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feat: initial implementation taller-wox.fitlabs.dev

Browse Source 
Portal FastAPI + 5 endpoints REST para Bootcamp Agentic AI con
watsonx Orchestrate (FactorIT). Single container, Coolify-ready.

- Landing brandeado FIT con formulario de registro (honeypot anti-bot)
- Tokens itsdangerous para descargas (24h expiry)
- 5 endpoints API: historical/available procedures, member-insights,
  schedule, generate-report (Jinja2 + Plotly)
- SQLite con upsert-on-email para leads + log de descargas
- Admin endpoints (HTTP Basic): leads.json, leads.csv, stats
- 23 tests pytest pasando
- Dockerfile listo para Coolify con volúmenes persistentes
  (/app/leads.db, /app/app/data/reports_output, /app/material)

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>
This commit is contained in:
farentsen
2026-05-13 03:01:44 +00:00
commit a062b45c51
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Date,CPT_Code,Description,Charged_Amount,Allowed_Amount,Plan_Paid,Patient_Responsibility
2024-04-15,74177,CT Abdomen/Pelvis w/contrast,1847.50,1200.00,960.00,240.00
2024-03-22,99213,Office visit established patient,185.00,120.00,96.00,24.00
2024-02-10,80061,Lipid panel,82.00,55.00,44.00,11.00
2024-01-18,99395,Preventive visit adult,310.00,250.00,250.00,0.00
2023-12-05,90686,Influenza vaccine,55.00,40.00,40.00,0.00
2023-11-12,87880,Strep A direct test,42.00,28.00,22.40,5.60
2023-10-08,71046,Chest X-ray 2 views,210.00,140.00,112.00,28.00
2023-09-22,93000,Electrocardiogram complete,138.00,90.00,72.00,18.00
2023-08-14,99214,Office visit established mod complexity,250.00,170.00,136.00,34.00
2023-07-03,36415,Venipuncture,18.00,12.00,9.60,2.40
1 Date CPT_Code Description Charged_Amount Allowed_Amount Plan_Paid Patient_Responsibility
2 2024-04-15 74177 CT Abdomen/Pelvis w/contrast 1847.50 1200.00 960.00 240.00
3 2024-03-22 99213 Office visit established patient 185.00 120.00 96.00 24.00
4 2024-02-10 80061 Lipid panel 82.00 55.00 44.00 11.00
5 2024-01-18 99395 Preventive visit adult 310.00 250.00 250.00 0.00
6 2023-12-05 90686 Influenza vaccine 55.00 40.00 40.00 0.00
7 2023-11-12 87880 Strep A direct test 42.00 28.00 22.40 5.60
8 2023-10-08 71046 Chest X-ray 2 views 210.00 140.00 112.00 28.00
9 2023-09-22 93000 Electrocardiogram complete 138.00 90.00 72.00 18.00
10 2023-08-14 99214 Office visit established mod complexity 250.00 170.00 136.00 34.00
11 2023-07-03 36415 Venipuncture 18.00 12.00 9.60 2.40

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Claim #AET-2024-9912 has been processed.
Service date: 2024-04-15
Provider: City Hospital
Total billed: $1,847.50
Plan allowance: $1,200.00
Plan paid: $960.00
Patient responsibility (20% coinsurance after deductible): $240.00
EOB available at member portal.

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procedure,location,facility_rating,distance_miles,gold_ppo_plan_accepted,silver_epo_plan_accepted,accepted_plans,cost_facility,cost_physician,cost_anesthesia,cost_medication,total_cost
MRI,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",1450.00,820.00,0.00,12.00,2282.00
MRI,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",1380.00,790.00,0.00,11.00,2181.00
MRI,Green Valley Clinic,4.5,8.4,true,false,"Gold PPO, Bronze HDHP",1520.00,860.00,0.00,12.50,2392.50
MRI,Sunrise Health,4.3,15.1,true,false,"Gold PPO, Bronze HDHP",1610.00,880.00,0.00,13.00,2503.00
CT Scan,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",1600.00,750.00,0.00,8.00,2358.00
CT Scan,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",1540.00,720.00,0.00,7.50,2267.50
CT Scan,Sunrise Health,4.3,15.1,true,false,"Gold PPO, Bronze HDHP",1750.00,820.00,0.00,9.00,2579.00
X Ray,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",110.00,140.00,0.00,2.00,252.00
X Ray,Green Valley Clinic,4.5,8.4,true,true,"Gold PPO, Family Plan - Silver EPO, Bronze HDHP",95.00,125.00,0.00,1.50,221.50
X Ray,Sunrise Health,4.3,15.1,true,false,"Gold PPO, Bronze HDHP",90.00,120.00,0.00,1.50,211.50
X Ray,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",100.00,130.00,0.00,1.50,231.50
Annual Physical Exam,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",80.00,180.00,0.00,5.00,265.00
Annual Physical Exam,Green Valley Clinic,4.5,8.4,true,true,"Gold PPO, Family Plan - Silver EPO, Bronze HDHP",75.00,170.00,0.00,4.50,249.50
Annual Physical Exam,Sunrise Health,4.3,15.1,true,false,"Gold PPO, Bronze HDHP",85.00,200.00,0.00,4.50,289.50
Annual Physical Exam,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",90.00,210.00,0.00,5.00,305.00
Appendectomy,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",9100.00,5800.00,2200.00,195.00,17295.00
Appendectomy,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",8200.00,5400.00,2100.00,180.00,15880.00
