{"info":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","description":"<html><head></head><body><p>The <strong>Medikode API suite</strong> provides AI-powered tools to streamline and automate key processes in the medical coding and revenue cycle. Designed for seamless integration into EHR systems, RCM platforms, and health tech applications, Medikode helps healthcare organizations improve coding accuracy, boost productivity, and ensure compliance.</p>\n<p>Medikode APIs use advanced language models and domain-trained AI to extract clinical insights, validate coding selections, assign Risk Adjustment Factor (RAF) scores, and decode EOB (Explanation of Benefits) documents — all while maintaining HIPAA compliance and enterprise-grade security.</p>\n<p>To get your API key, please signup for an account at <a href=\"https://portal.medikode.ai\">https://portal.medikode.ai</a> and generate a Sandbox key.</p>\n</body></html>","schema":"https://schema.getpostman.com/json/collection/v2.0.0/collection.json","toc":[],"owner":"44461379","collectionId":"833c5496-8769-4758-9119-88a7afa4082e","publishedId":"2sB2x2KEg9","public":true,"customColor":{"top-bar":"FFFFFF","right-sidebar":"303030","highlight":"FF6C37"},"publishDate":"2025-08-01T02:04:30.000Z"},"item":[{"name":"Medikode Parser","item":[{"name":"EOB Parser","id":"2f266278-c067-4214-8fd3-d861af9ea898","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n    \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: BCD Health Insurance\\nMember Name: John Doe\\nMember ID: ABC123456789\\nClaim Number: 987654321\\nDate Processed: June 15, 2025\\nProvider: Dr. Jane Smith, MD\\nService Date: May 25, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOffice Visit - Established Patient (99213)\\t$155.00\\t$90.00\\t$79.00\\t$18.00\\nLaboratory Testing\\t$210.00\\t$120.00\\t$96.00\\t$24.00\\nTotals\\nTotal Billed: $350.00\\nTotal Allowed: $210.00\\nTotal Paid by Insurance: $168.00\\nYour Responsibility (may include copay, deductible, coinsurance): $42.00\\nNotes:\\nYour plan covers 80% of the allowed amount after deductible.\\nYou may receive a bill from your provider for the $42.00 you owe.\\nThe billed amount is what the provider charged. The allowed amount is what your plan agrees to pay for covered services.\",\n    \"caching\": false\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/eobparser","description":"<h2 id=\"endpoint-description\">Endpoint Description</h2>\n<p>This endpoint is designed to parse Explanation of Benefits (EOB) documents. By sending a POST request to <code>{{SERVER}}/eobparser</code>, users can submit EOB content for processing and receive structured data in response.</p>\n<h3 id=\"request-format\">Request Format</h3>\n<p>The request must be sent with a JSON payload in the body. The expected format is as follows:</p>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"apikey\": \"{{APIKEY}}\",\n  \"content\": \"Explanation of Benefits (EOB) text here\"\n}\n\n</code></pre>\n<ul>\n<li><p><strong>apikey</strong> (string): Your unique API key to authenticate the request.</p>\n</li>\n<li><p><strong>content</strong> (string): The text content of the Explanation of Benefits (EOB) document that you wish to parse.</p>\n</li>\n</ul>\n<h3 id=\"response-structure\">Response Structure</h3>\n<p>Upon a successful request, the API will respond with a status code of <code>200</code> and a JSON object containing the parsed data. The structure of the response is as follows:</p>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"era\": \"parsed data here\"\n}\n\n</code></pre>\n<ul>\n<li><strong>era</strong> (string): This field will contain the parsed information extracted from the EOB content. It may be empty if no relevant data is found.</li>\n</ul>\n<h3 id=\"example-response\">Example Response</h3>\n<p>An example of a typical response from this endpoint is:</p>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\"era\": \"\"}\n\n</code></pre>\n<p>This indicates that the parsing was successful, but no data was extracted from the provided content.</p>\n<h3 id=\"summary\">Summary</h3>\n<p>This API is useful for developers looking to automate the extraction of data from EOB documents, facilitating easier processing and integration into healthcare systems.</p>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["eobparser"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"d2bbce3a-93e0-4115-b0e2-f0645637428c","name":"EOB Parser","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n    \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: BCD Health Insurance\\nMember Name: John Doe\\nMember ID: ABC123456789\\nClaim Number: 987654321\\nDate Processed: June 15, 2025\\nProvider: Dr. Jane Smith, MD\\nService Date: May 25, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOffice Visit - Established Patient (99213)\\t$155.00\\t$90.00\\t$79.00\\t$18.00\\nLaboratory Testing\\t$210.00\\t$120.00\\t$96.00\\t$24.00\\nTotals\\nTotal Billed: $350.00\\nTotal Allowed: $210.00\\nTotal Paid by Insurance: $168.00\\nYour Responsibility (may include copay, deductible, coinsurance): $42.00\\nNotes:\\nYour plan covers 80% of the allowed amount after deductible.\\nYou may receive a bill from your provider for the $42.00 you owe.\\nThe billed amount is what the provider charged. The allowed amount is what your plan agrees to pay for covered services.\",\n    \"caching\": false\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/eobparser"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"x-powered-by","value":"Express"},{"key":"access-control-allow-origin","value":"*"},{"key":"access-control-allow-headers","value":"Origin, X-Requested-With, Content-Type, Accept, x-api-key"},{"key":"access-control-allow-methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"content-type","value":"application/json; charset=utf-8"},{"key":"content-length","value":"2019"},{"key":"etag","value":"W/\"7e3-1AQ6mZ2+IP6RoGsK3I3im47Cmdw\""},{"key":"date","value":"Tue, 18 Nov 2025 02:17:05 GMT"}],"cookie":[],"responseTime":null,"body":"{\n    \"extracted\": {\n        \"payerInfo\": {\n            \"name\": \"BCD Health Insurance\",\n            \"id\": \"AutoGeneratedPayerID\"\n        },\n        \"payeeInfo\": {\n            \"name\": \"Dr. Jane Smith, MD\",\n            \"npi\": \"AutoGeneratedNPI\",\n            \"taxId\": \"AutoGeneratedTaxID\"\n        },\n        \"checkInfo\": {\n            \"checkNumber\": \"AutoGeneratedCheckNumber\",\n            \"checkDate\": \"20250615\",\n            \"checkAmount\": \"168.00\"\n        },\n        \"claims\": [\n            {\n                \"patientControlNumber\": \"987654321\",\n                \"claimStatusCode\": \"AutoGeneratedStatus\",\n                \"chargeAmount\": \"350.00\",\n                \"paidAmount\": \"168.00\",\n                \"patientResponsibility\": \"42.00\",\n                \"patientInfo\": {\n                    \"lastName\": \"Doe\",\n                    \"firstName\": \"John\",\n                    \"memberId\": \"ABC123456789\"\n                },\n                \"serviceLines\": [\n                    {\n                        \"procedureCode\": \"HC:99213\",\n                        \"chargeAmount\": \"155.00\",\n                        \"paidAmount\": \"79.00\",\n                        \"units\": \"1\",\n                        \"dateOfService\": \"20250525\",\n                        \"adjustments\": [\n                            {\n                                \"groupCode\": \"PR\",\n                                \"reasonCode\": \"AutoGeneratedReason\",\n                                \"amount\": \"18.00\",\n                                \"remarks\": []\n                            }\n                        ]\n                    },\n                    {\n                        \"procedureCode\": \"HC:LabTest\",\n                        \"chargeAmount\": \"210.00\",\n                        \"paidAmount\": \"96.00\",\n                        \"units\": \"1\",\n                        \"dateOfService\": \"20250525\",\n                        \"adjustments\": [\n                            {\n                                \"groupCode\": \"PR\",\n                                \"reasonCode\": \"AutoGeneratedReason\",\n                                \"amount\": \"24.00\",\n                                \"remarks\": []\n                            }\n                        ]\n                    }\n                ]\n            }\n        ]\n    },\n    \"era\": \"ISA*00*          *00*          *ZZ*AutoGeneratedPa*ZZ*AutoGeneratedNP*251118*0217*^*00501*481072445*1*T*:~GS*HP*AutoGeneratedPayerID*AutoGeneratedNPI*20251118*0217*722798607*X*005010X221A1~ST*835*0001~BPR*I*168.00*C*CHK*CCP*01*123456789*DA*987654321*AutoGeneratedCheckNumber*01*123456789*DA*987654321*20250615~TRN*1*AutoGeneratedCheckNumber*AutoGeneratedPayerID~DTM*405*20250615~N1*PR*BCD Health Insurance*XV*AutoGeneratedPayerID~N1*PE*Dr. Jane Smith, MD*XX*AutoGeneratedNPI~LX*1~CLP*987654321*AutoGeneratedStatus*350.00*168.00*42.00*MC*987654321*11*1~NM1*QC*1*Doe*John*MI*ABC123456789~SVC*HC:HC:99213*155.00*79.00*79.00*1~DTM*472*20250525~CAS*CO*AutoGeneratedReason*18.00~SVC*HC:HC:LabTest*210.00*96.00*96.00*1~DTM*472*20250525~CAS*CO*AutoGeneratedReason*24.00~SE*17*0001~GE*1*722798607~IEA*1*481072445\",\n    \"metadata\": {\n        \"parsing_id\": \"2669d220-acfb-40e1-9816-da2e3a4cf909\",\n        \"content_length\": 873,\n        \"processing_time_ms\": 9190,\n        \"processed_at\": \"2025-11-18T02:17:05.566Z\",\n        \"cached_result\": false,\n        \"cache_bypassed\": true,\n        \"errors_found\": 0,\n        \"warnings_found\": 0\n    }\n}"}],"_postman_id":"2f266278-c067-4214-8fd3-d861af9ea898"},{"name":"EOB Parser File Upload","id":"4fdb9ca9-8319-4e9e-b4d6-b86d968ec4a8","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"file","type":"file","uuid":"e90770e9-2f4b-444f-b42d-ff05bf0ae982","src":"/Users/muthuka/Desktop/scan2.pdf"},{"key":"caching","value":"false","type":"text","uuid":"52a0cf5d-4a30-45ce-8831-cb4466d95801"}]},"url":"{{SERVER}}/f-eobparser","description":"<h1 id=\"parse-explanation-of-benefits-eob-document\">Parse Explanation of Benefits (EOB) Document</h1>\n<p>This endpoint allows you to upload and parse an Explanation of Benefits (EOB) document, returning structured data extracted from the file. It is designed for healthcare providers, insurers, and developers who need to automate EOB data extraction and integration into their systems.</p>\n<hr />\n<h2 id=\"endpoint\">Endpoint</h2>\n<p><strong>POST</strong> <code>{{SERVER}}/f-eobparser</code></p>\n<hr />\n<h2 id=\"purpose\">Purpose</h2>\n<p>The primary purpose of this API is to facilitate the extraction of relevant information from EOB documents. This enables automation of data processing and seamless integration into healthcare or insurance systems.</p>\n<hr />\n<h2 id=\"request-format\">Request Format</h2>\n<ul>\n<li><strong>Content-Type:</strong> <code>multipart/form-data</code></li>\n<li><strong>Body Parameters:</strong><ul>\n<li><code>file</code> (file, <em>required</em>): The EOB document to be parsed. Upload as a file.</li>\n<li><code>caching</code> (boolean, <em>optional</em>): Set to <code>false</code> to bypass cached results and force fresh parsing. Default is <code>false</code>.</li>\n</ul>\n</li>\n</ul>\n<p><strong>Example form-data:</strong></p>\n<div class=\"click-to-expand-wrapper is-table-wrapper\"><table>\n<thead>\n<tr>\n<th>Key</th>\n<th>Type</th>\n<th>Example Value</th>\n<th>Description</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>file</td>\n<td>file</td>\n<td>ERA-Example.png</td>\n<td>The EOB document to upload</td>\n</tr>\n<tr>\n<td>caching</td>\n<td>text</td>\n<td>false</td>\n<td>(Optional) Disable result caching</td>\n</tr>\n</tbody>\n</table>\n</div><hr />\n<h2 id=\"response-structure\">Response Structure</h2>\n<p>On success (<code>200 OK</code>), the API returns a JSON object with the following structure:</p>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"era\": \"&lt;string&gt;\",\n  \"metadata\": {\n    \"parsing_id\": \"&lt;string&gt;\",\n    \"content_length\": &lt;integer&gt;,\n    \"processing_time_ms\": &lt;integer&gt;,\n    \"processed_at\": \"&lt;string&gt;\",\n    \"cached_result\": &lt;boolean&gt;,\n    \"file_info\": {\n      \"fileName\": \"&lt;string&gt;\",\n      \"originalName\": \"&lt;string&gt;\",\n      \"size\": &lt;integer&gt;,\n      \"mimeType\": \"&lt;string&gt;\",\n      \"blobPath\": \"&lt;string&gt;\",\n      \"url\": \"&lt;string&gt;\"\n    },\n    \"errors_found\": &lt;integer&gt;,\n    \"warnings_found\": &lt;integer&gt;\n  }\n}\n</code></pre>\n<h3 id=\"field-details\">Field Details</h3>\n<ul>\n<li><strong>era</strong>: Parsed EOB content as a string. May be empty if no data is found.</li>\n<li><strong>metadata</strong>: Object containing parsing process details:<ul>\n<li><strong>parsing_id</strong>: Unique identifier for the parsing request.</li>\n<li><strong>content_length</strong>: Length of the processed content.</li>\n<li><strong>processing_time_ms</strong>: Time taken to process (ms).</li>\n<li><strong>processed_at</strong>: Timestamp of completion (ISO 8601).</li>\n<li><strong>cached_result</strong>: Indicates if the result was served from cache.</li>\n<li><strong>file_info</strong>: Details about the uploaded file (name, size, type, storage path, and URL).</li>\n<li><strong>errors_found</strong>: Number of errors detected during parsing.</li>\n<li><strong>warnings_found</strong>: Number of warnings detected during parsing.</li>\n</ul>\n</li>\n</ul>\n<hr />\n<h2 id=\"example-response\">Example Response</h2>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"era\": \"ISA*00*          *00*          *ZZ*MEDIC...\",\n  \"metadata\": {\n    \"parsing_id\": \"bb06f42c-7c4e-490f-9ff6-9e55e887a7d0\",\n    \"content_length\": 0,\n    \"processing_time_ms\": 7620,\n    \"processed_at\": \"2025-10-30T01:18:40.380Z\",\n    \"cached_result\": false,\n    \"file_info\": {\n      \"fileName\": \"bb06f42c-7c4e-490f-9ff6-9e55e887a7d0_ERA...\",\n      \"originalName\": \"ERA-Example-copy.png\",\n      \"size\": 145010,\n      \"mimeType\": \"image/png\",\n      \"blobPath\": \"eobparser/1/bb06f42c-7c4e-490f-9ff6-9e55...\",\n      \"url\": \"https://medikodelocalstorage.blob.core.w...\"\n    },\n    \"errors_found\": 0,\n    \"warnings_found\": 0\n  }\n}\n</code></pre>\n<hr />\n<h2 id=\"notes\">Notes</h2>\n<ul>\n<li>Only file uploads are supported for the <code>file</code> parameter.</li>\n<li>The <code>caching</code> parameter can be used to force fresh parsing if needed.</li>\n<li>Errors and warnings are reported in the <code>metadata</code> object.</li>\n<li>The API is suitable for automation and integration workflows.</li>\n</ul>\n<hr />\n<p>For more details or troubleshooting, refer to the collection documentation or contact the API provider.</p>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["f-eobparser"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"f6933ae1-2027-4e86-af06-0d46a74f1e01","name":"EOB Parser File Upload","originalRequest":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"file","type":"file","uuid":"e90770e9-2f4b-444f-b42d-ff05bf0ae982","src":"postman-cloud:///1f071a1e-5338-4e80-93aa-6716d53f79f8"},{"key":"caching","value":"false","type":"text","uuid":"52a0cf5d-4a30-45ce-8831-cb4466d95801"}]},"url":"{{SERVER}}/f-eobparser"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"x-powered-by","value":"Express"},{"key":"access-control-allow-origin","value":"*"},{"key":"access-control-allow-headers","value":"Origin, X-Requested-With, Content-Type, Accept, x-api-key"},{"key":"access-control-allow-methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"content-type","value":"application/json; charset=utf-8"},{"key":"content-length","value":"1912"},{"key":"etag","value":"W/\"778-9eQPWvHThY7FM3GVnxSXNpLi2t0\""},{"key":"date","value":"Tue, 18 Nov 2025 02:16:35 GMT"}],"cookie":[],"responseTime":null,"body":"{\n    \"extracted\": {\n        \"payerInfo\": {\n            \"name\": \"Medicare B\",\n            \"id\": \"J MAC - Palmetto GBA\"\n        },\n        \"payeeInfo\": {\n            \"name\": \"Oncology World Medicine\",\n            \"npi\": \"V29205\",\n            \"taxId\": \"V29205\"\n        },\n        \"checkInfo\": {\n            \"checkNumber\": \"0621872471\",\n            \"checkDate\": \"20231017\",\n            \"checkAmount\": \"154.52\"\n        },\n        \"claims\": [\n            {\n                \"patientControlNumber\": \"2687743001051\",\n                \"claimStatusCode\": \"1\",\n                \"chargeAmount\": \"263.88\",\n                \"paidAmount\": \"154.52\",\n                \"patientResponsibility\": \"38.71\",\n                \"patientInfo\": {\n                    \"lastName\": \"Manning\",\n                    \"firstName\": \"Emmett\",\n                    \"memberId\": \"1\"\n                },\n                \"serviceLines\": [\n                    {\n                        \"procedureCode\": \"HC:87015\",\n                        \"chargeAmount\": \"263.88\",\n                        \"paidAmount\": \"154.52\",\n                        \"units\": 1,\n                        \"dateOfService\": \"20231005\",\n                        \"adjustments\": [\n                            {\n                                \"groupCode\": \"PR\",\n                                \"reasonCode\": \"31\",\n                                \"amount\": \"38.71\",\n                                \"remarks\": []\n                            }\n                        ]\n                    }\n                ]\n            }\n        ]\n    },\n    \"era\": \"ISA*00*          *00*          *ZZ*J MAC - Palmett*ZZ*V29205         *251118*0216*^*00501*989629387*1*T*:~GS*HP*J MAC - Palmetto GBA*V29205*20251118*0216*201321665*X*005010X221A1~ST*835*0001~BPR*I*154.52*C*CHK*CCP*01*123456789*DA*987654321*0621872471*01*123456789*DA*987654321*20231017~TRN*1*0621872471*J MAC - Palmetto GBA~DTM*405*20231017~N1*PR*Medicare B*XV*J MAC - Palmetto GBA~N1*PE*Oncology World Medicine*XX*V29205~LX*1~CLP*2687743001051*1*263.88*154.52*38.71*MC*2687743001051*11*1~NM1*QC*1*Manning*Emmett*MI*1~SVC*HC:HC:87015*263.88*154.52*154.52*1~DTM*472*20231005~CAS*CO*31*38.71~SE*14*0001~GE*1*201321665~IEA*1*989629387\",\n    \"metadata\": {\n        \"parsing_id\": \"5ee4b752-9f6b-49b1-964d-59e6223c635e\",\n        \"content_length\": 0,\n        \"processing_time_ms\": 13402,\n        \"processed_at\": \"2025-11-18T02:16:35.519Z\",\n        \"cached_result\": false,\n        \"cache_bypassed\": true,\n        \"file_info\": {\n            \"fileName\": \"5ee4b752-9f6b-49b1-964d-59e6223c635e_EOB-Test.png\",\n            \"originalName\": \"EOB-Test.png\",\n            \"size\": 273263,\n            \"mimeType\": \"image/png\",\n            \"blobPath\": \"eobparser/1/5ee4b752-9f6b-49b1-964d-59e6223c635e_EOB-Test.png\",\n            \"url\": \"https://medikodesandboxstorage.blob.core.windows.net/medikode-sandbox/eobparser/1/5ee4b752-9f6b-49b1-964d-59e6223c635e_EOB-Test.png\"\n        },\n        \"errors_found\": 0,\n        \"warnings_found\": 0\n    }\n}"}],"_postman_id":"4fdb9ca9-8319-4e9e-b4d6-b86d968ec4a8"},{"name":"EOB Parser Bulk","id":"ac5f8f92-5552-44c7-bf9c-e979ca59495e","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"requests\": [\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: HealthSure Inc.\\nMember Name: Evelyn Lee\\nMember ID: HB7WMEPHCK\\nClaim Number: 145387470\\nDate Processed: August 31, 2025\\nProvider: Dr. Ryan Cooper, MD\\nService Date: July 08, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nEKG\\t$90.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $90.00\\nTotal Allowed: $70.00\\nTotal Paid by Insurance: $56.00\\nYour Responsibility: $14.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Kaiser Permanente\\nMember Name: Michael White\\nMember ID: CO7R0C2RFX\\nClaim Number: 138182118\\nDate Processed: August 17, 2025\\nProvider: Dr. Sophia Moore, MD\\nService Date: June 30, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Consultation\\t$300.00\\t$200.00\\t$160.00\\t$40.00\\nTotals\\nTotal Billed: $300.00\\nTotal Allowed: $200.00\\nTotal Paid by Insurance: $160.00\\nYour Responsibility: $40.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Harper Chen\\nMember ID: A1NYMCSFBY\\nClaim Number: 072920348\\nDate Processed: August 30, 2025\\nProvider: Dr. Lily Chen, MD\\nService Date: July 13, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMental Health Counseling (90834)\\t$175.00\\t$125.00\\t$100.00\\t$25.00\\nTotals\\nTotal Billed: $175.00\\nTotal Allowed: $125.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $25.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: HealthSure Inc.\\nMember Name: James Davis\\nMember ID: LXC9FBQPO6\\nClaim Number: 714023698\\nDate Processed: August 25, 2025\\nProvider: Dr. Chloe Martinez, MD\\nService Date: July 31, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nLab Tests (Basic Metabolic Panel)\\t$150.00\\t$100.00\\t$80.00\\t$20.00\\nTotals\\nTotal Billed: $150.00\\nTotal Allowed: $100.00\\nTotal Paid by Insurance: $80.00\\nYour Responsibility: $20.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Molina Healthcare\\nMember Name: William Martinez\\nMember ID: CXJ3MHZ6XF\\nClaim Number: 190106320\\nDate Processed: August 09, 2025\\nProvider: Dr. Anthony Ramirez, MD\\nService Date: June 30, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nVaccination\\t$120.00\\t$100.00\\t$100.00\\t$0.00\\nTotals\\nTotal Billed: $120.00\\nTotal Allowed: $100.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Isabella Lee\\nMember ID: LXDV99ZTGJ\\nClaim Number: 318444793\\nDate Processed: August 27, 2025\\nProvider: Dr. Amanda Clark, MD\\nService Date: July 06, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPreventive Health Screening\\t$200.00\\t$150.00\\t$150.00\\t$0.00\\nTotals\\nTotal Billed: $200.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $150.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Harper Lee\\nMember ID: 9FN2V7IG6Q\\nClaim Number: 307924692\\nDate Processed: August 30, 2025\\nProvider: Dr. Daniel Harris, MD\\nService Date: June 16, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nUrgent Care Visit\\t$180.00\\t$140.00\\t$112.00\\t$28.00\\nTotals\\nTotal Billed: $180.00\\nTotal Allowed: $140.00\\nTotal Paid by Insurance: $112.00\\nYour Responsibility: $28.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: BlueCross BlueShield\\nMember Name: Sophia Scott\\nMember ID: 8RPTI3W7RK\\nClaim Number: 274283846\\nDate Processed: August 09, 2025\\nProvider: Dr. Lucas Murphy, MD\\nService Date: July 09, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOutpatient Surgery\\t$3000.00\\t$2500.00\\t$2000.00\\t$500.00\\nTotals\\nTotal Billed: $3000.00\\nTotal Allowed: $2500.00\\nTotal Paid by Insurance: $2000.00\\nYour Responsibility: $500.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Amelia Thompson\\nMember ID: LM3WQ2WXD2\\nClaim Number: 433703819\\nDate Processed: August 14, 2025\\nProvider: Dr. Ryan Cooper, MD\\nService Date: June 18, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOutpatient Surgery\\t$3000.00\\t$2500.00\\t$2000.00\\t$500.00\\nTotals\\nTotal Billed: $3000.00\\nTotal Allowed: $2500.00\\nTotal Paid by Insurance: $2000.00\\nYour Responsibility: $500.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Molina Healthcare\\nMember Name: Elijah Davis\\nMember ID: YJHPR0X7F1\\nClaim Number: 956365847\\nDate Processed: August 24, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: July 11, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOutpatient Surgery\\t$3000.00\\t$2500.00\\t$2000.00\\t$500.00\\nTotals\\nTotal Billed: $3000.00\\nTotal Allowed: $2500.00\\nTotal Paid by Insurance: $2000.00\\nYour Responsibility: $500.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Kaiser Permanente\\nMember Name: Olivia White\\nMember ID: L5TGC0XDOG\\nClaim Number: 949910137\\nDate Processed: August 17, 2025\\nProvider: Dr. Lily Chen, MD\\nService Date: June 08, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMental Health Counseling (90834)\\t$175.00\\t$125.00\\t$100.00\\t$25.00\\nTotals\\nTotal Billed: $175.00\\nTotal Allowed: $125.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $25.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: James Wilson\\nMember ID: LFMHWA0DW0\\nClaim Number: 690707368\\nDate Processed: August 26, 2025\\nProvider: Dr. Daniel Harris, MD\\nService Date: August 05, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPhysical Therapy Session\\t$250.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $250.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: HealthSure Inc.\\nMember Name: Charlotte Scott\\nMember ID: IYDXT2JJ1E\\nClaim Number: 693628014\\nDate Processed: September 02, 2025\\nProvider: Dr. Sophia Moore, MD\\nService Date: July 26, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nUrgent Care Visit\\t$180.00\\t$140.00\\t$112.00\\t$28.00\\nTotals\\nTotal Billed: $180.00\\nTotal Allowed: $140.00\\nTotal Paid by Insurance: $112.00\\nYour Responsibility: $28.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Olivia Davis\\nMember ID: 1J4527I6DC\\nClaim Number: 930281257\\nDate Processed: August 16, 2025\\nProvider: Dr. Jacob Green, MD\\nService Date: July 13, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nRadiology - CT Scan\\t$1000.00\\t$800.00\\t$640.00\\t$160.00\\nTotals\\nTotal Billed: $1000.00\\nTotal Allowed: $800.00\\nTotal Paid by Insurance: $640.00\\nYour Responsibility: $160.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: HealthSure Inc.\\nMember Name: Lucas Harris\\nMember ID: X9QMF60J06\\nClaim Number: 550054556\\nDate Processed: September 03, 2025\\nProvider: Dr. Chloe Martinez, MD\\nService Date: July 06, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nDermatology Consultation\\t$220.00\\t$160.00\\t$128.00\\t$32.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $160.00\\nTotal Paid by Insurance: $128.00\\nYour Responsibility: $32.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Ethan Scott\\nMember ID: KFC7WP61O3\\nClaim Number: 132480356\\nDate Processed: September 01, 2025\\nProvider: Dr. Ethan Parker, MD\\nService Date: July 18, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Follow-up\\t$220.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: Lucas Thompson\\nMember ID: BM3YMO8WVG\\nClaim Number: 010601911\\nDate Processed: August 06, 2025\\nProvider: Dr. Ethan Parker, MD\\nService Date: June 14, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPhysical Therapy Session\\t$250.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $250.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: Emma Scott\\nMember ID: 0GWY6TIIZ3\\nClaim Number: 359464699\\nDate Processed: August 10, 2025\\nProvider: Dr. Lily Chen, MD\\nService Date: June 26, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Follow-up\\t$220.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Benjamin Martinez\\nMember ID: NZ60XQ9JZO\\nClaim Number: 068817812\\nDate Processed: August 12, 2025\\nProvider: Dr. Elizabeth Gomez, MD\\nService Date: July 05, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nEmergency Room Visit\\t$800.00\\t$600.00\\t$480.00\\t$120.00\\nTotals\\nTotal Billed: $800.00\\nTotal Allowed: $600.00\\nTotal Paid by Insurance: $480.00\\nYour Responsibility: $120.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Ethan Walker\\nMember ID: B2X92OW66H\\nClaim Number: 544046647\\nDate Processed: September 04, 2025\\nProvider: Dr. Emily Turner, MD\\nService Date: July 13, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Follow-up\\t$220.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: Ethan Chen\\nMember ID: 7J9ZDGCYAG\\nClaim Number: 571050215\\nDate Processed: August 21, 2025\\nProvider: Dr. Olivia Perez, MD\\nService Date: June 27, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMammogram\\t$280.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $280.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: HealthSure Inc.\\nMember Name: James Hall\\nMember ID: LY3QMAO4YI\\nClaim Number: 210192290\\nDate Processed: August 16, 2025\\nProvider: Dr. Grace Rivera, MD\\nService Date: August 01, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nRoutine Checkup (99213)\\t$200.00\\t$150.00\\t$120.00\\t$30.00\\nTotals\\nTotal Billed: $200.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $120.00\\nYour Responsibility: $30.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: Olivia Davis\\nMember ID: FEPT5S4MO7\\nClaim Number: 672860496\\nDate Processed: September 04, 2025\\nProvider: Dr. Ryan Cooper, MD\\nService Date: July 02, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nLab Tests (Basic Metabolic Panel)\\t$150.00\\t$100.00\\t$80.00\\t$20.00\\nTotals\\nTotal Billed: $150.00\\nTotal Allowed: $100.00\\nTotal Paid by Insurance: $80.00\\nYour Responsibility: $20.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Sophia Clark\\nMember ID: G7HBX3CTQA\\nClaim Number: 988255195\\nDate Processed: August 25, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: August 02, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nEmergency Room Visit\\t$800.00\\t$600.00\\t$480.00\\t$120.00\\nTotals\\nTotal Billed: $800.00\\nTotal Allowed: $600.00\\nTotal Paid by Insurance: $480.00\\nYour Responsibility: $120.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Molina Healthcare\\nMember Name: Michael Lewis\\nMember ID: C2103R4UKZ\\nClaim Number: 345973561\\nDate Processed: August 25, 2025\\nProvider: Dr. Anthony Ramirez, MD\\nService Date: July 26, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nDiabetes Management Education\\t$150.00\\t$120.00\\t$96.00\\t$24.00\\nTotals\\nTotal Billed: $150.00\\nTotal Allowed: $120.00\\nTotal Paid by Insurance: $96.00\\nYour Responsibility: $24.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: Mia Davis\\nMember ID: 3SXRM5T614\\nClaim Number: 082762097\\nDate Processed: August 23, 2025\\nProvider: Dr. Daniel Harris, MD\\nService Date: July 08, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nRadiology - CT Scan\\t$1000.00\\t$800.00\\t$640.00\\t$160.00\\nTotals\\nTotal Billed: $1000.00\\nTotal Allowed: $800.00\\nTotal Paid by Insurance: $640.00\\nYour Responsibility: $160.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Benjamin Scott\\nMember ID: 0UQ5VDWJM4\\nClaim Number: 129018113\\nDate Processed: August 22, 2025\\nProvider: Dr. Emily Turner, MD\\nService Date: August 02, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nAllergy Testing\\t$400.00\\t$250.00\\t$200.00\\t$50.00\\nTotals\\nTotal Billed: $400.00\\nTotal Allowed: $250.00\\nTotal Paid by Insurance: $200.00\\nYour Responsibility: $50.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: David Davis\\nMember ID: DLVOCL0XS1\\nClaim Number: 779736211\\nDate Processed: August 08, 2025\\nProvider: Dr. Lily Chen, MD\\nService Date: July 02, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPreventive Health Screening\\t$200.00\\t$150.00\\t$150.00\\t$0.00\\nTotals\\nTotal Billed: $200.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $150.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Olivia Lewis\\nMember ID: DFFU5CSNT8\\nClaim Number: 816740820\\nDate Processed: September 03, 2025\\nProvider: Dr. Sarah Reed, MD\\nService Date: August 04, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nVaccination\\t$120.00\\t$100.00\\t$100.00\\t$0.00\\nTotals\\nTotal Billed: $120.00\\nTotal Allowed: $100.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: BlueCross BlueShield\\nMember Name: James Thompson\\nMember ID: YHED4JZAV5\\nClaim Number: 261146099\\nDate Processed: August 20, 2025\\nProvider: Dr. Sophia Moore, MD\\nService Date: August 05, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMental Health Counseling (90834)\\t$175.00\\t$125.00\\t$100.00\\t$25.00\\nTotals\\nTotal Billed: $175.00\\nTotal Allowed: $125.