" => "Endocrine",
"BQ" => "Neurology",
"BT" => "Gynecological",
"BU" => "Obstetrical",
"BV" => "Obstetrical/Gynecological",
"BW" => "Mail Order Prescription Drug: Brand Name",
"BX" => "Mail Order Prescription Drug: Generic",
"BY" => "Physician Visit - Sick",
"BZ" => "Physician Visit - Well",
"C1" => "Coronary Care",
"CK" => "Screening X-ray",
"CL" => "Screening laboratory",
"CM" => "Mammogram, High Risk Patient",
"CN" => "Mammogram, Low Risk Patient",
"CO" => "Flu Vaccination",
"CP" => "Eyewear Accessories",
"CQ" => "Case Management",
"DG" => "Dermatology",
"DM" => "Durable Medical Equipment",
"DS" => "Diabetic Supplies",
"E0" => "Allied Behavioral Analysis Therapy",
"E1" => "Non-Medical Equipment (non DME)",
"E2" => "Psychiatric Emergency",
"E3" => "Step Down Unit",
"E4" => "Skilled Nursing Facility Head Level of Care",
"E5" => "Skilled Nursing Facility Ventilator Level of Care",
"E6" => "Level of Care 1",
"E7" => "Level of Care 2",
"E8" => "Level of Care 3",
"E9" => "Level of Care 4",
"E10" => "Radiographs",
"E11" => "Diagnostic Imaging",
"E12" => "Basic Restorative - Dental",
"E13" => "Major Restorative - Dental",
"E14" => "Fixed Prosthodontics",
"E15" => "Removable Prosthodontics",
"E16" => "Intraoral Images - Complete Series",
"E17" => "Oral Evaluation",
"E18" => "Dental Prophylaxis",
"E19" => "Panoramic Images",
"E20" => "Sealants",
"E21" => "Flouride Treatments",
"E22" => "Dental Implants",
"E23" => "Temporomandibular Joint Dysfunction",
"E24" => "Retail Pharmacy Prescription Drug",
"E25" => "Long Term Care Pharmacy",
"E26" => "Comprehensive Medication Therapy Management Review",
"E27" => "Targeted Medication Therapy Management Review",
"E28" => "Dietary/Nutritional Services",
"E29" => "Technical Cardiac Rehabilitation Services Component",
"E30" => "Professional Cardiac Rehabilitation Services Component",
"E31" => "Professional Intensive Cardiac Rehabilitation Services Component",
"E32" => "Intensive Cardiac Rehabilitation - Technical Component",
"E33" => "Intensive Cardiac Rehabilitation",
"E34" => "Pulmonary Rehabilitation - Technical Component",
"E35" => "Pulmonary Rehabilitation - Professional Component",
"E36" => "Convenience Care",
"E37" => "Telemedicine",
"E38" => "Pharmacist Services",
"E39" => "Diabetic Education",
"EA" => "Preventive Services",
"EB" => "Specialty Pharmacy",
"EC" => "Durable Medical Equipment New",
"ED" => "CAT Scan",
"EE" => "Ophthalmology",
"EF" => "Contact Lenses",
"F1" => "Medical Coverage",
"F2" => "Social Work Coverage",
"F3" => "Dental Coverage",
"F4" => "Hearing Coverage",
"F5" => "Prescription Drug Coverage",
"F6" => "Vision Coverage",
"F7" => "Orthodontia Coverage",
"F8" => "Mental Health Coverage",
"GF" => "Generic Prescription Drug - Formulary",
"GN" => "Generic Prescription Drug - Non-Formulary",
"GY" => "Allergy",
"IC" => "Intensive Care",
"MH" => "Mental Health",
"NI" => "Neonatal Intensive Care",
"ON" => "Oncology",
"PE" => "Positron Emission Tomography (PET) Scan",
"PT" => "Physical Therapy",
"PU" => "Pulmonary",
"RN" => "Renal",
"RT" => "Residential Psychiatric Treatment",
"SMH" => "Serious Mental Health",
"TC" => "Transitional Care",
"TN" => "Transitional Nursery Care",
"UC" => "Urgent Care"
);

// insurance type codes
$this->code271['EB04'] = array(
'D'=>'Disability',
//'12'=>'Medicare Secondary Working Aged Beneficiary or Spouse with Employer Group Health Plan',
//'13'=>'Medicare Secondary End-Stage Renal Disease Beneficiary in the 12 month coordination period with an employer\'s group health plan',
//'14'=>'Medicare Secondary, No-fault Insurance including Auto is Primary',
//'15'=>'Medicare Secondary Worker\'s Compensation',
//'16'=>'Medicare Secondary Public Health Service (PHS)or Other Federal Agency',
//'41'=>'Medicare Secondary Black Lung',
//'42'=>'Medicare Secondary Veteran\'s Administration',
//'43'=>'Medicare Secondary Disabled Beneficiary Under Age 65 with Large Group Health Plan (LGHP)',
//'47'=>'Medicare Secondary, Other Liability Insurance is Primary',
'12'=>'Medicare Secondary',
'13'=>'Medicare Secondary (ESRD)',
'14'=>'Medicare Secondary (No-fault Primary)',
'15'=>'Medicare Secondary (WC)',
'16'=>'Medicare Secondary (PHS)',
'41'=>'Medicare Secondary (Black Lung)',
'42'=>'Medicare Secondary (VA)',
'43'=>'Medicare Secondary (LGHP)',
'47'=>'Medicare Secondary, Liability Ins Primary',
'AP'=>'Auto Insurance Policy',
'C1'=>'Commercial',                             // 'CO'=>'Consolidated Omnibus Budget Reconciliation Act (COBRA)',
'CO'=>'(COBRA)',
'CP'=>'Medicare Conditionally Primary',
'DB'=>'Disability Benefits',
'EP'=>'Exclusive Provider Organization',
'FF'=>'Family or Friends',
'GP'=>'Group Policy',                   //'HM'=>'Health Maintenance Organization (HMO)',
'HM'=>'(HMO)',                                  //'HN'=>'Health Maintenance Organization (HMO) - Medicare Risk',
'HN'=>'(HMO)-Medicare Risk',    //'HS'=>'Special Low Income Medicare Beneficiary',
'HS'=>'Special Low Income Medicare',
'IN'=>'Indemnity',
'IP'=>'Individual Policy',
'LC'=>'Long Term Care',
'LD'=>'Long Term Policy',
'LI'=>'Life Insurance',
'LT'=>'Litigation',
'MA'=>'Medicare Part A',
'MB'=>'Medicare Part B',
'MC'=>'Medicaid',
'MH'=>'Medigap Part A',
'MI'=>'Medigap Part B',
'MP'=>'Medicare Primary',
'OT'=>'Other',                                  //'PE'=>'Property Insurance - Personal',
'PE'=>'Property Ins-Personal',
'PL'=>'Personal',                               //'PP'=>'Personal Payment (Cash - No Insurance)',
'PP'=>'Cash (No Ins)',                  //'PR'=>'Preferred Provider Organization (PPO)',
'PR'=>'(PPO)',
'PS'=>'Point of Service (POS)',
'QM'=>'Qualified Medicare Beneficiary',
'RP'=>'Property Insurance-Real',
'SP'=>'Supplemental Policy',    //'TF'=>'Tax Equity Fiscal Responsibility Act (TEFRA)',
'TF'=>'(TEFRA)',
'WC'=>'Workers Compensation',
'WU'=>'Wrap Up Policy'
);

// time period qualifier
$this->code271['EB06'] = array(
'1'=>'Month',
'2'=>'Year',
'6'=>'Hour',
'7'=>'Day',
'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',
'33'=>'Lifetime Remaining',
'34'=>'Month',
'35'=>'Week',
'36'=>'Admission',                      //'A'=>'Hourly Appurtenance Units (Hours of Enhancement/Addition to Equipment)',
'A'=>'Hourly Appurtenance Units',
'D'=>'Daily Time Units',
'H'=>'Hourly Time Units',
'O'=>'Other Time Units'
);

// quantity type qualifier
$this->code271['EB09'] = array(
'8H'=>'Minimum',
'99'=>'Quantity Used',
'CA'=>'Covered-Actual',
'CE'=>'Covered-Estimated',
'D3'=>'Number of Co-insurance Days',
'DB'=>'Deductible Blood Units',
'DY'=>'Days',
'HS'=>'Hours',
'LA'=>'Life-time Reserve-Actual',
'LE'=>'Life-time Reserve-Estimated',
'M2'=>'Maximum',
'MN'=>'Month',
'P6'=>'Number of Services or Procedures',
'QA'=>'Quantity Approved',
'S7'=>'Age, High Value',
'S8'=>'Age, Low Value',
'VS'=>'Visits',
'YY'=>'Years'
);

// authorization required code
$this->code271['EB11'] = array(
'N'=>'Pre-Auth: No',
'U'=>'Pre-Auth: Unknown',
'Y'=>'Pre-Auth: Yes'
);

// in-network status
$this->code271['EB12'] = array(
'N'=>'In Network: No',
'U'=>'In Network: Unknown',
'W'=>'In Network: N/A',
'Y'=>'In Network: Yes'
);

// product/service id qualifier
$this->code271['EB13'] = array(
'AD'=>'Am Dental Assoc Codes',
'ER'=>'Jurisdiction Specific',
'CJ'=>'CPT Codes',
'HC'=>'HCPCS Codes',
'HP'=>'HIPPS SNF Rate Code',
'ID'=>'ICD-9-CM-Procedure',
'IV'=>'(HIEC) Product/Service Code',
'N4'=>'Natl Drug Code 5-4-2 Fmt',
'N6'=>'Natl Health Related Item Code in 4-6 Fmt',
'NU'=>'Natl Uniform Billing Committee (NUBC) UB92',
'UI'=>'U.P.C. Consumer Pkg Code (1-5-5)',
'WK'=>'Advanced Billing Concepts (ABC) Codes',
'ZZ'=>'Mutually Defined'
);