Dental Cleaning,Green Valley Clinic,4.5,8.4,true,true,"Gold PPO, Family Plan - Silver EPO, Bronze HDHP",58.00,118.00,0.00,0.00,176.00
Dental Cleaning,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO",60.00,120.00,0.00,0.00,180.00
Dental Cleaning,Sunrise Health,4.3,15.1,true,false,"Gold PPO, Bronze HDHP",55.00,115.00,0.00,0.00,170.00
Vision Exam,Sunrise Health,4.3,15.1,true,false,"Gold PPO, Bronze HDHP",35.00,105.00,0.00,0.00,140.00
Vision Exam,Green Valley Clinic,4.5,8.4,true,true,"Gold PPO, Family Plan - Silver EPO, Bronze HDHP",38.00,108.00,0.00,0.00,146.00
Vision Exam,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO",40.00,110.00,0.00,0.00,150.00
Blood Test,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",25.00,55.00,0.00,2.50,82.50
Blood Test,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",28.00,55.00,0.00,3.00,86.00
Angioplasty,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",9432.80,4774.57,1894.37,834.80,16936.54
Angioplasty,Regional Medical Center,4.6,12.6,true,true,"Gold PPO, Family Plan - Silver EPO",8920.00,4520.00,1850.00,810.00,16100.00
Ultrasound,City Hospital,4.7,5.2,true,true,"Gold PPO, Family Plan - Silver EPO, Medicare Advantage",380.00,290.00,0.00,3.00,673.00
1 procedure location facility_rating distance_miles gold_ppo_plan_accepted silver_epo_plan_accepted accepted_plans cost_facility cost_physician cost_anesthesia cost_medication total_cost
2 MRI City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 1450.00 820.00 0.00 12.00 2282.00
3 MRI Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 1380.00 790.00 0.00 11.00 2181.00
4 MRI Green Valley Clinic 4.5 8.4 true false Gold PPO, Bronze HDHP 1520.00 860.00 0.00 12.50 2392.50
5 MRI Sunrise Health 4.3 15.1 true false Gold PPO, Bronze HDHP 1610.00 880.00 0.00 13.00 2503.00
6 CT Scan City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 1600.00 750.00 0.00 8.00 2358.00
7 CT Scan Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 1540.00 720.00 0.00 7.50 2267.50
8 CT Scan Sunrise Health 4.3 15.1 true false Gold PPO, Bronze HDHP 1750.00 820.00 0.00 9.00 2579.00
9 X Ray City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 110.00 140.00 0.00 2.00 252.00
10 X Ray Green Valley Clinic 4.5 8.4 true true Gold PPO, Family Plan - Silver EPO, Bronze HDHP 95.00 125.00 0.00 1.50 221.50
11 X Ray Sunrise Health 4.3 15.1 true false Gold PPO, Bronze HDHP 90.00 120.00 0.00 1.50 211.50
12 X Ray Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 100.00 130.00 0.00 1.50 231.50
13 Annual Physical Exam City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 80.00 180.00 0.00 5.00 265.00
14 Annual Physical Exam Green Valley Clinic 4.5 8.4 true true Gold PPO, Family Plan - Silver EPO, Bronze HDHP 75.00 170.00 0.00 4.50 249.50
15 Annual Physical Exam Sunrise Health 4.3 15.1 true false Gold PPO, Bronze HDHP 85.00 200.00 0.00 4.50 289.50
16 Annual Physical Exam Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 90.00 210.00 0.00 5.00 305.00
17 Appendectomy City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 9100.00 5800.00 2200.00 195.00 17295.00
18 Appendectomy Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 8200.00 5400.00 2100.00 180.00 15880.00
19 Dental Cleaning Green Valley Clinic 4.5 8.4 true true Gold PPO, Family Plan - Silver EPO, Bronze HDHP 58.00 118.00 0.00 0.00 176.00
20 Dental Cleaning City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO 60.00 120.00 0.00 0.00 180.00
21 Dental Cleaning Sunrise Health 4.3 15.1 true false Gold PPO, Bronze HDHP 55.00 115.00 0.00 0.00 170.00
22 Vision Exam Sunrise Health 4.3 15.1 true false Gold PPO, Bronze HDHP 35.00 105.00 0.00 0.00 140.00
23 Vision Exam Green Valley Clinic 4.5 8.4 true true Gold PPO, Family Plan - Silver EPO, Bronze HDHP 38.00 108.00 0.00 0.00 146.00
24 Vision Exam City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO 40.00 110.00 0.00 0.00 150.00
25 Blood Test City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 25.00 55.00 0.00 2.50 82.50
26 Blood Test Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 28.00 55.00 0.00 3.00 86.00
27 Angioplasty City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 9432.80 4774.57 1894.37 834.80 16936.54
28 Angioplasty Regional Medical Center 4.6 12.6 true true Gold PPO, Family Plan - Silver EPO 8920.00 4520.00 1850.00 810.00 16100.00
29 Ultrasound City Hospital 4.7 5.2 true true Gold PPO, Family Plan - Silver EPO, Medicare Advantage 380.00 290.00 0.00 3.00 673.00

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From: dr.martinez@cityhospital.com
Subject: Follow-up after appointment
Hi Charlie,
Following our visit last week, I'm recommending a follow-up CT scan
to confirm the diagnosis. Please schedule within the next 2 weeks.