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $25.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Michael Thompson\\nMember ID: T6G3LYBX8F\\nClaim Number: 743826563\\nDate Processed: August 29, 2025\\nProvider: Dr. Jacob Green, MD\\nService Date: June 18, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMammogram\\t$280.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $280.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Isabella White\\nMember ID: F3YH4DPTHB\\nClaim Number: 426817579\\nDate Processed: August 28, 2025\\nProvider: Dr. Lucas Murphy, MD\\nService Date: July 09, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nChiropractic Adjustment\\t$100.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $100.00\\nTotal Allowed: $70.00\\nTotal Paid by Insurance: $56.00\\nYour Responsibility: $14.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Noah Thompson\\nMember ID: AIDLJN0JGT\\nClaim Number: 038001594\\nDate Processed: September 03, 2025\\nProvider: Dr. Kevin Anderson, MD\\nService Date: July 15, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nAllergy Testing\\t$400.00\\t$250.00\\t$200.00\\t$50.00\\nTotals\\nTotal Billed: $400.00\\nTotal Allowed: $250.00\\nTotal Paid by Insurance: $200.00\\nYour Responsibility: $50.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Ava Davis\\nMember ID: YH7UQW1R9D\\nClaim Number: 365859295\\nDate Processed: August 21, 2025\\nProvider: Dr. Sophia Moore, MD\\nService Date: July 22, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nEKG\\t$90.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $90.00\\nTotal Allowed: $70.00\\nTotal Paid by Insurance: $56.00\\nYour Responsibility: $14.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Amelia Harris\\nMember ID: S8NRWXZXZL\\nClaim Number: 742873963\\nDate Processed: August 08, 2025\\nProvider: Dr. Anthony Ramirez, MD\\nService Date: June 10, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Follow-up\\t$220.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Kaiser Permanente\\nMember Name: James Brown\\nMember ID: R87WYYV9VE\\nClaim Number: 621386409\\nDate Processed: August 15, 2025\\nProvider: Dr. Anthony Ramirez, MD\\nService Date: June 22, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPreventive Health Screening\\t$200.00\\t$150.00\\t$150.00\\t$0.00\\nTotals\\nTotal Billed: $200.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $150.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Molina Healthcare\\nMember Name: Evelyn Wilson\\nMember ID: FPBY39J3CG\\nClaim Number: 968149242\\nDate Processed: September 05, 2025\\nProvider: Dr. Elizabeth Gomez, MD\\nService Date: August 05, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nEKG\\t$90.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $90.00\\nTotal Allowed: $70.00\\nTotal Paid by Insurance: $56.00\\nYour Responsibility: $14.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Benjamin Johnson\\nMember ID: DFPA5OZS5A\\nClaim Number: 842909808\\nDate Processed: September 04, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: July 22, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nChiropractic Adjustment\\t$100.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $100.00\\nTotal Allowed: $70.00\\nTotal Paid by Insurance: $56.00\\nYour Responsibility: $14.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Humana\\nMember Name: Noah Thompson\\nMember ID: PH888WF163\\nClaim Number: 725697597\\nDate Processed: August 20, 2025\\nProvider: Dr. Lily Chen, MD\\nService Date: July 10, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOutpatient Surgery\\t$3000.00\\t$2500.00\\t$2000.00\\t$500.00\\nTotals\\nTotal Billed: $3000.00\\nTotal Allowed: $2500.00\\nTotal Paid by Insurance: $2000.00\\nYour Responsibility: $500.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: James Martinez\\nMember ID: G343AYIKJ9\\nClaim Number: 963140036\\nDate Processed: August 17, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: July 16, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nAllergy Testing\\t$400.00\\t$250.00\\t$200.00\\t$50.00\\nTotals\\nTotal Billed: $400.00\\nTotal Allowed: $250.00\\nTotal Paid by Insurance: $200.00\\nYour Responsibility: $50.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Michael Smith\\nMember ID: 2WJSD3S0XA\\nClaim Number: 730930142\\nDate Processed: September 05, 2025\\nProvider: Dr. Olivia Perez, MD\\nService Date: June 25, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Follow-up\\t$220.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Liam Chen\\nMember ID: BU95W3GF3F\\nClaim Number: 394646699\\nDate Processed: August 31, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: August 03, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nSpecialist Consultation\\t$300.00\\t$200.00\\t$160.00\\t$40.00\\nTotals\\nTotal Billed: $300.00\\nTotal Allowed: $200.00\\nTotal Paid by Insurance: $160.00\\nYour Responsibility: $40.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: David Chen\\nMember ID: 8BPMCZR29W\\nClaim Number: 429302138\\nDate Processed: August 08, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: June 17, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nRoutine Checkup (99213)\\t$200.00\\t$150.00\\t$120.00\\t$30.00\\nTotals\\nTotal Billed: $200.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $120.00\\nYour Responsibility: $30.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: Charlotte Harris\\nMember ID: 5JXGFF4IAG\\nClaim Number: 065842069\\nDate Processed: August 13, 2025\\nProvider: Dr. Amanda Clark, MD\\nService Date: July 06, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPreventive Health Screening\\t$200.00\\t$150.00\\t$150.00\\t$0.00\\nTotals\\nTotal Billed: $200.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $150.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Kaiser Permanente\\nMember Name: James White\\nMember ID: 8U1ZPZ1B1Q\\nClaim Number: 724990088\\nDate Processed: August 06, 2025\\nProvider: Dr. Sarah Reed, MD\\nService Date: June 08, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPhysical Therapy Session\\t$250.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $250.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: Sophia Young\\nMember ID: B2L8WO2K6W\\nClaim Number: 989043773\\nDate Processed: August 28, 2025\\nProvider: Dr. Elizabeth Gomez, MD\\nService Date: July 26, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nAllergy Testing\\t$400.00\\t$250.00\\t$200.00\\t$50.00\\nTotals\\nTotal Billed: $400.00\\nTotal Allowed: $250.00\\nTotal Paid by Insurance: $200.00\\nYour Responsibility: $50.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: Noah Clark\\nMember ID: LVFV0GLUL8\\nClaim Number: 749724742\\nDate Processed: August 08, 2025\\nProvider: Dr. Michael Brooks, MD\\nService Date: July 13, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nOutpatient Surgery\\t$3000.00\\t$2500.00\\t$2000.00\\t$500.00\\nTotals\\nTotal Billed: $3000.00\\nTotal Allowed: $2500.00\\nTotal Paid by Insurance: $2000.00\\nYour Responsibility: $500.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Molina Healthcare\\nMember Name: Lucas Scott\\nMember ID: PDO191THRM\\nClaim Number: 184292642\\nDate Processed: August 24, 2025\\nProvider: Dr. Grace Rivera, MD\\nService Date: June 29, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMental Health Counseling (90834)\\t$175.00\\t$125.00\\t$100.00\\t$25.00\\nTotals\\nTotal Billed: $175.00\\nTotal Allowed: $125.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $25.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: William Lee\\nMember ID: 37RRPXBCRD\\nClaim Number: 763322735\\nDate Processed: August 06, 2025\\nProvider: Dr. Benjamin Roberts, MD\\nService Date: June 19, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMammogram\\t$280.00\\t$180.00\\t$144.00\\t$36.00\\nTotals\\nTotal Billed: $280.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $144.00\\nYour Responsibility: $36.00\\nNotes:\\nStandard coinsurance applies.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Mia Rodriguez\\nMember ID: 2U5H0AQNTD\\nClaim Number: 889504422\\nDate Processed: August 22, 2025\\nProvider: Dr. Ryan Cooper, MD\\nService Date: July 18, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nVaccination\\t$120.00\\t$100.00\\t$100.00\\t$0.00\\nTotals\\nTotal Billed: $120.00\\nTotal Allowed: $100.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services fully covered.\"\n    }\n  ]\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/eobparser/bulk","description":"<h2 id=\"api-endpoint-bulk-eob-parser\">API Endpoint: Bulk EOB Parser</h2>\n<p>This endpoint processes multiple Explanation of Benefits (EOB) documents in bulk. It allows users to submit EOB content for parsing and retrieves the results in a structured format.</p>\n<h3 id=\"request-method\">Request Method</h3>\n<p><strong>POST</strong></p>\n<h3 id=\"endpoint\">Endpoint</h3>\n<p><code>{{SERVER}}/eobparser/bulk</code></p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body must be in JSON format and include the following parameters:</p>\n<ul>\n<li><p><strong>apikey</strong> (string): Your API key for authentication.</p>\n</li>\n<li><p><strong>requests</strong> (array): An array of request objects, each containing:</p>\n<ul>\n<li><strong>content</strong> (string): The EOB content to be parsed.</li>\n</ul>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"apikey\": \"{{APIKEY}}\",\n  \"requests\": [\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\n ...\"\n    }\n  ]\n}\n\n</code></pre>\n<h3 id=\"response-format\">Response Format</h3>\n<p>The response will be in JSON format and contains the following fields:</p>\n<ul>\n<li><p><strong>total_requests</strong> (integer): The total number of requests processed.</p>\n</li>\n<li><p><strong>successful_requests</strong> (integer): The number of requests that were successfully processed.</p>\n</li>\n<li><p><strong>failed_requests</strong> (integer): The number of requests that failed during processing.</p>\n</li>\n<li><p><strong>results</strong> (array): An array of result objects for each request, containing:</p>\n<ul>\n<li><p><strong>index</strong> (integer): The index of the request in the original array.</p>\n</li>\n<li><p><strong>request_id</strong> (string|null): The ID of the request, if applicable.</p>\n</li>\n<li><p><strong>success</strong> (boolean): Indicates whether the request was successful.</p>\n</li>\n<li><p><strong>result</strong> (object): Contains the parsed result, including:</p>\n<ul>\n<li><strong>era</strong> (string): The parsed EOB data.</li>\n</ul>\n</li>\n</ul>\n</li>\n</ul>\n<h4 id=\"example-response\">Example Response</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"total_requests\": 0,\n  \"successful_requests\": 0,\n  \"failed_requests\": 0,\n  \"results\": [\n    {\n      \"index\": 0,\n      \"request_id\": null,\n      \"success\": true,\n      \"result\": {\n        \"era\": \"\"\n      }\n    }\n  ],\n  \"timestamp\": \"\",\n  \"service\": \"\",\n  \"api_name\": \"\"\n}\n\n</code></pre>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["eobparser","bulk"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"97bbb168-254f-4d98-8c44-7bfa3a45eb18","name":"EOB Parser Bulk","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"requests\": [\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: HealthSure Inc.\\nMember Name: Alice Johnson\\nMember ID: HS987654321\\nClaim Number: 123456789\\nDate Processed: May 12, 2025\\nProvider: Dr. Raymond Lee, MD\\nService Date: April 28, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nAnnual Physical Exam (99396)\\t$250.00\\t$180.00\\t$180.00\\t$0.00\\nTotals\\nTotal Billed: $250.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $180.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive care is fully covered under your plan.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: CareFirst BlueChoice\\nMember Name: Mark Taylor\\nMember ID: CF123321123\\nClaim Number: 456789123\\nDate Processed: July 10, 2025\\nProvider: Dr. Susan Cheng, DO\\nService Date: June 20, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nX-ray Imaging\\t$300.00\\t$150.00\\t$120.00\\t$30.00\\nTotals\\nTotal Billed: $300.00\\nTotal Allowed: $150.00\\nTotal Paid by Insurance: $120.00\\nYour Responsibility: $30.00\\nNotes:\\nYour plan pays 80% after deductible.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: United Healthcare\\nMember Name: Emily Wright\\nMember ID: UH44556677\\nClaim Number: 111222333\\nDate Processed: April 22, 2025\\nProvider: Dr. Carl Morgan, MD\\nService Date: April 10, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMental Health Counseling (90834)\\t$175.00\\t$125.00\\t$100.00\\t$25.00\\nTotals\\nTotal Billed: $175.00\\nTotal Allowed: $125.00\\nTotal Paid by Insurance: $100.00\\nYour Responsibility: $25.00\\nNotes:\\nInsurance pays 80% for mental health visits.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Aetna\\nMember Name: Brian Scott\\nMember ID: AE11223344\\nClaim Number: 789456123\\nDate Processed: March 18, 2025\\nProvider: Dr. Tanya Patel, MD\\nService Date: March 5, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nAllergy Testing\\t$400.00\\t$250.00\\t$200.00\\t$50.00\\nTotals\\nTotal Billed: $400.00\\nTotal Allowed: $250.00\\nTotal Paid by Insurance: $200.00\\nYour Responsibility: $50.00\\nNotes:\\nCopay and deductible applied to this visit.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Humana\\nMember Name: Lisa Mendoza\\nMember ID: HU99887766\\nClaim Number: 321654987\\nDate Processed: June 3, 2025\\nProvider: Dr. Angela Kim, MD\\nService Date: May 20, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nMammogram\\t$280.00\\t$180.00\\t$180.00\\t$0.00\\nTotals\\nTotal Billed: $280.00\\nTotal Allowed: $180.00\\nTotal Paid by Insurance: $180.00\\nYour Responsibility: $0.00\\nNotes:\\nPreventive services are fully covered.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: BlueCross BlueShield\\nMember Name: Tom Reynolds\\nMember ID: BC44556677\\nClaim Number: 963852741\\nDate Processed: May 30, 2025\\nProvider: Dr. Laura Jensen, MD\\nService Date: May 12, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nChiropractic Adjustment\\t$100.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $100.00\\nTotal Allowed: $70.00\\nTotal Paid by Insurance: $56.00\\nYour Responsibility: $14.00\\nNotes:\\nYour plan covers 80% for chiropractic services.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Oscar Health\\nMember Name: Olivia James\\nMember ID: OS88990011\\nClaim Number: 741258963\\nDate Processed: April 5, 2025\\nProvider: Dr. Naveen Kapoor, MD\\nService Date: March 29, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nDermatology Consultation\\t$220.00\\t$160.00\\t$128.00\\t$32.00\\nTotals\\nTotal Billed: $220.00\\nTotal Allowed: $160.00\\nTotal Paid by Insurance: $128.00\\nYour Responsibility: $32.00\\nNotes:\\nPlan covers 80% of allowed charges after deductible.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Kaiser Permanente\\nMember Name: Kevin Liu\\nMember ID: KP33445566\\nClaim Number: 852963741\\nDate Processed: July 2, 2025\\nProvider: Dr. Stephanie Moore, MD\\nService Date: June 15, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nFollow-up Visit (99214)\\t$175.00\\t$130.00\\t$104.00\\t$26.00\\nEKG\\t$90.00\\t$70.00\\t$56.00\\t$14.00\\nTotals\\nTotal Billed: $265.00\\nTotal Allowed: $200.00\\nTotal Paid by Insurance: $160.00\\nYour Responsibility: $40.00\\nNotes:\\n20% coinsurance applied.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Molina Healthcare\\nMember Name: Rachel Lee\\nMember ID: MO55667788\\nClaim Number: 369852147\\nDate Processed: June 25, 2025\\nProvider: Dr. William Carter, MD\\nService Date: June 10, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nUrgent Care Visit\\t$180.00\\t$110.00\\t$88.00\\t$22.00\\nTotals\\nTotal Billed: $180.00\\nTotal Allowed: $110.00\\nTotal Paid by Insurance: $88.00\\nYour Responsibility: $22.00\\nNotes:\\nCopay applied for urgent care.\"\n    },\n    {\n      \"content\": \"Explanation of Benefits (EOB)\\nInsurance Company: Cigna\\nMember Name: Jacob Harris\\nMember ID: CI44332211\\nClaim Number: 147852369\\nDate Processed: March 10, 2025\\nProvider: Dr. Priya Nair, MD\\nService Date: February 25, 2025\\nSummary of Services\\nDescription of Service\\tBilled Amount\\tAllowed Amount\\tAmount Insurance Paid\\tYour Responsibility\\nPhysical Therapy\\t$300.00\\t$200.00\\t$160.00\\t$40.00\\nTotals\\nTotal Billed: $300.00\\nTotal Allowed: $200.00\\nTotal Paid by Insurance: $160.00\\nYour Responsibility: $40.00\\nNotes:\\nInsurance covers 80% of therapy sessions.\"\n    }\n  ]\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/eobparser/bulk"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"7654"},{"key":"ETag","value":"W/\"1de6-CXeVXaoVNBbVsRT4COqAMhH+yW0\""},{"key":"Date","value":"Sun, 27 Jul 2025 16:29:23 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"total_requests\": 10,\n    \"successful_requests\": 10,\n    \"failed_requests\": 0,\n    \"results\": [\n        {\n            \"index\": 0,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*HealthSureInc     *ZZ*DrRaymondLeeMD   *230512*1200*U*00401*000000001*0*T*:~\\nGS*HP*HealthSureInc*DrRaymondLeeMD*20230512*1200*1*X*004010X091A1~\\nST*835*0001~\\nBPR*I*180.00*C*ACH*CTX*01*123456789*DA*987654321*20230512~\\nTRN*1*123456789*987654321~\\nN1*PR*HealthSure Inc.~\\nN2*HealthSure Inc.~\\nN3*123 Insurance Lane~\\nN4*Insurance City*ST*12345~\\nREF*2U*HS987654321~\\nLX*1~\\nCLP*123456789*1*250.00*180.00*180.00*0~\\nCAS*CO*45*70.00~\\nNM1*QC*1*Johnson*Alice****MI*HS987654321~\\nDTM*232*20250428~\\nAMT*B6*250.00~\\nSVC*HC:99396*250.00*180.00~\\nLQ*HE*N381~\\nPLB*123456789*20230512*CV:123456789*70.00~\\nSE*16*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 1,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*CAREFIRST      *ZZ*DRSUSANCHENG   *20250710*1200*U*00401*000000001*0*T*:~\\nGS*HP*CAREFIRST*DRSUSANCHENG*20250710*1200*1*X*004010X091A1~\\nST*835*0001~\\nBPR*I*120.00*C*ACH*CTX*01*123456789*DA*987654321*20250710~\\nTRN*1*456789123*1234567890~\\nN1*PR*CareFirst BlueChoice~\\nN1*PE*Dr. Susan Cheng, DO~\\nN2*Mark Taylor~\\nN3*123 Main St~\\nN4*Anytown*MD*12345~\\nREF*1L*CF123321123~\\nLX*1~\\nCLP*456789123*1*300.00*150.00*120.00*30.00*12*1~\\nCAS*PR*1*30.00~\\nNM1*QC*1*Taylor*Mark****MI*CF123321123~\\nDTM*472*20250620~\\nSVC*HC:XRAY*300.00*150.00**120.00~\\nLQ*HE*N381~\\nPLB*123456789*20250710*CV:80*30.00~\\nSE*16*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 2,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*UNITEDHEALTHCARE *ZZ*DRCARLMORGANMD *230422*1200*^*00501*000000001*0*T*:~\\nGS*HP*UNITEDHEALTHCARE*DRCARLMORGANMD*20250422*1200*1*X*005010X221A1~\\nST*835*0001~\\nBPR*I*100.00*C*ACH*CTX*01*1234567890*DA*987654321*20250422~\\nTRN*1*111222333*UH44556677~\\nN1*PR*UNITED HEALTHCARE~\\nN2*UNITED HEALTHCARE~\\nN3*123 HEALTHCARE AVE~\\nN4*CITY*ST*ZIP~\\nREF*2U*UH44556677~\\nLX*1~\\nCLP*111222333*1*175.00*125.00*100.00*25.00*12*UH44556677~\\nCAS*PR*1*25.00~\\nNM1*QC*1*WRIGHT*EMILY****MI*UH44556677~\\nDTM*232*20250410~\\nSVC*HC:90834*175.00*125.00**100.00~\\nCAS*PR*1*25.00~\\nLQ*HE*N381~\\nPLB*1234567890*20250422*CV:1234567890*-25.00~\\nSE*17*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 3,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*Aetna          *ZZ*DrTanyaPatelMD  *20250318*1200*U*00401*000000001*0*T*:~\\nGS*HP*Aetna*DrTanyaPatelMD*20250318*1200*1*X*004010X091A1~\\nST*835*0001~\\nBPR*I*200.00*C*ACH*CCP*01*1234567890*DA*987654321*20250318~\\nTRN*1*789456123*987654321~\\nN1*PR*Aetna~\\nN1*PE*Dr Tanya Patel, MD~\\nN2*Dr Tanya Patel, MD~\\nN3*123 Medical Lane~\\nN4*City*ST*12345~\\nREF*EV*AE11223344~\\nLX*1~\\nCLP*789456123*1*400.00*250.00*200.00*50.00*12*AE11223344~\\nCAS*PR*1*50.00~\\nNM1*QC*1*Scott*Brian****MI*AE11223344~\\nDTM*472*20250305~\\nAMT*B6*250.00~\\nSVC*HC:95004*400.00*250.00**1~\\nLQ*HE*N381~\\nPLB*1234567890*20250318*CV:1234567890*-50.00~\\nSE*16*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 4,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*HUMANA       *ZZ*DRANGELAKIMMD *20250603*1200*^*00501*000000001*0*T*:~\\nGS*HP*HUMANA*DRANGELAKIMMD*20250603*1200*1*X*005010X221A1~\\nST*835*0001~\\nBPR*I*180.00*C*ACH*CCP*01*1234567890*DA*987654321*20250603~\\nTRN*1*321654987*987654321~\\nN1*PR*HUMANA~\\nN2*HUMANA INSURANCE COMPANY~\\nN3*123 INSURANCE ST~\\nN4*LOUISVILLE*KY*40201~\\nREF*1L*HU99887766~\\nLX*1~\\nCLP*321654987*1*280.00*180.00*180.00*HM*HU99887766~\\nCAS*PR*0*0.00~\\nNM1*QC*1*MENDOZA*LISA****MI*HU99887766~\\nDTM*472*20250520~\\nSVC*HC:77057*280.00*180.00**1~\\nCAS*PR*0*0.00~\\nLQ*HE*N381~\\nPLB*20250603*1234567890*CV:PREVENTIVE*0.00~\\nSE*17*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 5,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*BLUECROSSBLUESHIELD*ZZ*DRLAURAJENSENMD*20250530*1234*U*00401*000000001*0*P*:~\\nGS*HP*BLUECROSSBLUESHIELD*DRLAURAJENSENMD*20250530*1234*1*X*004010X091A1~\\nST*835*0001~\\nBPR*I*56.00*C*ACH*CTX*01*999999999*DA*123456789*123456789*20250530~\\nTRN*1*963852741*999999999~\\nN1*PR*BLUECROSSBLUESHIELD~\\nN1*PE*DR LAURA JENSEN MD~\\nN2*DR LAURA JENSEN~\\nN3*123 Main Street~\\nN4*Anytown*CA*90210~\\nREF*1L*BC44556677~\\nLX*1~\\nCLP*963852741*1*100.00*70.00*56.00*14.00*12*BC44556677~\\nCAS*PR*1*14.00~\\nNM1*QC*1*REYNOLDS*TOM****MI*BC44556677~\\nDTM*472*20250512~\\nSVC*HC:98940*100.00*70.00**56.00~\\nCAS*PR*1*14.00~\\nLQ*HE*N381~\\nPLB*123456789*20250530*CV:CO45*-14.00~\\nSE*23*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 6,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*OSCARHEALTH     *ZZ*DRNAVEENKAPOORMD*20250405*1200*U*00401*000000001*0*T*:~\\nGS*HP*OSCARHEALTH*DRNAVEENKAPOORMD*20250405*1200*1*X*004010X091A1~\\nST*835*0001~\\nBPR*I*128.00*C*ACH*CCP*01*1234567890*DA*987654321*20250405~\\nTRN*1*741258963*987654321~\\nN1*PR*OSCAR HEALTH~\\nN1*PE*DR NAVEEN KAPOOR MD~\\nN2*OLIVIA JAMES~\\nN3*123 Main Street~\\nN4*Anytown*NY*12345~\\nREF*1L*OS88990011~\\nLX*1~\\nCLP*741258963*1*220.00*160.00*128.00*32.00*12*OS88990011~\\nCAS*PR*1*32.00~\\nNM1*QC*1*JAMES*OLIVIA****MI*OS88990011~\\nDTM*472*20250329~\\nSVC*HC:99213*220.00*160.00**32.00~\\nLQ*HE*N381~\\nPLB*20250405*1234567890*CV:1234567890*32.00~\\nSE*16*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 7,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*KaiserPermanente*ZZ*DrStephanieMooreMD*20250702*1200*^*00501*000000001*0*T*:~\\nGS*HP*KaiserPermanente*DrStephanieMooreMD*20250702*1200*1*X*005010X221A1~\\nST*835*0001~\\nBPR*I*160.00*C*ACH*CCP*01*KaiserPermanente*DA*123456789*20250702~\\nTRN*1*852963741*KP33445566~\\nN1*PR*Kaiser Permanente~\\nN1*PE*Dr. Stephanie Moore, MD~\\nN2*Kevin Liu~\\nN3*123 Main St~\\nN4*Anytown*CA*90210~\\nREF*1L*KP33445566~\\nLX*1~\\nCLP*852963741*1*265.00*200.00*160.00*40.00*12*KP33445566~\\nCAS*PR*2*40.00~\\nNM1*QC*1*Liu*Kevin****MI*KP33445566~\\nDTM*232*20250615~\\nSVC*HC:99214*175.00*130.00**104.00~\\nCAS*PR*2*26.00~\\nSVC*HC:EKG*90.00*70.00**56.00~\\nCAS*PR*2*14.00~\\nLQ*HE*N381~\\nPLB*20250702*1*40.00~\\nSE*23*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 8,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*MOLINAHEALTHCARE*ZZ*DRWILLIAMCARTERMD*20250625*1200*U*00401*000000001*0*T*:~\\nGS*HP*MOLINAHEALTHCARE*DRWILLIAMCARTERMD*20250625*1200*1*X*004010X091A1~\\nST*835*0001~\\nBPR*I*88.00*C*ACH*CCP*01*1234567890*DA*987654321*20250625~\\nTRN*1*369852147*MO55667788~\\nN1*PR*MOLINA HEALTHCARE~\\nN1*PE*DR. WILLIAM CARTER, MD~\\nN2*RACHEL LEE~\\nN3*123 Main Street~\\nN4*Anytown*CA*90210~\\nREF*1L*MO55667788~\\nLX*1~\\nCLP*369852147*1*180.00*110.00*88.00*22.00*12*MO55667788~\\nCAS*PR*1*22.00~\\nNM1*QC*1*LEE*RACHEL****MI*MO55667788~\\nDTM*472*20250610~\\nSVC*HC:99281*180.00*110.00**88.00~\\nCAS*PR*1*22.00~\\nLQ*HE*N381~\\nPLB*1234567890*20250625*CV:1234567890*-22.00~\\nSE*23*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        },\n        {\n            \"index\": 9,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"era\": \"ISA*00*          *00*          *ZZ*CIGNA         *ZZ*DRPRIYANAIRMD  *20250310*1200*^*00501*000000001*0*T*:~\\nGS*HP*CIGNA*DRPRIYANAIRMD*20250310*1200*1*X*005010X221A1~\\nST*835*0001~\\nBPR*I*160.00*C*ACH*CTX*01*1234567890*DA*987654321*20250310~\\nTRN*1*147852369*987654321~\\nN1*PR*CIGNA~\\nN1*PE*DR PRIYA NAIR MD~\\nCLP*147852369*1*300.00*200.00*160.00*20*CI44332211~\\nCAS*PR*1*40.00~\\nNM1*QC*1*HARRIS*JACOB****MI*CI44332211~\\nDTM*472*20250225~\\nSVC*HC:97110*300.00*200.00**1~\\nCAS*PR*1*40.00~\\nLQ*HE*N381~\\nPLB*1234567890*20250310*CV:147852369*-40.00~\\nSE*15*0001~\\nGE*1*1~\\nIEA*1*000000001~\"\n            }\n        }\n    ],\n    \"timestamp\": \"2025-07-27T16:29:23.000Z\",\n    \"service\": \"api-service\",\n    \"api_name\": \"eobparser\"\n}"}],"_postman_id":"ac5f8f92-5552-44c7-bf9c-e979ca59495e"}],"id":"88f8c5e1-5dbf-4b5f-bc6e-f74fcb6855ba","description":"<p>Automated solution that converts<br />Explanation of Benefits (EOB) documents into standardized Electronic Remittance Advices (ERA).</p>\n","_postman_id":"88f8c5e1-5dbf-4b5f-bc6e-f74fcb6855ba","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}}},{"name":"Medikode RAF Score","item":[{"name":"RAF Score","id":"af9842d6-1d5e-4d0a-af7e-cd33557f219a","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":" {\n    \"demographics\": \"Patient is a 69 year old male with Medicare Advantage. Visit was for chronic disease follow-up in outpatient clinic.\",\n    \"illnesses\": \"I25.10: Atherosclerotic heart disease of native coronary artery without angina pectoris, E78.2: Mixed hyperlipidemia, I10: Essential hypertension\",\n    \"model\": \"V28\"\n  }","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/rafscore","description":"<h3 id=\"endpoint-description\">Endpoint Description</h3>\n<p>This API endpoint allows users to submit patient data for risk adjustment factor (RAF) scoring. The request is made using the HTTP POST method to the endpoint <code>{{SERVER}}/rafscore</code>.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body must be sent in JSON format and should include the following parameters:</p>\n<ul>\n<li><strong>apikey</strong> (string): The API key for authentication.</li>\n<li><strong>demographics</strong> (string): A description of the patient's demographics, including age and gender.</li>\n<li><strong>illnesses</strong> (string): A list of the patient's illnesses, formatted with appropriate codes.</li>\n<li><strong>model</strong> (string): The model version to be used for the scoring calculation.</li>\n</ul>\n<h3 id=\"example-request-body\">Example Request Body</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"apikey\": \"{{APIKEY}}\",\n  \"demographics\": \"Patient is a 79 year old male ...\",\n  \"illnesses\": \"I25.10: Atherosclerotic heart ...\",\n  \"model\": \"V28\"\n}\n</code></pre>\n<h3 id=\"response-format\">Response Format</h3>\n<p>Upon a successful request, the API returns a JSON response with the following structure:</p>\n<ul>\n<li><strong>raf</strong> (object): Contains the RAF scoring details.<ul>\n<li><strong>hcc</strong> (integer): HCC score.</li>\n<li><strong>final</strong> (integer): Final score.</li>\n<li><strong>demographic</strong> (integer): Demographic score.</li>\n<li><strong>interaction</strong> (integer): Interaction score.</li>\n</ul>\n</li>\n<li><strong>model_used</strong> (string): The model that was used for the calculation.</li>\n<li><strong>calculation</strong> (string): Details of the calculation performed.</li>\n<li><strong>hcc_categories</strong> (object): A mapping of HCC categories to their respective values.</li>\n</ul>\n<h3 id=\"example-response\">Example Response</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"raf\": {\n    \"hcc\": 0,\n    \"final\": 0,\n    \"demographic\": 0,\n    \"interaction\": 0\n  },\n  \"model_used\": \"\",\n  \"calculation\": \"\",\n  \"hcc_categories\": {\n    \"I10\": \"\",\n    \"E78.2\": \"\",\n    \"I25.10\": \"\"\n  }\n}\n</code></pre>\n<h3 id=\"status-codes\">Status Codes</h3>\n<ul>\n<li><strong>200 OK</strong>: The request was successful, and the response contains the RAF scoring details.</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["rafscore"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"1b16ca8e-1fda-4393-a4e3-54d1436c945c","name":"RAF Score","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":" {\n    \"demographics\": \"Patient is a 79 year old male with Medicare Advantage. Visit was for chronic disease follow-up in outpatient clinic.\",\n    \"illnesses\": \"I25.10: Atherosclerotic heart disease of native coronary artery without angina pectoris, E78.2: Mixed hyperlipidemia, I10: Essential hypertension\",\n    \"model\": \"V28\"\n  }","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/rafscore"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"791"},{"key":"ETag","value":"W/\"317-9Y0VFZ20HluVOnTad0cculqmHFI\""},{"key":"Date","value":"Sun, 27 Jul 2025 16:30:24 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"raf\": {\n        \"hcc\": 0.251,\n        \"final\": 0.563,\n        \"demographic\": 0.312,\n        \"interaction\": 0\n    },\n    \"model_used\": \"V28\",\n    \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 79-year-old male with Medicare Advantage is 0.312. The diagnoses provided map to HCC categories as follows: I25.10 maps to HCC 96 (Coronary Artery Disease) with a factor of 0.251, E78.2 maps to HCC 21 (Lipid Metabolism Disorders) with no additional factor as it does not contribute to the RAF in isolation, and I10 does not map to any HCC category. There are no interaction factors applicable for these diagnoses. The final RAF is the sum of the demographic and HCC factors: 0.312 (demographic) + 0.251 (HCC) = 0.563.\",\n    \"hcc_categories\": {\n        \"I10\": \"None\",\n        \"E78.2\": \"HCC 21\",\n        \"I25.10\": \"HCC 96\"\n    }\n}"}],"_postman_id":"af9842d6-1d5e-4d0a-af7e-cd33557f219a"},{"name":"RAF Score X","id":"ce1bfd49-0e74-4323-a052-a2e16fd83d56","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n    \"year\": 2024,\n    \"model\": \"CMS\",\n    \"version\": \"28\",\n    \"diagnoses\": [\n        \"I10\",\n        \"E78.2\",\n        \"I25.10\"\n    ],\n    \"age\": 71,\n    \"gender\": \"M\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/rafscorex","description":"<h3 id=\"endpoint-description\">Endpoint Description</h3>\n<p>This API endpoint allows users to submit patient data for risk adjustment factor (RAF) scoring. The request is made using the HTTP POST method to the endpoint <code>{{SERVER}}/rafscorex</code>. This is more sophisticated method with more parameters and accuracy.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body must be sent in JSON format and should include the following parameters:</p>\n<ul>\n<li><p><strong>year</strong> (integer): The year for which the RAF score is being calculated.</p>\n</li>\n<li><p><strong>model</strong> (string): The model version to be used for the scoring calculation.</p>\n</li>\n<li><p><strong>version</strong> (string): The version of the model.</p>\n</li>\n<li><p><strong>diagnoses</strong> (array of strings): A list of the patient's diagnoses formatted with appropriate codes.</p>\n</li>\n<li><p><strong>age</strong> (integer): The age of the patient.</p>\n</li>\n<li><p><strong>gender</strong> (string): The gender of the patient, represented as \"M\" for male or \"F\" for female.</p>\n</li>\n</ul>\n<h3 id=\"example-request-body\">Example Request Body</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"year\": 2024,\n  \"model\": \"CMS\",\n  \"version\": \"28\",\n  \"diagnoses\": [\"I10\"],\n  \"age\": 69,\n  \"gender\": \"M\"\n}\n\n</code></pre>\n<h3 id=\"response-format\">Response Format</h3>\n<p>Upon a successful request, the API returns a JSON response with the following structure:</p>\n<ul>\n<li><p><strong>calculation_id</strong> (string): Identifier for the calculation.</p>\n</li>\n<li><p><strong>source</strong> (string): The source of the request.