// quantity qualifier - unit or basis copde
$this->code271['HSD01'] = array(
'DY'=>'Days',
'FL'=>'Units',
'HS'=>'Hours',
'MN'=>'Month',
'VS'=>'Visit',
'DA'=>'Days',
'MO'=>'Months',
'WK'=>'Week',
'YR'=>'Years'
);

// delivery frequency code
$this->code271['HSD07'] = array(
'1'=>'1st Week of Month',
'2'=>'2nd Week of Month',
'3'=>'3rd Week of Month',
'4'=>'4th Week of Month',
'5'=>'5th Week of Month',
'6'=>'1st & 3rd Weeks of Month',
'7'=>'2nd & 4th Weeks of Month',
'8'=>'1st Working Day of Period',
'9'=>'Last Working Day of Period',
'A'=>'Mon through Fri',
'B'=>'Mon through Sat',
'C'=>'Mon through Sun',
'D'=>'Monday',
'E'=>'Tuesday',
'F'=>'Wednesday',
'G'=>'Thursday',
'H'=>'Friday',
'J'=>'Saturday',
'K'=>'Sunday',
'L'=>'Mon through Thur',
'M'=>'Immediately',
'N'=>'As Directed',
'O'=>'Daily Mon. through Fri.',
'P'=>'1/2 Mon & 1/2 Thurs',
'Q'=>'1/2 Tue & 1/2 Thur',
'R'=>'1/2 Wed & 1/2 Fri',
'S'=>'Once Anytime Mon through Fri',
'T'=>'1/2 Tue & 1/2 Fri',
'U'=>'1/2 Mon. & 1/2 Wed',
'V'=>'1/3 Mon, 1/3 Wed, 1/3 Fri',
'W'=>'When Necessary',
'X'=>'1/2 By Wed, Bal. By Fri',
'Y'=>'None/Cancel/Override',
'Z'=>'Mutually Defined',
'SA'=>'Sun, Mon, Thur, Fri, Sat',
'SB'=>'Tue through Sat',
'SC'=>'Sun, Wed, Thur, Fri, Sat',
'SD'=>'Mon, Wed, Thur, Fri, Sat',
'SG'=>'Tue through Fri',
'SL'=>'Mon, Tue and Thur',
'SP'=>'Mon, Tue and Fri',
'SX'=>'Wed and Thur',
'SY'=>'Mon, Wed and Thur',
'SZ'=>'Tue, Thur and Fri',
);

// Ship/Delivery Pattern Time Code
$this->code271['HSD08'] = array(
'A'=>'1st Shift (9-5)',
'B'=>'2nd Shift',
'C'=>'3rd Shift',
'D'=>'A.M.',
'E'=>'P.M.',
'F'=>'As Directed',
'G'=>'Any Shift',
'Y'=>'None/Cancel/Override',
'Z'=>'Mutually Defined'
);

// Nature of Injury Codes
$this->code271['IIIGR'] = array(
'1'=>' No Physical Injury',
'01'=>' No Physical Injury',
'2'=>' Amputation',
'02'=>' Amputation',
'3'=>' Angina Pectoris',
'03'=>' Angina Pectoris',
'4'=>' Burn',
'04'=>' Burn',
'7'=>' Concussion',
'07'=>' Concussion',
'10'=>' Contusion',
'13'=>' Crushing',
'16'=>' Dislocation',
'19'=>' Electric Shock',
'22'=>' Enucleation',
'25'=>' Foreign Body',
'28'=>' Fracture',
'30'=>' Freezing',
'31'=>' Hearing Loss or Impairment',
'32'=>' Heat Prostration',
'34'=>' Hernia',
'36'=>' Infection',
'37'=>' Inflammation',
'40'=>' Laceration',
'41'=>' Myocardial Infarction',
'42'=>' Poisoning-General',
'43'=>' Puncture',
'46'=>' Rupture',
'47'=>' Severance',
'49'=>' Sprain or Tear',
'52'=>' Strain or Tear',
'53'=>' Syncope',
'54'=>' Asphyxiation',
'55'=>' Vascular',
'58'=>' Vision Loss',
'59'=>' All Other Specific Injuries, NOC',
'60'=>' Dust Disease, NOC',
'61'=>' Asbestosis',
'62'=>' Black Lung',
'63'=>' Byssinosis',
'64'=>' Silicosis',
'65'=>' Respiratory Disorders',
'66'=>' Poisoning-Chemical, (Other Than Metals)',
'67'=>' Poisoning-Metal',
'68'=>' Dermatitis',
'69'=>' Mental Disorder',
'70'=>' Radiation',
'71'=>' All Other Occupational Disease Injury, NOC',
'72'=>' Loss of Hearing',
'73'=>' Contagious Disease',
'74'=>' Cancer',
'75'=>' AIDS',
'76'=>' VDT-Related Diseases',
'77'=>' Mental Stress',
'78'=>' Carpal Tunnel Syndrome',
'79'=>' Hepatitis C',
'80'=>' All Other Cumulative Injury, NOC',
'90'=>' Multiple Physical Injuries Only',
'91'=>' Multiple Injuries Including Both Physical & Psychological'
);


// place of service  --code source 237
$this->code271['POS'] = array(
'01'=>'Pharmacy',
'02'=>'Unassigned',
'03'=>'School',
'04'=>'Homeless Shelter',
'05'=>'Indian Health Service Free-standing Facility',
'06'=>'Indian Health Service Provider-based Facility',
'07'=>'Tribal 638 Free-standing Facility',
'08'=>'Tribal 638 Provider-based Facility',
'09'=>'Prison/Correctional Facility',
'11'=>'Office',
'12'=>'Home ',
'13'=>'Assisted Living Facility',
'14'=>'Group Home',
'15'=>'Mobile Unit',
'16'=>'Temporary Lodging',
'17'=>'Walk-in Retail Health Clinic',
'20'=>'Urgent Care Facility',
'21'=>'Inpatient Hospital',
'22'=>'Outpatient Hospital',
'23'=>'Emergency Room-Hospital',
'24'=>'Ambulatory Surgical Center',
'25'=>'Birthing Center',
'26'=>'Military Treatment Facility',
'31'=>'Skilled Nursing Facility',
'32'=>'Nursing Facility',
'33'=>'Custodial Care Facility',
'34'=>'Hospice',
'41'=>'Ambulance-Land',
'42'=>'Ambulance-Air or Water',
'49'=>'Independent Clinic',
'50'=>'Federally Qualified Health Center',
'51'=>'Inpatient Psychiatric Facility',
'52'=>'Psychiatric Facility-Partial Hospitalization',
'53'=>'Community Mental Health Center',
'54'=>'Intermediate Care Facility/Mentally Retarded',
'55'=>'Residential Substance Abuse Treatment Facility',
'56'=>'Psychiatric Residential Treatment Center',
'57'=>'Non-residential Substance Abuse Treatment Facility',
'60'=>'Mass Immunization Center',
'61'=>'Comprehensive Inpatient Rehabilitation Facility',
'62'=>'Comprehensive Outpatient Rehabilitation Facility',
'71'=>'Public Health Clinic',
'72'=>'Rural Health Clinic',
'81'=>'Independent Laboratory',
'99'=>'Other Place of Service'
);

// insurance relationship code  
$this->code271['INS02'] = array(
'18'=>'self',
'01'=>'spouse',
'19'=>'child',
'20'=>'employee',
'21'=>'unknown',
'39'=>'Organ Donor',
'40'=>'Cadaver Donor',
'53'=>'Life Partner',
'G8'=>'Other Relationship'
);

// 278 authorization Health Care Services Review
$this->code271['UM01'] = array(
'AR'=>'Admission review',
'HS'=>'Health Services Review',
'IN'=>'Individual',
'SC'=>'Specialty Care review'
);

$this->code271['UM02'] = array(
'1'=>'Appeal--Immediate',
'2'=>'Appeal--Standard',
'3'=>'Cancel',
'4'=>'Extension',
'I'=>'Initial',
'N'=>'Reconsideration',
'R'=>'Renewal',
'S'=>'Revised'
);

// related causes code          
$this->code271['UM05'] = array(
'AA'=>'Auto Accident',
'AP'=>'Another Party responsible',
'EM'=>'Employment'
);

// level of service code        
$this->code271['UM06'] = array(
'03'=>'Emergency',
'E'=>'Elective',
'U'=>'Urgent'
);

// current patient condition code
$this->code271['UM07'] = array(
'1'=>'Acute',
'2'=>'Stable',
'3'=>'Chronic',
'4'=>'Systemic',
'5'=>'Localized',
'6'=>'Mild Disease',
'7'=>'Normal, Healthy',
'8'=>'Severe Systemic Disease',
'9'=>'Severe Systemic Disease Constant Threat to Life',
'E'=>'Excellent',
'F'=>'Fair',
'G'=>'Good',
'P'=>'Poor'
);

// prognosis code
$this->code271['UM08'] = array(
'1'=>'Poor',
'2'=>'Guarded',
'3'=>'Fair',
'4'=>'Good',
'5'=>'Very Good',
'6'=>'Excellent',
'7'=>'Less than 6 Months to Live',
'8'=>'Terminal'
);

// delay reason code
$this->code271['UM10'] = array(
'1'=>'Proof of Eligibility Unknown',
'2'=>'Litigation',
'3'=>'Authorization Delays',
'4'=>'Delay in Certifying Provider',
'7'=>'Third Party Processing Delay',
'8'=>'Delay in Eligibility Determination',
'10'=>'Administration Delay in Prior Approval Process',
'11'=>'Other',
'15'=>'Natural Disaster',
'16'=>'Lack of Information',
'17'=>'No Response to Initial Request'
);