Best,
Dr. Martinez
---
From: charlie.smith@gmail.com
Subject: Re: Follow-up
Thanks Dr. Martinez. Will the CT scan be covered by my Gold PPO plan?
Also, can I get a copy of the lab results from last visit?
Charlie

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member_name,relationship,age,gender,procedure,procedure_type,location,date,in_network,member_plan,accepted_plans,cost_facility,cost_physician,cost_anesthesia,cost_medication,total_cost,facility_rating,notes
Charlie Smith,Self,13,Male,Annual Physical Exam,preventive,City Hospital,2024-05-15,true,Gold PPO,"Gold PPO, Medicare Advantage",80.00,180.00,0.00,5.00,265.00,4.7,"Annual Physical Exam performed at City Hospital."
Charlie Smith,Self,13,Male,Dental Cleaning,preventive,Green Valley Clinic,2025-01-10,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",60.00,120.00,0.00,0.00,180.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Charlie Smith,Self,13,Male,Vision Exam,preventive,Sunrise Health,2023-08-22,true,Gold PPO,"Gold PPO, Bronze HDHP",40.00,110.00,0.00,0.00,150.00,4.3,"Vision Exam performed at Sunrise Health."
Charlie Smith,Self,13,Male,Blood Test,diagnostic,City Hospital,2024-11-04,true,Gold PPO,"Gold PPO, Medicare Advantage",25.00,55.00,0.00,2.50,82.50,4.7,"Cholesterol Panel performed at City Hospital."
Alice Smith,Spouse,42,Female,Annual Physical Exam,preventive,Regional Medical Center,2024-09-18,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",95.00,210.00,0.00,4.50,309.50,4.6,"Annual Physical Exam performed at Regional Medical Center."
Alice Smith,Spouse,42,Female,MRI,diagnostic,City Hospital,2023-11-02,true,Gold PPO,"Gold PPO, Medicare Advantage",1450.00,820.00,0.00,12.00,2282.00,4.7,"Lumbar MRI performed at City Hospital."
Alice Smith,Spouse,42,Female,Dental Cleaning,preventive,Green Valley Clinic,2024-08-12,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",65.00,125.00,0.00,0.00,190.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Bob Johnson,Self,55,Male,Appendectomy,surgery,Regional Medical Center,2024-02-04,true,Family Plan - Silver EPO,"Family Plan - Silver EPO, Gold PPO",8200.00,5400.00,2100.00,180.00,15880.00,4.6,"Laparoscopic appendectomy performed at Regional Medical Center."
Bob Johnson,Self,55,Male,Annual Physical Exam,preventive,Regional Medical Center,2024-10-22,false,Family Plan - Silver EPO,"Gold PPO",120.00,260.00,0.00,6.00,386.00,4.6,"Annual Physical Exam performed at Regional Medical Center."
Bob Johnson,Self,55,Male,CT Scan,diagnostic,City Hospital,2024-02-03,true,Family Plan - Silver EPO,"Gold PPO, Medicare Advantage",1600.00,750.00,0.00,8.00,2358.00,4.7,"Pre-op CT abdomen/pelvis at City Hospital."
Diana Roberts,Mother,67,Female,Annual Physical Exam,preventive,Sunrise Health,2024-07-09,true,Gold PPO,"Gold PPO, Bronze HDHP",95.00,220.00,0.00,5.00,320.00,4.3,"Annual Physical Exam performed at Sunrise Health."
Diana Roberts,Mother,67,Female,Vision Exam,preventive,Sunrise Health,2024-10-14,true,Gold PPO,"Gold PPO, Bronze HDHP",40.00,115.00,0.00,0.00,155.00,4.3,"Vision Exam performed at Sunrise Health."
Diana Roberts,Mother,67,Female,Blood Test,diagnostic,City Hospital,2025-02-18,true,Gold PPO,"Gold PPO, Medicare Advantage",28.00,60.00,0.00,3.00,91.00,4.7,"Cholesterol Panel performed at City Hospital."
Diana Roberts,Mother,67,Female,MRI,diagnostic,Regional Medical Center,2023-06-30,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",1520.00,840.00,0.00,10.00,2370.00,4.6,"Knee MRI performed at Regional Medical Center."
Ethan Smith,Son,11,Male,Annual Physical Exam,preventive,City Hospital,2025-04-02,true,Gold PPO,"Gold PPO, Medicare Advantage",70.00,170.00,0.00,4.00,244.00,4.7,"Annual Physical Exam performed at City Hospital."
Ethan Smith,Son,11,Male,Dental Cleaning,preventive,Green Valley Clinic,2025-03-15,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",55.00,115.00,0.00,0.00,170.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Ethan Smith,Son,11,Male,Vision Exam,preventive,Sunrise Health,2024-12-08,true,Gold PPO,"Gold PPO, Bronze HDHP",35.00,105.00,0.00,0.00,140.00,4.3,"Vision Exam performed at Sunrise Health."