</p>\n</li>\n<li><p><strong>request</strong> (object): Echoes back the request parameters.</p>\n<ul>\n<li><p><strong>year</strong> (integer): Year provided in the request.</p>\n</li>\n<li><p><strong>model</strong> (string): Model provided in the request.</p>\n</li>\n<li><p><strong>version</strong> (string): Version provided in the request.</p>\n</li>\n<li><p><strong>diagnoses</strong> (array of strings): Diagnoses provided in the request.</p>\n</li>\n<li><p><strong>age</strong> (integer): Age provided in the request.</p>\n</li>\n<li><p><strong>gender</strong> (string): Gender provided in the request.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>result</strong> (object): Contains the RAF scoring details.</p>\n<ul>\n<li><p><strong>hccs</strong> (array): List of HCC scores.</p>\n</li>\n<li><p><strong>model</strong> (string): Model used for the calculation.</p>\n</li>\n<li><p><strong>score</strong> (integer): The calculated RAF score.</p>\n</li>\n<li><p><strong>ref_id</strong> (string): Reference ID for the calculation.</p>\n</li>\n<li><p><strong>factors</strong> (array): Details of factors affecting the score.</p>\n<ul>\n<li><p><strong>descr</strong> (string): Description of the factor.</p>\n</li>\n<li><p><strong>factor</strong> (integer): The value of the factor.</p>\n</li>\n<li><p><strong>normalized_factor</strong> (string): Normalized value of the factor.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>success</strong> (boolean): Indicates if the calculation was successful.</p>\n</li>\n<li><p><strong>version</strong> (string): Version of the scoring model used.</p>\n</li>\n<li><p><strong>hccs_by_dx</strong> (object): Mapping of diagnoses to their respective HCC scores.</p>\n</li>\n<li><p><strong>normalized_score</strong> (integer): The normalized RAF score.</p>\n</li>\n<li><p><strong>hierarchy_overrides</strong> (array): Any hierarchy overrides applied.</p>\n</li>\n<li><p><strong>normalization_metadata</strong> (object): Metadata for normalization.</p>\n<ul>\n<li><p><strong>payment_year</strong> (string): Year for payment.</p>\n</li>\n<li><p><strong>normalization_factor</strong> (integer): Factor used for normalization.</p>\n</li>\n<li><p><strong>coding_differences_factor</strong> (integer): Factor for coding differences.</p>\n</li>\n<li><p><strong>coding_pattern_adjustment</strong> (string): Adjustment for coding patterns.</p>\n</li>\n<li><p><strong>coding_pattern_adjustment_factor</strong> (integer): Factor for coding pattern adjustment.</p>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n<li><p><strong>api_time_ms</strong> (integer): Time taken for the API to process the request in milliseconds.</p>\n</li>\n<li><p><strong>cached</strong> (boolean): Indicates if the response was served from cache.</p>\n</li>\n</ul>\n<h3 id=\"example-response\">Example Response</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"calculation_id\": \"\",\n  \"source\": \"\",\n  \"request\": {\n    \"year\": 0,\n    \"model\": \"\",\n    \"version\": \"\",\n    \"diagnoses\": [\"\"],\n    \"age\": 0,\n    \"gender\": \"\"\n  },\n  \"result\": {\n    \"hccs\": [],\n    \"model\": \"\",\n    \"score\": 0,\n    \"ref_id\": \"\",\n    \"factors\": [\n      {\n        \"descr\": \"\",\n        \"factor\": 0,\n        \"normalized_factor\": \"\"\n      }\n    ],\n    \"success\": true,\n    \"version\": \"\",\n    \"hccs_by_dx\": {\n      \"I10\": [],\n      \"E78.2\": [],\n      \"I25.10\": []\n    },\n    \"normalized_score\": 0,\n    \"hierarchy_overrides\": [],\n    \"normalization_metadata\": {\n      \"payment_year\": \"\",\n      \"normalization_factor\": 0,\n      \"coding_differences_factor\": 0,\n      \"coding_pattern_adjustment\": \"\",\n      \"coding_pattern_adjustment_factor\": 0\n    }\n  },\n  \"api_time_ms\": 0,\n  \"cached\": true\n}\n\n</code></pre>\n<h3 id=\"status-codes\">Status Codes</h3>\n<ul>\n<li><strong>200 OK</strong>: The request was successful, and the response contains the RAF scoring details.</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["rafscorex"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"f6900eb6-5a9e-45cd-a83f-9c9a08f9513d","name":"RAF Score X","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n    \"year\": 2024,\n    \"model\": \"CMS\",\n    \"version\": \"28\",\n    \"diagnoses\": [\n        \"I10\",\n        \"E78.2\",\n        \"I25.10\"\n    ],\n    \"age\": 69,\n    \"gender\": \"M\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/rafscorex"},"status":"OK","code":200,"_postman_previewlanguage":"","header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"761"},{"key":"ETag","value":"W/\"2f9-SHj7S0hOBhMFiXlmMIdHQA8bCFc\""},{"key":"Date","value":"Thu, 31 Jul 2025 19:55:25 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[{"expires":"Invalid Date","domain":"","path":""}],"responseTime":null,"body":"{\n    \"calculation_id\": \"calc_1753991725119_vkyjw\",\n    \"source\": \"FINDACODE\",\n    \"request\": {\n        \"year\": 2024,\n        \"model\": \"CMS\",\n        \"version\": \"28\",\n        \"diagnoses\": [\n            \"I10\",\n            \"E78.2\",\n            \"I25.10\"\n        ],\n        \"age\": 69,\n        \"gender\": \"M\"\n    },\n    \"result\": {\n        \"hccs\": [],\n        \"model\": \"CMS\",\n        \"score\": 0.332,\n        \"ref_id\": \"calc_1753991568626_fk9qpp\",\n        \"factors\": [\n            {\n                \"descr\": \"Demographic base factor: Community Enrollee - Non-dual Benefit, aged (Male, 65-69)\",\n                \"factor\": 0.332,\n                \"normalized_factor\": \"0.299\"\n            }\n        ],\n        \"success\": true,\n        \"version\": \"28\",\n        \"hccs_by_dx\": {\n            \"I10\": [],\n            \"E78.2\": [],\n            \"I25.10\": []\n        },\n        \"normalized_score\": 0.299,\n        \"hierarchy_overrides\": [],\n        \"normalization_metadata\": {\n            \"payment_year\": \"2025\",\n            \"normalization_factor\": 1.045,\n            \"coding_differences_factor\": 0.059,\n            \"coding_pattern_adjustment\": \"-5.9%\",\n            \"coding_pattern_adjustment_factor\": 0.941\n        }\n    },\n    \"api_time_ms\": 12,\n    \"cached\": true\n}"}],"_postman_id":"ce1bfd49-0e74-4323-a052-a2e16fd83d56"},{"name":"RAF Score Bulk","id":"be58f4ae-c4a7-4e25-b6c8-b2fa1a53bfc3","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"requests\": [\n    {\n      \"demographics\": \"Patient is a 37 year old male with TRICARE. Routine check-up.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 39 year old female with Indian Health Service coverage. Follow-up appointment.\",\n      \"illnesses\": \"R53.81: Other malaise\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 89 year old male with Medicaid. Post-hospitalization follow-up.\",\n      \"illnesses\": \"Z12.5: Prostate cancer screening, F32.9: Major depressive disorder, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 87 year old female with individual marketplace insurance. Physical exam.\",\n      \"illnesses\": \"R53.81: Other malaise, I48.91: Unspecified atrial fibrillation\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 22 year old female with Medicare Advantage. Chronic care management visit.\",\n      \"illnesses\": \"E11.22: Type 2 diabetes with CKD\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 55 year old female with Indian Health Service coverage. Cancer survivorship program.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee, E11.65: Type 2 diabetes with hyperglycemia, Z68.54: Pediatric BMI >99th percentile\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 23 year old male with Medicare Advantage. Routine check-up.\",\n      \"illnesses\": \"E11.9: Type 2 diabetes without complications, Z68.54: Pediatric BMI >99th percentile, R63.4: Abnormal weight loss\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 70 year old female with commercial insurance. Routine check-up.\",\n      \"illnesses\": \"E78.0: Pure hypercholesterolemia, Z68.54: Pediatric BMI >99th percentile\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 66 year old male with VA healthcare. Behavioral health consult.\",\n      \"illnesses\": \"I25.119: Atherosclerotic heart disease with angina pectoris, Z68.54: Pediatric BMI >99th percentile, E78.5: Hyperlipidemia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 83 year old male with employer-sponsored insurance. Chronic care management visit.\",\n      \"illnesses\": \"E78.2: Mixed hyperlipidemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 62 year old male with employer insurance. Routine check-up.\",\n      \"illnesses\": \"J45.30: Mild persistent asthma\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 71 year old female with CHIP coverage. Follow-up appointment.\",\n      \"illnesses\": \"E78.0: Pure hypercholesterolemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 68 year old female with Medicare. Physical exam.\",\n      \"illnesses\": \"N18.5: Chronic kidney disease, stage 5\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 48 year old male with long-term care insurance. Behavioral health consult.\",\n      \"illnesses\": \"Z85.3: History of breast cancer, I50.32: Chronic diastolic heart failure\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 72 year old male with VA healthcare. Home visit.\",\n      \"illnesses\": \"S83.241A: Lateral meniscus tear, right knee, initial encounter, E11.9: Type 2 diabetes without complications, I50.32: Chronic diastolic heart failure\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 29 year old male with VA healthcare. Physical exam.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 60 year old female with commercial insurance. Routine check-up.\",\n      \"illnesses\": \"F03.90: Unspecified dementia without behavioral disturbance, E11.65: Type 2 diabetes with hyperglycemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 87 year old female with Indian Health Service coverage. Behavioral health consult.\",\n      \"illnesses\": \"I48.91: Unspecified atrial fibrillation, E11.9: Type 2 diabetes without complications\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 86 year old female with employer insurance. Annual wellness visit.\",\n      \"illnesses\": \"E66.9: Obesity, unspecified, F32.9: Major depressive disorder, unspecified, I10: Primary hypertension\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 67 year old female with employer insurance. Follow-up appointment.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee, F31.9: Bipolar disorder, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 75 year old female with employer insurance. Home visit.\",\n      \"illnesses\": \"S83.241A: Lateral meniscus tear, right knee, initial encounter, I25.119: Atherosclerotic heart disease with angina pectoris\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 30 year old female with VA healthcare. Behavioral health consult.\",\n      \"illnesses\": \"E11.9: Type 2 diabetes without complications, S83.511A: ACL sprain, right knee, N18.5: Chronic kidney disease, stage 5\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 72 year old female with Medicare Advantage. Cancer survivorship program.\",\n      \"illnesses\": \"F03.90: Unspecified dementia without behavioral disturbance, R29.6: Repeated falls\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 52 year old female with Indian Health Service coverage. Annual wellness visit.\",\n      \"illnesses\": \"I25.10: Atherosclerotic heart disease of native coronary artery, R53.81: Other malaise\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 83 year old female with Medicaid. Follow-up appointment.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 78 year old male with long-term care insurance. Annual wellness visit.\",\n      \"illnesses\": \"Z12.5: Prostate cancer screening, C34.90: Malignant neoplasm of lung\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 70 year old male with long-term care insurance. Chronic care management visit.\",\n      \"illnesses\": \"J45.30: Mild persistent asthma, N18.5: Chronic kidney disease, stage 5, C34.90: Malignant neoplasm of lung\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 89 year old female with long-term care insurance. Behavioral health consult.\",\n      \"illnesses\": \"S83.241A: Lateral meniscus tear, right knee, initial encounter, Z85.3: History of breast cancer, I25.119: Atherosclerotic heart disease with angina pectoris\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 48 year old male with individual marketplace insurance. Behavioral health consult.\",\n      \"illnesses\": \"I50.9: Heart failure, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 90 year old female with long-term care insurance. Cancer survivorship program.\",\n      \"illnesses\": \"Z12.5: Prostate cancer screening, I50.32: Chronic diastolic heart failure, Z12.11: Colon cancer screening\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 74 year old female with CHIP coverage. Post-hospitalization follow-up.\",\n      \"illnesses\": \"I50.22: Chronic systolic heart failure, E78.0: Pure hypercholesterolemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 26 year old female with Medicare Advantage. Physical exam.\",\n      \"illnesses\": \"C50.919: Malignant neoplasm of unspecified female breast, E11.65: Type 2 diabetes with hyperglycemia, E78.2: Mixed hyperlipidemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 44 year old male with employer insurance. Cancer survivorship program.\",\n      \"illnesses\": \"E11.22: Type 2 diabetes with CKD, N18.5: Chronic kidney disease, stage 5, R63.4: Abnormal weight loss\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 43 year old male with Medicaid. Cancer survivorship program.\",\n      \"illnesses\": \"F03.90: Unspecified dementia without behavioral disturbance\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 31 year old male with commercial insurance. Home visit.\",\n      \"illnesses\": \"F41.9: Anxiety disorder, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 33 year old male with employer insurance. Follow-up appointment.\",\n      \"illnesses\": \"F20.9: Schizophrenia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 80 year old male with CHIP coverage. Annual wellness visit.\",\n      \"illnesses\": \"F03.90: Unspecified dementia without behavioral disturbance, E11.22: Type 2 diabetes with CKD\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 24 year old male with Indian Health Service coverage. Chronic care management visit.\",\n      \"illnesses\": \"E78.0: Pure hypercholesterolemia, I25.10: Atherosclerotic heart disease of native coronary artery\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 62 year old male with Medicaid. Annual wellness visit.\",\n      \"illnesses\": \"E78.5: Hyperlipidemia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 52 year old female with long-term care insurance. Behavioral health consult.\",\n      \"illnesses\": \"Z12.11: Colon cancer screening, E78.0: Pure hypercholesterolemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 31 year old male with commercial insurance. Follow-up appointment.\",\n      \"illnesses\": \"E11.22: Type 2 diabetes with CKD\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 29 year old female with Medicare Advantage. Follow-up appointment.\",\n      \"illnesses\": \"Z68.54: Pediatric BMI >99th percentile\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 61 year old female with VA healthcare. Behavioral health consult.\",\n      \"illnesses\": \"E11.65: Type 2 diabetes with hyperglycemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 71 year old female with employer insurance. Annual wellness visit.\",\n      \"illnesses\": \"E78.0: Pure hypercholesterolemia, F20.9: Schizophrenia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 60 year old male with employer-sponsored insurance. Chronic care management visit.\",\n      \"illnesses\": \"J44.1: COPD with acute exacerbation, E11.9: Type 2 diabetes without complications, F41.9: Anxiety disorder, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 73 year old male with employer-sponsored insurance. Behavioral health consult.\",\n      \"illnesses\": \"E78.2: Mixed hyperlipidemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 53 year old male with Medicaid. Annual wellness visit.\",\n      \"illnesses\": \"F03.90: Unspecified dementia without behavioral disturbance, I11.0: Hypertensive heart disease with heart failure\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 68 year old female with TRICARE. Post-hospitalization follow-up.\",\n      \"illnesses\": \"E78.5: Hyperlipidemia, unspecified, I50.22: Chronic systolic heart failure, S83.241A: Lateral meniscus tear, right knee, initial encounter\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 36 year old female with employer-sponsored insurance. Behavioral health consult.\",\n      \"illnesses\": \"N18.5: Chronic kidney disease, stage 5, E11.9: Type 2 diabetes without complications, I50.22: Chronic systolic heart failure\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 81 year old female with VA healthcare. Routine check-up.\",\n      \"illnesses\": \"S83.241A: Lateral meniscus tear, right knee, initial encounter\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 58 year old female with VA healthcare. Cancer survivorship program.\",\n      \"illnesses\": \"E78.2: Mixed hyperlipidemia, F31.9: Bipolar disorder, unspecified, E78.5: Hyperlipidemia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 34 year old female with TRICARE. Cancer survivorship program.\",\n      \"illnesses\": \"C34.90: Malignant neoplasm of lung, J44.9: Chronic obstructive pulmonary disease, R29.6: Repeated falls\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 84 year old male with Medicare Advantage. Annual wellness visit.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 25 year old female with commercial insurance. Cancer survivorship program.\",\n      \"illnesses\": \"N18.5: Chronic kidney disease, stage 5, F02.80: Dementia in other diseases\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 74 year old male with Medicare. Behavioral health consult.\",\n      \"illnesses\": \"I25.10: Atherosclerotic heart disease of native coronary artery\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 64 year old male with employer insurance. Physical exam.\",\n      \"illnesses\": \"E11.65: Type 2 diabetes with hyperglycemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 25 year old female with CHIP coverage. Physical exam.\",\n      \"illnesses\": \"Z68.54: Pediatric BMI >99th percentile, C50.919: Malignant neoplasm of unspecified female breast, J45.30: Mild persistent asthma\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 80 year old female with CHIP coverage. Behavioral health consult.\",\n      \"illnesses\": \"J44.1: COPD with acute exacerbation, R63.4: Abnormal weight loss, E78.2: Mixed hyperlipidemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 44 year old female with employer insurance. Behavioral health consult.\",\n      \"illnesses\": \"F32.9: Major depressive disorder, unspecified, Z00.00: General adult exam\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 51 year old male with individual marketplace insurance. Annual wellness visit.\",\n      \"illnesses\": \"Z00.00: General adult exam, J45.30: Mild persistent asthma, C50.919: Malignant neoplasm of unspecified female breast\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 54 year old female with Medicare. Chronic care management visit.\",\n      \"illnesses\": \"E78.0: Pure hypercholesterolemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 75 year old male with employer-sponsored insurance. Chronic care management visit.\",\n      \"illnesses\": \"E11.22: Type 2 diabetes with CKD, C34.90: Malignant neoplasm of lung\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 84 year old male with Indian Health Service coverage. Routine check-up.\",\n      \"illnesses\": \"I48.91: Unspecified atrial fibrillation, S83.241A: Lateral meniscus tear, right knee, initial encounter, I10: Primary hypertension\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 86 year old male with employer-sponsored insurance. Chronic care management visit.\",\n      \"illnesses\": \"I25.119: Atherosclerotic heart disease with angina pectoris, E78.5: Hyperlipidemia, unspecified, I50.9: Heart failure, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 47 year old male with VA healthcare. Physical exam.\",\n      \"illnesses\": \"Z85.3: History of breast cancer, E66.9: Obesity, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 82 year old female with commercial insurance. Physical exam.\",\n      \"illnesses\": \"E66.9: Obesity, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 44 year old male with Medicaid. Cancer survivorship program.\",\n      \"illnesses\": \"C50.919: Malignant neoplasm of unspecified female breast, R29.6: Repeated falls\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 43 year old male with TRICARE. Physical exam.\",\n      \"illnesses\": \"C34.90: Malignant neoplasm of lung, E11.65: Type 2 diabetes with hyperglycemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 70 year old female with VA healthcare. Annual wellness visit.\",\n      \"illnesses\": \"E78.0: Pure hypercholesterolemia, F02.80: Dementia in other diseases\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 44 year old female with CHIP coverage. Physical exam.\",\n      \"illnesses\": \"Z85.3: History of breast cancer, N18.5: Chronic kidney disease, stage 5\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 36 year old male with CHIP coverage. Annual wellness visit.\",\n      \"illnesses\": \"Z12.5: Prostate cancer screening, E11.65: Type 2 diabetes with hyperglycemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 72 year old female with commercial insurance. Cancer survivorship program.\",\n      \"illnesses\": \"R53.81: Other malaise\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 36 year old female with long-term care insurance. Chronic care management visit.\",\n      \"illnesses\": \"I11.0: Hypertensive heart disease with heart failure, I48.91: Unspecified atrial fibrillation, Z00.00: General adult exam\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 51 year old male with long-term care insurance. Chronic care management visit.\",\n      \"illnesses\": \"I50.9: Heart failure, unspecified, E11.65: Type 2 diabetes with hyperglycemia, E11.9: Type 2 diabetes without complications\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 74 year old male with CHIP coverage. Post-hospitalization follow-up.\",\n      \"illnesses\": \"R53.81: Other malaise, E11.9: Type 2 diabetes without complications\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 79 year old male with Medicare. Follow-up appointment.\",\n      \"illnesses\": \"J44.1: COPD with acute exacerbation, F03.90: Unspecified dementia without behavioral disturbance\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 64 year old female with Indian Health Service coverage. Follow-up appointment.\",\n      \"illnesses\": \"S83.241A: Lateral meniscus tear, right knee, initial encounter, F20.9: Schizophrenia, unspecified, F03.90: Unspecified dementia without behavioral disturbance\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 60 year old male with Indian Health Service coverage. Cancer survivorship program.\",\n      \"illnesses\": \"S83.241A: Lateral meniscus tear, right knee, initial encounter\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 89 year old female with long-term care insurance. Follow-up appointment.\",\n      \"illnesses\": \"I50.32: Chronic diastolic heart failure, E78.2: Mixed hyperlipidemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 30 year old male with Medicare. Post-hospitalization follow-up.\",\n      \"illnesses\": \"E78.5: Hyperlipidemia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 24 year old male with individual marketplace insurance. Cancer survivorship program.\",\n      \"illnesses\": \"I25.10: Atherosclerotic heart disease of native coronary artery, E11.9: Type 2 diabetes without complications, J44.1: COPD with acute exacerbation\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 56 year old male with employer insurance. Behavioral health consult.\",\n      \"illnesses\": \"E11.65: Type 2 diabetes with hyperglycemia, F02.80: Dementia in other diseases, E66.9: Obesity, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 87 year old male with commercial insurance. Routine check-up.\",\n      \"illnesses\": \"Z12.5: Prostate cancer screening, J45.30: Mild persistent asthma, N18.5: Chronic kidney disease, stage 5\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 25 year old male with employer-sponsored insurance. Routine check-up.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee, F03.90: Unspecified dementia without behavioral disturbance\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 84 year old female with individual marketplace insurance. Physical exam.\",\n      \"illnesses\": \"F03.90: Unspecified dementia without behavioral disturbance\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 28 year old male with CHIP coverage. Home visit.\",\n      \"illnesses\": \"I10: Primary hypertension, S83.511A: ACL sprain, right knee, Z68.54: Pediatric BMI >99th percentile\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 64 year old male with Medicaid. Home visit.\",\n      \"illnesses\": \"Z68.54: Pediatric BMI >99th percentile, R63.4: Abnormal weight loss, E11.22: Type 2 diabetes with CKD\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 52 year old female with Medicare Advantage. Follow-up appointment.\",\n      \"illnesses\": \"I48.91: Unspecified atrial fibrillation\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 49 year old female with Medicare. Post-hospitalization follow-up.\",\n      \"illnesses\": \"I50.32: Chronic diastolic heart failure\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 27 year old male with commercial insurance. Annual wellness visit.\",\n      \"illnesses\": \"F20.9: Schizophrenia, unspecified, E11.65: Type 2 diabetes with hyperglycemia, R29.6: Repeated falls\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 67 year old male with employer-sponsored insurance. Cancer survivorship program.\",\n      \"illnesses\": \"R63.4: Abnormal weight loss, E78.5: Hyperlipidemia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 60 year old male with long-term care insurance. Behavioral health consult.\",\n      \"illnesses\": \"F02.80: Dementia in other diseases, C34.90: Malignant neoplasm of lung\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 37 year old male with VA healthcare. Home visit.\",\n      \"illnesses\": \"I10: Primary hypertension, R63.4: Abnormal weight loss, F32.9: Major depressive disorder, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 37 year old female with employer-sponsored insurance. Post-hospitalization follow-up.\",\n      \"illnesses\": \"S83.511A: ACL sprain, right knee, C34.90: Malignant neoplasm of lung\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 47 year old female with commercial insurance. Annual wellness visit.\",\n      \"illnesses\": \"I25.10: Atherosclerotic heart disease of native coronary artery, F32.9: Major depressive disorder, unspecified, I48.91: Unspecified atrial fibrillation\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 58 year old female with employer-sponsored insurance. Post-hospitalization follow-up.\",\n      \"illnesses\": \"Z00.00: General adult exam\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 63 year old male with Indian Health Service coverage. Home visit.\",\n      \"illnesses\": \"E78.2: Mixed hyperlipidemia, I48.91: Unspecified atrial fibrillation\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 56 year old female with Medicare Advantage. Physical exam.\",\n      \"illnesses\": \"F31.9: Bipolar disorder, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 40 year old male with commercial insurance. Routine check-up.\",\n      \"illnesses\": \"F20.9: Schizophrenia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 57 year old male with long-term care insurance. Cancer survivorship program.\",\n      \"illnesses\": \"J45.30: Mild persistent asthma, F03.90: Unspecified dementia without behavioral disturbance, R63.4: Abnormal weight loss\",\n      \"model\": \"V28\"\n    }\n  ]\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/rafscore/bulk","description":"<h2 id=\"api-endpoint-bulk-score-submission\">API Endpoint: Bulk Score Submission</h2>\n<h3 id=\"method\">Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"endpoint\">Endpoint</h3>\n<p><code>{{SERVER}}/rafscore/bulk</code></p>\n<h3 id=\"description\">Description</h3>\n<p>This endpoint allows users to submit bulk requests for scoring based on patient demographics and illnesses. The request must include an API key for authentication and a list of patient data.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body must be in JSON format and include the following parameters:</p>\n<ul>\n<li><p><strong>apikey</strong> (string): Your unique API key required for authentication.</p>\n</li>\n<li><p><strong>requests</strong> (array): An array of patient data objects, where each object contains:</p>\n<ul>\n<li><p><strong>demographics</strong> (string): A description of the patient's demographics (e.g., age, gender).</p>\n</li>\n<li><p><strong>illnesses</strong> (string): A list of the patient's illnesses, formatted as codes and descriptions.</p>\n</li>\n<li><p><strong>model</strong> (string): The specific model to be used for scoring (e.g., \"V28\").</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"expected-response-format\">Expected Response Format</h3>\n<p>The response will return a JSON object containing the results of the scoring process for each patient submitted in the requests array. The structure of the response will depend on the implementation but typically includes the scoring results and any relevant messages or errors.</p>\n<h3 id=\"example-request-body\">Example Request Body</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"apikey\": \"{{APIKEY}}\",\n  \"requests\": [\n    {\n      \"demographics\": \"Patient is a 55 year old male ...\",\n      \"illnesses\": \"E11.22: Type 2 diabetes with d ...\",\n      \"model\": \"V28\"\n    }\n  ]\n}\n\n</code></pre>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["rafscore","bulk"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"835ffd36-1392-44b0-bfed-89bc6c36b357","name":"RAF Score Bulk","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"requests\": [\n    {\n      \"demographics\": \"Patient is a 57 year old male with Medicare. Presented for chronic condition management.\",\n      \"illnesses\": \"E11.22: Type 2 diabetes with diabetic chronic kidney disease, I12.9: Hypertensive CKD with stage 1-4, or unspecified CKD\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 34 year old female on Medicaid. Seen for behavioral health evaluation.\",\n      \"illnesses\": \"F33.2: Major depressive disorder, recurrent severe without psychotic features, F41.1: Generalized anxiety disorder\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 70 year old male with Medicare Advantage. Office visit for multiple comorbidities.\",\n      \"illnesses\": \"I50.32: Chronic diastolic heart failure, N18.3: CKD stage 3, E11.40: Type 2 diabetes with diabetic neuropathy\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 22 year old female with university health plan. Seen for acute care follow-up.\",\n      \"illnesses\": \"J30.9: Allergic rhinitis, unspecified, K21.9: GERD without esophagitis\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 76 year old male with Medicare. Seen for dementia and mobility concerns.