// certification action code
$this->code271['HCR01'] = array(
'A1'=>'Certified in total',
'A2'=>'Certified - partial',
'A3'=>'Not Certified',
'A4'=>'Pended',
'A6'=>'Modified',
'C'=>'Cancelled',
'CT'=>'Contact Payer',
'NA'=>'No Action Required'
);

// health care decision reason code                     
$this->code271['HCR03'] = array(
'1'=>'Price Authorization Expired',
'2'=>'Price authorization no longer required',
'3'=>'Product not on the price authorization',
'4'=>'Authorized Quantity Exceeded',
'5'=>'Special Cost Incorrect',
'6'=>'No Credit Allowed',
'7'=>'Administrative Cancellation',
'8'=>'Unit resale higher than authorized',
'9'=>'Out of Network',
'0A'=>'Testing not Included',
'0B'=>'Request Forwarded To and Decision Response Forthcoming From an External Review Organization',
'0C'=>'Authorization/Access Restrictions',
'0D'=>'Requires PCP authorization',
'0E'=>'Provider is Not Primary Care Physician',
'0F'=>'Not Medically Necessary',
'0G'=>'Level of Care Not Appropriate',
'0H'=>'Certification Not Required for this Service',
'0J'=>'Certification Responsibility of External Review Organization',
'0K'=>'Primary Care Service',
'0L'=>'Exceeds Plan Maximums',
'0M'=>'Non-covered Service',
'0N'=>'No Prior Approval',
'0P'=>'Requested Information Not Received',
'0Q'=>'Duplicate Request',
'0R'=>'Service Inconsistent with Diagnosis',
'0S'=>'Pre-existing Condition',
'0T'=>'Experimental Service or Procedure',
'0U'=>'Additional Patient Information required',
'0V'=>'Requires Medical Review',
'0W'=>'Disposition pending review',
'0X'=>'Service Inconsistent with Provider Type',
'0Y'=>'Service inconsistent with Patient\'s Age',
'0Z'=>'Service inconsistent with Patient\'s Gender',
'10'=>'Product/service/procedure delivery pattern (e.g., units, days, visits, weeks, hours, months)',
'11'=>'Pricing',
'12'=>'Patient is restricted to specific provider',
'13'=>'Service authorized for another provider',
'14'=>'Plan/contractual guidelines not followed',
'15'=>'Plan/contractual geographic restriction',
'16'=>'Inappropriate facility type',
'17'=>'Time limits not met',
'18'=>'Notification received',
'19'=>'Cosmetic',
'20'=>'Once in a lifetime restriction applies',
'21'=>'Transport Request Denied',
'22'=>'Ambulance Certification Segment information doesn\'t correspond to Transport Address Segment',
'23'=>'Mileage cannot be computed based on data submitted',
'24'=>'Computed mileage is inconsistent with transport information or service units submitted',
'25'=>'Services were not considered due to other errors in the request.',
'26'=>'Missing Provider Role',
'27'=>'Patient in Health Insurance Exchange premium payment grace period -- first month.',
'28'=>'Patient in Health Insurance Exchange premium payment grace period -- second month.',
'29'=>'Patient in Health Insurance Exchange premium payment grace period -- third month.',
);

// yes/no condition code                        
$this->code271['HCR04'] = array(
'N'=>'No',
'U'=>'Unknown',
'W'=>'Not Applicable',
'Y'=>'Yes'
);


// code source identifier code                  
$this->code271['HI01'] = array(
'ABF'=>'ICD-10-CM Diagnosis',
'ABJ'=>'ICD-10-CM Admitting Diagnosis',
'ABK'=>'ICD-10-CM Principal Diagnosis',
'APR'=>'ICD-10-CM Patient Reason for Visit',
'BF'=>'ICD-9-CM Diagnosis',
'BJ'=>'ICD-9-CM Admitting Diagnosis',
'BK'=>'ICD-9-CM Principal Diagnosis',
'DR'=>'Diagnosis Related Group (DRG)',
'PR'=>'ICD-9-CM Patient Reason for Visit',
'LOI'=>'LOINC codes'
);

// code source identifier               
$this->code271['SV101'] = array(
'HP'=>'Health Ins Prospective Pmt System',
'N6'=>'National Health Related Item Code in 4-6 Format',
'UI'=>'U.P.C. Consumer Package Code (1-5-5)',
'AD'=>'Am Dental Assoc Codes.',
'CJ'=>'CPT Codes',
'DX'=>'(ICD-9-CM) Diagnosis',
'EN'=>'EAN/UCC--13',
'EO'=>'EAN/UCC--8',
'ER'=>'Jurisdiction Specific Codes',
'HC'=>'(HCPCS) Codes',
'HI'=>'HIBC (HC Bar Code)', // Supplier Labeling Standard Primary Data Message',
'HP'=>'(HIPPS) SNF Rate Code', //Health Insurance Prospective Payment System
'ID'=>'(ICD-9-CM) - Procedure',
'IV'=>'Home Infusion (HIEC) Code',
'N4'=>'National Drug Code in 5-4-2 Format',
'N6'=>'National Health Related Item Code in 4-6 Format',
'NU'=>'National Uniform Billing Committee (NUBC) UB92 Codes',
'ON'=>'Customer Order Number',
'UI'=>'U.P.C. Consumer Package Code (1-5-5)',
'UK'=>'GTIN 14-digit Data Structure',
'UP'=>'UCC--12',
'WK'=>'Advanced Billing Concepts (ABC) Codes',
'ZZ'=>'Mutually Defined'
);


// code source identifier               
$this->code271['SV103'] = array(
'DA'=>'Days',
'F2'=>'International Unit',
'MJ'=>'Minutes',
'UN'=>'Unit'
);

// nursing home level of care           
$this->code271['SV120'] = array(
'1'=>'Skilled Nursing Facility (SNF)',
'2'=>'Intermediate Care Facility (ICF)',
'3'=>'Intermediate Care Facility - Mentally Retarded (ICF-MR)',
'4'=>'Chronic Disease Hospital (CD)',
'5'=>'ntermediate Care Facility (ICF) Level II I',
'6'=>'Special Skilled Nursing Facility (SNF)',
'7'=>'Nursing Facility (NF)',
'8'=>'Hospice'
);


// admission type code                  
$this->code271['CL101'] = array(
'1'=>'Emergency',
'2'=>'Urgent',
'3'=>'Elective',
'4'=>'Newborn',
'5'=>'Trauma',
'9'=>'Information not available'
);

// admission source type code                   
$this->code271['CL102'] = array(
'1'=>'Physician Referral',
'2'=>'Clinic Referral',
'3'=>'HMO Referral',
'4'=>'Transfer from a Hospital',
'5'=>'Transfer from a Skilled Nursing Facility (SNF)',
'6'=>'Transfer from Another Health Facility',
'7'=>'Emergency Room',
'8'=>'Court/Law Enforcement',
'9'=>'Information Not Available',
'10'=>'Transfer from Psych Substance Abuse or Rehab Hospital',
'11'=>'Transfer from a Critical Access Hospital',
'E'=>'Transfer from Ambulatory Surgical Center',
'F'=>'Transfer from Hospice and is Under a Hospice Plan of Care or Enrolled in Hospice Program'
);

// release of information indicator code
// -- which segment?                    
//$this->code271['CL102'] = array(      
//'Y'=>'Yes',
//'R'=>'Restricted or Modified Release',
//'N'=>'No Release'
//};



// patient status code                  
$this->code271['CL103'] = array(
'1'=>'Discharged to Home or Self-Care (Routine Discharge)',
'2'=>'Discharged/Transferred to Another Short-Term General Hospital',
'3'=>'Discharged/Transferred to an SNF',
'4'=>'Discharged/Transferred to an Intermediate Care Facility (ICF)',
'5'=>'Discharged/Transferred to Another Type of Institution (Including Distinct Parts) or Referred for',
'6'=>'Outpatient Services to Another Institution',
'7'=>'Discharged/Transferred to Home Under Care of Organized Home Health Service Organization',
'8'=>'Left Against Medical Advise or Discontinued Care',
'9'=>'Discharged/Transferred to Home Under Care of Home IV Therapy Provider',
'20'=>'Admitted as an Inpatient to this Hospital',
'30'=>'Expired (or Did Not Recover-Christian Science Patient)',
'40'=>'Expired at Home (for Hospice Care Only)',
'41'=>'Expired in a Medical Facility such as a Hospital, SNF, ICF or Freestanding Hospice (for Hospice Care Only)',
'42'=>'Expired, Place Unknown (for Hospice Care Only)',
'50'=>'Discharged to Hospice-Home',
'51'=>'Discharged to Hospice-Medical Facility',
'61'=>'Discharged/transferred within this institution to a hospital based Medicare approved swing bed.',
'62'=>'Discharged/transferred to an inpatient rehabilitation facility including distinct part units of a hospital',
'63'=>'Discharged/transferred to a long term care hospital',
'64'=>'Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare.',
'65'=>'Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital',
'66'=>'Discharged/transferred to a Critical Access Hospital (CAH)',
'69'=>'Discharged/transferred to a designated disaster alternative care site',
'81'=>'Discharged to home or self-care with a planned acute care hospital inpatient readmission',
'82'=>'Discharged/transferred to a short term general hospital for inpatient care with a planned acute care hospital inpatient readmission',
'83'=>'Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification with a planned acute care hospital inpatient readmission',
'84'=>'Discharged/transferred to a facility that provides custodial or supportive care with a planned acute care hospital inpatient readmission',
'85'=>'Discharged/transferred to a designated cancer center or children\'s hospital with a planned acute care hospital inpatient readmission',
'86'=>'Discharged/transferred to home under care of organized home health service organization with a planned acute care hospital inpatient readmission',
'87'=>'Discharged/transferred to court/law enforcement with a planned acute care hospital inpatient readmission',
'88'=>'Discharged/transferred to a federal health care facility with a planned acute care hospital inpatient readmission',
'89'=>'Discharged/transferred to a hospital-based Medicare approved swing bed with a planned acute care hospital inpatient readmission',
'90'=>'Discharged/transferred to an inpatient rehabilitation facility (IRF) including rehabilitation distinct part units of a hospital with a planned acute care hospital inpatient readmission',
'91'=>'Discharged/transferred to a Medicare certified long term care hospital (LTCH) with a planned acute care hospital inpatient readmission',
'92'=>'Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare with a planned acute care hospital inpatient readmission',
'93'=>'Discharged/transferred to a psychiatric distinct part unit of a hospital with a planned acute care hospital inpatient readmission',
'94'=>'Discharged/transferred to a critical access hospital (CAH) with a planned acute care hospital inpatient readmission',
'95'=>'Discharged/transferred to another type of health care institution not defined elsewhere in this code list with a planned acute care hospital inpatient readmission'
);