Ethan Smith,Son,11,Male,X Ray,diagnostic,City Hospital,2024-09-21,true,Gold PPO,"Gold PPO, Medicare Advantage",105.00,135.00,0.00,2.00,242.00,4.7,"Wrist X Ray performed at City Hospital."
Alice Smith,Spouse,42,Female,Blood Test,diagnostic,City Hospital,2024-04-19,true,Gold PPO,"Gold PPO, Medicare Advantage",30.00,58.00,0.00,3.50,91.50,4.7,"Lipid panel at City Hospital."
Alice Smith,Spouse,42,Female,Vision Exam,preventive,Sunrise Health,2024-06-11,true,Gold PPO,"Gold PPO, Bronze HDHP",38.00,108.00,0.00,0.00,146.00,4.3,"Vision Exam performed at Sunrise Health."
Bob Johnson,Self,55,Male,Dental Cleaning,preventive,Green Valley Clinic,2024-12-03,true,Family Plan - Silver EPO,"Family Plan - Silver EPO, Gold PPO",60.00,120.00,0.00,0.00,180.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Bob Johnson,Self,55,Male,Blood Test,diagnostic,Regional Medical Center,2025-01-22,true,Family Plan - Silver EPO,"Family Plan - Silver EPO, Gold PPO",28.00,55.00,0.00,3.00,86.00,4.6,"A1C panel performed at Regional Medical Center."
Charlie Smith,Self,13,Male,X Ray,diagnostic,City Hospital,2025-03-28,true,Gold PPO,"Gold PPO, Medicare Advantage",110.00,140.00,0.00,2.00,252.00,4.7,"Ankle X Ray performed at City Hospital."
Frank Lee,Father,72,Male,CT Scan,diagnostic,Regional Medical Center,2024-08-29,false,Bronze HDHP,"Gold PPO, Medicare Advantage",1750.00,820.00,0.00,9.00,2579.00,4.6,"Head CT performed at Regional Medical Center."
Frank Lee,Father,72,Male,Annual Physical Exam,preventive,Sunrise Health,2024-11-19,true,Bronze HDHP,"Gold PPO, Bronze HDHP",95.00,225.00,0.00,5.50,325.50,4.3,"Annual Physical Exam performed at Sunrise Health."
Frank Lee,Father,72,Male,Vision Exam,preventive,Sunrise Health,2024-09-02,true,Bronze HDHP,"Gold PPO, Bronze HDHP",42.00,118.00,0.00,0.00,160.00,4.3,"Vision Exam performed at Sunrise Health."
Frank Lee,Father,72,Male,Blood Test,diagnostic,City Hospital,2025-02-25,true,Bronze HDHP,"Gold PPO, Medicare Advantage",30.00,58.00,0.00,4.00,92.00,4.7,"Comprehensive metabolic panel at City Hospital."
Grace Wong,Daughter,16,Female,Annual Physical Exam,preventive,Green Valley Clinic,2025-02-11,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",75.00,175.00,0.00,4.00,254.00,4.5,"Annual Physical Exam performed at Green Valley Clinic."
Grace Wong,Daughter,16,Female,Dental Cleaning,preventive,Green Valley Clinic,2024-11-30,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",58.00,118.00,0.00,0.00,176.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Grace Wong,Daughter,16,Female,Vision Exam,preventive,Sunrise Health,2025-01-26,true,Gold PPO,"Gold PPO, Bronze HDHP",36.00,106.00,0.00,0.00,142.00,4.3,"Vision Exam performed at Sunrise Health."
Henry Park,Self,38,Male,MRI,diagnostic,City Hospital,2024-07-15,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",1500.00,830.00,0.00,11.00,2341.00,4.7,"Shoulder MRI performed at City Hospital."
Henry Park,Self,38,Male,Annual Physical Exam,preventive,Regional Medical Center,2024-08-08,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",90.00,210.00,0.00,5.00,305.00,4.6,"Annual Physical Exam performed at Regional Medical Center."
Henry Park,Self,38,Male,X Ray,diagnostic,City Hospital,2024-07-10,true,Family Plan - Silver EPO,"Gold PPO, Medicare Advantage",120.00,145.00,0.00,2.50,267.50,4.7,"Shoulder X Ray performed at City Hospital."
Henry Park,Self,38,Male,Dental Cleaning,preventive,Green Valley Clinic,2024-10-04,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",62.00,122.00,0.00,0.00,184.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Isabel Cruz,Mother,69,Female,Appendectomy,surgery,City Hospital,2024-03-12,true,Gold PPO,"Gold PPO, Medicare Advantage",9100.00,5800.00,2200.00,195.00,17295.00,4.7,"Open appendectomy performed at City Hospital."
Isabel Cruz,Mother,69,Female,CT Scan,diagnostic,City Hospital,2024-03-11,true,Gold PPO,"Gold PPO, Medicare Advantage",1620.00,780.00,0.00,8.50,2408.50,4.7,"Pre-op CT abdomen/pelvis at City Hospital."
Isabel Cruz,Mother,69,Female,Annual Physical Exam,preventive,Sunrise Health,2024-06-22,true,Gold PPO,"Gold PPO, Bronze HDHP",95.00,225.00,0.00,5.50,325.50,4.3,"Annual Physical Exam performed at Sunrise Health."
