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opioid_classification's Introduction

Opioid_Classification

In this example we will be attempting to classify opioid useage.

Feature Definitions

  • ClaimID Unique: Identifier for a claim
  • Accident DateID*: Number of days since the accident occurred from an arbitrary date
  • Claim Setup DateID*: Number of days since the Resolution Manager sets up the claim from an arbitrary date
  • Report To DateID*: Number of days since the employer notifies insurance of a claim from an arbitrary date
  • Employer Notification DateID*: Number of days since the claimant notifies employer of an injury from an arbitrary date
  • Benefits State: The jurisdiction whose benefits are applied to a claim
  • Accident State: State in which the accident occurred
  • Industry ID: Broad industry classification categories
  • Claimant Age: Age of the injured worker
  • Claimant Sex: Sex of the injured worker
  • Claimant State: State in which the claimant resides
  • Claimant Marital Status: Marital status of the injured worker
  • Number Dependents: Number of dependents the claimant has
  • Weekly Wage: An average of the claimant’s weekly wages as of the injury date.
  • Employment Status Flag:
    • Valid employment status codes are:
    • F – Regular full-time employee
    • P – Part-time employee
    • U – Unemployed
    • S – On strike
    • D – Disabled
    • R – Retired
    • O – Other
    • L – Seasonal worker
    • V – Volunteer worker
    • A – Apprenticeship full-time
    • B – Apprenticeship part-time
    • C – Piece worker
  • RTW Restriction Flag: A Y/N flag, used to indicate whether the employees responsibilities upon returning to work were limited as a result of his/her illness or injury.
  • Max Medical Improvement DateID: DateID of Maximum Medical Improvement, after which further recovery from or lasting improvements to an injury or disease can no longer be anticipated based on reasonable medical probability.
  • Percent Impairment: Indicates the percentage of anatomic or functional abnormality or loss, for the body as a whole, which resulted from the injury and exists after the date of maximum medical improvement
  • Post Injury Weekly Wage: The weekly wage of the claimant after returning to work, post-injury, and/or the claim is closed.
  • NCCI Job Code: A code that is established to identify and categorize jobs for workers’ compensation.
  • Surgery Flag: Indicates if the claimant’s injury will require or did require surgery
  • Disability Status:
    • Temporary Total Disability (TTD)
    • Temporary Partial Disability (TPD)
    • Permanent Partial Disability (PPD)
    • Permanent Total Disability (PTD)
  • SIC Group: Standard Industry Classification group for the client
  • NCCI BINatureOfLossDescription: Description of the end result of the bodily injury (BI) loss occurrence
  • Accident Source Code: A code identifying the object or source which inflicted the injury or damage.
  • Accident Type Group: A code identifying the general action which occurred resulting in the loss
  • Neurology Payment Flag: Indicates if there were any payments made for diagnosis and treatment of disorders ofthe nervous system without surgical intervention
  • Neurosurgery Payment Flag: Indicates if there were any payments made for services by physicians specializing in the diagnosis and treatment of disorders of the nervous system, including surgical intervention if needed
  • Dentist Payment Flag: Indicates if there were any payments made for prevention, diagnosis, and treatment of diseases of the teeth and gums
  • Orthopedic Surgery Payment Flag: Indicates if there were any payments made for surgery dealing with the skeletal system and preservation and restoration of its articulations and structures.
  • Psychiatry Payment Flag: Indicates if there were any payments made for treatment of mental, emotional, or behavioral disorders.
  • Hand Surgery Payment Flag: Indicates if there were any payments made for surgery only addressing one or both hands.
  • Optometrist Payment Flag: Indicates if there were any payments made to specialists who examine the eye for defects and faults of refraction and prescribe correctional lenses or exercises but not drugs or surgery
  • Podiatry Payment Flag: Indicates if there were any payments made for services from a specialist concerned with the care of the foot, including its anatomy, medical and surgical treatment, and its diseases.
  • HCPCS A Codes - HCPCS Z Codes: Count of the number of HCPCS codes that appear on the claim within each respective code group
  • ICD Group 1 - ICD Group 21: Count of the number of ICD codes that appear on the claim w/in each respective code group
  • Count of the number of codes on the claim
    • CPT Category - Anesthesia
    • CPT Category - Eval_Mgmt
    • CPT Category - Medicine
    • CPT Category - Path_Lab
    • CPT Category - Radiology
    • CPT Category - Surgery
  • Count of the number of NDC codes on the claim within eachrespective code class
    • NDC Class - Benzo
    • NDC Class - Misc (Zolpidem)
    • NDC Class - Muscle Relaxants
    • NDC Class - Stimulants
  • Opioids Used A True (1) or False (0) indicator for whether or not the claimant

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