healthcare.medicare-claim

[outtanames]

Healthcare Schemas

This PR adds three new healthcare schemas to the contrib section:

1. healthcare.hipaa-release: HIPAA release form data extraction
2. healthcare.prior-authorization: Prior authorization form data extraction
3. healthcare.medicare-claim: Medicare claim form data extraction

Sample Data

HIPAA Release Form

Prior Authorization Form

Medicare Claim Form

JSON Prediction Output

Medicare Claim Form

{
  "insurance_type": "medicare",
  "patient_name": "John Doe",
  "patient_birth_date": "1980-01-01",
  "patient_gender": "M",
  "patient_address": "123 Main St",
  "patient_city": "Anytown",
  "patient_state": "CA",
  "patient_zip": "12345",
  "patient_phone": "(123) 456-7890",
  "patient_relationship_to_insured": "Self",
  "insured_name": "John Doe",
  "insured_id": "123456789",
  "insured_address": "123 Main St",
  "insured_city": "Anytown",
  "insured_state": "CA",
  "insured_zip": "12345",
  "insured_phone": "(123) 456-7890",
  "employment_related": false,
  "auto_accident": false,
  "auto_accident_state": null,
  "other_accident": false,
  "diagnosis_codes": [
    "A00",
    "B01"
  ],
  "service_lines": [
    {
      "date_from": "2023-01-01",
      "date_to": "2023-01-02",
      "place_of_service": "11",
      "cpt_hcpcs_code": "99213",
      "modifiers": [
        "25"
      ],
      "charges": 150.0,
      "days_or_units": 1,
      "epsdt": false,
      "rendering_provider": "Dr. Smith"
    }
  ],
  "billing_provider_name": "Health Clinic",
  "billing_provider_npi": "1234567890",
  "billing_provider_tax_id": "12-3456789",
  "billing_provider_address": "456 Health St",
  "billing_provider_city": "Anytown",
  "billing_provider_state": "CA",
  "billing_provider_zip": "12345",
  "billing_provider_phone": "(123) 456-7890",
  "total_charges": 150.0,
  "amount_paid": 100.0,
  "accept_assignment": true,
  "signature_on_file": true,
  "date_of_current_illness": "2023-01-01",
  "referring_provider_npi": "0987654321",
  "prior_authorization_number": "AUTH123456"
}

Link to Devin run: https://app.devin.ai/sessions/c3c08b918d304bc4940bcfe62b9b03de
Requested by: user