Isabel Cruz,Mother,69,Female,Blood Test,diagnostic,City Hospital,2025-01-30,true,Gold PPO,"Gold PPO, Medicare Advantage",32.00,62.00,0.00,3.50,97.50,4.7,"Comprehensive metabolic panel at City Hospital."
Jack Miller,Self,29,Male,X Ray,diagnostic,Sunrise Health,2024-05-04,true,Bronze HDHP,"Gold PPO, Bronze HDHP",95.00,130.00,0.00,2.00,227.00,4.3,"Knee X Ray performed at Sunrise Health."
Jack Miller,Self,29,Male,Annual Physical Exam,preventive,Sunrise Health,2025-02-06,true,Bronze HDHP,"Gold PPO, Bronze HDHP",85.00,200.00,0.00,4.50,289.50,4.3,"Annual Physical Exam performed at Sunrise Health."
Jack Miller,Self,29,Male,Dental Cleaning,preventive,Green Valley Clinic,2024-10-17,true,Bronze HDHP,"Family Plan - Silver EPO",58.00,118.00,0.00,0.00,176.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Karen Davis,Spouse,46,Female,MRI,diagnostic,Regional Medical Center,2024-04-09,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",1480.00,810.00,0.00,11.00,2301.00,4.6,"Brain MRI performed at Regional Medical Center."
Karen Davis,Spouse,46,Female,Annual Physical Exam,preventive,Regional Medical Center,2024-11-25,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",100.00,225.00,0.00,5.50,330.50,4.6,"Annual Physical Exam performed at Regional Medical Center."
Karen Davis,Spouse,46,Female,Dental Cleaning,preventive,Green Valley Clinic,2024-09-30,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",60.00,120.00,0.00,0.00,180.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Liam OBrien,Son,9,Male,Annual Physical Exam,preventive,City Hospital,2025-03-05,true,Gold PPO,"Gold PPO, Medicare Advantage",70.00,170.00,0.00,4.00,244.00,4.7,"Annual Physical Exam performed at City Hospital."
Liam OBrien,Son,9,Male,Vision Exam,preventive,Sunrise Health,2024-12-19,true,Gold PPO,"Gold PPO, Bronze HDHP",35.00,105.00,0.00,0.00,140.00,4.3,"Vision Exam performed at Sunrise Health."
Liam OBrien,Son,9,Male,Dental Cleaning,preventive,Green Valley Clinic,2025-04-11,true,Gold PPO,"Gold PPO, Family Plan - Silver EPO",55.00,115.00,0.00,0.00,170.00,4.5,"Dental Cleaning performed at Green Valley Clinic."
Maria Lopez,Daughter,19,Female,Annual Physical Exam,preventive,Green Valley Clinic,2025-01-08,true,Family Plan - Silver EPO,"Gold PPO, Family Plan - Silver EPO",80.00,185.00,0.00,4.50,269.50,4.5,"Annual Physical Exam performed at Green Valley Clinic."
Maria Lopez,Daughter,19,Female,Blood Test,diagnostic,City Hospital,2025-02-14,true,Family Plan - Silver EPO,"Gold PPO, Medicare Advantage",28.00,55.00,0.00,3.00,86.00,4.7,"Iron panel performed at City Hospital."
Maria Lopez,Daughter,19,Female,Vision Exam,preventive,Sunrise Health,2024-08-20,true,Family Plan - Silver EPO,"Gold PPO, Bronze HDHP",38.00,108.00,0.00,0.00,146.00,4.3,"Vision Exam performed at Sunrise Health."
1 member_name relationship age gender procedure procedure_type location date in_network member_plan accepted_plans cost_facility cost_physician cost_anesthesia cost_medication total_cost facility_rating notes
2 Charlie Smith Self 13 Male Annual Physical Exam preventive City Hospital 2024-05-15 true Gold PPO Gold PPO, Medicare Advantage 80.00 180.00 0.00 5.00 265.00 4.7 Annual Physical Exam performed at City Hospital.
3 Charlie Smith Self 13 Male Dental Cleaning preventive Green Valley Clinic 2025-01-10 true Gold PPO Gold PPO, Family Plan - Silver EPO 60.00 120.00 0.00 0.00 180.00 4.5 Dental Cleaning performed at Green Valley Clinic.
4 Charlie Smith Self 13 Male Vision Exam preventive Sunrise Health 2023-08-22 true Gold PPO Gold PPO, Bronze HDHP 40.00 110.00 0.00 0.00 150.00 4.3 Vision Exam performed at Sunrise Health.
5 Charlie Smith Self 13 Male Blood Test diagnostic City Hospital 2024-11-04 true Gold PPO Gold PPO, Medicare Advantage 25.00 55.00 0.00 2.50 82.50 4.7 Cholesterol Panel performed at City Hospital.
6 Alice Smith Spouse 42 Female Annual Physical Exam preventive Regional Medical Center 2024-09-18 true Gold PPO Gold PPO, Family Plan - Silver EPO 95.00 210.00 0.00 4.50 309.50 4.6 Annual Physical Exam performed at Regional Medical Center.
7 Alice Smith Spouse 42 Female MRI diagnostic City Hospital 2023-11-02 true Gold PPO Gold PPO, Medicare Advantage 1450.00 820.00 0.00 12.00 2282.00 4.7 Lumbar MRI performed at City Hospital.