// ambulance transport code
$this->code271['CR103'] = array(
'I'=>'Initial Trip',
'R'=>'Return Trip',
'T'=>'Transfer Trip',
'X'=>'Round Trip'
);


// spinal subluxation level code
$this->code271['CR203'] = array(
'C1'=>'Cervical 1',
'C2'=>'Cervical 2',
'C3'=>'Cervical 3',
'C4'=>'Cervical 4',
'C5'=>'Cervical 5',
'C6'=>'Cervical 6',
'C7'=>'Cervical 7',
'CO'=>'Coccyx',
'IL'=>'Ilium',
'L1'=>'Lumbar 1',
'L2'=>'Lumbar 2',
'L3'=>'Lumbar 3',
'L4'=>'Lumbar 4',
'L5'=>'Lumbar 5',
'OC'=>'Occiput',
'SA'=>'Sacrum',
'T1'=>'Thoracic 1',
'T2'=>'Thoracic 2',
'T3'=>'Thoracic 3',
'T4'=>'Thoracic 4',
'T5'=>'Thoracic 5',
'T6'=>'Thoracic 6',
'T7'=>'Thoracic 7',
'T8'=>'Thoracic 8',
'T9'=>'Thoracic 9',
'T10'=>'Thoracic 10',
'T11'=>'Thoracic 11',
'T12'=>'Thoracic 12'
);

// oxygen type code                     
$this->code271['CR503'] = array(
'A'=>'Concentrator',
'B'=>'Liquid Stationary',
'C'=>'Gaseous Stationary',
'D'=>'Liquid Portable',
'E'=>'Gaseous Portable',
'O'=>'Other'
);


// oxygen delivery type code                    
$this->code271['CR517'] = array(
'A'=>'Nasal Cannula',
'B'=>'Oxygen Conserving Device',
'C'=>'Oxygen Conserving Device with Oxygen Pulse System',
'D'=>'Oxygen Conserving Device with Reservoir System',
'E'=>'Transtracheal Catheter'
);


// certification type code                      
$this->code271['CR608'] = array(
'1'=>'Appeal-Immediate',
'2'=>'Appeal-Standard',
'3'=>'Cancel',
'4'=>'Extension',
'5'=>'Notification',
'6'=>'Verification',
'I'=>'Initial',
'R'=>'Renewal',
'S'=>'Revised'
);



// paperwork type code                  
$this->code271['PWK01'] = array(
'3'=>' Report Justifying Treatment Beyond Utilization Guidelines',
'4'=>' Drugs Administered',
'5'=>' Treatment Diagnosis',
'6'=>' Initial Assessment',
'7'=>' Functional Goals',
'8'=>' Plan of Treatment',
'9'=>' Progress Report',
'10'=>'Continued Treatment',
'11'=>'Chemical Analysis',
'13'=>'Certified Test Report',
'15'=>'Justification for Admission',
'21'=>'Recovery Plan',
'48'=>'Social Security Benefit Letter',
'55'=>'Rental Agreement',
'59'=>'Benefit Letter',
'77'=>'Support Data for Verification',
'A3'=>'Allergies/Sensitivities Document',
'A4'=>'Autopsy Report',
'AM'=>'Ambulance Certification',
'AS'=>'Admission Summary',
'AT'=>'Purchase Order Attachment',
'B2'=>'Prescription',
'B3'=>'Physician Order',
'BR'=>'Benchmark Testing Results',
'BS'=>'Baseline',
'BT'=>'Blanket Test Results',
'CB'=>'Chiropractic Justification',
'CK'=>'Consent Form(s)',
'D2'=>'Drug Profile Document',
'DA'=>'Dental Models',
'DB'=>'Durable Medical Equipment Prescription',
'DG'=>'Diagnostic Report',
'DJ'=>'Discharge Monitoring Report',
'DS'=>'Discharge Summary',
'FM'=>'Family Medical History Document',
'HC'=>'Health Certificate',
'HR'=>'Health Clinic Records',
'I5'=>'Immunization Record',
'IR'=>'State School Immunization Records',
'LA'=>'Laboratory Results',
'M1'=>'Medical Record Attachment',
'NN'=>'Nursing Notes',
'OB'=>'Operative Note',
'OC'=>'Oxygen Content Averaging Report',
'OD'=>'Orders and Treatments Document',
'OE'=>'Objective Physical Examination (including vital signs) Document',
'OX'=>'Oxygen Therapy Certification',
'P4'=>'Pathology Report',
'P5'=>'Patient Medical History Document',
'P6'=>'Periodontal Charts',
'P7'=>'Periodontal Reports',
'PE'=>'Parenteral or Enteral Certification',
'PN'=>'Physical Therapy Notes',
'PO'=>'Prosthetics or Orthotic Certification',
'PQ'=>'Paramedical Results',
'PY'=>'Physician Report',
'PZ'=>'Physical Therapy Certification',
'QC'=>'Cause and Corrective Action Report',
'QR'=>'Quality Report',
'RB'=>'Radiology Films',
'RR'=>'Radiology Reports',
'RT'=>'Report of Tests and Analysis Report',
'RX'=>'Renewable Oxygen Content Averaging Report',
'SG'=>'Symptoms Document',
'V5'=>'Death Notification',
'XP'=>'Photographs'
);

// paperwork delivery code                      
$this->code271['PWK02'] = array(
'BM'=>'By Mail',
'EL'=>'Electronically Only',
'EM'=>'E-Mail',
'FX'=>'By Fax',
'VO'=>'Voice'
);


// certification type code                      
$this->code271['CRC01'] = array(
'07'=>'Ambulance Certification',
'08'=>'Chiropractic Certification',
'09'=>'Durable Medical Equipment Certification'
);

//              
$this->code271['CRC03'] = array(
'1'=>'Patient was admitted to a hospital',
'2'=>'Patient was bed confined before the ambulance service',
'3'=>'Patient was bed confined after the ambulance service',
'4'=>'Patient was moved by stretcher',
'5'=>'Patient was unconscious or in shock',
'6'=>'Patient was transported in an emergency situation',
'7'=>'Patient had to be physically restrained',
'8'=>'Patient had visible hemorrhaging',
'9'=>'Ambulance service was medically necessary',
'10'=>'Patient is ambulatory',
'11'=>'Ambulation is Impaired and Walking Aid is Used for Therapy or Mobility',
'12'=>'Patient is confined to a bed or chair',
'13'=>'Patient is Confined to a Room or an Area Without Bathroom Facilities',
'14'=>'Ambulation is Impaired and Walking Aid is Used for Mobility',
'15'=>'Patient Condition Requires Positioning of the Body or Attachments Which Would Not be Feasible With the Use of an Ordinary Bed',
'16'=>'Patient needs a trapeze bar to sit up due to respiratory condition or change body positions for other medical reasons',
'17'=>'Patient\'s Ability to Breathe is Severely Impaired',
'18'=>'Patient condition requires frequent and/or immediate changes in body positions',
'19'=>'Patient can operate controls',
'20'=>'Siderails Are to be Attached to a Hospital Bed Owned by the Beneficiary',
'21'=>'Patient owns equipment',
'22'=>'Mattress or Siderails are Being Used with Prescribed Medically Necessary Hospital Bed Owned by the Beneficiary',
'23'=>'Patient Needs Lift to Get In or Out of Bed or to Assist in Transfer from Bed to Wheelchair',
'24'=>'Patient has an orthopedic impairment requiring traction equipment which prevents ambulation during period of use',
'25'=>'Item has been prescribed as part of a planned regimen of treatment in patient home',
'26'=>'Patient is highly susceptible to decubitus ulcers',
'27'=>'Patient or a care-giver has been instructed in use of equipment',
'29'=>'A 6-7 hour nocturnal study documents 30 episodes of apnea each lasting more than 10 seconds',
'30'=>'Without the equipment, the patient would require surgery',
'31'=>'Patient has had a total knee replacement',
'32'=>'Patient has intractable lymphedema of the extremities',
'33'=>'Patient is in a nursing home',
'35'=>'This Feeding is the Only Form of Nutritional Intake for This Patient',
'37'=>'Oxygen delivery equipment is stationary',
'38'=>'Certification signed by the physician is on file at the supplier\'s office',
'40'=>'Patient or Caregiver is Capable of Using the Equipment Without Technical or Professional Supervision',
'41'=>'Patient or Caregiver is Unable to Propel or Lift a Standard Weight Wheelchair',
'42'=>'Patient Requires Leg Elevation for Edema or Body Alignment',
'43'=>'Patient Weight or Usage Needs Necessitate a Heavy Duty Wheelchair',
'44'=>'Patient Requires Reclining Function of a Wheelchair',
'45'=>'Patient is Unable to Operate a Wheelchair Manually',
'46'=>'Patient or Caregiver Requires Side Transfer into Wheelchair, Commode or Other',
'58'=>'Durable Medical Equipment (DME) Purchased New',
'59'=>'Durable Medical Equipment (DME) Is Under Warranty',
'60'=>'Transportation Was To the Nearest Facility',
'9D'=>'Lack of Appropriate Facility within Reasonable Distance to Treat Patient in the Event of Complications',
'9H'=>'Patient Requires Intensive IV Therapy',
'9J'=>'Patient Requires Protective Isolation',
'9K'=>'Patient Requires Frequent Monitoring',
'IH'=>'Independent at Home',
'LB'=>'Legally Blind',
'SL'=>'Speech Limitations'
);