\",\n      \"illnesses\": \"F02.80: Dementia in other diseases classified elsewhere without behavioral disturbance, R26.89: Other gait abnormalities\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 62 year old female with Medicare. Came in for diabetes management.\",\n      \"illnesses\": \"E11.65: Type 2 diabetes with hyperglycemia, E78.5: Hyperlipidemia, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 49 year old male with commercial insurance. Visit for musculoskeletal pain.\",\n      \"illnesses\": \"M54.5: Low back pain, E66.3: Overweight\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 88 year old female with long-term care insurance. Home visit for advanced CHF.\",\n      \"illnesses\": \"I50.84: End stage heart failure, R53.1: Weakness, R26.81: Unsteadiness on feet\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 28 year old female, newly pregnant, seen at OB clinic.\",\n      \"illnesses\": \"Z34.91: Supervision of pregnancy, unspecified, first trimester, E66.9: Obesity, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 63 year old male on veteran benefits. Seen for metabolic syndrome.\",\n      \"illnesses\": \"E88.81: Metabolic syndrome, I10: Essential hypertension, E78.2: Mixed hyperlipidemia\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 50 year old female with Medicaid. Seen in urgent care for respiratory distress.\",\n      \"illnesses\": \"J44.9: COPD, unspecified, R06.02: Shortness of breath\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 66 year old male recently transitioned to Medicare. Oncology checkup.\",\n      \"illnesses\": \"C18.9: Malignant neoplasm of colon, unspecified, Z85.038: Personal history of colon cancer\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 59 year old female with Medicare Advantage. Seen for CHF follow-up.\",\n      \"illnesses\": \"I50.22: Chronic systolic heart failure, N18.4: CKD stage 4\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 46 year old male with commercial insurance. Visit for diabetes and obesity.\",\n      \"illnesses\": \"E11.9: Type 2 diabetes without complications, E66.01: Morbid obesity\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 79 year old female with Medicare. Presented for dementia review.\",\n      \"illnesses\": \"F03.91: Unspecified dementia with behavioral disturbance, Z91.81: History of falling\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 39 year old male on employer-sponsored insurance. Behavioral health consult.\",\n      \"illnesses\": \"F32.1: Major depressive disorder, single episode, moderate, F10.20: Alcohol dependence, uncomplicated\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 85 year old male with Medicare. Seen for polypharmacy review and monitoring.\",\n      \"illnesses\": \"Z79.899: Other long term (current) drug therapy, R41.82: Altered mental status, unspecified\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 58 year old female with private insurance. Chronic pain management visit.\",\n      \"illnesses\": \"M79.1: Myalgia, F45.42: Pain disorder exclusively related to psychological factors\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 68 year old male, former smoker, Medicare Advantage. Pulmonary rehab consult.\",\n      \"illnesses\": \"J44.1: COPD with acute exacerbation, Z87.891: Personal history of nicotine dependence\",\n      \"model\": \"V28\"\n    },\n    {\n      \"demographics\": \"Patient is a 30 year old female with Medicaid. Visit for sickle cell management.\",\n      \"illnesses\": \"D57.1: Sickle-cell disease without crisis, E66.9: Obesity, unspecified\",\n      \"model\": \"V28\"\n    }\n  ]\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/rafscore/bulk"},"status":"OK","code":200,"_postman_previewlanguage":"json","header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"15159"},{"key":"ETag","value":"W/\"3b37-lKai6MQfTRkMMY7NrnK8C2uflc8\""},{"key":"Date","value":"Sun, 27 Jul 2025 16:30:14 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"total_requests\": 20,\n    \"successful_requests\": 20,\n    \"failed_requests\": 0,\n    \"results\": [\n        {\n            \"index\": 0,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"final\": 0.712,\n                    \"demographic\": 0.308,\n                    \"interaction\": 0,\n                    \"hcc\": 0.404\n                },\n                \"hcc_categories\": {\n                    \"E11.22\": \"HCC18\",\n                    \"I12.9\": \"HCC138\"\n                },\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 57-year-old male with Medicare is 0.308. The diagnoses E11.22 and I12.9 map to HCC categories 18 and 138 respectively. HCC18 contributes 0.318 and HCC138 contributes 0.086 to the RAF. There are no applicable interaction factors for these diagnoses. The final RAF is the sum of demographic, HCC, and interaction factors: 0.308 + 0.318 + 0.086 = 0.712.\",\n                \"model_used\": \"V28\"\n            }\n        },\n        {\n            \"index\": 1,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0,\n                    \"demographic\": 0,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The patient's demographic profile as a 34-year-old female on Medicaid does not contribute to the RAF as there are no specific demographic factors in this model for this age and gender. The diagnoses provided map to HCC categories: F33.2 maps to HCC59 (Major Depressive, Bipolar, and Paranoid Disorders) and F41.1 maps to HCC60 (Anxiety Disorders). However, these HCCs do not contribute to the RAF score in the CMS-HCC V28 model as they are not included in the risk-adjusting HCCs for this model. There are no interaction terms applicable for these conditions in this model. Therefore, the final RAF score is 0.0.\",\n                \"hcc_categories\": {\n                    \"F33.2\": \"HCC59\",\n                    \"F41.1\": \"HCC60\"\n                }\n            }\n        },\n        {\n            \"index\": 2,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.6,\n                    \"final\": 1.123,\n                    \"demographic\": 0.4,\n                    \"interaction\": 0.123\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 70-year-old male with Medicare Advantage is 0.400. The HCC categories identified from the diagnoses are HCC85 for chronic diastolic heart failure, HCC138 for CKD stage 3, and HCC18 for type 2 diabetes with diabetic neuropathy, contributing a total of 0.600 to the RAF. An interaction factor of 0.123 was applied due to the combination of diabetes and CKD. The final RAF is the sum of these components: 0.400 (demographic) + 0.600 (HCC) + 0.123 (interaction) = 1.123.\",\n                \"hcc_categories\": {\n                    \"N18.3\": \"HCC138\",\n                    \"E11.40\": \"HCC18\",\n                    \"I50.32\": \"HCC85\"\n                }\n            }\n        },\n        {\n            \"index\": 3,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0,\n                    \"demographic\": 0,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The patient's demographic profile as a 22-year-old female with a university health plan does not contribute to the RAF as there are no specific demographic factors that apply in this case. The diagnoses provided (J30.9: Allergic rhinitis, unspecified and K21.9: GERD without esophagitis) do not map to any HCC categories in the CMS-HCC V28 model, resulting in an HCC score of 0.0. There are no applicable disease interaction rules for these diagnoses, resulting in an interaction score of 0.0. Therefore, the final RAF is 0.0.\",\n                \"hcc_categories\": {\n                    \"J30.9\": null,\n                    \"K21.9\": null\n                }\n            }\n        },\n        {\n            \"index\": 4,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.4,\n                    \"final\": 0.743,\n                    \"demographic\": 0.343,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 76-year-old male with Medicare is 0.343. The diagnosis F02.80 maps to HCC51, which has a coefficient of 0.4. R26.89 does not map to any HCC category. There are no applicable interaction terms for the provided diagnoses. Therefore, the final RAF is the sum of the demographic and HCC factors: 0.343 (demographic) + 0.4 (HCC) = 0.743.\",\n                \"hcc_categories\": {\n                    \"F02.80\": \"HCC51\",\n                    \"R26.89\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 5,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.2,\n                    \"final\": 0.451,\n                    \"demographic\": 0.251,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 62-year-old female with Medicare is 0.251. The diagnosis E11.65 maps to HCC19 (Diabetes with Complications) with a coefficient of 0.2. The diagnosis E78.5 maps to HCC21 (Hyperlipidemia) but does not add additional risk adjustment as it is not a risk-adjusting HCC in this model. There are no applicable disease interaction factors for these diagnoses. Therefore, the final RAF is the sum of the demographic and HCC factors: 0.251 + 0.2 = 0.451.\",\n                \"hcc_categories\": {\n                    \"E78.5\": \"HCC21\",\n                    \"E11.65\": \"HCC19\"\n                }\n            }\n        },\n        {\n            \"index\": 6,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0,\n                    \"demographic\": 0,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The patient's demographic profile (49-year-old male with commercial insurance) does not contribute to the RAF as commercial insurance is not typically risk-adjusted using CMS-HCC models. The diagnoses provided (M54.5: Low back pain and E66.3: Overweight) do not map to any HCC categories in the CMS-HCC V28 model, resulting in no contribution to the RAF from HCCs. There are no applicable disease interaction rules for the given diagnoses. Therefore, the final RAF is 0.0.\",\n                \"hcc_categories\": {\n                    \"E66.3\": null,\n                    \"M54.5\": null\n                }\n            }\n        },\n        {\n            \"index\": 7,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.6,\n                    \"final\": 1.234,\n                    \"demographic\": 0.5,\n                    \"interaction\": 0.134\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for an 88-year-old female with long-term care insurance was determined to be 0.500. The diagnosis of end-stage heart failure (I50.84) maps to HCC85, contributing 0.600 to the RAF. There were no HCC categories for the diagnoses of weakness (R53.1) and unsteadiness on feet (R26.81). An interaction factor of 0.134 was applied due to the advanced CHF and home visit, which is a recognized interaction in the CMS-HCC model. The final RAF is the sum of these components: 0.500 (demographic) + 0.600 (HCC) + 0.134 (interaction) = 1.234.\",\n                \"hcc_categories\": {\n                    \"R53.1\": \"None\",\n                    \"I50.84\": \"HCC85\",\n                    \"R26.81\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 8,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0,\n                    \"demographic\": 0,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The patient's demographic profile as a 28-year-old female does not contribute to the RAF as there are no specific demographic risk factors applicable in this case. The ICD-10-CM diagnoses provided (Z34.91 and E66.9) do not map to any HCC categories in the CMS-HCC V28 model, and therefore, do not contribute to the RAF. There are no applicable disease interaction rules for the given diagnoses. As a result, the final RAF is 0.000.\",\n                \"hcc_categories\": {\n                    \"E66.9\": \"None\",\n                    \"Z34.91\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 9,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0.312,\n                    \"demographic\": 0.312,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The patient's demographic profile as a 63-year-old male on veteran benefits contributes a demographic RAF of 0.312. The diagnoses provided (E88.81, I10, E78.2) do not map to any HCC categories in the CMS-HCC V28 model, resulting in an HCC RAF of 0.0. There are no applicable disease interaction rules for the given diagnoses, resulting in an interaction RAF of 0.0. Therefore, the final RAF is the sum of the demographic, interaction, and HCC RAFs: 0.312 + 0.0 + 0.0 = 0.312.\",\n                \"hcc_categories\": {\n                    \"I10\": \"None\",\n                    \"E78.2\": \"None\",\n                    \"E88.81\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 10,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.2,\n                    \"final\": 0.312,\n                    \"demographic\": 0.112,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 50-year-old female with Medicaid is 0.112. The diagnosis of COPD (J44.9) maps to HCC111, which contributes 0.2 to the RAF. Shortness of breath (R06.02) does not map to any HCC category and thus contributes 0. Interaction factors were considered, but no applicable disease interaction rules were triggered. The final RAF is the sum of demographic, HCC, and interaction factors: 0.112 + 0.2 + 0.0 = 0.312.\",\n                \"hcc_categories\": {\n                    \"J44.9\": \"HCC111\",\n                    \"R06.02\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 11,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.2,\n                    \"final\": 0.543,\n                    \"demographic\": 0.343,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 66-year-old male recently transitioned to Medicare is 0.343. The diagnosis C18.9 maps to HCC-8, which contributes 0.2 to the RAF. The Z85.038 code does not map to an HCC category and thus does not contribute to the RAF. There are no applicable interaction factors for these diagnoses.\",\n                \"hcc_categories\": {\n                    \"C18.9\": \"HCC-8\",\n                    \"Z85.038\": \"HCC-NA\"\n                }\n            }\n        },\n        {\n            \"index\": 12,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.274,\n                    \"final\": 0.743,\n                    \"demographic\": 0.287,\n                    \"interaction\": 0.182\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 59-year-old female with Medicare Advantage is 0.287. The diagnoses I50.22 and N18.4 map to HCC categories HCC85 (Chronic Heart Failure) and HCC136 (Chronic Kidney Disease Stage 4), respectively, contributing 0.274 to the RAF. An interaction factor for CHF and CKD was applied, adding 0.182 to the RAF. The final RAF is the sum of these components: 0.287 (demographic) + 0.274 (HCC) + 0.182 (interaction) = 0.743.\",\n                \"hcc_categories\": {\n                    \"N18.4\": \"HCC136\",\n                    \"I50.22\": \"HCC85\"\n                }\n            }\n        },\n        {\n            \"index\": 13,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.2,\n                    \"final\": 0.312,\n                    \"demographic\": 0.112,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 46-year-old male with commercial insurance is 0.112. The HCC categories identified from the diagnoses are HCC19 for Type 2 diabetes without complications and HCC22 for morbid obesity, contributing 0.1 each to the RAF. There are no interaction factors applicable for these diagnoses, resulting in an interaction factor of 0.0. The final RAF is the sum of the demographic, HCC, and interaction factors: 0.112 + 0.2 + 0.0 = 0.312.\",\n                \"hcc_categories\": {\n                    \"E11.9\": \"HCC19\",\n                    \"E66.01\": \"HCC22\"\n                }\n            }\n        },\n        {\n            \"index\": 14,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.2,\n                    \"final\": 0.543,\n                    \"demographic\": 0.343,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The demographic factor for a 79-year-old female with Medicare is 0.343. The diagnosis F03.91 maps to HCC51, which contributes an additional 0.2 to the RAF. The diagnosis Z91.81 does not map to any HCC category and thus does not contribute to the RAF. There are no applicable interaction factors for the provided diagnoses. The final RAF is the sum of the demographic and HCC factors: 0.343 (demographic) + 0.2 (HCC) = 0.543.\",\n                \"hcc_categories\": {\n                    \"F03.91\": \"HCC51\",\n                    \"Z91.81\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 15,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0,\n                    \"demographic\": 0,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The patient's demographic profile as a 39-year-old male on employer-sponsored insurance does not contribute to the RAF as it typically applies to Medicare Advantage plans. The diagnoses provided map to HCC categories: F32.1 maps to HCC59 (Major Depressive, Bipolar, and Paranoid Disorders) and F10.20 maps to HCC55 (Substance Use Disorder, Moderate/Severe, or Substance Use with Complications). However, these HCCs do not have a direct impact on the RAF score in this context as the model and insurance type do not apply. No interaction terms are applicable for these conditions in the CMS-HCC V28 model.\",\n                \"hcc_categories\": {\n                    \"F32.1\": \"HCC59\",\n                    \"F10.20\": \"HCC55\"\n                }\n            }\n        },\n        {\n            \"index\": 16,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0.312,\n                    \"demographic\": 0.312,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The patient's demographic profile contributes a factor of 0.312 due to being an 85-year-old male with Medicare. The diagnoses provided (Z79.899 and R41.82) do not map to any HCC categories, thus contributing 0.0 to the HCC component. There are no applicable disease interaction rules for the given diagnoses, resulting in an interaction factor of 0.0. Therefore, the final RAF is the sum of the demographic factor (0.312), HCC factor (0.0), and interaction factor (0.0), totaling 0.312.\",\n                \"hcc_categories\": {\n                    \"R41.82\": \"None\",\n                    \"Z79.899\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 17,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0,\n                    \"demographic\": 0,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor (RAF) was calculated using the CMS-HCC V28 model. The demographic factor for a 58-year-old female with private insurance was considered, but no specific demographic RAF value was applicable as private insurance does not contribute to RAF in the CMS-HCC model. The diagnoses provided (M79.1 and F45.42) do not map to any HCC categories in the CMS-HCC V28 model, resulting in an HCC RAF value of 0.000. No interaction factors were applicable based on the provided diagnoses and demographic information.\",\n                \"hcc_categories\": {\n                    \"M79.1\": null,\n                    \"F45.42\": null\n                }\n            }\n        },\n        {\n            \"index\": 18,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0.11,\n                    \"final\": 0.418,\n                    \"demographic\": 0.308,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 68-year-old male on Medicare Advantage is 0.308. The diagnosis J44.1 maps to HCC111, which contributes 0.11 to the RAF. Z87.891 does not map to any HCC category and therefore does not contribute to the RAF. There are no applicable interaction factors for the given diagnoses and demographics. The final RAF is the sum of the demographic and HCC contributions: 0.308 + 0.11 = 0.418.\",\n                \"hcc_categories\": {\n                    \"J44.1\": \"HCC111\",\n                    \"Z87.891\": \"None\"\n                }\n            }\n        },\n        {\n            \"index\": 19,\n            \"request_id\": null,\n            \"success\": true,\n            \"result\": {\n                \"raf\": {\n                    \"hcc\": 0,\n                    \"final\": 0.318,\n                    \"demographic\": 0.318,\n                    \"interaction\": 0\n                },\n                \"model_used\": \"V28\",\n                \"calculation\": \"The Risk Adjustment Factor was calculated using the CMS-HCC V28 model. The demographic factor for a 30-year-old female with Medicaid is 0.318. The diagnoses provided map to HCC categories: D57.1 maps to HCC-61 (Sickle Cell Disease) and E66.9 maps to HCC-22 (Obesity). However, neither of these HCCs contribute additional risk adjustment factors in this model for this demographic profile. There are no applicable disease interaction rules for these conditions in the V28 model. Therefore, the final RAF is the sum of the demographic factor (0.318) and the HCC factors (0.0), resulting in a final RAF of 0.318.\",\n                \"hcc_categories\": {\n                    \"D57.1\": \"HCC-61\",\n                    \"E66.9\": \"HCC-22\"\n                }\n            }\n        }\n    ],\n    \"timestamp\": \"2025-07-27T16:30:14.862Z\",\n    \"service\": \"api-service\"\n}"}],"_postman_id":"be58f4ae-c4a7-4e25-b6c8-b2fa1a53bfc3"}],"id":"e25e4b59-9542-409f-a475-80a0fa2778bb","_postman_id":"e25e4b59-9542-409f-a475-80a0fa2778bb","description":"","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}}},{"name":"Medikode Assistant","item":[{"name":"Coding Assistant (Specialty)","id":"fa2125b3-8733-4be0-a284-346f99fa4649","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"specialty\": \"Neurology\",\n  \"insurance\": \"Medicare\",\n  \"text\": \"Patient is a 84 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/assistant","description":"<h2 id=\"endpoint-description\">Endpoint Description</h2>\n<p>This endpoint allows users to submit patient information and insurance details for processing. The provided data is analyzed, and relevant medical codes and metadata are returned in the response.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request must be sent as a JSON object with the following parameters:</p>\n<ul>\n<li><p><strong>One of the following</strong></p>\n<ul>\n<li><p><strong>taxonomy_code</strong> (string): Represents the taxonomy code associated with the patient’s condition or treatment.</p>\n</li>\n<li><p><strong>specialty</strong> (string): Enter a specialty supported by Medikode. Check GET /sepcialities method.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>insurance</strong> (string): Specifies the type of insurance coverage the patient has, such as \"Medicare Insurance\".</p>\n</li>\n<li><p><strong>text</strong> (string): Contains descriptive information about the patient, which may include age, gender, and other relevant clinical details.</p>\n</li>\n</ul>\n<h3 id=\"example-request-body\">Example Request Body</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"taxonomy_code\": \"2084F0202X\",\n  \"insurance\": \"Medicare Insurance\",\n  \"text\": \"Patient is a 79 year old female ...\"\n}\n\n</code></pre>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be a JSON object containing the following fields:</p>\n<ul>\n<li><p><strong>results</strong> (array): An array of objects that may include:</p>\n<ul>\n<li><p><strong>cpt_code</strong> (string): The Current Procedural Terminology code, if applicable.</p>\n</li>\n<li><p><strong>reason</strong> (string): The reason for the codes provided.</p>\n</li>\n<li><p><strong>icd_codes</strong> (array): An array of ICD code objects, each containing:</p>\n<ul>\n<li><p><strong>icd</strong> (string): The ICD code.</p>\n</li>\n<li><p><strong>definition</strong> (string): A brief definition of the ICD code.</p>\n</li>\n<li><p><strong>description</strong> (string): A detailed description of the ICD code.</p>\n</li>\n<li><p><strong>explanation</strong> (string): Additional information regarding the ICD code.</p>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n<li><p><strong>rawdata</strong> (string): The original data sent in the request.</p>\n</li>\n<li><p><strong>metadata</strong> (object): Contains additional information about the processing, including:</p>\n<ul>\n<li><p><strong>chart_id</strong> (string): Identifier for the patient chart.</p>\n</li>\n<li><p><strong>complexity</strong> (string): Complexity level of the case.</p>\n</li>\n<li><p><strong>api_time_ms</strong> (number): Time taken to process the request in milliseconds.</p>\n</li>\n<li><p><strong>time_saved_minutes</strong> (number): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>text_length</strong> (number): Length of the input text.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"notes\">Notes</h3>\n<ul>\n<li><p>Ensure that the <code>taxonomy_code</code> and <code>insurance</code> fields are accurately filled to improve the relevance of the response.</p>\n</li>\n<li><p>The <code>text</code> field should contain pertinent clinical information to enhance the analysis and coding accuracy.</p>\n</li>\n<li><p>The response may vary based on the input data and the underlying processing logic.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["assistant"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"78f7d3e6-ad02-4989-9a9c-1b2e30f528fe","name":"Coding Assistant (Specialty)","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"specialty\": \"Neurology\",\n  \"insurance\": \"Medicare\",\n  \"text\": \"Patient is a 84 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/assistant"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"8389"},{"key":"ETag","value":"W/\"20c5-dd9Tcx4VLdigQYg18EmChJ+nq/w\""},{"key":"Date","value":"Fri, 05 Sep 2025 15:34:30 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"results\": [\n        {\n            \"cpt_code\": \"99214-25\",\n            \"reason\": \"Established patient visit with moderate complexity and 30 minutes spent.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"E11.51\",\n                    \"definition\": \"Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene\",\n                    \"description\": \"Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene\",\n                    \"explanation\": \"Patient has Type 2 diabetes with complications affecting peripheral circulation.\"\n                },\n                {\n                    \"icd\": \"I10\",\n                    \"definition\": \"Essential hypertension\",\n                    \"description\": \"Essential hypertension\",\n                    \"explanation\": \"Patient has documented high blood pressure readings.\"\n                },\n                {\n                    \"icd\": \"E78.2\",\n                    \"definition\": \"Mixed hyperlipidemia\",\n                    \"description\": \"Mixed hyperlipidemia\",\n                    \"explanation\": \"Patient has lipid panel abnormalities indicating mixed hyperlipidemia.\"\n                },\n                {\n                    \"icd\": \"E03.9\",\n                    \"definition\": \"Hypothyroidism, unspecified\",\n                    \"description\": \"Hypothyroidism\",\n                    \"explanation\": \"Patient is on Levothyroxine indicating hypothyroidism management.\"\n                },\n                {\n                    \"icd\": \"F20.9\",\n                    \"definition\": \"Schizophrenia, unspecified\",\n                    \"description\": \"Schizophrenia\",\n                    \"explanation\": \"Patient is on antipsychotic medication indicating schizophrenia management.\"\n                },\n                {\n                    \"icd\": \"G40.309\",\n                    \"definition\": \"Generalized idiopathic epilepsy, not intractable, without status epilepticus\",\n                    \"description\": \"Nonintractable generalized idiopathic epilepsy without status epilepticus\",\n                    \"explanation\": \"Patient has epilepsy managed with multiple antiepileptic medications.\"\n                },\n                {\n                    \"icd\": \"R56.9\",\n                    \"definition\": \"Unspecified convulsions\",\n                    \"description\": \"Seizure disorder\",\n                    \"explanation\": \"Patient has a history of seizures and is on antiepileptic medication.\"\n                },\n                {\n                    \"icd\": \"Z68.28\",\n                    \"definition\": \"Body mass index (BMI) 28.0-28.9, adult\",\n                    \"description\": \"BMI 28.0-28.9, adult\",\n                    \"explanation\": \"Patient's BMI is documented as 28.19.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"96127\",\n            \"reason\": \"Brief emotional/behavioral assessment with scoring and documentation.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"F20.9\",\n                    \"definition\": \"Schizophrenia, unspecified\",\n                    \"description\": \"Schizophrenia\",\n                    \"explanation\": \"Patient has psychiatric problems requiring behavioral assessment.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"G0444\",\n            \"reason\": \"Annual depression screening.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"F20.9\",\n                    \"definition\": \"Schizophrenia, unspecified\",\n                    \"description\": \"Schizophrenia\",\n                    \"explanation\": \"Patient has psychiatric problems requiring depression screening.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"G0438\",\n            \"reason\": \"Annual wellness visit, includes a personalized prevention plan.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z00.00\",\n                    \"definition\": \"Encounter for general adult medical examination without abnormal findings\",\n                    \"description\": \"General adult medical examination\",\n                    \"explanation\": \"Patient is receiving preventive counseling and screenings.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"G0402\",\n            \"reason\": \"Initial preventive physical examination (IPPE), 'Welcome to Medicare' visit.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z00.00\",\n                    \"definition\": \"Encounter for general adult medical examination without abnormal findings\",\n                    \"description\": \"General adult medical examination\",\n                    \"explanation\": \"Patient is receiving preventive counseling and screenings.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"G0477\",\n            \"reason\": \"Laboratory test for diabetes management.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"E11.51\",\n                    \"definition\": \"Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene\",\n                    \"description\": \"Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene\",\n                    \"explanation\": \"Patient has diabetes requiring regular lab monitoring.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"G0442\",\n            \"reason\": \"Annual alcohol misuse screening.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z13.89\",\n                    \"definition\": \"Encounter for screening for other disorder\",\n                    \"description\": \"Screening for other disorder\",\n                    \"explanation\": \"Patient is receiving preventive screenings.\"\n                }\n            ]\n        },\n        {\n            \"cpt_code\": \"G0443\",\n            \"reason\": \"Brief face-to-face behavioral counseling for alcohol misuse.\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z13.89\",\n                    \"definition\": \"Encounter for screening for other disorder\",\n                    \"description\": \"Screening for other disorder\",\n                    \"explanation\": \"Patient is receiving preventive screenings.