{"aaData": [["03", "
Report Justifying Treatment Beyond Utilization Guidelines
\n"], ["13", "
Certified Test Report
\n"], ["15", "
Justification for Admission
\n"], ["21", "
Recovery Plan
\n"], ["A3", "
Allergies/Sensitivities Document
\n"], ["A4", "
Autopsy Report
\n"], ["AM", "
Ambulance Certification
\n"], ["AS", "
Admission Summary
\n"], ["B2", "
Prescription
\n"], ["B3", "
Physician Order
\n"], ["B4", "
Referral Form
\n"], ["04", "
Drugs Administered
\n"], ["BR", "
Benchmark Testing Results
\n"], ["BS", "
Baseline
\n"], ["BT", "
Blanket Test Results
\n"], ["CB", "
Chiropractic Justification
\n"], ["CK", "
Consent Form(s)
\n"], ["CT", "
Certification
\n"], ["D2", "
Drug Profile Document
\n"], ["DA", "
Dental Models
\n"], ["DB", "
Durable Medical Equipment Prescription
\n"], ["DG", "
Diagnostic Report
\n"], ["05", "
Treatment Diagnosis
\n"], ["DJ", "
Discharge Monitoring Report
\n"], ["DS", "
Discharge Summary
\n"], ["EB", "
Explanation of Benefits (COB or Medicare Secondary Payor)
\n"], ["HC", "
Health Certificate
\n"], ["HR", "
Health Clinic Records
\n"], ["I5", "
Immunization Record
\n"], ["IR", "
State School Immunization Records
\n"], ["LA", "
Laboratory Results
\n"], ["M1", "
Medical Record Attachment
\n"], ["MT", "
Models
\n"], ["06", "
Initial Assessment
\n"], ["NN", "
Nursing Notes
\n"], ["OB", "
Operative Note
\n"], ["OC", "
Oxygen Content Averaging Report
\n"], ["OD", "
Orders and Treatments Document
\n"], ["OE", "
Objective Physical Examination (including vital signs) Document
\n"], ["OX", "
Oxygen Therapy Certification
\n"], ["OZ", "
Support Data for Claim
\n"], ["P4", "
Pathology Report
\n"], ["P5", "
Patient Medical History Document
\n"], ["PE", "
Parenteral or Enteral Certification
\n"], ["07", "
Functional Goals
\n"], ["PN", "
Physical Therapy Notes
\n"], ["PO", "
Prosthetics or Orthotic Certification
\n"], ["PQ", "
Paramedical Results
\n"], ["PY", "
Physician\"_$C(146)_\"s Report
\n"], ["PZ", "
Physical Therapy Certification
\n"], ["RB", "
Radiology Films
\n"], ["RR", "
Radiology Reports
\n"], ["RT", "
Report of Tests and Analysis Report
\n"], ["RX", "
Renewable Oxygen Content Averaging Report
\n"], ["SG", "
Symptoms Document
\n"], ["08", "
Plan of Treatment
\n"], ["V5", "
Death Notification
\n"], ["XP", "
Photographs
\n"], ["P6", "
Periodontal Charts
\n"], ["09", "
Progress Report
\n"], ["10", "
Continued Treatment
\n"], ["11", "
Chemical Analysis
\n"]]}