// Claim Status Category Codes 
// ASC X12 External Code Source 507  LAST UPDATED 7/1/2015
$this->code271['HCCSCC'] = array(
'A0' => 'Acknowledgement/Forwarded-The claim/encounter has been forwarded to another entity.',
'A1' => 'Acknowledgement/Receipt-The claim/encounter has been received.',
'A2' => 'Acknowledgement/Acceptance into adjudication system-The claim/encounter has been accepted into the adjudication system.',
'A3' => 'Acknowledgement/Returned as unprocessable claim-The claim/encounter has been rejected and has not been entered into the adjudication system.',
'A4' => 'Acknowledgement/Not Found-The claim/encounter can not be found in the adjudication system.',
'A5' => 'Acknowledgement/Split Claim-The claim/encounter has been split upon acceptance into the adjudication system.',
'A6' => 'Acknowledgement/Rejected for Missing Information - The claim/encounter is missing the information specified in the Status details and has been rejected.',
'A7' => 'Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected.',
'A8' => 'Acknowledgement/Rejected for relational field in error.',
// Pending
'P0' => 'Pending: Adjudication/Details-This is a generic message about a pended claim.',
'P1' => 'Pending/In Process-The claim or encounter is in the adjudication system.',
'P2' => 'Pending/Payer Review-The claim/encounter is suspended and is pending review ',
'P3' => 'Pending/Provider Requested Information - The claim or encounter is waiting for information that has already been requested from the provider.',
'P4' => 'Pending/Patient Requested Information - The claim or encounter is waiting for information that has already been requested from the patient.',
'P5' => 'Pending/Payer Administrative/System hold',
// Finalized
'F0' => 'Finalized-The claim/encounter has completed the adjudication cycle and no more action will be taken.',
'F1' => 'Finalized/Payment-The claim/line has been paid.',
'F2' => 'Finalized/Denial-The claim/line has been denied.',
'F3' => 'Finalized/Revised - Adjudication information has been changed',
'F3F' => 'Finalized/Forwarded-The claim/encounter processing has been completed.',
'F3N' => 'Finalized/Not Forwarded-The claim/encounter processing has been completed.',
'F4' => 'Finalized/Adjudication Complete - No payment forthcoming-The claim/encounter has been adjudicated and no further payment is forthcoming.',
// Requests for additional information
'R0' => 'Requests for additional Information/General Requests-Requests that don\'t fall into other R-type categories.',
'R1' => 'Requests for additional Information/Entity Requests-Requests for information about specific entities ',
'R3' => 'Requests for additional Information/Claim/Line-Requests for information that could normally be submitted on a claim.',
'R4' => 'Requests for additional Information/Documentation-Requests for additional supporting documentation.',
'R5' => 'Request for additional information/more specific detail-Additional information as a follow up to a previous request is needed.',
'R6' => 'Requests for additional information – Regulatory requirements',
'R7' => 'Requests for additional information – Confirm care is consistent with Health Plan policy coverage',
'R8' => 'Requests for additional information – Confirm care is consistent with health plan coverage exceptions',
'R9' => 'Requests for additional information – Determination of medical necessity',
'R10' => 'Requests for additional information – Support a filed grievance or appeal',
'R11' => 'Requests for additional information – Pre-payment review of claims',
'R12' => 'Requests for additional information – Clarification or justification of use for specified procedure code',
'R13' => 'Requests for additional information – Original documents submitted are not readable.',
'R14' => 'Requests for additional information – Original documents received are not what was requested.',
'R15' => 'Requests for additional information – Workers Compensation coverage determination.',
'R16' => 'Requests for additional information – Eligibility determination',
// General
// Error
'E0' => 'Response not possible - error on submitted request data',
'E1' => 'Response not possible - System Status',
'E2' => 'Information Holder is not responding; resubmit at a later time.',
'E3' => 'Correction required - relational fields in error.',
'E4' => 'Trading partner agreement specific requirement not met: Data correction required.',
// Searches
'D0' => 'Data Search Unsuccessful - The payer is unable to return status on the requested claim(s) based on the submitted search criteria.',
);