8 Alice Smith Spouse 42 Female Dental Cleaning preventive Green Valley Clinic 2024-08-12 true Gold PPO Gold PPO, Family Plan - Silver EPO 65.00 125.00 0.00 0.00 190.00 4.5 Dental Cleaning performed at Green Valley Clinic.
9 Bob Johnson Self 55 Male Appendectomy surgery Regional Medical Center 2024-02-04 true Family Plan - Silver EPO Family Plan - Silver EPO, Gold PPO 8200.00 5400.00 2100.00 180.00 15880.00 4.6 Laparoscopic appendectomy performed at Regional Medical Center.
10 Bob Johnson Self 55 Male Annual Physical Exam preventive Regional Medical Center 2024-10-22 false Family Plan - Silver EPO Gold PPO 120.00 260.00 0.00 6.00 386.00 4.6 Annual Physical Exam performed at Regional Medical Center.
11 Bob Johnson Self 55 Male CT Scan diagnostic City Hospital 2024-02-03 true Family Plan - Silver EPO Gold PPO, Medicare Advantage 1600.00 750.00 0.00 8.00 2358.00 4.7 Pre-op CT abdomen/pelvis at City Hospital.
12 Diana Roberts Mother 67 Female Annual Physical Exam preventive Sunrise Health 2024-07-09 true Gold PPO Gold PPO, Bronze HDHP 95.00 220.00 0.00 5.00 320.00 4.3 Annual Physical Exam performed at Sunrise Health.
13 Diana Roberts Mother 67 Female Vision Exam preventive Sunrise Health 2024-10-14 true Gold PPO Gold PPO, Bronze HDHP 40.00 115.00 0.00 0.00 155.00 4.3 Vision Exam performed at Sunrise Health.
14 Diana Roberts Mother 67 Female Blood Test diagnostic City Hospital 2025-02-18 true Gold PPO Gold PPO, Medicare Advantage 28.00 60.00 0.00 3.00 91.00 4.7 Cholesterol Panel performed at City Hospital.
15 Diana Roberts Mother 67 Female MRI diagnostic Regional Medical Center 2023-06-30 true Gold PPO Gold PPO, Family Plan - Silver EPO 1520.00 840.00 0.00 10.00 2370.00 4.6 Knee MRI performed at Regional Medical Center.
16 Ethan Smith Son 11 Male Annual Physical Exam preventive City Hospital 2025-04-02 true Gold PPO Gold PPO, Medicare Advantage 70.00 170.00 0.00 4.00 244.00 4.7 Annual Physical Exam performed at City Hospital.
17 Ethan Smith Son 11 Male Dental Cleaning preventive Green Valley Clinic 2025-03-15 true Gold PPO Gold PPO, Family Plan - Silver EPO 55.00 115.00 0.00 0.00 170.00 4.5 Dental Cleaning performed at Green Valley Clinic.
18 Ethan Smith Son 11 Male Vision Exam preventive Sunrise Health 2024-12-08 true Gold PPO Gold PPO, Bronze HDHP 35.00 105.00 0.00 0.00 140.00 4.3 Vision Exam performed at Sunrise Health.
19 Ethan Smith Son 11 Male X Ray diagnostic City Hospital 2024-09-21 true Gold PPO Gold PPO, Medicare Advantage 105.00 135.00 0.00 2.00 242.00 4.7 Wrist X Ray performed at City Hospital.
20 Alice Smith Spouse 42 Female Blood Test diagnostic City Hospital 2024-04-19 true Gold PPO Gold PPO, Medicare Advantage 30.00 58.00 0.00 3.50 91.50 4.7 Lipid panel at City Hospital.
21 Alice Smith Spouse 42 Female Vision Exam preventive Sunrise Health 2024-06-11 true Gold PPO Gold PPO, Bronze HDHP 38.00 108.00 0.00 0.00 146.00 4.3 Vision Exam performed at Sunrise Health.
22 Bob Johnson Self 55 Male Dental Cleaning preventive Green Valley Clinic 2024-12-03 true Family Plan - Silver EPO Family Plan - Silver EPO, Gold PPO 60.00 120.00 0.00 0.00 180.00 4.5 Dental Cleaning performed at Green Valley Clinic.
23 Bob Johnson Self 55 Male Blood Test diagnostic Regional Medical Center 2025-01-22 true Family Plan - Silver EPO Family Plan - Silver EPO, Gold PPO 28.00 55.00 0.00 3.00 86.00 4.6 A1C panel performed at Regional Medical Center.
24 Charlie Smith Self 13 Male X Ray diagnostic City Hospital 2025-03-28 true Gold PPO Gold PPO, Medicare Advantage 110.00 140.00 0.00 2.00 252.00 4.7 Ankle X Ray performed at City Hospital.
25 Frank Lee Father 72 Male CT Scan diagnostic Regional Medical Center 2024-08-29 false Bronze HDHP Gold PPO, Medicare Advantage 1750.00 820.00 0.00 9.00 2579.00 4.6 Head CT performed at Regional Medical Center.
26 Frank Lee Father 72 Male Annual Physical Exam preventive Sunrise Health 2024-11-19 true Bronze HDHP Gold PPO, Bronze HDHP 95.00 225.00 0.00 5.50 325.50 4.3 Annual Physical Exam performed at Sunrise Health.