\"\n                }\n            ]\n        }\n    ],\n    \"rawdata\": \"Patient is a 84 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\\n\\nSPECIALTY CONTEXT: This visit is for Neurology. Please focus your analysis on coding practices and documentation requirements specific to Neurology.\\n\\nINSURANCE CONTEXT: This patient has Medicare coverage. Please consider any specific coding requirements, documentation standards, or billing considerations relevant to Medicare.\",\n    \"chart_id\": \"CHART_1757086447953_86qu3lh24\",\n    \"metadata\": {\n        \"chart_id\": \"CHART_1757086447953_86qu3lh24\",\n        \"complexity\": \"high\",\n        \"api_time_ms\": 22591,\n        \"time_saved_minutes\": 35,\n        \"text_length\": 3570,\n        \"medical_terms_count\": 11,\n        \"model_name\": \"GPT-4o\",\n        \"model_version\": \"2024-08-06\",\n        \"specialty\": \"Neurology\",\n        \"insurance\": \"Medicare\",\n        \"processed_at\": \"2025-09-05T15:34:30.544Z\",\n        \"cached_result\": false,\n        \"justification\": \"Automated medical coding analysis completed. Processing identified medical concepts and applied appropriate coding standards based on the provided patient information.\",\n        \"is_taxonomy_code\": false\n    }\n}"}],"_postman_id":"fa2125b3-8733-4be0-a284-346f99fa4649"},{"name":"Coding Assistant (Taxonomy)","id":"2e92d11a-6364-4392-982a-bfecf2414169","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"taxonomy_code\": \"111NN0400X\",\n  \"insurance\": \"Medicare Insurance\",\n  \"text\": \"Patient is a 79 year old female presenting with worsening memory loss, confusion, and difficulty managing daily activities. MRI shows cortical atrophy consistent with Alzheimer's dementia. Mild gait imbalance observed during exam.\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/assistant","description":"<h2 id=\"endpoint-description\">Endpoint Description</h2>\n<p>This endpoint allows users to submit patient information and insurance details for processing. The provided data is analyzed, and relevant medical codes and metadata are returned in the response.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request must be sent as a JSON object with the following parameters:</p>\n<ul>\n<li><p><strong>One of the following</strong></p>\n<ul>\n<li><p><strong>taxonomy_code</strong> (string): Represents the taxonomy code associated with the patient’s condition or treatment.</p>\n</li>\n<li><p><strong>specialty</strong> (string): Enter a specialty supported by Medikode. Check GET /sepcialities method.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>insurance</strong> (string): Specifies the type of insurance coverage the patient has, such as \"Medicare Insurance\".</p>\n</li>\n<li><p><strong>text</strong> (string): Contains descriptive information about the patient, which may include age, gender, and other relevant clinical details.</p>\n</li>\n</ul>\n<h3 id=\"example-request-body\">Example Request Body</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"taxonomy_code\": \"2084F0202X\",\n  \"insurance\": \"Medicare Insurance\",\n  \"text\": \"Patient is a 79 year old female ...\"\n}\n\n</code></pre>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be a JSON object containing the following fields:</p>\n<ul>\n<li><p><strong>results</strong> (array): An array of objects that may include:</p>\n<ul>\n<li><p><strong>cpt_code</strong> (string): The Current Procedural Terminology code, if applicable.</p>\n</li>\n<li><p><strong>reason</strong> (string): The reason for the codes provided.</p>\n</li>\n<li><p><strong>icd_codes</strong> (array): An array of ICD code objects, each containing:</p>\n<ul>\n<li><p><strong>icd</strong> (string): The ICD code.</p>\n</li>\n<li><p><strong>definition</strong> (string): A brief definition of the ICD code.</p>\n</li>\n<li><p><strong>description</strong> (string): A detailed description of the ICD code.</p>\n</li>\n<li><p><strong>explanation</strong> (string): Additional information regarding the ICD code.</p>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n<li><p><strong>rawdata</strong> (string): The original data sent in the request.</p>\n</li>\n<li><p><strong>metadata</strong> (object): Contains additional information about the processing, including:</p>\n<ul>\n<li><p><strong>chart_id</strong> (string): Identifier for the patient chart.</p>\n</li>\n<li><p><strong>complexity</strong> (string): Complexity level of the case.</p>\n</li>\n<li><p><strong>api_time_ms</strong> (number): Time taken to process the request in milliseconds.</p>\n</li>\n<li><p><strong>time_saved_minutes</strong> (number): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>text_length</strong> (number): Length of the input text.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"notes\">Notes</h3>\n<ul>\n<li><p>Ensure that the <code>taxonomy_code</code> and <code>insurance</code> fields are accurately filled to improve the relevance of the response.</p>\n</li>\n<li><p>The <code>text</code> field should contain pertinent clinical information to enhance the analysis and coding accuracy.</p>\n</li>\n<li><p>The response may vary based on the input data and the underlying processing logic.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["assistant"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"6ef22236-ca9b-4c47-85d7-dc8fc525c8a7","name":"Coding Assistant (Taxonomy)","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"taxonomy_code\": \"111NN0400X\",\n  \"insurance\": \"Medicare Insurance\",\n  \"text\": \"Patient is a 79 year old female presenting with worsening memory loss, confusion, and difficulty managing daily activities. MRI shows cortical atrophy consistent with Alzheimer's dementia. Mild gait imbalance observed during exam.\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/assistant"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"2689"},{"key":"ETag","value":"W/\"a81-Wqq6oi35+kbkEMM/8fafe/xOlhk\""},{"key":"Date","value":"Fri, 05 Sep 2025 15:33:59 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"rawdata\": \"Patient is a 79 year old female presenting with worsening memory loss, confusion, and difficulty managing daily activities. MRI shows cortical atrophy consistent with Alzheimer's dementia. Mild gait imbalance observed during exam.\",\n    \"results\": [\n        {\n            \"reason\": \"Evaluation of Alzheimer's dementia and gait imbalance\",\n            \"cpt_code\": \"99203-25 (G30.9, R26.81)\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"G30.9\",\n                    \"definition\": \"Alzheimer's disease, unspecified\",\n                    \"description\": \"Alzheimer's disease without specification of early or late onset\",\n                    \"explanation\": \"Chosen due to MRI findings and symptoms consistent with Alzheimer's dementia\"\n                },\n                {\n                    \"icd\": \"R26.81\",\n                    \"definition\": \"Unsteadiness on feet\",\n                    \"description\": \"Difficulty in maintaining balance\",\n                    \"explanation\": \"Chosen due to observed mild gait imbalance\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Comprehensive assessment of cognitive impairment due to Alzheimer's dementia\",\n            \"cpt_code\": \"99483 (G30.9)\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"G30.9\",\n                    \"definition\": \"Alzheimer's disease, unspecified\",\n                    \"description\": \"Alzheimer's disease without specification of early or late onset\",\n                    \"explanation\": \"Chosen due to MRI findings and symptoms consistent with Alzheimer's dementia\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Addressing mild gait imbalance through neuromuscular reeducation\",\n            \"cpt_code\": \"97112 (R26.81)\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"R26.81\",\n                    \"definition\": \"Unsteadiness on feet\",\n                    \"description\": \"Difficulty in maintaining balance\",\n                    \"explanation\": \"Chosen due to observed mild gait imbalance\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Ensuring quality measure documentation for cognitive impairment\",\n            \"cpt_code\": \"3175F (G30.9)\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"G30.9\",\n                    \"definition\": \"Alzheimer's disease, unspecified\",\n                    \"description\": \"Alzheimer's disease without specification of early or late onset\",\n                    \"explanation\": \"Chosen due to MRI findings and symptoms consistent with Alzheimer's dementia\"\n                }\n            ]\n        }\n    ],\n    \"chart_id\": \"CHART_1757086386159_91ygej668\",\n    \"metadata\": {\n        \"chart_id\": \"CHART_1757086386159_91ygej668\",\n        \"complexity\": \"very_low\",\n        \"api_time_ms\": 0,\n        \"time_saved_minutes\": 4,\n        \"text_length\": 230,\n        \"medical_terms_count\": 0,\n        \"model_name\": \"gpt-4o-mini\",\n        \"model_version\": \"2024-08-06\",\n        \"specialty\": \"111NN0400X\",\n        \"insurance\": \"Medicare Insurance\",\n        \"processed_at\": \"2025-09-05T15:33:59.306Z\",\n        \"cached_result\": true,\n        \"original_processed_at\": \"2025-09-05T15:33:43.434Z\",\n        \"justification\": \"due to MRI findings and symptoms consistent with Alzheimer's dementia\\\"},{\\\"icd\\\":\\\"R26. due to observed mild gait imbalance\\\"}]},{\\\"reason\\\":\\\"Comprehensive assessment of cognitive impairment due to Alzheimer's dementia\\\",\\\"cpt_code\\\":\\\"99483 (G30. due to MRI findings and symptoms consistent with Alzheimer's dementia\\\"}]},{\\\"reason\\\":\\\"Addressing mild gait imbalance through neuromuscular reeducation\\\",\\\"cpt_code\\\":\\\"97112 (R26.\",\n        \"is_taxonomy_code\": true\n    }\n}"}],"_postman_id":"2e92d11a-6364-4392-982a-bfecf2414169"},{"name":"Coding Assistant File Upload (Specialty)","id":"490331ea-a578-4ed4-be2d-49a1f8d7958e","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":false},"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"specialty","type":"text","uuid":"3b7c0900-35c3-4610-bbeb-f693a4adb027","value":"Family Medicine"},{"key":"insurance","value":"Private Insurance","type":"text","uuid":"76045acc-e3b3-46b1-b7dd-c55d4e236f8a"},{"key":"file","type":"file","uuid":"66b9cc4d-459b-4d5d-ab0f-4ae72c019245","src":"postman-cloud:///1f08a6cc-bf38-42c0-bfef-7d7fd9a4095b"}]},"url":"{{SERVER}}/f-assistant","description":"<h2 id=\"endpoint-overview\">Endpoint Overview</h2>\n<p>This endpoint is used to process patient information and retrieve relevant medical coding data based on the provided input. It accepts a POST request containing specialty, insurance information, and an optional file upload.</p>\n<h2 id=\"request-format\">Request Format</h2>\n<h3 id=\"http-method\">HTTP Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"request-url\">Request URL</h3>\n<p><code>{{SERVER}}/f-assistant</code></p>\n<h3 id=\"request-body\">Request Body</h3>\n<p>The request body must be in form-data format and include the following parameters:</p>\n<ul>\n<li><p><strong>specialty</strong> (string): The medical specialty relevant to the patient (e.g., \"Neurology\").</p>\n</li>\n<li><p><strong>insurance</strong> (string): The insurance provider for the patient (e.g., \"Medicare\").</p>\n</li>\n<li><p><strong>file</strong> (file): An optional file that may contain additional patient information or documentation.</p>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code>--boundary\nContent-Disposition: form-data; name=\"specialty\"\nNeurology\n--boundary\nContent-Disposition: form-data; name=\"insurance\"\nMedicare\n--boundary\nContent-Disposition: form-data; name=\"file\"; filename=\"patient_info.pdf\"\nContent-Type: application/pdf\n&lt;file content&gt;\n--boundary--\n\n</code></pre><h2 id=\"response-structure\">Response Structure</h2>\n<p>Upon successful processing of the request, the API will return a JSON response with the following structure:</p>\n<ul>\n<li><p><strong>rawdata</strong> (string): Any raw data returned from the processing (if applicable).</p>\n</li>\n<li><p><strong>results</strong> (array): An array containing the results of the analysis.</p>\n<ul>\n<li><p>Each result object may include:</p>\n<ul>\n<li><p><strong>cpt_code</strong> (string): The CPT code associated with the patient description (if applicable).</p>\n</li>\n<li><p><strong>reason</strong> (string): The reason for the coding (if applicable).</p>\n</li>\n<li><p><strong>icd_codes</strong> (array): An array of ICD code objects related to the patient description.</p>\n<ul>\n<li><p>Each ICD code object includes:</p>\n<ul>\n<li><p><strong>icd</strong> (string): The ICD code.</p>\n</li>\n<li><p><strong>definition</strong> (string): The definition of the ICD code.</p>\n</li>\n<li><p><strong>description</strong> (string): A description of the ICD code.</p>\n</li>\n<li><p><strong>explanation</strong> (string): An explanation of the ICD code.</p>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n<li><p><strong>metadata</strong> (object): Additional information about the request processing.</p>\n<ul>\n<li><p><strong>request_id</strong> (string): A unique identifier for the request.</p>\n</li>\n<li><p><strong>text_length</strong> (number): The length of the input text.</p>\n</li>\n<li><p><strong>specialty</strong> (string): The specialty used in the request.</p>\n</li>\n<li><p><strong>insurance</strong> (string): The insurance information used in the request.</p>\n</li>\n<li><p><strong>processing_time_ms</strong> (number): The time taken to process the request in milliseconds.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was cached.</p>\n</li>\n<li><p><strong>file_info</strong> (object|null): Information about the uploaded file, if applicable.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"example-response\">Example Response</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"rawdata\": \"\",\n  \"results\": [\n    {\n      \"cpt_code\": \"\",\n      \"reason\": \"\",\n      \"icd_codes\": [\n        {\n          \"icd\": \"\",\n          \"definition\": \"\",\n          \"description\": \"\",\n          \"explanation\": \"\"\n        }\n      ]\n    }\n  ],\n  \"metadata\": {\n    \"request_id\": \"\",\n    \"text_length\": 0,\n    \"specialty\": \"\",\n    \"insurance\": \"\",\n    \"processing_time_ms\": 0,\n    \"processed_at\": \"\",\n    \"cached_result\": true,\n    \"file_info\": null\n  }\n}\n\n</code></pre>\n<h2 id=\"status-codes\">Status Codes</h2>\n<ul>\n<li><strong>200 OK</strong>: The request was successful, and the response contains the results.</li>\n</ul>\n","urlObject":{"path":["f-assistant"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"300ea399-27cc-4b0d-990a-6a103492139c","name":"Coding Assistant File Upload","originalRequest":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"specialty","type":"text","uuid":"3b7c0900-35c3-4610-bbeb-f693a4adb027","value":"Cardiology"},{"key":"insurance","value":"Medicare","type":"text","uuid":"76045acc-e3b3-46b1-b7dd-c55d4e236f8a"},{"key":"file","type":"file","uuid":"66b9cc4d-459b-4d5d-ab0f-4ae72c019245","src":"postman-cloud:///1f07207a-0951-4df0-8487-4fc3101e2461"}]},"url":"{{SERVER}}/f-assistant"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"1514"},{"key":"ETag","value":"W/\"5ea-re61E/cT/7T5yHeK+rtebWgoKx4\""},{"key":"Date","value":"Fri, 05 Sep 2025 15:29:14 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"rawdata\": \"Microsoft Word - 40 year old female, In Office Visit.docx\",\n    \"results\": [\n        {\n            \"reason\": \"Established patient office visit with comprehensive evaluation\",\n            \"cpt_code\": \"99214-25\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"I10\",\n                    \"definition\": \"Essential (primary) hypertension\",\n                    \"description\": \"Hypertension management\",\n                    \"explanation\": \"Patient has documented hypertension\"\n                },\n                {\n                    \"icd\": \"E78.5\",\n                    \"definition\": \"Hyperlipidemia, unspecified\",\n                    \"description\": \"Elevated cholesterol levels\",\n                    \"explanation\": \"Patient has elevated cholesterol\"\n                },\n                {\n                    \"icd\": \"Z13.6\",\n                    \"definition\": \"Encounter for screening for cardiovascular disorders\",\n                    \"description\": \"Cardiovascular screening\",\n                    \"explanation\": \"Preventive screening for cardiovascular disorders\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Routine ECG with interpretation\",\n            \"cpt_code\": \"93000\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z13.6\",\n                    \"definition\": \"Encounter for screening for cardiovascular disorders\",\n                    \"description\": \"Cardiovascular screening\",\n                    \"explanation\": \"Preventive screening for cardiovascular disorders\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Advance care planning discussion\",\n            \"cpt_code\": \"99497\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z13.6\",\n                    \"definition\": \"Encounter for screening for cardiovascular disorders\",\n                    \"description\": \"Cardiovascular screening\",\n                    \"explanation\": \"Preventive screening for cardiovascular disorders\"\n                }\n            ]\n        }\n    ],\n    \"metadata\": {\n        \"request_id\": \"94630112-9040-4a9a-93e2-d8aa4d3b990f\",\n        \"text_length\": 0,\n        \"specialty\": \"Cardiology\",\n        \"insurance\": \"Medicare\",\n        \"processing_time_ms\": 0,\n        \"processed_at\": \"2025-09-05T15:29:14.146Z\",\n        \"cached_result\": true,\n        \"original_processed_at\": \"2025-09-05T15:26:38.431Z\",\n        \"file_info\": null\n    }\n}"}],"_postman_id":"490331ea-a578-4ed4-be2d-49a1f8d7958e"},{"name":"Coding Assistant File Upload (Taxonomy)","id":"8922a005-ee1b-4386-ae0b-f7808fff73ad","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":false},"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"taxonomy_code","type":"text","uuid":"3b7c0900-35c3-4610-bbeb-f693a4adb027","value":"111NN0400X"},{"key":"insurance","value":"Medicare","type":"text","uuid":"76045acc-e3b3-46b1-b7dd-c55d4e236f8a"},{"key":"file","type":"file","uuid":"66b9cc4d-459b-4d5d-ab0f-4ae72c019245","src":"postman-cloud:///1f07207a-0951-4df0-8487-4fc3101e2461"}]},"url":"{{SERVER}}/f-assistant","description":"<h2 id=\"endpoint-overview\">Endpoint Overview</h2>\n<p>This endpoint is used to process patient information and retrieve relevant medical coding data based on the provided input. It accepts a POST request containing a taxonomy code, insurance information, and a file for analysis.</p>\n<h2 id=\"request-format\">Request Format</h2>\n<h3 id=\"http-method\">HTTP Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"request-url\">Request URL</h3>\n<p><code>{{SERVER}}/f-assistant</code></p>\n<h3 id=\"request-body\">Request Body</h3>\n<p>The request body must be in form-data format and include the following parameters:</p>\n<ul>\n<li><p><strong>taxonomy_code</strong> (string): The taxonomy code relevant to the patient, which helps in categorizing the medical specialty.</p>\n</li>\n<li><p><strong>insurance</strong> (string): The insurance provider for the patient, which is necessary for processing claims and understanding coverage.</p>\n</li>\n<li><p><strong>file</strong> (file): An optional file upload that may contain additional patient information or documentation necessary for the analysis.</p>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code>--boundary\nContent-Disposition: form-data; name=\"taxonomy_code\"\n123456\n--boundary\nContent-Disposition: form-data; name=\"insurance\"\nMedicare\n--boundary\nContent-Disposition: form-data; name=\"file\"; filename=\"patient_info.pdf\"\nContent-Type: application/pdf\n&lt;file content&gt;\n--boundary--\n\n</code></pre><h2 id=\"response-structure\">Response Structure</h2>\n<p>Upon successful processing of the request, the API will return a JSON response with the following structure:</p>\n<ul>\n<li><p><strong>results</strong> (array): An array containing the results of the analysis.</p>\n<ul>\n<li><p>Each result object may include:</p>\n<ul>\n<li><p><strong>cpt_code</strong> (string): The CPT code associated with the patient description (if applicable).</p>\n</li>\n<li><p><strong>reason</strong> (string): The reason for the coding (if applicable).</p>\n</li>\n<li><p><strong>icd_codes</strong> (array): An array of ICD code objects related to the patient description.</p>\n<ul>\n<li><p>Each ICD code object includes:</p>\n<ul>\n<li><p><strong>icd</strong> (string): The ICD code.</p>\n</li>\n<li><p><strong>definition</strong> (string): The definition of the ICD code.</p>\n</li>\n<li><p><strong>description</strong> (string): A description of the ICD code.</p>\n</li>\n<li><p><strong>explanation</strong> (string): An explanation of the ICD code.</p>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n<li><p><strong>rawdata</strong> (string): Any raw data returned from the processing (if applicable).</p>\n</li>\n<li><p><strong>metadata</strong> (object): Additional information about the request processing.</p>\n<ul>\n<li><p><strong>request_id</strong> (string): A unique identifier for the request.</p>\n</li>\n<li><p><strong>text_length</strong> (number): The length of the input text.</p>\n</li>\n<li><p><strong>specialty</strong> (string): The medical specialty related to the request.</p>\n</li>\n<li><p><strong>insurance</strong> (string): The insurance provider used in the request.</p>\n</li>\n<li><p><strong>processing_time_ms</strong> (number): The time taken to process the request in milliseconds.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): The timestamp when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was retrieved from cache.</p>\n</li>\n<li><p><strong>file_info</strong> (object or null): Information about the uploaded file, if applicable.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"example-response\">Example Response</h3>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"rawdata\": \"\",\n  \"results\": [\n    {\n      \"cpt_code\": \"\",\n      \"reason\": \"\",\n      \"icd_codes\": [\n        {\n          \"icd\": \"\",\n          \"definition\": \"\",\n          \"description\": \"\",\n          \"explanation\": \"\"\n        }\n      ]\n    }\n  ],\n  \"metadata\": {\n    \"request_id\": \"\",\n    \"text_length\": 0,\n    \"specialty\": \"\",\n    \"insurance\": \"\",\n    \"processing_time_ms\": 0,\n    \"processed_at\": \"\",\n    \"cached_result\": true,\n    \"file_info\": null\n  }\n}\n\n</code></pre>\n<h2 id=\"status-codes\">Status Codes</h2>\n<ul>\n<li><strong>200 OK</strong>: The request was successful, and the response contains the results.</li>\n</ul>\n","urlObject":{"path":["f-assistant"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"bc3374c3-01f7-47ff-9803-7e38bc0cbe41","name":"Coding Assistant File Upload","originalRequest":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"specialty","type":"text","uuid":"3b7c0900-35c3-4610-bbeb-f693a4adb027","value":"Cardiology"},{"key":"insurance","value":"Medicare","type":"text","uuid":"76045acc-e3b3-46b1-b7dd-c55d4e236f8a"},{"key":"file","type":"file","uuid":"66b9cc4d-459b-4d5d-ab0f-4ae72c019245","src":"postman-cloud:///1f07207a-0951-4df0-8487-4fc3101e2461"}]},"url":"{{SERVER}}/f-assistant"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"1514"},{"key":"ETag","value":"W/\"5ea-re61E/cT/7T5yHeK+rtebWgoKx4\""},{"key":"Date","value":"Fri, 05 Sep 2025 15:29:14 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"rawdata\": \"Microsoft Word - 40 year old female, In Office Visit.docx\",\n    \"results\": [\n        {\n            \"reason\": \"Established patient office visit with comprehensive evaluation\",\n            \"cpt_code\": \"99214-25\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"I10\",\n                    \"definition\": \"Essential (primary) hypertension\",\n                    \"description\": \"Hypertension management\",\n                    \"explanation\": \"Patient has documented hypertension\"\n                },\n                {\n                    \"icd\": \"E78.5\",\n                    \"definition\": \"Hyperlipidemia, unspecified\",\n                    \"description\": \"Elevated cholesterol levels\",\n                    \"explanation\": \"Patient has elevated cholesterol\"\n                },\n                {\n                    \"icd\": \"Z13.6\",\n                    \"definition\": \"Encounter for screening for cardiovascular disorders\",\n                    \"description\": \"Cardiovascular screening\",\n                    \"explanation\": \"Preventive screening for cardiovascular disorders\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Routine ECG with interpretation\",\n            \"cpt_code\": \"93000\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z13.6\",\n                    \"definition\": \"Encounter for screening for cardiovascular disorders\",\n                    \"description\": \"Cardiovascular screening\",\n                    \"explanation\": \"Preventive screening for cardiovascular disorders\"\n                }\n            ]\n        },\n        {\n            \"reason\": \"Advance care planning discussion\",\n            \"cpt_code\": \"99497\",\n            \"icd_codes\": [\n                {\n                    \"icd\": \"Z13.6\",\n                    \"definition\": \"Encounter for screening for cardiovascular disorders\",\n                    \"description\": \"Cardiovascular screening\",\n                    \"explanation\": \"Preventive screening for cardiovascular disorders\"\n                }\n            ]\n        }\n    ],\n    \"metadata\": {\n        \"request_id\": \"94630112-9040-4a9a-93e2-d8aa4d3b990f\",\n        \"text_length\": 0,\n        \"specialty\": \"Cardiology\",\n        \"insurance\": \"Medicare\",\n        \"processing_time_ms\": 0,\n        \"processed_at\": \"2025-09-05T15:29:14.146Z\",\n        \"cached_result\": true,\n        \"original_processed_at\": \"2025-09-05T15:26:38.431Z\",\n        \"file_info\": null\n    }\n}"}],"_postman_id":"8922a005-ee1b-4386-ae0b-f7808fff73ad"}],"id":"52d73101-43b0-4163-bf86-f6c420b8d7b8","description":"<p>AI-powered assistant that generates preliminary medical codes, enhancing productivity and accuracy. Coders can actively interact with the assistant to refine and validate codes for compliance.</p>\n","_postman_id":"52d73101-43b0-4163-bf86-f6c420b8d7b8","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}}},{"name":"Medikode Validator","item":[{"name":"Coding Validator (Taxonomy)","id":"82370640-df06-4c84-81b7-6ca42d25366c","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"taxonomy_code\": \"207Q00000X\",\n  \"insurance\": \"Medicare\",\n  \"patient_chart\": \"Patient is a 68 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\",\n    \"human_coded_output\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/validator","description":"<h2 id=\"endpoint-validate-patient-information\">Endpoint: Validate Patient Information</h2>\n<h3 id=\"method\">Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"url\">URL</h3>\n<p><code>{{SERVER}}/validator</code></p>\n<h3 id=\"description\">Description</h3>\n<p>This endpoint is designed to validate patient information against specified taxonomy codes and insurance types. It processes the provided patient chart and human-coded output to determine the validity of the codes used, returning a summary of the validation results.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body should be in JSON format and include the following parameters:</p>\n<ul>\n<li><p><strong>One of the following</strong></p>\n<ul>\n<li><p><strong>taxonomy_code</strong> (string): Represents the taxonomy code associated with the patient’s condition or treatment.</p>\n</li>\n<li><p><strong>specialty</strong> (string): Enter a specialty supported by Medikode. Check GET /sepcialities method.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>insurance</strong> (string): The type of insurance associated with the patient.</p>\n</li>\n<li><p><strong>patient_chart</strong> (string): A description or notes regarding the patient's condition or history.</p>\n</li>\n<li><p><strong>human_coded_output</strong> (string): The human-coded output that needs to be validated.</p>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"taxonomy_code\": \"207Q00000X\",\n  \"insurance\": \"Medicare\",\n  \"patient_chart\": \"Patient is a 68 year old Female ...\",\n  \"human_coded_output\": \"99214-25-E11.69,I10,E78.5,D64. ...\"\n}\n\n</code></pre>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be in JSON format and include the following fields:</p>\n<ul>\n<li><p><strong>summary</strong>: An object containing:</p>\n<ul>\n<li><p><strong>total</strong> (string): Total number of codes processed.</p>\n</li>\n<li><p><strong>valid</strong> (string): Number of valid codes.</p>\n</li>\n<li><p><strong>invalid</strong> (string): Number of invalid codes.</p>\n</li>\n<li><p><strong>missing</strong> (string): Number of codes that are missing.</p>\n</li>\n<li><p><strong>accuracy_percentage</strong> (string): Percentage of accuracy in the validation.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>valid_codes</strong> (array): A list of valid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The valid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the validity.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the valid code.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>invalid_codes</strong> (array): A list of invalid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The invalid code.</p>\n</li>\n<li><p><strong>suggested_replacement</strong> (string): Suggested replacement for the invalid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the invalidity.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>missing_codes</strong> (array): A list of missing codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The missing code.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the missing code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the missing status.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>metadata</strong>: An object containing additional information about the validation process:</p>\n<ul>\n<li><p><strong>validation_id</strong> (string): Unique identifier for the validation request.</p>\n</li>\n<li><p><strong>complexity</strong> (string): Complexity of the validation.</p>\n</li>\n<li><p><strong>api_time_ms</strong> (integer): Time taken for the API to process the request in milliseconds.</p>\n</li>\n<li><p><strong>time_saved_minutes</strong> (integer): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>patient_chart_length</strong> (integer): Length of the patient chart input.</p>\n</li>\n<li><p><strong>human_coded_output_length</strong> (integer): Length of the human-coded output input.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was retrieved from cache.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"usage-notes\">Usage Notes</h3>\n<ul>\n<li><p>Ensure that the taxonomy code and insurance type are valid and correctly formatted to avoid unnecessary invalid responses.</p>\n</li>\n<li><p>The response will provide insights into the accuracy of the codes used, which can be utilized for improving coding practices.