// Health Care Claim Status Codes 
// ASC X12 External Code Source 508  LAST UPDATED 3/1/2016
$this->code271['HCCSC'] = array(
"0" => "Cannot provide further status electronically.",
"1" => "For more detailed information, see remittance advice.",
"2" => "More detailed information in letter.",
"3" => "Claim has been adjudicated and is awaiting payment cycle.",
"6" => "Balance due from the subscriber.",
"12" => "One or more originally submitted procedure codes have been combined.",
"15" => "One or more originally submitted procedure code have been modified.",
"16" => "Claim/encounter has been forwarded to entity.",
"17" => "Claim/encounter has been forwarded by third party entity to entity.",
"18" => "Entity received claim/encounter, but returned invalid status.",
"19" => "Entity acknowledges receipt of claim/encounter.",
"20" => "Accepted for processing.",
"21" => "Missing or invalid information.",
"23" => "Returned to Entity.",
"24" => "Entity not approved as an electronic submitter.",
"25" => "Entity not approved.",
"26" => "Entity not found.",
"27" => "Policy canceled.",
"29" => "Subscriber and policy number/contract number mismatched.",
"30" => "Subscriber and subscriber id mismatched.",
"31" => "Subscriber and policyholder name mismatched.",
"32" => "Subscriber and policy number/contract number not found.",
"33" => "Subscriber and subscriber id not found.",
"34" => "Subscriber and policyholder name not found.",
"35" => "Claim/encounter not found.",
"37" => "Predetermination is on file, awaiting completion of services.",
"38" => "Awaiting next periodic adjudication cycle.",
"39" => "Charges for pregnancy deferred until delivery.",
"40" => "Waiting for final approval.",
"41" => "Special handling required at payer site.",
"42" => "Awaiting related charges.",
"44" => "Charges pending provider audit.",
"45" => "Awaiting benefit determination.",
"46" => "Internal review/audit.",
"47" => "Internal review/audit - partial payment made.",
"49" => "Pending provider accreditation review.",
"50" => "Claim waiting for internal provider verification.",
"51" => "Investigating occupational illness/accident.",
"52" => "Investigating existence of other insurance coverage.",
"53" => "Claim being researched for Insured ID/Group Policy Number error.",
"54" => "Duplicate of a previously processed claim/line.",
"55" => "Claim assigned to an approver/analyst.",
"56" => "Awaiting eligibility determination.",
"57" => "Pending COBRA information requested.",
"59" => "Information was requested by a non-electronic method.",
"60" => "Information was requested by an electronic method.",
"61" => "Eligibility for extended benefits.",
"64" => "Re-pricing information.",
"65" => "Claim/line has been paid.",
"66" => "Payment reflects usual and customary charges.",
"72" => "Claim contains split payment.",
"73" => "Payment made to entity, assignment of benefits not on file.",
"78" => "Duplicate of an existing claim/line, awaiting processing.",
"81" => "Contract/plan does not cover pre-existing conditions.",
"83" => "No coverage for newborns.",
"84" => "Service not authorized.",
"85" => "Entity not primary.",
"86" => "Diagnosis and patient gender mismatch.",
"88" => "Entity not eligible for benefits for submitted dates of service.",
"89" => "Entity not eligible for dental benefits for submitted dates of service.",
"90" => "Entity not eligible for medical benefits for submitted dates of service.",
"91" => "Entity not eligible/not approved for dates of service.",
"92" => "Entity does not meet dependent or student qualification.",
"93" => "Entity is not selected primary care provider.",
"94" => "Entity not referred by selected primary care provider.",
"95" => "Requested additional information not received.",
"96" => "No agreement with entity.",
"97" => "Patient eligibility not found with entity.",
"98" => "Charges applied to deductible.",
"99" => "Pre-treatment review.",
"100" => "Pre-certification penalty taken.",
"101" => "Claim was processed as adjustment to previous claim.",
"102" => "Newborn's charges processed on mother's claim.",
"103" => "Claim combined with other claim(s).",
"104" => "Processed according to plan provisions (Plan refers to provisions that exist between the Health Plan and the Consumer or Patient)",
"105" => "Claim/line is capitated.",
"106" => "This amount is not entity's responsibility.",
"107" => "Processed according to contract provisions (Contract refers to provisions that exist between the Health Plan and a Provider of Health Care Services)",
"109" => "Entity not eligible.",
"110" => "Claim requires pricing information.",
"111" => "At the policyholder's request these claims cannot be submitted electronically.",
"114" => "Claim/service should be processed by entity.",
"116" => "Claim submitted to incorrect payer.",
"117" => "Claim requires signature-on-file indicator.",
"121" => "Service line number greater than maximum allowable for payer.",
"123" => "Additional information requested from entity.",
"124" => "Entity's name, address, phone and id number.",
"125" => "Entity's name.",
"126" => "Entity's address.",
"127" => "Entity's Communication Number.",
"128" => "Entity's tax id.",
"129" => "Entity's Blue Cross provider id.",
"130" => "Entity's Blue Shield provider id.",
"131" => "Entity's Medicare provider id.",
"132" => "Entity's Medicaid provider id.",
"133" => "Entity's UPIN.",
"134" => "Entity's CHAMPUS provider id.",
"135" => "Entity's commercial provider id.",
"136" => "Entity's health industry id number.",
"137" => "Entity's plan network id.",
"138" => "Entity's site id .",
"139" => "Entity's health maintenance provider id (HMO).",
"140" => "Entity's preferred provider organization id (PPO).",
"141" => "Entity's administrative services organization id (ASO).",
"142" => "Entity's license/certification number.",
"143" => "Entity's state license number.",
"144" => "Entity's specialty license number.",
"145" => "Entity's specialty/taxonomy code.",
"146" => "Entity's anesthesia license number.",
"147" => "Entity's qualification degree/designation (e.g. RN,PhD,MD).",
"148" => "Entity's social security number.",
"149" => "Entity's employer id.",
"150" => "Entity's drug enforcement agency (DEA) number.",
"152" => "Pharmacy processor number.",
"153" => "Entity's id number.",
"154" => "Relationship of surgeon & assistant surgeon.",
"155" => "Entity's relationship to patient.",
"156" => "Patient relationship to subscriber",
"157" => "Entity's Gender.",
"158" => "Entity's date of birth.",
"159" => "Entity's date of death.",
"160" => "Entity's marital status.",
"161" => "Entity's employment status.",
"162" => "Entity's health insurance claim number (HICN).",
"163" => "Entity's policy number.",
"164" => "Entity's contract/member number.",
"165" => "Entity's employer name, address and phone.",
"166" => "Entity's employer name.",
"167" => "Entity's employer address.",
"168" => "Entity's employer phone number.",
"170" => "Entity's employee id.",
"171" => "Other insurance coverage information (health, liability, auto, etc.).",
"172" => "Other employer name, address and telephone number.",
"173" => "Entity's name, address, phone, gender, DOB, marital status, employment status and relation to subscriber.",
"174" => "Entity's student status.",
"175" => "Entity's school name.",
"176" => "Entity's school address.",
"177" => "Transplant recipient's name, date of birth, gender, relationship to insured.",
"178" => "Submitted charges.",
"179" => "Outside lab charges.",
"180" => "Hospital s semi-private room rate.",
"181" => "Hospital s room rate.",
"182" => "Allowable/paid from other entities coverage NOTE: This code requires the use of an entity code.",
"183" => "Amount entity has paid.",
"184" => "Purchase price for the rented durable medical equipment.",
"185" => "Rental price for durable medical equipment.",
"186" => "Purchase and rental price of durable medical equipment.",
"187" => "Date(s) of service.",
"188" => "Statement from-through dates.",
"189" => "Facility admission date",
"190" => "Facility discharge date",
"191" => "Date of Last Menstrual Period (LMP)",
"192" => "Date of first service for current series/symptom/illness.",
"193" => "First consultation/evaluation date.",
"194" => "Confinement dates.",
"195" => "Unable to work dates/Disability Dates.",
"196" => "Return to work dates.",
"197" => "Effective coverage date(s).",
"198" => "Medicare effective date.",
"199" => "Date of conception and expected date of delivery.",
"200" => "Date of equipment return.",
"201" => "Date of dental appliance prior placement.",
"202" => "Date of dental prior replacement/reason for replacement.",
"203" => "Date of dental appliance placed.",
"204" => "Date dental canal(s) opened and date service completed.",
"205" => "Date(s) dental root canal therapy previously performed.",
"206" => "Most recent date of curettage, root planing, or periodontal surgery.",
"207" => "Dental impression and seating date.",
"208" => "Most recent date pacemaker was implanted.",
"209" => "Most recent pacemaker battery change date.",
"210" => "Date of the last x-ray.",
"211" => "Date(s) of dialysis training provided to patient.",
"212" => "Date of last routine dialysis.",
"213" => "Date of first routine dialysis.",
"214" => "Original date of prescription/orders/referral.",
"215" => "Date of tooth extraction/evolution.",
"216" => "Drug information.",
"217" => "Drug name, strength and dosage form.",
"218" => "NDC number.",
"219" => "Prescription number.",
"222" => "Drug dispensing units and average wholesale price (AWP).",
"223" => "Route of drug/myelogram administration.",
"224" => "Anatomical location for joint injection.",
"225" => "Anatomical location.",
"226" => "Joint injection site.",
"227" => "Hospital information.",
"228" => "Type of bill for UB claim",
"229" => "Hospital admission source.",
"230" => "Hospital admission hour.",
"231" => "Hospital admission type.",
"232" => "Admitting diagnosis.",
"233" => "Hospital discharge hour.",
"234" => "Patient discharge status.",
"235" => "Units of blood furnished.",
"236" => "Units of blood replaced.",
"237" => "Units of deductible blood.",
"238" => "Separate claim for mother/baby charges.",
"239" => "Dental information.",
"240" => "Tooth surface(s) involved.",
"241" => "List of all missing teeth (upper and lower).",
"242" => "Tooth numbers, surfaces, and/or quadrants involved.",
"243" => "Months of dental treatment remaining.",
"244" => "Tooth number or letter.",
"245" => "Dental quadrant/arch.",
"246" => "Total orthodontic service fee, initial appliance fee, monthly fee, length of service.",
"247" => "Line information.",
"249" => "Place of service.",
"250" => "Type of service.",
"251" => "Total anesthesia minutes.",
"252" => "Entity's authorization/certification number.",
"254" => "Principal diagnosis code.",
"255" => "Diagnosis code.",
"256" => "DRG code(s).",
"257" => "ADSM-III-R code for services rendered.",
"258" => "Days/units for procedure/revenue code.",
"259" => "Frequency of service.",
"260" => "Length of medical necessity, including begin date.",
"261" => "Obesity measurements.",
"262" => "Type of surgery/service for which anesthesia was administered.",
"263" => "Length of time for services rendered.",
"264" => "Number of liters/minute & total hours/day for respiratory support.",
"265" => "Number of lesions excised.",
"266" => "Facility point of origin and destination - ambulance.",
"267" => "Number of miles patient was transported.",
"268" => "Location of durable medical equipment use.",
"269" => "Length/size of laceration/tumor.",
"270" => "Subluxation location.",
"271" => "Number of spine segments.",
"272" => "Oxygen contents for oxygen system rental.",
"273" => "Weight.",
"274" => "Height.",
"275" => "Claim.",
"276" => "UB04/HCFA-1450/1500 claim form",
"277" => "Paper claim.",
"279" => "Claim/service must be itemized",
"281" => "Related confinement claim.",
"282" => "Copy of prescription.",
"283" => "Medicare entitlement information is required to determine primary coverage",
"284" => "Copy of Medicare ID card.",
"286" => "Other payer's Explanation of Benefits/payment information.",
"287" => "Medical necessity for service.",
"288" => "Hospital late charges",
"290" => "Pre-existing information.",
"291" => "Reason for termination of pregnancy.",
"292" => "Purpose of family conference/therapy.",
"293" => "Reason for physical therapy.",
"294" => "Supporting documentation.",
"295" => "Attending physician report.",
"296" => "Nurse's notes.",
"297" => "Medical notes/report.",
"298" => "Operative report.",
"299" => "Emergency room notes/report.",
"300" => "Lab/test report/notes/results.",
"301" => "MRI report.",
"305" => "Radiology/x-ray reports and/or interpretation",
"306" => "Detailed description of service.",
"307" => "Narrative with pocket depth chart.",
"308" => "Discharge summary.",
"310" => "Progress notes for the six months prior to statement date.",
"311" => "Pathology notes/report.",
"312" => "Dental charting.",
"313" => "Bridgework information.",
"314" => "Dental records for this service.",
"315" => "Past perio treatment history.",
"316" => "Complete medical history.",
"318" => "X-rays/radiology films",
"319" => "Pre/post-operative x-rays/photographs.",
"320" => "Study models.",
"322" => "Recent Full Mouth X-rays",
"323" => "Study models, x-rays, and/or narrative.",
"324" => "Recent x-ray of treatment area and/or narrative.",
"325" => "Recent fm x-rays and/or narrative.",
"326" => "Copy of transplant acquisition invoice.",
"327" => "Periodontal case type diagnosis and recent pocket depth chart with narrative.",
"329" => "Exercise notes.",
"330" => "Occupational notes.",
"331" => "History and physical.",
"333" => "Patient release of information authorization.",
"334" => "Oxygen certification.",
"335" => "Durable medical equipment certification.",
"336" => "Chiropractic certification.",
"337" => "Ambulance certification/documentation.",
"339" => "Enteral/parenteral certification.",
"340" => "Pacemaker certification.",
"341" => "Private duty nursing certification.",
"342" => "Podiatric certification.",
"343" => "Documentation that facility is state licensed and Medicare approved as a surgical facility.",
"344" => "Documentation that provider of physical therapy is Medicare Part B approved.",
"345" => "Treatment plan for service/diagnosis",
"346" => "Proposed treatment plan for next 6 months.",
"352" => "Duration of treatment plan.",
"353" => "Orthodontics treatment plan.",
"354" => "Treatment plan for replacement of remaining missing teeth.",
"360" => "Benefits Assignment Certification Indicator",
"363" => "Possible Workers' Compensation",
"364" => "Is accident/illness/condition employment related?",
"365" => "Is service the result of an accident?",
"366" => "Is injury due to auto accident?",
"374" => "Is prescribed lenses a result of cataract surgery?",
"375" => "Was refraction performed?",
"380" => "CRNA supervision/medical direction.",
"382" => "Did provider authorize generic or brand name dispensing?",
"383" => "Nerve block use (surgery vs. pain management)",
"384" => "Is prosthesis/crown/inlay placement an initial placement or a replacement?",
"385" => "Is appliance upper or lower arch & is appliance fixed or removable?",
"386" => "Orthodontic Treatment/Purpose Indicator",
"387" => "Date patient last examined by entity.",
"388" => "Date post-operative care assumed",
"389" => "Date post-operative care relinquished",
"390" => "Date of most recent medical event necessitating service(s)",
"391" => "Date(s) dialysis conducted",
"394" => "Date(s) of most recent hospitalization related to service",
"395" => "Date entity signed certification/recertification",
"396" => "Date home dialysis began",
"397" => "Date of onset/exacerbation of illness/condition",
"398" => "Visual field test results",
"400" => "Claim is out of balance",
"401" => "Source of payment is not valid",
"402" => "Amount must be greater than zero.",
"403" => "Entity referral notes/orders/prescription",
"406" => "Brief medical history as related to service(s)",