27 Frank Lee Father 72 Male Vision Exam preventive Sunrise Health 2024-09-02 true Bronze HDHP Gold PPO, Bronze HDHP 42.00 118.00 0.00 0.00 160.00 4.3 Vision Exam performed at Sunrise Health.
28 Frank Lee Father 72 Male Blood Test diagnostic City Hospital 2025-02-25 true Bronze HDHP Gold PPO, Medicare Advantage 30.00 58.00 0.00 4.00 92.00 4.7 Comprehensive metabolic panel at City Hospital.
29 Grace Wong Daughter 16 Female Annual Physical Exam preventive Green Valley Clinic 2025-02-11 true Gold PPO Gold PPO, Family Plan - Silver EPO 75.00 175.00 0.00 4.00 254.00 4.5 Annual Physical Exam performed at Green Valley Clinic.
30 Grace Wong Daughter 16 Female Dental Cleaning preventive Green Valley Clinic 2024-11-30 true Gold PPO Gold PPO, Family Plan - Silver EPO 58.00 118.00 0.00 0.00 176.00 4.5 Dental Cleaning performed at Green Valley Clinic.
31 Grace Wong Daughter 16 Female Vision Exam preventive Sunrise Health 2025-01-26 true Gold PPO Gold PPO, Bronze HDHP 36.00 106.00 0.00 0.00 142.00 4.3 Vision Exam performed at Sunrise Health.
32 Henry Park Self 38 Male MRI diagnostic City Hospital 2024-07-15 true Family Plan - Silver EPO Gold PPO, Family Plan - Silver EPO 1500.00 830.00 0.00 11.00 2341.00 4.7 Shoulder MRI performed at City Hospital.
33 Henry Park Self 38 Male Annual Physical Exam preventive Regional Medical Center 2024-08-08 true Family Plan - Silver EPO Gold PPO, Family Plan - Silver EPO 90.00 210.00 0.00 5.00 305.00 4.6 Annual Physical Exam performed at Regional Medical Center.
34 Henry Park Self 38 Male X Ray diagnostic City Hospital 2024-07-10 true Family Plan - Silver EPO Gold PPO, Medicare Advantage 120.00 145.00 0.00 2.50 267.50 4.7 Shoulder X Ray performed at City Hospital.
35 Henry Park Self 38 Male Dental Cleaning preventive Green Valley Clinic 2024-10-04 true Family Plan - Silver EPO Gold PPO, Family Plan - Silver EPO 62.00 122.00 0.00 0.00 184.00 4.5 Dental Cleaning performed at Green Valley Clinic.
36 Isabel Cruz Mother 69 Female Appendectomy surgery City Hospital 2024-03-12 true Gold PPO Gold PPO, Medicare Advantage 9100.00 5800.00 2200.00 195.00 17295.00 4.7 Open appendectomy performed at City Hospital.
37 Isabel Cruz Mother 69 Female CT Scan diagnostic City Hospital 2024-03-11 true Gold PPO Gold PPO, Medicare Advantage 1620.00 780.00 0.00 8.50 2408.50 4.7 Pre-op CT abdomen/pelvis at City Hospital.
38 Isabel Cruz Mother 69 Female Annual Physical Exam preventive Sunrise Health 2024-06-22 true Gold PPO Gold PPO, Bronze HDHP 95.00 225.00 0.00 5.50 325.50 4.3 Annual Physical Exam performed at Sunrise Health.
39 Isabel Cruz Mother 69 Female Blood Test diagnostic City Hospital 2025-01-30 true Gold PPO Gold PPO, Medicare Advantage 32.00 62.00 0.00 3.50 97.50 4.7 Comprehensive metabolic panel at City Hospital.
40 Jack Miller Self 29 Male X Ray diagnostic Sunrise Health 2024-05-04 true Bronze HDHP Gold PPO, Bronze HDHP 95.00 130.00 0.00 2.00 227.00 4.3 Knee X Ray performed at Sunrise Health.
41 Jack Miller Self 29 Male Annual Physical Exam preventive Sunrise Health 2025-02-06 true Bronze HDHP Gold PPO, Bronze HDHP 85.00 200.00 0.00 4.50 289.50 4.3 Annual Physical Exam performed at Sunrise Health.
42 Jack Miller Self 29 Male Dental Cleaning preventive Green Valley Clinic 2024-10-17 true Bronze HDHP Family Plan - Silver EPO 58.00 118.00 0.00 0.00 176.00 4.5 Dental Cleaning performed at Green Valley Clinic.
43 Karen Davis Spouse 46 Female MRI diagnostic Regional Medical Center 2024-04-09 true Gold PPO Gold PPO, Family Plan - Silver EPO 1480.00 810.00 0.00 11.00 2301.00 4.6 Brain MRI performed at Regional Medical Center.
44 Karen Davis Spouse 46 Female Annual Physical Exam preventive Regional Medical Center 2024-11-25 true Gold PPO Gold PPO, Family Plan - Silver EPO 100.00 225.00 0.00 5.50 330.50 4.6 Annual Physical Exam performed at Regional Medical Center.