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["validator"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"336f1ed3-b7b3-4cba-b41b-14e05bb8eb15","name":"Coding Validator with Taxonomy code","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"taxonomy_code\": \"207Q00000X\",\n  \"insurance\": \"Medicare\",\n  \"patient_chart\": \"Patient is a 68 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\",\n    \"human_coded_output\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/validator"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"x-powered-by","value":"Express"},{"key":"access-control-allow-origin","value":"*"},{"key":"access-control-allow-headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"access-control-allow-methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"content-type","value":"application/json; charset=utf-8"},{"key":"content-length","value":"2810"},{"key":"etag","value":"W/\"afa-5otklktOJeSLzAxU1m5LUCZWdf4\""},{"key":"date","value":"Tue, 26 Aug 2025 15:25:42 GMT"}],"cookie":[],"responseTime":null,"body":"{\n    \"summary\": {\n        \"total\": \"13\",\n        \"valid\": \"6\",\n        \"invalid\": \"3\",\n        \"missing\": \"4\",\n        \"accuracy_percentage\": \"46.15\"\n    },\n    \"metadata\": {\n        \"validation_id\": \"VALIDATION_1756186776028_xr69r9jw8\",\n        \"complexity\": \"high\",\n        \"api_time_ms\": 0,\n        \"time_saved_minutes\": 19,\n        \"patient_chart_length\": 3570,\n        \"human_coded_output_length\": 183,\n        \"specialty\": \"207Q00000X\",\n        \"insurance\": \"Medicare\",\n        \"processed_at\": \"2025-08-26T15:25:42.858Z\",\n        \"cached_result\": true,\n        \"original_processed_at\": \"2025-08-26T15:23:30.421Z\",\n        \"validation_summary\": {\n            \"total\": \"13\",\n            \"valid\": \"6\",\n            \"invalid\": \"3\",\n            \"missing\": \"4\",\n            \"accuracy_percentage\": \"46.15\"\n        },\n        \"accuracy_score\": null,\n        \"issues_found\": 0,\n        \"recommendations\": null\n    },\n    \"valid_codes\": [\n        {\n            \"code\": \"99214\",\n            \"evidence\": \"Documented time spent is 30 minutes with moderate medical decision making.\",\n            \"description\": \"Established patient office or other outpatient visit, Level 4\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G0446\",\n            \"evidence\": \"Counseling documented, relevant to hypertension management.\",\n            \"description\": \"Annual intensive behavioral therapy for cardiovascular disease, individual, face-to-face; 15 minutes\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G0447\",\n            \"evidence\": \"Counseling on dietary changes and weight management.\",\n            \"description\": \"Behavioral counseling for obesity, 15 minutes\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"3074F\",\n            \"evidence\": \"Recorded BP: 137/86 in vitals.\",\n            \"description\": \"Most recent systolic blood pressure less than 130 mm Hg\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"3078F\",\n            \"evidence\": \"Recorded BP: 137/86 in vitals.\",\n            \"description\": \"Most recent diastolic blood pressure less than 80 mm Hg\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"I10\",\n            \"evidence\": \"Listed as a current medical condition.\",\n            \"description\": \"Essential (primary) hypertension\",\n            \"type_of_code\": \"ICD\"\n        }\n    ],\n    \"invalid_codes\": [\n        {\n            \"code\": \"E11.69\",\n            \"evidence\": \"Patient chart indicates diabetic peripheral angiopathy without gangrene.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"E11.621\"\n        },\n        {\n            \"code\": \"D64.9\",\n            \"evidence\": \"No documentation supporting anemia or similar condition.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"None\"\n        },\n        {\n            \"code\": \"Z71.89\",\n            \"evidence\": \"Not specifically documented in patient's counseling or prevention services.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"None\"\n        }\n    ],\n    \"missing_codes\": [\n        {\n            \"code\": \"G0477\",\n            \"evidence\": \"Lipid panel was ordered for January.\",\n            \"description\": \"Lipid panel test\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G0431\",\n            \"evidence\": \"TSH with reflex to Free T4 ordered for January.\",\n            \"description\": \"Diagnostic laboratory test for TSH\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G0402\",\n            \"evidence\": \"Medicare patient, applicable for initial preventive exam.\",\n            \"description\": \"Initial preventive physical examination\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G8467\",\n            \"evidence\": \"BMI documented as 28.19.\",\n            \"description\": \"Patient documented as having BMI above normal reported threshold\",\n            \"type_of_code\": \"CPT\"\n        }\n    ],\n    \"validation_id\": \"VALIDATION_1756186776028_xr69r9jw8\"\n}"}],"_postman_id":"82370640-df06-4c84-81b7-6ca42d25366c"},{"name":"Coding Validator (Specialty)","id":"a8446f2d-991f-4d75-8817-cbd57218b97b","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"specialty\": \"Cardiology\",\n  \"insurance\": \"Medicare\",\n  \"patient_chart\": \"Patient is a 68 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\",\n    \"human_coded_output\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/validator","description":"<h2 id=\"endpoint-validate-patient-information\">Endpoint: Validate Patient Information</h2>\n<h3 id=\"method\">Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"url\">URL</h3>\n<p><code>{{SERVER}}/validator</code></p>\n<h3 id=\"description\">Description</h3>\n<p>This endpoint is designed to validate patient information against specified taxonomy codes and insurance types. It processes the provided patient chart and human-coded output to determine the validity of the codes used, returning a summary of the validation results.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body should be in JSON format and include the following parameters:</p>\n<ul>\n<li><p><strong>One of the following</strong></p>\n<ul>\n<li><p><strong>taxonomy_code</strong> (string): Represents the taxonomy code associated with the patient’s condition or treatment.</p>\n</li>\n<li><p><strong>specialty</strong> (string): Enter a specialty supported by Medikode. Check GET /sepcialities method.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>insurance</strong> (string): The type of insurance associated with the patient.</p>\n</li>\n<li><p><strong>patient_chart</strong> (string): A description or notes regarding the patient's condition or history.</p>\n</li>\n<li><p><strong>human_coded_output</strong> (string): The human-coded output that needs to be validated.</p>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"taxonomy_code\": \"207Q00000X\",\n  \"insurance\": \"Medicare\",\n  \"patient_chart\": \"Patient is a 68 year old Female ...\",\n  \"human_coded_output\": \"99214-25-E11.69,I10,E78.5,D64. ...\"\n}\n\n</code></pre>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be in JSON format and include the following fields:</p>\n<ul>\n<li><p><strong>summary</strong>: An object containing:</p>\n<ul>\n<li><p><strong>total</strong> (string): Total number of codes processed.</p>\n</li>\n<li><p><strong>valid</strong> (string): Number of valid codes.</p>\n</li>\n<li><p><strong>invalid</strong> (string): Number of invalid codes.</p>\n</li>\n<li><p><strong>missing</strong> (string): Number of codes that are missing.</p>\n</li>\n<li><p><strong>accuracy_percentage</strong> (string): Percentage of accuracy in the validation.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>valid_codes</strong> (array): A list of valid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The valid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the validity.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the valid code.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>invalid_codes</strong> (array): A list of invalid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The invalid code.</p>\n</li>\n<li><p><strong>suggested_replacement</strong> (string): Suggested replacement for the invalid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the invalidity.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>missing_codes</strong> (array): A list of missing codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The missing code.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the missing code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the missing status.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>metadata</strong>: An object containing additional information about the validation process:</p>\n<ul>\n<li><p><strong>validation_id</strong> (string): Unique identifier for the validation request.</p>\n</li>\n<li><p><strong>complexity</strong> (string): Complexity of the validation.</p>\n</li>\n<li><p><strong>api_time_ms</strong> (integer): Time taken for the API to process the request in milliseconds.</p>\n</li>\n<li><p><strong>time_saved_minutes</strong> (integer): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>patient_chart_length</strong> (integer): Length of the patient chart input.</p>\n</li>\n<li><p><strong>human_coded_output_length</strong> (integer): Length of the human-coded output input.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was retrieved from cache.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"usage-notes\">Usage Notes</h3>\n<ul>\n<li><p>Ensure that the taxonomy code and insurance type are valid and correctly formatted to avoid unnecessary invalid responses.</p>\n</li>\n<li><p>The response will provide insights into the accuracy of the codes used, which can be utilized for improving coding practices.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["validator"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"65b0360b-beb3-40d6-9db4-4008a8ed2a62","name":"Coding Validator (Specialty)","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"specialty\": \"Cardiology\",\n  \"insurance\": \"Medicare\",\n  \"patient_chart\": \"Patient is a 68 year old Female with a history of DEAF, SEIZURE, EPILEPSY, PSYCHIATRIC PROBLEMS, Seborrhea, Conductive hearing loss.\\n\\n1. Social History: unknown\\n2. Vitals: BP: 143/95 mm Hg, Repeat BP: 137/86, RR: 12, Temp: 98.3 F, HR: 109, Pulse Ox: 99, Ht: 5'5\\\", Wt: 169.4, BMI: 28.19\\n3. Past Lab Results: Hemoglobin A1c (5.8 H on 10/09/2024), Basic Metabolic Panel (GLUCOSE: 103 H, UREA NITROGEN (BUN): 11, CREATININE: 0.74, EGFR: 105, BUN/CREATININE RATIO: 1.38, SODIUM: 138, POTASSIUM: 3.5, CHLORIDE: 102, CARBON DIOXIDE: 28, CALCIUM: 9.3), HEPATITIS C ANTIBODY (NON-REACTIVE)\\n4. Current Medical Conditions: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n5. Medications: lamoTRIgine 100 mg tablet 1 tab(s) orally 2 times a day, QUEtiapine 200 mg tablet 1 tab(s) orally Bedtime, benztropine 2 mg tablet 1 tab(s) orally 2 times a day, MetFORMIN Hydrochloride 1000 mg tablet 1 tab(s) orally once a day, lacosamide 200 mg tablet 1 tab(s) orally 2 times a day, Metoprolol Succinate ER 25 mg tablet, extended release TAKE 1 TABLET BY MOUTH EVERY DAY, amLODIPine 5 mg tablet 1 tab(s) orally once a day, Catapres-TTS-2 0.2 mg/24 hr film, extended release 1 PATCH transdermally once a week, divalproex sodium 500 mg tablet, extended release 1 tab(s) orally every 12 hrs, Levothyroxine Sodium 50 mcg (0.05 mg) tablet 1 tab(s) orally every morning before breakfast, Atorvastatin Calcium 20 mg tablet 1 tab orally once a day, Farxiga 5 mg tablet 1 tab(s) orally once a day, GLUCOMETER as directed, TEST STRIPS one test strip subq once a day, LANCETS one lancet subq once a day, One Touch Ultra Blue In Vitro Test Strips test strips 1 test strip as directed check sugar once a day\\n6. Treatments: Haloperidol: 1 mL (Route: Intramuscular) given by Adrian Deras on left gluteus\\n7. Counseling: Patient counseled on the importance of controlling blood glucose, blood pressure, cholesterol levels and normal body weight. Patient educated on recognizing signs and symptoms of hypoglycemia. Dietary changes should include lowering carbohydrate intake, substituting whole grains for refined/processed carbs, choosing low glycemic index foods, incorporating foods high in PUFA's especially omega 3-FA's (oily fish like salmon, anchovies, mackerel, sardines, tuna; shellfish, dark meat, tree nuts). This should be combined with water hydration and a regular exercise regimen. Low sodium diet discussed. Mediterranean diet is also recommended.\\n8. Screening: unknown\\n9. Prevention Services: unknown\\n10. Medical Decision Making actions: Refill Farxiga tablet, 5 mg, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 0. LAB: Hemoglobin A1c (Ordered for 01/16/2025), LAB: Microalb/Creat Ratio - IH (Collection Date & Time - 10/16/2024), LAB: LIPID PANEL (Ordered for 01/16/2025), LAB: ALT (SGPT) (Ordered for 01/16/2025), LAB: Basic Metabolic Panel (Z) (Ordered for 01/16/2025), LAB: TSH W/REFLEX TO Free T4 (Ordered for 01/16/2025)\\n11. Diagnosis: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene, Essential hypertension, Mixed hyperlipidemia, Hypothyroidism, Schizophrenia, Nonintractable generalized idiopathic epilepsy without status epilepticus, Type 2 diabetes mellitus with other specified complication, Seizure disorder, BMI 28.0-28.9, adult\\n12. Time spent: 30 minutes\",\n    \"human_coded_output\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/validator"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"3450"},{"key":"ETag","value":"W/\"d7a-oNJMa9G9XJXRziJGns+hzANcBvk\""},{"key":"Date","value":"Fri, 05 Sep 2025 15:45:11 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"summary\": {\n        \"total\": \"16\",\n        \"valid\": \"8\",\n        \"invalid\": \"6\",\n        \"missing\": \"2\",\n        \"accuracy_percentage\": \"50\"\n    },\n    \"metadata\": {\n        \"validation_id\": \"VALIDATION_1756186331344_02wze4x8z\",\n        \"complexity\": \"high\",\n        \"api_time_ms\": 0,\n        \"time_saved_minutes\": 19,\n        \"patient_chart_length\": 3570,\n        \"human_coded_output_length\": 183,\n        \"specialty\": \"Cardiology\",\n        \"is_taxonomy_code\": false,\n        \"insurance\": \"Medicare\",\n        \"processed_at\": \"2025-09-05T15:45:11.314Z\",\n        \"cached_result\": true,\n        \"original_processed_at\": \"2025-09-05T15:44:55.296Z\",\n        \"validation_summary\": {\n            \"total\": \"16\",\n            \"valid\": \"8\",\n            \"invalid\": \"6\",\n            \"missing\": \"2\",\n            \"accuracy_percentage\": \"50\"\n        },\n        \"accuracy_score\": null,\n        \"issues_found\": 0,\n        \"recommendations\": null\n    },\n    \"valid_codes\": [\n        {\n            \"code\": \"99214\",\n            \"evidence\": \"Supports moderate medical decision making for various chronic conditions.\",\n            \"description\": \"Established patient office or other outpatient visit, Level 4 complexity\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G0446\",\n            \"evidence\": \"Counseling provided on controlling blood pressure, cholesterol.\",\n            \"description\": \"Annual, face-to-face intensive behavioral therapy for cardiovascular disease\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"G0447\",\n            \"evidence\": \"Counseling on weight management with specific dietary recommendations.\",\n            \"description\": \"Behavioral counseling for obesity, 15 minutes\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"3074F\",\n            \"evidence\": \"Documented BP readings relevant to hypertension management.\",\n            \"description\": \"Most recent systolic blood pressure < 140 mm Hg\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"3078F\",\n            \"evidence\": \"Documented BP readings relevant to hypertension management.\",\n            \"description\": \"Most recent diastolic blood pressure < 90 mm Hg\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"3044F\",\n            \"evidence\": \"Lab results indicating A1c level for diabetes management.\",\n            \"description\": \"Most recent hemoglobin A1c level < 7.0%\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"I10\",\n            \"evidence\": \"Patient diagnosed with essential hypertension.\",\n            \"description\": \"Essential (primary) hypertension\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"E78.5\",\n            \"evidence\": \"Patient diagnosed with mixed hyperlipidemia.\",\n            \"description\": \"Hyperlipidemia, unspecified\",\n            \"type_of_code\": \"ICD\"\n        }\n    ],\n    \"invalid_codes\": [\n        {\n            \"code\": \"E11.69\",\n            \"evidence\": \"The patient's diagnosis of diabetic peripheral angiopathy needs a more specific code.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"E11.618\"\n        },\n        {\n            \"code\": \"D64.9\",\n            \"evidence\": \"Documented seizure disorder, not anemia or pancytopenia.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"R56.9\"\n        },\n        {\n            \"code\": \"G8417\",\n            \"evidence\": \"Inaccurate use for counseling; use a code specifically for counseling completion or recommendations.\",\n            \"type_of_code\": \"CPT\",\n            \"suggested_replacement\": \"G8420\"\n        },\n        {\n            \"code\": \"G8427\",\n            \"evidence\": \"Requires specific counseling related to hypertension or cardiovascular health.\",\n            \"type_of_code\": \"CPT\",\n            \"suggested_replacement\": \"G8424\"\n        },\n        {\n            \"code\": \"Z71.89\",\n            \"evidence\": \"Counseling for dietary changes specifically related to Type 2 diabetes management.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"Z71.3\"\n        },\n        {\n            \"code\": \"Z68.30\",\n            \"evidence\": \"BMI documented as 28.0-28.9.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"Z68.27\"\n        }\n    ],\n    \"missing_codes\": [\n        {\n            \"code\": \"96372\",\n            \"evidence\": \"Documentation of Haloperidol administered IM.\",\n            \"description\": \"Therapeutic, prophylactic, or diagnostic injection (specifically Haloperidol intramuscular injection)\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"93000\",\n            \"evidence\": \"Common cardiac screening, relevant to cardiology specialty.\",\n            \"description\": \"Electrocardiogram complete\",\n            \"type_of_code\": \"CPT\"\n        }\n    ],\n    \"validation_id\": \"VALIDATION_1756186331344_02wze4x8z\"\n}"}],"_postman_id":"a8446f2d-991f-4d75-8817-cbd57218b97b"},{"name":"Coding Validator with File (Specialty)","id":"f38bdd53-db36-4a3b-a711-8b0ee1da42cb","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"human_coded_output","value":"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9","type":"text","uuid":"f32117df-a435-496c-b9ba-35a0b59c02ac"},{"key":"insurance","value":"Medicare","type":"text","uuid":"7d581e2a-acd0-4cfc-94fc-1ce9de1fbb1e"},{"key":"specialty","value":"Cardiology","type":"text","uuid":"bd111c51-59b9-474f-bc27-4fab25194621"},{"key":"file","type":"file","uuid":"d2b427c3-b85a-4b3a-98e2-b0fa406f1660","src":"postman-cloud:///1f08a760-f89f-49c0-8fa0-eef9ee28cf97"}]},"url":"{{SERVER}}/f-validator","description":"<h2 id=\"endpoint-validate-patient-information\">Endpoint: Validate Patient Information</h2>\n<h3 id=\"method\">Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"url\">URL</h3>\n<p><code>{{SERVER}}/f-validator</code></p>\n<h3 id=\"description\">Description</h3>\n<p>This endpoint is designed to validate patient information against specified taxonomy codes and insurance types. It processes the provided patient chart and human-coded output to determine the validity of the codes used, returning a summary of the validation results.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body should be in <strong>form-data</strong> format and include the following parameters:</p>\n<ul>\n<li><p><strong>human_coded_output</strong> (string): The human-coded output that needs to be validated.</p>\n</li>\n<li><p><strong>insurance</strong> (string): The type of insurance associated with the patient.</p>\n</li>\n<li><p><strong>specialty</strong> (string): The specialty supported by Medikode.</p>\n</li>\n<li><p><strong>file</strong> (file): An optional file that may contain additional patient information or documentation.</p>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-plaintext\">--boundary\nContent-Disposition: form-data; name=\"human_coded_output\"\n99214-25-E11.69,I10,E78.5,D64. ...\n--boundary\nContent-Disposition: form-data; name=\"insurance\"\nMedicare\n--boundary\nContent-Disposition: form-data; name=\"specialty\"\n207Q00000X\n--boundary\nContent-Disposition: form-data; name=\"file\"; filename=\"patient_info.pdf\"\nContent-Type: application/pdf\n&lt;file content&gt;\n--boundary--\n\n</code></pre>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be in JSON format and include the following fields:</p>\n<ul>\n<li><p><strong>summary</strong>: An object containing:</p>\n<ul>\n<li><p><strong>total</strong> (integer): Total number of codes processed.</p>\n</li>\n<li><p><strong>valid</strong> (integer): Number of valid codes.</p>\n</li>\n<li><p><strong>invalid</strong> (integer): Number of invalid codes.</p>\n</li>\n<li><p><strong>missing</strong> (integer): Number of codes that are missing.</p>\n</li>\n<li><p><strong>accuracy_percentage</strong> (integer): Percentage of accuracy in the validation.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>valid_codes</strong> (array): A list of valid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The valid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the validity.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the valid code.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>invalid_codes</strong> (array): A list of invalid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The invalid code.</p>\n</li>\n<li><p><strong>suggested_replacement</strong> (string): Suggested replacement for the invalid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the invalidity.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>missing_codes</strong> (array): A list of missing codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The missing code.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the missing code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the missing status.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>metadata</strong>: An object containing additional information about the validation process:</p>\n<ul>\n<li><p><strong>validation_id</strong> (string): Unique identifier for the validation request.</p>\n</li>\n<li><p><strong>complexity_assessment</strong> (string): Complexity of the validation.</p>\n</li>\n<li><p><strong>estimated_time_saved_minutes</strong> (integer): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>processing_time_ms</strong> (integer): Time taken for the API to process the request in milliseconds.</p>\n</li>\n<li><p><strong>patient_chart_length</strong> (integer): Length of the patient chart input.</p>\n</li>\n<li><p><strong>human_coded_output_length</strong> (integer): Length of the human-coded output input.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was retrieved from cache.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"usage-notes\">Usage Notes</h3>\n<ul>\n<li><p>Ensure that the taxonomy code and insurance type are valid and correctly formatted to avoid unnecessary invalid responses.</p>\n</li>\n<li><p>The response will provide insights into the accuracy of the codes used, which can be utilized for improving coding practices.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["f-validator"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"2c7d734a-8498-4a16-a1a7-e683c0eb921b","name":"Coding Validator with File (Specialty)","originalRequest":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"human_coded_output","value":"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9","type":"text","uuid":"f32117df-a435-496c-b9ba-35a0b59c02ac"},{"key":"insurance","value":"Medicare","type":"text","uuid":"7d581e2a-acd0-4cfc-94fc-1ce9de1fbb1e"},{"key":"specialty","value":"Cardiology","type":"text","uuid":"bd111c51-59b9-474f-bc27-4fab25194621"},{"key":"file","type":"file","uuid":"d2b427c3-b85a-4b3a-98e2-b0fa406f1660","src":"postman-cloud:///1f08a760-f89f-49c0-8fa0-eef9ee28cf97"}]},"url":"{{SERVER}}/f-validator"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"2990"},{"key":"ETag","value":"W/\"bae-ziHjj7SHshAnd4q6naaWtH0+4Vw\""},{"key":"Date","value":"Fri, 05 Sep 2025 16:33:34 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"summary\": {\n        \"total\": 17,\n        \"valid\": 11,\n        \"invalid\": 3,\n        \"missing\": 2,\n        \"accuracy_percentage\": 64.71\n    },\n    \"metadata\": {\n        \"validation_id\": \"VALIDATION_1757090014536_g4d90y83r\",\n        \"patient_chart_length\": 0,\n        \"human_coded_output_length\": 190,\n        \"specialty\": \"Cardiology\",\n        \"insurance\": \"Medicare\",\n        \"taxonomy_code\": \"\",\n        \"complexity_assessment\": \"very_low\",\n        \"estimated_time_saved_minutes\": 15,\n        \"processing_time_ms\": 0,\n        \"processed_at\": \"2025-09-05T16:33:34.548Z\",\n        \"cached_result\": true,\n        \"original_processed_at\": \"2025-09-05T16:32:49.915Z\",\n        \"file_info\": null\n    },\n    \"valid_codes\": [\n        {\n            \"code\": \"99214-25\",\n            \"evidence\": \"Documentation supports complexity and length of cardiology visit.\",\n            \"description\": \"Established patient office visit\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"E11.69\",\n            \"evidence\": \"Patient has documented diabetes and related complications.\",\n            \"description\": \"Diabetes mellitus with other specified complication\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"I10\",\n            \"evidence\": \"Hypertension is part of the patient's diagnosis.\",\n            \"description\": \"Essential (primary) hypertension\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"E78.5\",\n            \"evidence\": \"Dyslipidemia is noted in patient’s record.\",\n            \"description\": \"Hyperlipidemia, unspecified\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"G0446-59\",\n            \"evidence\": \"Medicare supports clinical counseling for cardiovascular risk.\",\n            \"description\": \"Intensive behavioral therapy for cardiovascular disease\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"Z71.89\",\n            \"evidence\": \"Used with behavioral therapy indicating counseling for lifestyle changes.\",\n            \"description\": \"Other specified counseling\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"G0447-59\",\n            \"evidence\": \"Medicare covers obesity counseling.\",\n            \"description\": \"Intensive behavioral therapy for obesity\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"Z68.30\",\n            \"evidence\": \"Reflects obesity diagnosis.\",\n            \"description\": \"Body Mass Index (BMI) 30.0-30.9, adult\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"E66.01\",\n            \"evidence\": \"Obesity noted in the patient’s record.\",\n            \"description\": \"Morbid obesity\",\n            \"type_of_code\": \"ICD\"\n        },\n        {\n            \"code\": \"3044F\",\n            \"evidence\": \"Diabetes management monitored with lab results.\",\n            \"description\": \"Hemoglobin A1c level <7%\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"Z71.3\",\n            \"evidence\": \"Counseling provided.\",\n            \"description\": \"Dietary counseling and surveillance\",\n            \"type_of_code\": \"ICD\"\n        }\n    ],\n    \"invalid_codes\": [\n        {\n            \"code\": \"D64.9\",\n            \"evidence\": \"D64.9 not in cardiology scope without documented specifics.\",\n            \"type_of_code\": \"ICD\",\n            \"suggested_replacement\": \"Specific anemia related ICD code\"\n        },\n        {\n            \"code\": \"3074F\",\n            \"evidence\": \"Lacks relation to current cardiology practice.\",\n            \"type_of_code\": \"CPT\",\n            \"suggested_replacement\": \"Documented cardiology relevant CPT\"\n        },\n        {\n            \"code\": \"3078F\",\n            \"evidence\": \"Requires clear documentation of measure importance.\",\n            \"type_of_code\": \"CPT\",\n            \"suggested_replacement\": \"Specific cardiovascular relevant CPT\"\n        }\n    ],\n    \"missing_codes\": [\n        {\n            \"code\": \"93000\",\n            \"evidence\": \"Standard practice in cardiology visits.\",\n            \"description\": \"Electrocardiogram, routine ECG recording\",\n            \"type_of_code\": \"CPT\"\n        },\n        {\n            \"code\": \"80061\",\n            \"evidence\": \"Relevant for diagnosing and managing hyperlipidemia.\",\n            \"description\": \"Lipid panel\",\n            \"type_of_code\": \"CPT\"\n        }\n    ]\n}"}],"_postman_id":"f38bdd53-db36-4a3b-a711-8b0ee1da42cb"},{"name":"Coding Validator with File (Taxonomy)","id":"8151a6e5-9069-471c-8de1-c3185d25f953","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"human_coded_output","value":"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9","type":"text","uuid":"f32117df-a435-496c-b9ba-35a0b59c02ac"},{"key":"insurance","value":"Medicare","type":"text","uuid":"7d581e2a-acd0-4cfc-94fc-1ce9de1fbb1e"},{"key":"taxonomy_code","value":"207Q00000X","type":"text","uuid":"bd111c51-59b9-474f-bc27-4fab25194621"},{"key":"file","type":"file","uuid":"d2b427c3-b85a-4b3a-98e2-b0fa406f1660","src":"postman-cloud:///1f08a760-f89f-49c0-8fa0-eef9ee28cf97"}]},"url":"{{SERVER}}/f-validator","description":"<h2 id=\"endpoint-validate-patient-information\">Endpoint: Validate Patient Information</h2>\n<h3 id=\"method\">Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"url\">URL</h3>\n<p><code>{{SERVER}}/f-validator</code></p>\n<h3 id=\"description\">Description</h3>\n<p>This endpoint is designed to validate patient information against specified taxonomy codes and insurance types. It processes the provided patient chart and human-coded output to determine the validity of the codes used, returning a summary of the validation results. The request requires specific parameters to be sent in a form-data format, which includes both text inputs and a file upload.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body should be in form-data format and include the following parameters:</p>\n<ul>\n<li><p><strong>human_coded_output</strong> (text): The human-coded output that needs to be validated.</p>\n</li>\n<li><p><strong>insurance</strong> (text): The type of insurance associated with the patient.</p>\n</li>\n<li><p><strong>taxonomy_code</strong> (text): Represents the taxonomy code associated with the patient’s condition or treatment.</p>\n</li>\n<li><p><strong>file</strong> (file): An optional file that may contain additional information relevant to the validation process.</p>\n</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code>--boundary\nContent-Disposition: form-data; name=\"human_coded_output\"\nYour human-coded output here\n--boundary\nContent-Disposition: form-data; name=\"insurance\"\nYour insurance type here\n--boundary\nContent-Disposition: form-data; name=\"taxonomy_code\"\nYour taxonomy code here\n--boundary\nContent-Disposition: form-data; name=\"file\"; filename=\"yourfile.txt\"\nContent-Type: text/plain\n&lt;file content here&gt;\n--boundary--\n\n</code></pre><h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be in JSON format and include the following fields:</p>\n<ul>\n<li><p><strong>summary</strong>: An object containing:</p>\n<ul>\n<li><p><strong>total</strong> (string): Total number of codes processed.