"407" => "Complications/mitigating circumstances",
"408" => "Initial certification",
"409" => "Medication logs/records (including medication therapy)",
"414" => "Necessity for concurrent care (more than one physician treating the patient)",
"417" => "Prior testing, including result(s) and date(s) as related to service(s)",
"419" => "Individual test(s) comprising the panel and the charges for each test",
"420" => "Name, dosage and medical justification of contrast material used for radiology procedure",
"428" => "Reason for transport by ambulance",
"430" => "Nearest appropriate facility",
"431" => "Patient's condition/functional status at time of service.",
"432" => "Date benefits exhausted",
"433" => "Copy of patient revocation of hospice benefits",
"434" => "Reasons for more than one transfer per entitlement period",
"435" => "Notice of Admission",
"441" => "Entity professional qualification for service(s)",
"442" => "Modalities of service",
"443" => "Initial evaluation report",
"449" => "Projected date to discontinue service(s)",
"450" => "Awaiting spend down determination",
"451" => "Preoperative and post-operative diagnosis",
"452" => "Total visits in total number of hours/day and total number of hours/week",
"453" => "Procedure Code Modifier(s) for Service(s) Rendered",
"454" => "Procedure code for services rendered.",
"455" => "Revenue code for services rendered.",
"456" => "Covered Day(s)",
"457" => "Non-Covered Day(s)",
"458" => "Coinsurance Day(s)",
"459" => "Lifetime Reserve Day(s)",
"460" => "NUBC Condition Code(s)",
"464" => "Payer Assigned Claim Control Number",
"465" => "Principal Procedure Code for Service(s) Rendered",
"466" => "Entity's Original Signature.",
"467" => "Entity Signature Date.",
"468" => "Patient Signature Source",
"469" => "Purchase Service Charge",
"470" => "Was service purchased from another entity?",
"471" => "Were services related to an emergency?",
"472" => "Ambulance Run Sheet",
"473" => "Missing or invalid lab indicator",
"474" => "Procedure code and patient gender mismatch",
"475" => "Procedure code not valid for patient age",
"476" => "Missing or invalid units of service",
"477" => "Diagnosis code pointer is missing or invalid",
"478" => "Claim submitter's identifier",
"479" => "Other Carrier payer ID is missing or invalid",
"480" => "Entity's claim filing indicator.",
"481" => "Claim/submission format is invalid.",
"483" => "Maximum coverage amount met or exceeded for benefit period.",
"484" => "Business Application Currently Not Available",
"485" => "More information available than can be returned in real time mode. Narrow your current search criteria.",
"486" => "Principal Procedure Date",
"487" => "Claim not found, claim should have been submitted to/through 'entity'.",
"488" => "Diagnosis code(s) for the services rendered.",
"489" => "Attachment Control Number",
"490" => "Other Procedure Code for Service(s) Rendered",
"491" => "Entity not eligible for encounter submission.",
"492" => "Other Procedure Date",
"493" => "Version/Release/Industry ID code not currently supported by information holder",
"494" => "Real-Time requests not supported by the information holder, resubmit as batch request",
"495" => "Requests for re-adjudication must reference the newly assigned payer claim control number for this previously adjusted claim. Correct the payer claim control number and re-submit.",
"496" => "Submitter not approved for electronic claim submissions on behalf of this entity.",
"497" => "Sales tax not paid",
"498" => "Maximum leave days exhausted",
"499" => "No rate on file with the payer for this service for this entity",
"500" => "Entity's Postal/Zip Code.",
"501" => "Entity's State/Province.",
"502" => "Entity's City.",
"503" => "Entity's Street Address.",
"504" => "Entity's Last Name.",
"505" => "Entity's First Name.",
"506" => "Entity is changing processor/clearinghouse. This claim must be submitted to the new processor/clearinghouse.",
"507" => "HCPCS",
"508" => "ICD9 NOTE: At least one other status code is required to identify the related procedure code or diagnosis code.",
"509" => "External Cause of Injury Code.",
"510" => "Future date.",
"511" => "Invalid character.",
"512" => "Length invalid for receiver's application system.",
"513" => "HIPPS Rate Code for services Rendered",
"514" => "Entity's Middle Name",
"515" => "Managed Care review",
"516" => "Other Entity's Adjudication or Payment/Remittance Date.",
"517" => "Adjusted Repriced Claim Reference Number",
"518" => "Adjusted Repriced Line item Reference Number",
"519" => "Adjustment Amount",
"520" => "Adjustment Quantity",
"521" => "Adjustment Reason Code",
"522" => "Anesthesia Modifying Units",
"523" => "Anesthesia Unit Count",
"524" => "Arterial Blood Gas Quantity",
"525" => "Begin Therapy Date",
"526" => "Bundled or Unbundled Line Number",
"527" => "Certification Condition Indicator",
"528" => "Certification Period Projected Visit Count",
"529" => "Certification Revision Date",
"530" => "Claim Adjustment Indicator",
"531" => "Claim Disproportinate Share Amount",
"532" => "Claim DRG Amount",
"533" => "Claim DRG Outlier Amount",
"534" => "Claim ESRD Payment Amount",
"535" => "Claim Frequency Code",
"536" => "Claim Indirect Teaching Amount",
"537" => "Claim MSP Pass-through Amount",
"538" => "Claim or Encounter Identifier",
"539" => "Claim PPS Capital Amount",
"540" => "Claim PPS Capital Outlier Amount",
"541" => "Claim Submission Reason Code",
"542" => "Claim Total Denied Charge Amount",
"543" => "Clearinghouse or Value Added Network Trace",
"544" => "Clinical Laboratory Improvement Amendment",
"545" => "Contract Amount",
"546" => "Contract Code",
"547" => "Contract Percentage",
"548" => "Contract Type Code",
"549" => "Contract Version Identifier",
"550" => "Coordination of Benefits Code",
"551" => "Coordination of Benefits Total Submitted Charge",
"552" => "Cost Report Day Count",
"553" => "Covered Amount",
"554" => "Date Claim Paid",
"555" => "Delay Reason Code",
"556" => "Demonstration Project Identifier",
"557" => "Diagnosis Date",
"558" => "Discount Amount",
"559" => "Document Control Identifier",
"560" => "Entity's Additional/Secondary Identifier.",
"561" => "Entity's Contact Name.",
"562" => "Entity's National Provider Identifier (NPI).",
"563" => "Entity's Tax Amount.",
"564" => "EPSDT Indicator",
"565" => "Estimated Claim Due Amount",
"566" => "Exception Code",
"567" => "Facility Code Qualifier",
"568" => "Family Planning Indicator",
"569" => "Fixed Format Information",
"571" => "Frequency Count",
"572" => "Frequency Period",
"573" => "Functional Limitation Code",
"574" => "HCPCS Payable Amount Home Health",
"575" => "Homebound Indicator",
"576" => "Immunization Batch Number",
"577" => "Industry Code",
"578" => "Insurance Type Code",
"579" => "Investigational Device Exemption Identifier",
"580" => "Last Certification Date",
"581" => "Last Worked Date",
"582" => "Lifetime Psychiatric Days Count",
"583" => "Line Item Charge Amount",
"584" => "Line Item Control Number",
"585" => "Denied Charge or Non-covered Charge",
"586" => "Line Note Text",
"587" => "Measurement Reference Identification Code",
"588" => "Medical Record Number",
"589" => "Provider Accept Assignment Code",
"590" => "Medicare Coverage Indicator",
"591" => "Medicare Paid at 100% Amount",
"592" => "Medicare Paid at 80% Amount",
"593" => "Medicare Section 4081 Indicator",
"594" => "Mental Status Code",
"595" => "Monthly Treatment Count",
"596" => "Non-covered Charge Amount",
"597" => "Non-payable Professional Component Amount",
"598" => "Non-payable Professional Component Billed Amount",
"599" => "Note Reference Code",
"600" => "Oxygen Saturation Qty",
"601" => "Oxygen Test Condition Code",
"602" => "Oxygen Test Date",
"603" => "Old Capital Amount",
"604" => "Originator Application Transaction Identifier",
"605" => "Orthodontic Treatment Months Count",
"606" => "Paid From Part A Medicare Trust Fund Amount",
"607" => "Paid From Part B Medicare Trust Fund Amount",
"608" => "Paid Service Unit Count",
"609" => "Participation Agreement",
"610" => "Patient Discharge Facility Type Code",
"611" => "Peer Review Authorization Number",
"612" => "Per Day Limit Amount",
"613" => "Physician Contact Date",
"614" => "Physician Order Date",
"615" => "Policy Compliance Code",
"616" => "Policy Name",
"617" => "Postage Claimed Amount",
"618" => "PPS-Capital DSH DRG Amount",
"619" => "PPS-Capital Exception Amount",
"620" => "PPS-Capital FSP DRG Amount",
"621" => "PPS-Capital HSP DRG Amount",
"622" => "PPS-Capital IME Amount",
"623" => "PPS-Operating Federal Specific DRG Amount",
"624" => "PPS-Operating Hospital Specific DRG Amount",
"625" => "Predetermination of Benefits Identifier",
"626" => "Pregnancy Indicator",
"627" => "Pre-Tax Claim Amount",
"628" => "Pricing Methodology",
"629" => "Property Casualty Claim Number",
"630" => "Referring CLIA Number",
"631" => "Reimbursement Rate",
"632" => "Reject Reason Code",
"633" => "Related Causes Code (Accident, auto accident, employment)",
"634" => "Remark Code",
"635" => "Repriced Ambulatory Patient Group Code",
"636" => "Repriced Line Item Reference Number",
"637" => "Repriced Saving Amount",
"638" => "Repricing Per Diem or Flat Rate Amount",
"639" => "Responsibility Amount",
"640" => "Sales Tax Amount",
"642" => "Service Authorization Exception Code",
"643" => "Service Line Paid Amount",
"644" => "Service Line Rate",
"645" => "Service Tax Amount",
"646" => "Ship, Delivery or Calendar Pattern Code",
"647" => "Shipped Date",
"648" => "Similar Illness or Symptom Date",
"649" => "Skilled Nursing Facility Indicator",
"650" => "Special Program Indicator",
"651" => "State Industrial Accident Provider Number",
"652" => "Terms Discount Percentage",
"653" => "Test Performed Date",
"654" => "Total Denied Charge Amount",
"655" => "Total Medicare Paid Amount",
"656" => "Total Visits Projected This Certification Count",
"657" => "Total Visits Rendered Count",
"658" => "Treatment Code",
"659" => "Unit or Basis for Measurement Code",
"660" => "Universal Product Number",
"661" => "Visits Prior to Recertification Date Count CR702",
"662" => "X-ray Availability Indicator",
"663" => "Entity's Group Name.",
"664" => "Orthodontic Banding Date",
"665" => "Surgery Date",
"666" => "Surgical Procedure Code",
"667" => "Real-Time requests not supported by the information holder, do not resubmit",
"668" => "Missing Endodontics treatment history and prognosis",
"669" => "Dental service narrative needed.",
"670" => "Funds applied from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accounts",
"671" => "Funds may be available from a consumer spending account such as consumer directed/driven health plan (CDHP), Health savings account (H S A) and or other similar accounts",
"672" => "Other Payer's payment information is out of balance",
"673" => "Patient Reason for Visit",
"674" => "Authorization exceeded",
"675" => "Facility admission through discharge dates",
"676" => "Entity possibly compensated by facility.",
"677" => "Entity not affiliated.",
"678" => "Revenue code and patient gender mismatch",
"679" => "Submit newborn services on mother's claim",
"680" => "Entity's Country.",
"681" => "Claim currency not supported",
"682" => "Cosmetic procedure",
"683" => "Awaiting Associated Hospital Claims",
"684" => "Rejected. Syntax error noted for this claim/service/inquiry. See Functional or Implementation Acknowledgement for details. ",
"685" => "Claim could not complete adjudication in real time. Claim will continue processing in a batch mode. Do not resubmit.",
"686" => "The claim/ encounter has completed the adjudication cycle and the entire claim has been voided",
"687" => "Claim estimation can not be completed in real time. Do not resubmit.",
"688" => "Present on Admission Indicator for reported diagnosis code(s).",
"689" => "Entity was unable to respond within the expected time frame.",
"690" => "Multiple claims or estimate requests cannot be processed in real time.",
"691" => "Multiple claim status requests cannot be processed in real time.",
"692" => "Contracted funding agreement-Subscriber is employed by the provider of services",
"693" => "Amount must be greater than or equal to zero.",
"694" => "Amount must not be equal to zero.",
"695" => "Entity's Country Subdivision Code.",
"696" => "Claim Adjustment Group Code.",
"697" => "Invalid Decimal Precision.",
"698" => "Form Type Identification",
"699" => "Question/Response from Supporting Documentation Form",
"700" => "ICD10.",
"701" => "Initial Treatment Date",
"702" => "Repriced Claim Reference Number",
"703" => "Advanced Billing Concepts (ABC) code",
"704" => "Claim Note Text",
"705" => "Repriced Allowed Amount",
"706" => "Repriced Approved Amount",
"707" => "Repriced Approved Ambulatory Patient Group Amount",
"708" => "Repriced Approved Revenue Code",
"709" => "Repriced Approved Service Unit Count",
"710" => "Line Adjudication Information.",
"711" => "Stretcher purpose",
"712" => "Obstetric Additional Units",
"713" => "Patient Condition Description",
"714" => "Care Plan Oversight Number",
"715" => "Acute Manifestation Date",
"716" => "Repriced Approved DRG Code",
"717" => "This claim has been split for processing.",
"718" => "Claim/service not submitted within the required timeframe (timely filing).",
"719" => "NUBC Occurrence Code(s)",
"720" => "NUBC Occurrence Code Date(s)",
"721" => "NUBC Occurrence Span Code(s)",
"722" => "NUBC Occurrence Span Code Date(s)",
"723" => "Drug days supply",
"724" => "Drug dosage",
"725" => "NUBC Value Code(s)",
"726" => "NUBC Value Code Amount(s)",
"727" => "Accident date",
"728" => "Accident state",
"729" => "Accident description",
"730" => "Accident cause",
"731" => "Measurement value/test result",
"732" => "Information submitted inconsistent with billing guidelines.",
"733" => "Prefix for entity's contract/member number.",
"734" => "Verifying premium payment",
"735" => "This service/claim is included in the allowance for another service or claim.",
"736" => "A related or qualifying service/claim has not been received/adjudicated.",
"737" => "Current Dental Terminology (CDT) Code",
"738" => "Home Infusion EDI Coalition (HEIC) Product/Service Code",
"739" => "Jurisdiction Specific Procedure or Supply Code",
"740" => "Drop-Off Location",
"741" => "Entity must be a person.",
"742" => "Payer Responsibility Sequence Number Code",
"743" => "Entity’s credential/enrollment information.",
"744" => "Services/charges related to the treatment of a hospital-acquired condition or preventable medical error.",
"745" => "Identifier Qualifier",
"746" => "Duplicate Submission",
"747" => "Hospice Employee Indicator",
"748" => "Corrected Data",
"749" => "Date of Injury/Illness",
"750" => "Auto Accident State or Province Code",
"751" => "Ambulance Pick-up State or Province Code",
"752" => "Ambulance Drop-off State or Province Code",
"753" => "Co-pay status code.",
"754" => "Entity Name Suffix.",
"755" => "Entity's primary identifier.",
"756" => "Entity's Received Date.",
"757" => "Last seen date.",
"758" => "Repriced approved HCPCS code.",
"759" => "Round trip purpose description.",
"760" => "Tooth status code.",
"761" => "Entity's referral number.",
"762" => "Locum Tenens Provider Identifier. Code must be used with Entity Code 82 - Rendering Provider",
"763" => "Ambulance Pickup ZipCode",
"764" => "Professional charges are non covered.",
"765" => "Institutional charges are non covered.",
"766" => "Services were performed during a Health Insurance Exchange (HIX) premium payment grace period.",
"767" => "Qualifications for emergent/urgent care",
"768" => "Service date outside the accidental injury coverage period.",
"769" => "DME Repair or Maintenance",
"770" => "Duplicate of a claim processed or in process as a crossover/coordination of benefits claim.",
"771" => "Claim submitted prematurely. Please resubmit after crossover/payer to payer COB allotted waiting period.",
"772" => "The greatest level of diagnosis code specificity is required.",
);