45 Karen Davis Spouse 46 Female Dental Cleaning preventive Green Valley Clinic 2024-09-30 true Gold PPO Gold PPO, Family Plan - Silver EPO 60.00 120.00 0.00 0.00 180.00 4.5 Dental Cleaning performed at Green Valley Clinic.
46 Liam OBrien Son 9 Male Annual Physical Exam preventive City Hospital 2025-03-05 true Gold PPO Gold PPO, Medicare Advantage 70.00 170.00 0.00 4.00 244.00 4.7 Annual Physical Exam performed at City Hospital.
47 Liam OBrien Son 9 Male Vision Exam preventive Sunrise Health 2024-12-19 true Gold PPO Gold PPO, Bronze HDHP 35.00 105.00 0.00 0.00 140.00 4.3 Vision Exam performed at Sunrise Health.
48 Liam OBrien Son 9 Male Dental Cleaning preventive Green Valley Clinic 2025-04-11 true Gold PPO Gold PPO, Family Plan - Silver EPO 55.00 115.00 0.00 0.00 170.00 4.5 Dental Cleaning performed at Green Valley Clinic.
49 Maria Lopez Daughter 19 Female Annual Physical Exam preventive Green Valley Clinic 2025-01-08 true Family Plan - Silver EPO Gold PPO, Family Plan - Silver EPO 80.00 185.00 0.00 4.50 269.50 4.5 Annual Physical Exam performed at Green Valley Clinic.
50 Maria Lopez Daughter 19 Female Blood Test diagnostic City Hospital 2025-02-14 true Family Plan - Silver EPO Gold PPO, Medicare Advantage 28.00 55.00 0.00 3.00 86.00 4.7 Iron panel performed at City Hospital.
51 Maria Lopez Daughter 19 Female Vision Exam preventive Sunrise Health 2024-08-20 true Family Plan - Silver EPO Gold PPO, Bronze HDHP 38.00 108.00 0.00 0.00 146.00 4.3 Vision Exam performed at Sunrise Health.

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{
"result": {
"member": {
"name": "Charlie Smith",
"date_of_birth": "2013-03-04",
"plan": "Gold PPO",
"member_id": "CS-001-2024"
},
"medical_plan": {
"name": "Gold PPO",
"deductible": 1500,
"deductible_met": 850,
"out_of_pocket_max": 6000,
"out_of_pocket_met": 1200,
"coinsurance": "20%",
"primary_care_copay": 25,
"specialist_copay": 50,
"emergency_room_copay": 250
},
"pharmacy_plan": {
"tier_1_copay": 10,
"tier_2_copay": 30,
"tier_3_copay": 60,
"tier_4_coinsurance": "30%",
"mail_order_available": true
},
"mental_health": {
"covered_visits_per_year": 20,
"visits_used": 4,
"telehealth": true,
"in_network_providers": "https://taller-wox.fitlabs.dev/docs/mental-health-providers"
},
"wellness": {
"gym_reimbursement_annual": 300,
"gym_reimbursement_used": 150,
"annual_checkup_covered": true,
"preventive_care_100_percent": true,
"flu_shot_covered": true
},
"tax_documents": {
"form_1095_available": true,
"form_1095_url": "https://taller-wox.fitlabs.dev/docs/1095-2025.pdf",
"instructions": "Tu formulario 1095 está disponible en el portal del afiliado bajo Documentos > Impuestos. Si no lo puedes acceder, llama al 1-800-FIT-CARE."
},
"overdue_procedures": [
{
"procedure": "Annual Physical Exam",
"last_date": "2024-05-15",
"recommended_frequency_months": 12,
"due_since_months": 12,
"priority": "high"
},
{
"procedure": "Dental Cleaning",
"last_date": "2025-01-10",
"recommended_frequency_months": 6,
"due_since_months": 10,
"priority": "medium"
},
{
"procedure": "Vision Exam",
"last_date": "2023-08-22",
"recommended_frequency_months": 24,
"due_since_months": 8,
"priority": "medium"
},
{
"procedure": "Blood Test - Cholesterol Panel",
"last_date": "2024-11-04",
"recommended_frequency_months": 12,
"due_since_months": 6,
"priority": "low"
}
]
}
}

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Patient presented with bilateral lower quadrant tenderness, WBC 14k,
CRP elevated. Differential includes appendicitis vs diverticulitis.
Recommending CT abdomen/pelvis with contrast STAT.
CPT 74177 ordered. Pre-auth obtained: AUTH-2024-8821.
Patient stable, NPO since midnight. Will reassess in 2h.

0
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app/data/schedule_response.txt Normal file
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Para agendar una cita médica, sigue estos pasos: 1) Confirma con el afiliado el día y hora preferidos, y el tipo de procedimiento. 2) Verifica que el procedimiento esté cubierto por su plan (Gold PPO en este caso). 3) Llama al sistema de agendamiento de FIT Care al 1-800-FIT-CARE o entra al portal en https://taller-wox.fitlabs.dev/agenda. 4) Indica el procedimiento, el proveedor preferido (City Hospital, Green Valley Clinic, Sunrise Health o Regional Medical Center) y la fecha. 5) Confirma la cita y registra el número de confirmación. 6) Envía recordatorios automáticos al afiliado 24h y 1h antes. Recuerda: si el procedimiento requiere autorización previa, gestiónala antes de confirmar la cita.