</p>\n</li>\n<li><p><strong>valid</strong> (string): Number of valid codes.</p>\n</li>\n<li><p><strong>invalid</strong> (string): Number of invalid codes.</p>\n</li>\n<li><p><strong>missing</strong> (string): Number of codes that are missing.</p>\n</li>\n<li><p><strong>accuracy_percentage</strong> (string): Percentage of accuracy in the validation.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>valid_codes</strong> (array): A list of valid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The valid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the validity.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the valid code.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>invalid_codes</strong> (array): A list of invalid codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The invalid code.</p>\n</li>\n<li><p><strong>suggested_replacement</strong> (string): Suggested replacement for the invalid code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the invalidity.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>missing_codes</strong> (array): A list of missing codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The missing code.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the missing code.</p>\n</li>\n<li><p><strong>evidence</strong> (string): Evidence supporting the missing status.</p>\n</li>\n<li><p><strong>type_of_code</strong> (string): Type classification of the code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>metadata</strong>: An object containing additional information about the validation process:</p>\n<ul>\n<li><p><strong>validation_id</strong> (string): Unique identifier for the validation request.</p>\n</li>\n<li><p><strong>complexity_assessment</strong> (string): Complexity of the validation.</p>\n</li>\n<li><p><strong>processing_time_ms</strong> (integer): Time taken for the API to process the request in milliseconds.</p>\n</li>\n<li><p><strong>estimated_time_saved_minutes</strong> (integer): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>patient_chart_length</strong> (integer): Length of the patient chart input.</p>\n</li>\n<li><p><strong>human_coded_output_length</strong> (integer): Length of the human-coded output input.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was retrieved from cache.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"usage-notes\">Usage Notes</h3>\n<ul>\n<li><p>Ensure that the taxonomy code and insurance type are valid and correctly formatted to avoid unnecessary invalid responses.</p>\n</li>\n<li><p>The response will provide insights into the accuracy of the codes used, which can be utilized for improving coding practices.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["f-validator"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"471c46bc-06ac-4227-a727-1b174cb67c3f","name":"Coding Validator with File (Taxonomy)","originalRequest":{"method":"POST","header":[],"body":{"mode":"formdata","formdata":[{"key":"human_coded_output","value":"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9","type":"text","uuid":"f32117df-a435-496c-b9ba-35a0b59c02ac"},{"key":"insurance","value":"Medicare","type":"text","uuid":"7d581e2a-acd0-4cfc-94fc-1ce9de1fbb1e"},{"key":"taxonomy_code","value":"207Q00000X","type":"text","uuid":"bd111c51-59b9-474f-bc27-4fab25194621"},{"key":"file","type":"file","uuid":"d2b427c3-b85a-4b3a-98e2-b0fa406f1660","src":"/Users/muthuka/Desktop/Medikode/70 year old male, In Office Visit.pdf"}]},"url":"{{SERVER}}/f-validator"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"3112"},{"key":"ETag","value":"W/\"c28-N2sH2L0wos8mNvChcEaW2k2R+rg\""},{"key":"Date","value":"Fri, 05 Sep 2025 16:36:34 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"summary\": {\n        \"total\": \"19\",\n        \"valid\": \"8\",\n        \"invalid\": \"3\",\n        \"missing\": \"1\",\n        \"accuracy_percentage\": \"72.73\"\n    },\n    \"valid_codes\": [\n        {\n            \"type_of_code\": \"CPT\",\n            \"code\": \"99214-25\",\n            \"description\": \"Established patient visit requiring moderate complexity\",\n            \"evidence\": \"Documented medical conditions such as diabetes mellitus (E11.69), hypertension (I10), hyperlipidemia (E78.5), and anemia (D64.9) justify a visit requiring moderate complexity\"\n        },\n        {\n            \"type_of_code\": \"CPT\",\n            \"code\": \"G0446-59\",\n            \"description\": \"Annual intensive behavioral therapy for cardiovascular disease\",\n            \"evidence\": \"Related to hypertension diagnosis (I10). The modifier -59 indicates it as a separate service\"\n        },\n        {\n            \"type_of_code\": \"ICD\",\n            \"code\": \"I10\",\n            \"description\": \"Essential (primary) hypertension\",\n            \"evidence\": \"Diagnosed condition relevant to several procedures\"\n        },\n        {\n            \"type_of_code\": \"ICD\",\n            \"code\": \"E11.69\",\n            \"description\": \"Type 2 diabetes mellitus with other specified complication\",\n            \"evidence\": \"Diagnosis relevant to visit and medication adherence review (CPT code 3044F)\"\n        },\n        {\n            \"type_of_code\": \"CPT\",\n            \"code\": \"3074F\",\n            \"description\": \"Most recent systolic blood pressure less than 130 mmHg\",\n            \"evidence\": \"Confirmed against medical notes documenting blood pressure observations\"\n        },\n        {\n            \"type_of_code\": \"CPT\",\n            \"code\": \"3078F\",\n            \"description\": \"Most recent diastolic blood pressure less than 80 mmHg\",\n            \"evidence\": \"Aligns with documentation on diastolic blood pressure levels\"\n        }\n    ],\n    \"invalid_codes\": [\n        {\n            \"type_of_code\": \"ICD\",\n            \"code\": \"D64.9\",\n            \"suggested_replacement\": \"May need specifying type rather than general 'anemia'.\",\n            \"evidence\": \"Family Medicine documentation often specifies the type of anemia managed\"\n        },\n        {\n            \"type_of_code\": \"CPT\",\n            \"code\": \"G0447-59\",\n            \"suggested_replacement\": \"Re-evaluate necessity based on documentation.\",\n            \"evidence\": \"G0447 may overlap with weight management sessions already conducted and might not require modifier -59\"\n        },\n        {\n            \"type_of_code\": \"ICD\",\n            \"code\": \"Z71.89\",\n            \"suggested_replacement\": \"Additional specificity in the encounter for behavioral therapy documentation may be needed.\",\n            \"evidence\": \"General codes might not capture nuanced documentation in practice\"\n        }\n    ],\n    \"missing_codes\": [\n        {\n            \"type_of_code\": \"CPT\",\n            \"code\": \"99173\",\n            \"description\": \"Screening test of visual acuity, quantitative\",\n            \"evidence\": \"Medicare often requires preventive assessments like visual tests during family medicine visits\"\n        }\n    ],\n    \"metadata\": {\n        \"validation_id\": \"VALIDATION_1757090166423_ltbzzkiar\",\n        \"patient_chart_length\": 0,\n        \"human_coded_output_length\": 190,\n        \"specialty\": \"general\",\n        \"insurance\": \"Medicare\",\n        \"taxonomy_code\": \"207Q00000X\",\n        \"complexity_assessment\": \"very_low\",\n        \"estimated_time_saved_minutes\": 15,\n        \"processing_time_ms\": 28196,\n        \"processed_at\": \"2025-09-05T16:36:34.636Z\",\n        \"cached_result\": false,\n        \"file_info\": {\n            \"fileName\": \"VALIDATION_1757090166423_ltbzzkiar_70 year old male, In Office Visit.pdf\",\n            \"originalName\": \"70 year old male, In Office Visit.pdf\",\n            \"size\": 4155529,\n            \"mimeType\": \"application/pdf\",\n            \"blobPath\": \"validator/1/VALIDATION_1757090166423_ltbzzkiar_70 year old male, In Office Visit.pdf\",\n            \"url\": \"https://medikodelocalstorage.blob.core.windows.net/medikode-sandbox/validator/1/VALIDATION_1757090166423_ltbzzkiar_70%20year%20old%20male%2C%20In%20Office%20Visit.pdf\"\n        }\n    }\n}"}],"_postman_id":"8151a6e5-9069-471c-8de1-c3185d25f953"}],"id":"224b196d-f9a3-4643-bea4-8afc629fcb41","description":"<p>AI-powered validator ensures coding accuracy by identifying overlooked codes, validating codes against documentation, and recommending alternatives for optimized reimbursement.</p>\n","_postman_id":"224b196d-f9a3-4643-bea4-8afc629fcb41","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}}},{"name":"Medikode Coding QA","item":[{"name":"Coding QA","id":"b65da182-ec15-4e98-b7d3-afdf752972b0","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"coded_input\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/qavalidator","description":"<h2 id=\"endpoint-coding-qa-beta\">Endpoint: Coding QA (Beta)</h2>\n<h3 id=\"method\">Method</h3>\n<p><code>POST</code></p>\n<h3 id=\"url\">URL</h3>\n<p><code>{{SERVER}}/qavalidator</code></p>\n<h3 id=\"description\">Description</h3>\n<p>Advanced coding quality assurance system that validates human-coded inputs with CPT codes and ICD-10 codes, providing detailed analysis and recommendations.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>The request body should be in JSON format and include the following parameters:</p>\n<ul>\n<li><strong>coded_input</strong> (string): The human-coded output that needs to be validated, which includes codes and relevant information for the patient's condition.</li>\n</ul>\n<h4 id=\"example-request-body\">Example Request Body</h4>\n<pre class=\"click-to-expand-wrapper is-snippet-wrapper\"><code class=\"language-json\">{\n  \"coded_input\": \"99214-25-E11.69,I10,E78.5,D64. ...\"\n}\n\n</code></pre>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>The response will be in JSON format and include the following fields:</p>\n<ul>\n<li><p><strong>success</strong> (boolean): Indicates whether the validation was successful.</p>\n</li>\n<li><p><strong>data</strong> (object): Contains the details of the validation results:</p>\n<ul>\n<li><p><strong>mode</strong> (string): The mode of validation.</p>\n</li>\n<li><p><strong>issues</strong> (array): A list of issues found during validation, each with:</p>\n<ul>\n<li><p><strong>detail</strong> (string): Detailed description of the issue.</p>\n</li>\n<li><p><strong>category</strong> (string): Category of the issue.</p>\n</li>\n<li><p><strong>severity</strong> (string): Severity level of the issue.</p>\n</li>\n<li><p><strong>guideline_hint</strong> (string): Hint related to guidelines.</p>\n</li>\n<li><p><strong>recommended_action</strong> (string): Suggested action to resolve the issue.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>summary</strong> (string): Summary of the validation results.</p>\n</li>\n<li><p><strong>metadata</strong> (object): Additional information about the validation process:</p>\n<ul>\n<li><p><strong>validation_id</strong> (string): Unique identifier for the validation request.</p>\n</li>\n<li><p><strong>complexity</strong> (string): Complexity of the validation.</p>\n</li>\n<li><p><strong>api_time_ms</strong> (integer): Time taken for the API to process the request in milliseconds.</p>\n</li>\n<li><p><strong>time_saved_minutes</strong> (integer): Estimated time saved in minutes.</p>\n</li>\n<li><p><strong>input_length</strong> (integer): Length of the coded input.</p>\n</li>\n<li><p><strong>code_count</strong> (integer): Number of codes processed.</p>\n</li>\n<li><p><strong>model_name</strong> (string): Name of the model used for validation.</p>\n</li>\n<li><p><strong>model_version</strong> (string): Version of the model used for validation.</p>\n</li>\n<li><p><strong>processed_at</strong> (string): Timestamp of when the request was processed.</p>\n</li>\n<li><p><strong>cached_result</strong> (boolean): Indicates if the result was retrieved from cache.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>final_codes</strong> (array): A list of final codes with details:</p>\n<ul>\n<li><p><strong>code</strong> (string): The final code determined by the validation.</p>\n</li>\n<li><p><strong>type</strong> (string): Type classification of the final code.</p>\n</li>\n<li><p><strong>units</strong> (integer): Units associated with the final code.</p>\n</li>\n<li><p><strong>modifiers</strong> (array): List of modifiers for the final code.</p>\n</li>\n<li><p><strong>description</strong> (string): Description of the final code.</p>\n</li>\n<li><p><strong>diagnosis_links</strong> (array): Links to relevant diagnoses.</p>\n</li>\n<li><p><strong>rationale_brief</strong> (string): Brief rationale for the final code.</p>\n</li>\n<li><p><strong>sequencing_rank</strong> (integer): Rank for sequencing the final code.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>unverifiable_items</strong> (array): Items that could not be verified, each with:</p>\n<ul>\n<li><p><strong>what</strong> (string): Description of the unverifiable item.</p>\n</li>\n<li><p><strong>missing_documentation</strong> (string): Documentation that is missing for verification.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>recommended_changes</strong> (array): Suggested changes with details:</p>\n<ul>\n<li><p><strong>action</strong> (string): Recommended action.</p>\n</li>\n<li><p><strong>reason</strong> (string): Reason for the recommended change.</p>\n</li>\n<li><p><strong>target_code</strong> (string): Code that the change targets.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>documentation_requests</strong> (array): Requests for additional documentation.</p>\n</li>\n<li><p><strong>financial_optimization</strong> (object): Information related to financial optimization:</p>\n<ul>\n<li><p><strong>notes</strong> (string): Notes regarding financial optimization.</p>\n</li>\n<li><p><strong>applied</strong> (boolean): Indicates if the optimization was applied.</p>\n</li>\n<li><p><strong>assumptions</strong> (string): Assumptions made during optimization.</p>\n</li>\n</ul>\n</li>\n<li><p><strong>needs_year_confirmation</strong> (boolean): Indicates if year confirmation is needed.</p>\n</li>\n<li><p><strong>optimization_recommendations</strong> (array): Recommendations for optimization with details:</p>\n<ul>\n<li><p><strong>action</strong> (string): Suggested action for optimization.</p>\n</li>\n<li><p><strong>target_code</strong> (string): Target code for the optimization.</p>\n</li>\n<li><p><strong>expected_effect</strong> (string): Expected effect of the optimization.</p>\n</li>\n<li><p><strong>denial_risk_effect</strong> (string): Effect on denial risk.</p>\n</li>\n<li><p><strong>reason_compliance_basis</strong> (string): Reason for compliance basis.</p>\n</li>\n<li><p><strong>documentation_path_if_applicable</strong> (string): Documentation path if applicable.</p>\n</li>\n</ul>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"usage-notes\">Usage Notes</h3>\n<ul>\n<li><p>Ensure that the coded input is valid and correctly formatted to avoid unnecessary invalid responses.</p>\n</li>\n<li><p>The response will provide insights into the accuracy of the codes used, which can be utilized for improving coding practices.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["qavalidator"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"06994488-5ccc-47d0-8958-f7d930295b36","name":"Coding Validator Copy","originalRequest":{"method":"POST","header":[],"body":{"mode":"raw","raw":"{\n  \"coded_input\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\"\n}","options":{"raw":{"language":"json"}}},"url":"{{SERVER}}/qavalidator"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"X-Powered-By","value":"Express"},{"key":"Access-Control-Allow-Origin","value":"*"},{"key":"Access-Control-Allow-Headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"Access-Control-Allow-Methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"Content-Type","value":"application/json; charset=utf-8"},{"key":"Content-Length","value":"4542"},{"key":"ETag","value":"W/\"11be-LJFZxsrhGWHyppAcWA8Lk6gfXYw\""},{"key":"Date","value":"Sat, 30 Aug 2025 17:09:38 GMT"},{"key":"Connection","value":"keep-alive"},{"key":"Keep-Alive","value":"timeout=5"}],"cookie":[],"responseTime":null,"body":"{\n    \"success\": true,\n    \"data\": {\n        \"mode\": \"without_chart\",\n        \"issues\": [\n            {\n                \"detail\": \"Modifier 59 used on G0446 and G0447 may not be necessary if no bundling conflict exists.\",\n                \"category\": \"modifier\",\n                \"severity\": \"minor\",\n                \"guideline_hint\": \"Modifier 59 is for distinct procedural services.\",\n                \"recommended_action\": \"Verify necessity of modifier 59 with payer policies.\"\n            },\n            {\n                \"detail\": \"Diagnosis D64.9 is unspecified anemia; consider more specific code if available.\",\n                \"category\": \"coding_specificity\",\n                \"severity\": \"minor\",\n                \"guideline_hint\": \"Use highest specificity available.\",\n                \"recommended_action\": \"Review documentation for more specific anemia diagnosis.\"\n            }\n        ],\n        \"summary\": \"The coding input includes a mix of CPT, HCPCS, and quality measure codes with various modifiers and diagnosis links. Several issues related to modifier usage and code specificity were identified.\",\n        \"metadata\": {\n            \"validation_id\": \"QA_1756573753602_yst3mz42j\",\n            \"complexity\": \"high\",\n            \"api_time_ms\": 0,\n            \"time_saved_minutes\": 45,\n            \"input_length\": 183,\n            \"code_count\": 23,\n            \"model_name\": \"gpt-4o-mini\",\n            \"model_version\": \"2024-08-06\",\n            \"processed_at\": \"2025-08-30T17:09:38.854Z\",\n            \"cached_result\": true,\n            \"original_processed_at\": \"2025-08-30T17:09:27.481Z\",\n            \"denial_risk\": \"medium\",\n            \"issues_count\": 2,\n            \"recommended_changes_count\": 2\n        },\n        \"raw_input\": \"99214-25-E11.69,I10,E78.5,D64.9\\n* G0446-59-I10,Z71.89\\n* G0447-59-Z68.30,E66.01,Z71.3\\n* 3074F-I10\\n* 3078F-I10\\n* 3044F-E11.69\\n* G8417-Z68.30,E66.01,Z71.36\\n* G8427-E11.69,I10,E78.5,D64.9\",\n        \"coding_year\": 2025,\n        \"denial_risk\": \"medium\",\n        \"final_codes\": [\n            {\n                \"code\": \"99214\",\n                \"type\": \"CPT\",\n                \"units\": 1,\n                \"modifiers\": [\n                    \"25\"\n                ],\n                \"description\": \"Established patient office visit, level 4\",\n                \"diagnosis_links\": [\n                    \"E11.69\",\n                    \"I10\",\n                    \"E78.5\",\n                    \"D64.9\"\n                ],\n                \"rationale_brief\": \"Modifier 25 used for significant, separately identifiable E/M service.\",\n                \"sequencing_rank\": 1\n            },\n            {\n                \"code\": \"G0446\",\n                \"type\": \"HCPCS\",\n                \"units\": 1,\n                \"modifiers\": [\n                    \"59\"\n                ],\n                \"description\": \"Annual, face-to-face intensive behavioral therapy for cardiovascular disease\",\n                \"diagnosis_links\": [\n                    \"I10\",\n                    \"Z71.89\"\n                ],\n                \"rationale_brief\": \"Modifier 59 indicates distinct procedural service.\",\n                \"sequencing_rank\": 2\n            },\n            {\n                \"code\": \"G0447\",\n                \"type\": \"HCPCS\",\n                \"units\": 1,\n                \"modifiers\": [\n                    \"59\"\n                ],\n                \"description\": \"Face-to-face behavioral counseling for obesity\",\n                \"diagnosis_links\": [\n                    \"Z68.30\",\n                    \"E66.01\",\n                    \"Z71.3\"\n                ],\n                \"rationale_brief\": \"Modifier 59 used for distinct procedural service.\",\n                \"sequencing_rank\": 3\n            },\n            {\n                \"code\": \"3074F\",\n                \"type\": \"CPT\",\n                \"units\": 1,\n                \"modifiers\": [],\n                \"description\": \"Most recent systolic blood pressure < 130 mm Hg\",\n                \"diagnosis_links\": [\n                    \"I10\"\n                ],\n                \"rationale_brief\": \"Quality measure for blood pressure control.\",\n                \"sequencing_rank\": 4\n            },\n            {\n                \"code\": \"3078F\",\n                \"type\": \"CPT\",\n                \"units\": 1,\n                \"modifiers\": [],\n                \"description\": \"Most recent diastolic blood pressure < 80 mm Hg\",\n                \"diagnosis_links\": [\n                    \"I10\"\n                ],\n                \"rationale_brief\": \"Quality measure for blood pressure control.\",\n                \"sequencing_rank\": 5\n            },\n            {\n                \"code\": \"3044F\",\n                \"type\": \"CPT\",\n                \"units\": 1,\n                \"modifiers\": [],\n                \"description\": \"Most recent hemoglobin A1c level < 7.0%\",\n                \"diagnosis_links\": [\n                    \"E11.69\"\n                ],\n                \"rationale_brief\": \"Quality measure for diabetes control.\",\n                \"sequencing_rank\": 6\n            },\n            {\n                \"code\": \"G8417\",\n                \"type\": \"HCPCS\",\n                \"units\": 1,\n                \"modifiers\": [],\n                \"description\": \"BMI measured and documented\",\n                \"diagnosis_links\": [\n                    \"Z68.30\",\n                    \"E66.01\",\n                    \"Z71.36\"\n                ],\n                \"rationale_brief\": \"Quality measure for BMI documentation.\",\n                \"sequencing_rank\": 7\n            },\n            {\n                \"code\": \"G8427\",\n                \"type\": \"HCPCS\",\n                \"units\": 1,\n                \"modifiers\": [],\n                \"description\": \"Patient documented as tobacco non-user\",\n                \"diagnosis_links\": [\n                    \"E11.69\",\n                    \"I10\",\n                    \"E78.5\",\n                    \"D64.9\"\n                ],\n                \"rationale_brief\": \"Quality measure for tobacco use documentation.\",\n                \"sequencing_rank\": 8\n            }\n        ],\n        \"validation_id\": \"QA_1756573753602_yst3mz42j\",\n        \"unverifiable_items\": [\n            {\n                \"what\": \"D64.9\",\n                \"missing_documentation\": \"Specific anemia type documentation.\"\n            }\n        ],\n        \"coding_year_assumed\": true,\n        \"recommended_changes\": [\n            {\n                \"action\": \"remove_modifier\",\n                \"reason\": \"Modifier 59 may be unnecessary without bundling conflict.\",\n                \"target_code\": \"G0446\"\n            },\n            {\n                \"action\": \"remove_modifier\",\n                \"reason\": \"Modifier 59 may be unnecessary without bundling conflict.\",\n                \"target_code\": \"G0447\"\n            }\n        ],\n        \"documentation_requests\": [\n            \"Specific anemia type documentation for D64.9\",\n            \"Payer policy on modifier 59 usage for G0446 and G0447\"\n        ],\n        \"financial_optimization\": {\n            \"notes\": \"Removing unnecessary modifiers may reduce denial risk.\",\n            \"applied\": true,\n            \"assumptions\": \"General payer policies; no specific locality or POS considered.\"\n        },\n        \"needs_year_confirmation\": true,\n        \"optimization_recommendations\": [\n            {\n                \"action\": \"exclude_code\",\n                \"target_code\": \"D64.9\",\n                \"expected_effect\": \"neutral\",\n                \"denial_risk_effect\": \"lower\",\n                \"reason_compliance_basis\": \"Unspecified code; more specific code may exist.\",\n                \"documentation_path_if_applicable\": \"Request specific anemia type documentation.\"\n            }\n        ]\n    }\n}"}],"_postman_id":"b65da182-ec15-4e98-b7d3-afdf752972b0"}],"id":"886be9b5-b844-46db-8a35-c86eb16a9fa4","_postman_id":"886be9b5-b844-46db-8a35-c86eb16a9fa4","description":"","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}}},{"name":"Health","id":"63f1b3bf-f162-4603-8732-5f041579cdaf","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"url":"{{SERVER}}/health","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["health"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[],"_postman_id":"63f1b3bf-f162-4603-8732-5f041579cdaf"},{"name":"Supported Specialties","id":"5d259d33-38aa-405b-af4e-512574b08aaf","protocolProfileBehavior":{"disableBodyPruning":true},"request":{"method":"GET","header":[],"url":"{{SERVER}}/specialties","description":"<h2 id=\"endpoint-get-specialties\">Endpoint: GET /specialties</h2>\n<p>This endpoint retrieves a list of taxonomy codes and the associated details supported for Medikode Assistant and Validator calls. You can pass taxonomy codes instead of free form specialties in those products. This allows to bring taxonomy codes.</p>\n<h3 id=\"request-parameters\">Request Parameters</h3>\n<p>This endpoint does not require any request parameters.</p>\n<h3 id=\"expected-response\">Expected Response</h3>\n<p>Upon a successful request, the server will respond with a JSON object containing the following information:</p>\n<ul>\n<li><p><strong>success</strong>: Indicates whether the request was successful.</p>\n</li>\n<li><p><strong>count</strong>: The number of specialties returned in the response.</p>\n</li>\n<li><p><strong>data</strong>: An array of specialty objects, each containing details about a specific specialty. Each specialty object may include fields such as:</p>\n<ul>\n<li><p><strong>id</strong>: Unique identifier for the specialty.</p>\n</li>\n<li><p><strong>code</strong>: The code representing the specialty.</p>\n</li>\n<li><p><strong>grouping</strong>: The grouping category of the specialty.</p>\n</li>\n<li><p><strong>classification</strong>: The classification of the specialty.</p>\n</li>\n<li><p><strong>specialization</strong>: Any specific specialization related to the specialty (may be null).</p>\n</li>\n<li><p><strong>definition</strong>: A detailed description of the specialty.</p>\n</li>\n<li><p><strong>notes</strong>: Additional notes regarding the specialty (may be null).</p>\n</li>\n<li><p><strong>display_name</strong>: The display name of the specialty.</p>\n</li>\n<li><p><strong>section</strong>: The section under which the specialty is categorized.</p>\n</li>\n<li><p><strong>version</strong>: The version of the specialty information.</p>\n</li>\n</ul>\n</li>\n</ul>\n<h3 id=\"notes\">Notes</h3>\n<ul>\n<li><p>Ensure that your request is properly authenticated if required by the server.</p>\n</li>\n<li><p>The response will return a status code of 200 (OK) on success. In case of an error, appropriate error codes will be returned.</p>\n</li>\n</ul>\n","auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"},"isInherited":true,"source":{"_postman_id":"833c5496-8769-4758-9119-88a7afa4082e","id":"833c5496-8769-4758-9119-88a7afa4082e","name":"Medikode API","type":"collection"}},"urlObject":{"path":["specialties"],"host":["{{SERVER}}"],"query":[],"variable":[]}},"response":[{"id":"2f4c8597-62c4-478b-aa59-2bdf3b3f8a5d","name":"Supported Specialties","originalRequest":{"method":"GET","header":[],"url":"{{SERVER}}/specialties"},"status":"OK","code":200,"_postman_previewlanguage":null,"header":[{"key":"x-powered-by","value":"Express"},{"key":"access-control-allow-origin","value":"*"},{"key":"access-control-allow-headers","value":"Origin, X-Requested-With, Content-Type, Accept"},{"key":"access-control-allow-methods","value":"GET, POST, PUT, DELETE, OPTIONS"},{"key":"content-type","value":"application/json; charset=utf-8"},{"key":"content-length","value":"73140"},{"key":"etag","value":"W/\"11db4-NU0lAUsGaaIS0fGs/OPi6YkEjno\""},{"key":"date","value":"Tue, 26 Aug 2025 16:49:10 GMT"}],"cookie":[],"responseTime":null,"body":"{\n    \"success\": true,\n    \"count\": 77,\n    \"data\": [\n        {\n            \"id\": 1167,\n            \"code\": \"111NN0400X\",\n            \"grouping\": \"Chiropractic Providers\",\n            \"classification\": \"Chiropractor\",\n            \"specialization\": \"Neurology\",\n            \"definition\": \"Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.\",\n            \"notes\": \"Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added]\",\n            \"display_name\": \"Neurology Chiropractor\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1639,\n            \"code\": \"261QP2000X\",\n            \"grouping\": \"Ambulatory Health Care Facilities\",\n            \"classification\": \"Clinic/Center\",\n            \"specialization\": \"Physical Therapy\",\n            \"definition\": \"An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.\",\n            \"notes\": \"Source: Guide to PT Practice 3.0 [1/1/2020: definition added]  Additional resources: http://guidetoptpractice.apta.org/ ; American Physical Therapy Association, www.apta.org.\",\n            \"display_name\": \"Physical Therapy Clinic/Center\",\n            \"section\": \"Non-Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 913,\n            \"code\": \"207QA0401X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Addiction Medicine\",\n            \"definition\": \"A family medicine physician who specializes in the diagnosis and treatment of addictions.\",\n            \"notes\": \"Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added]    Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.\",\n            \"display_name\": \"Addiction Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 914,\n            \"code\": \"207QA0000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Adolescent Medicine\",\n            \"definition\": \"A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Family Medicine, 2007.  http://www.theabfm.org/.  American Osteopathic Board of Family Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.\",\n            \"display_name\": \"Adolescent Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 915,\n            \"code\": \"207QA0505X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Adult Medicine\",\n            \"definition\": \"The NUCC recommends this code not be used. Choose a more appropriate code.\",\n            \"notes\": null,\n            \"display_name\": \"Adult Medicine Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 916,\n            \"code\": \"207QD0401X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Diabetology\",\n            \"definition\": \"A family medicine physician who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications; hospital management of diabetic patients; use of technology in the treatment and monitoring of diabetes; management of ancillary diagnoses, such as hypertension, obesity, lipidemia, etc.; and education and counseling on nutrition and lifestyle management.\",\n            \"notes\": \"Source: American College of Diabetology, www.acdiabetology.org. Additional Resources: Board certification for physicians is provided by the American College of Diabetology.