//
//                      
}
// end code271  array
//
        // edih_271_codes 
        public function classname() { return get_class($this); }
        //
        public function get_271_code($elem, $code) {
                //
                $e = (string)$elem;
                $val = '';
                if ( ($this->ds && strpos($code, $this->ds) !== false) || ($this->dr && strpos($code, $this->dr) !== false) ) {
                        if ($this->ds && strpos($code, $this->ds) !== false ) {
                                $cdar = explode($this->ds, $code);
                                foreach($cdar as $cd) {
                                        if ($this->dr && strpos($code, $this->dr) !== false) {
                                                $cdar2 = explode($this->dr, $code);
                                                foreach($cdar2 as $cd2) {
                                                        if (isset($this->code271[$e][$cd2]) ) {
                                                                $val .= $this->code271[$e][$cd2] . '; ';
                                                        } else {
                                                                $val .= "code $cd2 N/A ";
                                                        }
                                                }
                                        } else {
                                                $val .= (isset($this->code271[$e][$cd]) ) ? $this->code271[$e][$cd].' ' : "code $cd unknown ";
                                        }
                                }
                        } elseif ($this->dr && strpos($code, $this->dr) !== false) {
                                $cdar = explode($this->dr, $code);
                                foreach($cdar as $cd) {
                                        $val .= (isset($this->code271[$e][$cd]) ) ? $this->code271[$e][$cd].'; ' : "code $cd unknown ";
                                }
                        }
                } elseif ( array_key_exists($e, $this->code271) ) {
                        $val = (isset($this->code271[$e][$code]) ) ? $this->code271[$e][$code] : "$elem code $code unknown ";
                } else {
                        $val = "$e codes not available ($code) ";
                }
                //
                return $val;
        }
        //
        public function get_keys() {
                return array_keys($this->code271);
        }
}