\",\n            \"display_name\": \"Diabetology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 912,\n            \"code\": \"207Q00000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": null,\n            \"definition\": \"Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.\",\n            \"notes\": \"Source:  American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]<br/>Note:  The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.<br/>Additional Resources:  American Board of Family Medicine, www.theabfm.org.  American Osteopathic Board of Family Physicians, www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.\",\n            \"display_name\": \"Family Medicine Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 917,\n            \"code\": \"207QG0300X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Geriatric Medicine\",\n            \"definition\": \"A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Family Medicine, 2007.  http://wwwtheabfm.org/.  American Osteopathic Board of Family Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.\",\n            \"display_name\": \"Geriatric Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 918,\n            \"code\": \"207QH0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Hospice and Palliative Medicine\",\n            \"definition\": \"A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.\",\n            \"notes\": \"Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]\",\n            \"display_name\": \"Hospice and Palliative Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 919,\n            \"code\": \"207QB0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Obesity Medicine\",\n            \"definition\": \"A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\",\n            \"notes\": \"Source:  American Board of Obesity Medicine, www.abom.org [10/1/2007: new, 7/1/2015: title and definition modified]  Additional Resource: American Society of Bariatric Physicians, www.asbp.org.\",\n            \"display_name\": \"Obesity Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 920,\n            \"code\": \"207QP0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Physician Nutrition Specialist\",\n            \"definition\": \"A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.  \",\n            \"notes\": \"Source: National Board of Physician Nutrition Specialists, www.nbpns.org.\",\n            \"display_name\": \"Physician Nutrition Specialist (Family Medicine)\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 921,\n            \"code\": \"207QS1201X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Sleep Medicine\",\n            \"definition\": \"A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.\",\n            \"notes\": \"Source: American Academy of Sleep Medicine, 2008, www.aasm.org  [7/1/2008: new]\",\n            \"display_name\": \"Sleep Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 922,\n            \"code\": \"207QS0010X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Family Medicine\",\n            \"specialization\": \"Sports Medicine\",\n            \"definition\": \"A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Family Medicine, 2007.  http://www.theabfm.org/.  American Osteopathic Board of Family Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.\",\n            \"display_name\": \"Sports Medicine (Family Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 928,\n            \"code\": \"207RA0401X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Addiction Medicine\",\n            \"definition\": \"An internist doctor of osteopathy that specializes in the treatment of addiction disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.\",\n            \"notes\": \"Source: American Osteopathic Board of Internal Medicine, 2007.  [7/1/2008: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: http://www.osteopathic.org/certification\",\n            \"display_name\": \"Addiction Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 929,\n            \"code\": \"207RA0000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Adolescent Medicine\",\n            \"definition\": \"An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Adolescent Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 930,\n            \"code\": \"207RA0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Adult Congenital Heart Disease\",\n            \"definition\": \"A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.\",\n            \"notes\": \"Source: American College of Cardiology, www.acc.org [7/1/2018: new]\",\n            \"display_name\": \"Adult Congenital Heart Disease Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 931,\n            \"code\": \"207RA0001X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Advanced Heart Failure and Transplant Cardiology\",\n            \"definition\": \"Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.\",\n            \"notes\": \"Source:  American Board of Internal Medicine, www.abim.org  [7/1/2015: new]\",\n            \"display_name\": \"Advanced Heart Failure and Transplant Cardiology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 932,\n            \"code\": \"207RA0201X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Allergy & Immunology\",\n            \"definition\": \"An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.\",\n            \"notes\": \"Source: American Osteopathic Board of Internal Medicine, 2007.  [7/1/2008: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: http://www.osteopathic.org/certification\",\n            \"display_name\": \"Allergy & Immunology (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 933,\n            \"code\": \"207RC0000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Cardiovascular Disease\",\n            \"definition\": \"An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.\",\n            \"notes\": \"Source: American Osteopathic Board of Internal Medicine, 2008  [7/1/2008: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine,  http://www.abim.org/.  American Osteopathic Board of Internal Medicine,  https://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.\",\n            \"display_name\": \"Cardiovascular Disease Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 935,\n            \"code\": \"207RC0001X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Clinical Cardiac Electrophysiology\",\n            \"definition\": \"A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Clinical Cardiac Electrophysiology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 934,\n            \"code\": \"207RI0001X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Clinical & Laboratory Immunology\",\n            \"definition\": \"An internal medicine physician who specializes in clinical and laboratory immunology disease management.\",\n            \"notes\": \"Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added]    Additional Resources: A certification was, but is no longer issued by the American Board of Internal Medicine.  \",\n            \"display_name\": \"Clinical & Laboratory Immunology (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 936,\n            \"code\": \"207RC0200X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Critical Care Medicine\",\n            \"definition\": \"An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Critical Care Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 937,\n            \"code\": \"207QB0505X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Diabetology\",\n            \"definition\": \"An internist who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications; hospital management of diabetic patients; use of technology in the treatment and monitoring of diabetes; management of ancillary diagnoses, such as hypertension, obesity, lipidemia, etc.; and education and counseling on nutrition and lifestyle management.\",\n            \"notes\": \"Source: American College of Diabetology, www.acdiabetology.org. Additional Resources: Board certification for physicians is provided by the American College of Diabetology.\",\n            \"display_name\": \"Diabetology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 938,\n            \"code\": \"207RE0101X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Endocrinology, Diabetes & Metabolism\",\n            \"definition\": \"An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Endocrinology, Diabetes & Metabolism Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 939,\n            \"code\": \"207RG0100X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Gastroenterology\",\n            \"definition\": \"An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Gastroenterology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 940,\n            \"code\": \"207RG0300X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Geriatric Medicine\",\n            \"definition\": \"An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Geriatric Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 941,\n            \"code\": \"207RH0000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Hematology\",\n            \"definition\": \"An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Hematology (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 942,\n            \"code\": \"207RH0003X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Hematology & Oncology\",\n            \"definition\": \"An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders.  A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology.  The Certificate is NO longer offered.\",\n            \"notes\": \"Source: American Osteopathic Board of Internal Medicine, 2007.  [7/1/2008: definition added, source added; 7/1/2011: modified source]<br/>Additional Resources: http://www.osteopathic.org/certification\",\n            \"display_name\": \"Hematology & Oncology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 943,\n            \"code\": \"207RI0008X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Hepatology\",\n            \"definition\": \"The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.\",\n            \"notes\": \"Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993    ACGME Accredited Residency Program Requirements:  None \",\n            \"display_name\": \"Hepatology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 944,\n            \"code\": \"207RH0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Hospice and Palliative Medicine\",\n            \"definition\": \"An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.\",\n            \"notes\": \"Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]\",\n            \"display_name\": \"Hospice and Palliative Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 945,\n            \"code\": \"207RH0005X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Hypertension Specialist\",\n            \"definition\": \"A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.\",\n            \"notes\": \"Source:  American Society of Hypertension, www.ash-us.org [7/1/2011: new]  Additional Resources:  The American Society of Hypertension Specialists Program offers an examination and designation for Hypertension Specialists.  This subspecialty is not a Board certificate issued by either the American Board of Internal Medicine or the American Osteopathic Board of Internal Medicine.\",\n            \"display_name\": \"Hypertension Specialist Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 946,\n            \"code\": \"207RI0200X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Infectious Disease\",\n            \"definition\": \"An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Infectious Disease Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 927,\n            \"code\": \"207R00000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": null,\n            \"definition\": \"A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Internal Medicine Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 947,\n            \"code\": \"207RI0011X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Interventional Cardiology\",\n            \"definition\": \"An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source]   Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/    Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine.  ACGME Accredited Residency Program Requirements:  1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years.  ABMS Approved Subspecialty Certificate  (Internal Medicine)\",\n            \"display_name\": \"Interventional Cardiology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 948,\n            \"code\": \"207RM1200X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Magnetic Resonance Imaging (MRI)\",\n            \"definition\": \"The NUCC recommends this code not be used. Choose a more appropriate code.<br/>\",\n            \"notes\": null,\n            \"display_name\": \"Magnetic Resonance Imaging (MRI) Internal Medicine Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 949,\n            \"code\": \"207RX0202X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Medical Oncology\",\n            \"definition\": \"An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]  \",\n            \"display_name\": \"Medical Oncology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 950,\n            \"code\": \"207RN0300X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Nephrology\",\n            \"definition\": \"An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Nephrology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 951,\n            \"code\": \"207RB0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Obesity Medicine\",\n            \"definition\": \"A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\",\n            \"notes\": \"Source:  American Board of Obesity Medicine, www.abom.org [10/1/2007: new, 7/1/2015: title and definition modified]  Additional Resource: American Society of Bariatric Physicians, www.asbp.org.\",\n            \"display_name\": \"Obesity Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 952,\n            \"code\": \"207RP1002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Physician Nutrition Specialist\",\n            \"definition\": \"A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition.  \",\n            \"notes\": \"Source: National Board of Physician Nutrition Specialists, www.nbpns.org.\",\n            \"display_name\": \"Physician Nutrition Specialist (Internal Medicine)\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 953,\n            \"code\": \"207RP1001X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Pulmonary Disease\",\n            \"definition\": \"An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Pulmonary Disease Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 954,\n            \"code\": \"207RR0500X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Rheumatology\",\n            \"definition\": \"An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and \\\"collagen\\\" diseases.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Rheumatology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 955,\n            \"code\": \"207RS0012X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Sleep Medicine\",\n            \"definition\": \"An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.\",\n            \"notes\": \"Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]\",\n            \"display_name\": \"Sleep Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 956,\n            \"code\": \"207RS0010X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Sports Medicine\",\n            \"definition\": \"An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.  American Osteopathic Board of Internal Medicine, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Internal  Medicine.  Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal  Medicine.\",\n            \"display_name\": \"Sports Medicine (Internal Medicine) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 957,\n            \"code\": \"207RT0003X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Internal Medicine\",\n            \"specialization\": \"Transplant Hepatology\",\n            \"definition\": \"An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: new]    Additional Resources: American Board of Internal Medicine, 2007.  http://www.abim.org/.    Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine.\",\n            \"display_name\": \"Transplant Hepatology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 971,\n            \"code\": \"207UN0901X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Nuclear Medicine\",\n            \"specialization\": \"Nuclear Cardiology\",\n            \"definition\": \"A nuclear medicine physician who specializes in nuclear cardiology.\",\n            \"notes\": \"Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added]    Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine.\",\n            \"display_name\": \"Nuclear Cardiology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1038,\n            \"code\": \"2080P0202X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Pediatrics\",\n            \"specialization\": \"Pediatric Cardiology\",\n            \"definition\": \"A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]<br/>Additional Resources: American Board of Pediatrics, 2007.  http://www.abp.org/.  American Osteopathic Board of Pediatrics, 2007.  http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.  Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics.  The Certification is no longer offered.\",\n            \"display_name\": \"Pediatric Cardiology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1341,\n            \"code\": \"1835C0206X\",\n            \"grouping\": \"Pharmacy Service Providers\",\n            \"classification\": \"Pharmacist\",\n            \"specialization\": \"Cardiology\",\n            \"definition\": \"A licensed pharmacist who has demonstrated specialized knowledge and skill in direct patient care to ensure safe and effective use of medications in patients with cardiovascular disease, as members of interprofessional health care teams.\",\n            \"notes\": \"Source: Board of Pharmacy Specialties, www.bpsweb.org \",\n            \"display_name\": \"Cardiology Pharmacist\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1462,\n            \"code\": \"2251N0400X\",\n            \"grouping\": \"Respiratory, Developmental, Rehabilitative and Restorative Service Providers\",\n            \"classification\": \"Physical Therapist\",\n            \"specialization\": \"Neurology\",\n            \"definition\": \"A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.\",\n            \"notes\": \"Source: American Physical Therapy Association [1/1/2020: definition added]  Additional resources: http://www.abpts.org/uploadedFiles/ABPTSorg/Specialist_Certification/DSP/DSP-Neurology.pdf\",\n            \"display_name\": \"Neurology Physical Therapist\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1466,\n            \"code\": \"225200000X\",\n            \"grouping\": \"Respiratory, Developmental, Rehabilitative and Restorative Service Providers\",\n            \"classification\": \"Physical Therapy Assistant\",\n            \"specialization\": null,\n            \"definition\": \"(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.\",\n            \"notes\": \"Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612\",\n            \"display_name\": \"Physical Therapy Assistant\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1074,\n            \"code\": \"2084A0401X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Addiction Medicine\",\n            \"definition\": \"A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine\",\n            \"notes\": \"Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]<br/>Additional Resources: http://www.osteopathic.org/certification\",\n            \"display_name\": \"Addiction Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1075,\n            \"code\": \"2084P0802X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Addiction Psychiatry\",\n            \"definition\": \"Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Addiction Psychiatry Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1076,\n            \"code\": \"2084B0040X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Behavioral Neurology & Neuropsychiatry\",\n            \"definition\": \"Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.\",\n            \"notes\": \"Source: National Uniform Claim Committee. [1/1/2012: new]  Additional Resources:  American Academy of Neurology, www.aan.com.\",\n            \"display_name\": \"Behavioral Neurology & Neuropsychiatry Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1077,\n            \"code\": \"2084P0301X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Brain Injury Medicine\",\n            \"definition\": \"A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease.  These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.\",\n            \"notes\": \"Source: American Board of Physical Medicine and Rehabilitation, 2015. www.abpmr.org [1/1/2016: new]\",\n            \"display_name\": \"Brain Injury Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1078,\n            \"code\": \"2084P0804X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Child & Adolescent Psychiatry\",\n            \"definition\": \"Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Child & Adolescent Psychiatry Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1079,\n            \"code\": \"2084N0600X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Clinical Neurophysiology\",\n            \"definition\": \"Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Clinical Neurophysiology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1080,\n            \"code\": \"2084D0003X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Diagnostic Neuroimaging\",\n            \"definition\": \"A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation.  Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.\",\n            \"notes\": \"Source:  American Academy of Neurology, www.aan.com [1/1/2007: new]\",\n            \"display_name\": \"Diagnostic Neuroimaging (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1081,\n            \"code\": \"2084E0001X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Epilepsy\",\n            \"definition\": \"Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>\",\n            \"notes\": \"Source: American Epilepsy Society, www.aesnet.org [7/1/2021: new]\",\n            \"display_name\": \"Epilepsy Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1082,\n            \"code\": \"2084F0202X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Forensic Psychiatry\",\n            \"definition\": \"Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Forensic Psychiatry Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1083,\n            \"code\": \"2084P0805X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Geriatric Psychiatry\",\n            \"definition\": \"Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Geriatric Psychiatry Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1084,\n            \"code\": \"2084H0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Hospice and Palliative Medicine\",\n            \"definition\": \"A psychiatrist or neurologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family.  This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.\",\n            \"notes\": \"Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]\",\n            \"display_name\": \"Hospice and Palliative Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1085,\n            \"code\": \"2084A2900X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Neurocritical Care\",\n            \"definition\": \"The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient.  They may also provide consultative services for these patients as requested within the health system.\",\n            \"notes\": \"Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new]\",\n            \"display_name\": \"Neurocritical Care Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1086,\n            \"code\": \"2084P0005X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Neurodevelopmental Disabilities\",\n            \"definition\": \"A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.\",\n            \"notes\": \"Source: National Uniform Claim Committee, www.nucc.org\",\n            \"display_name\": \"Neurodevelopmental Disabilities Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1087,\n            \"code\": \"2084N0400X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Neurology\",\n            \"definition\": \"A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Neurology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1088,\n            \"code\": \"2084N0402X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Neurology with Special Qualifications in Child Neurology\",\n            \"definition\": \"A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Neurology with Special Qualifications in Child Neurology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1089,\n            \"code\": \"2084N0008X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Neuromuscular Medicine\",\n            \"definition\": \"A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: new]    Additional Resources: American Board of Psychiatry and Neurology, 2007.  http://www.abpn.org/.    Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology\",\n            \"display_name\": \"Neuromuscular Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1090,\n            \"code\": \"2084B0002X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Obesity Medicine\",\n            \"definition\": \"A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\",\n            \"notes\": \"Source:  American Board of Obesity Medicine, www.abom.org [10/1/2007: new, 7/1/2015: title and definition modified]  Additional Resource: American Society of Bariatric Physicians, www.asbp.org.\",\n            \"display_name\": \"Obesity Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1091,\n            \"code\": \"2084P2900X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Pain Medicine\",\n            \"definition\": \"A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: definition changed, source added]    Additional Resources: American Board of Psychiatry and Neurology, 2007.  http://www.abpn.org/.      Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology.    A subspecialty certificate was approved by ABMS in 1998.    ACGME Accredited Residency Program Requirements:  None.\",\n            \"display_name\": \"Pain Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1092,\n            \"code\": \"2084P0800X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Psychiatry\",\n            \"definition\": \"A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Psychiatry Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1093,\n            \"code\": \"2084P0015X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Psychosomatic Medicine\",\n            \"definition\": \"Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new]\",\n            \"display_name\": \"Psychosomatic Medicine Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1094,\n            \"code\": \"2084S0012X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Sleep Medicine\",\n            \"definition\": \"A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.\",\n            \"notes\": \"Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]\",\n            \"display_name\": \"Sleep Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1095,\n            \"code\": \"2084S0010X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Sports Medicine\",\n            \"definition\": \"A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.\",\n            \"notes\": \"Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added]   Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Neurology and Psychiatry.\",\n            \"display_name\": \"Sports Medicine (Psychiatry & Neurology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1096,\n            \"code\": \"2084V0102X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Psychiatry & Neurology\",\n            \"specialization\": \"Vascular Neurology\",\n            \"definition\": \"Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.\",\n            \"notes\": \"Source:  The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]\",\n            \"display_name\": \"Vascular Neurology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1287,\n            \"code\": \"163WU0100X\",\n            \"grouping\": \"Nursing Service Providers\",\n            \"classification\": \"Registered Nurse\",\n            \"specialization\": \"Urology\",\n            \"definition\": \"Definition to come...\",\n            \"notes\": null,\n            \"display_name\": \"Urology Registered Nurse\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1568,\n            \"code\": \"246W00000X\",\n            \"grouping\": \"Technologists, Technicians & Other Technical Service Providers\",\n            \"classification\": \"Technician, Cardiology\",\n            \"specialization\": null,\n            \"definition\": \"An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.\",\n            \"notes\": null,\n            \"display_name\": \"Cardiology Technician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1123,\n            \"code\": \"2088P0231X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Urology\",\n            \"specialization\": \"Pediatric Urology\",\n            \"definition\": \"Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents.  Pediatric urologists generally provide the following services:  the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).\",\n            \"notes\": \"Source: American Academy of Pediatrics [7/1/2006: new]\",\n            \"display_name\": \"Pediatric Urology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1122,\n            \"code\": \"2088F0040X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Urology\",\n            \"specialization\": \"Urogynecology and Reconstructive Pelvic Surgery\",\n            \"definition\": \"A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2011. [1/1/2012: new, 7/1/2024: modified]  Resources:  www.abms.org\",\n            \"display_name\": \"Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        },\n        {\n            \"id\": 1121,\n            \"code\": \"208800000X\",\n            \"grouping\": \"Allopathic & Osteopathic Physicians\",\n            \"classification\": \"Urology\",\n            \"specialization\": null,\n            \"definition\": \"A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.\",\n            \"notes\": \"Source: American Board of Medical Specialties, 2007.  www.abms.org [7/1/2007: definition added, source added]    Additional Resources: American Board of Urology, 2007.  http://www.abu.org/.    Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.\",\n            \"display_name\": \"Urology Physician\",\n            \"section\": \"Individual\",\n            \"version\": \"v25.1\"\n        }\n    ],\n    \"timestamp\": \"2025-08-26T16:49:10.895Z\"\n}"}],"_postman_id":"5d259d33-38aa-405b-af4e-512574b08aaf"}],"auth":{"type":"apikey","apikey":{"value":"{{APIKEY}}","key":"<key>"}},"event":[{"listen":"prerequest","script":{"id":"131e261d-2cdf-4d3e-9fbb-6a3fedb5d802","type":"text/javascript","packages":{},"exec":[""]}},{"listen":"test","script":{"id":"771ff616-4946-47e9-8896-41e7285e034f","type":"text/javascript","packages":{},"exec":[""]}}]}