pokitdok-ruby 0.4.1 → 0.5.0

Sign up to get free protection for your applications and to get access to all the features.
Files changed (19) hide show
  1. checksums.yaml +4 -4
  2. data/VERSION +1 -1
  3. data/lib/pokitdok.rb +14 -2
  4. data/pokitdok-ruby.gemspec +6 -4
  5. data/spec/pokitdok_spec.rb +33 -5
  6. data/vcr_cassettes/activities.yml +118 -1700
  7. data/vcr_cassettes/auth.yml +6 -6
  8. data/vcr_cassettes/cash_prices.yml +13 -13
  9. data/vcr_cassettes/claims.yml +16 -15
  10. data/vcr_cassettes/claims_status.yml +30 -24
  11. data/vcr_cassettes/eligibility.yml +36 -26
  12. data/vcr_cassettes/enrollment.yml +39 -38
  13. data/vcr_cassettes/files.yml +13 -12
  14. data/vcr_cassettes/insurance_prices.yml +11 -10
  15. data/vcr_cassettes/payers.yml +212 -237
  16. data/vcr_cassettes/providers.yml +19 -57
  17. data/vcr_cassettes/trading_partners_get.yml +44 -0
  18. data/vcr_cassettes/trading_partners_index.yml +337 -0
  19. metadata +44 -42
checksums.yaml CHANGED
@@ -1,7 +1,7 @@
1
1
  ---
2
2
  SHA1:
3
- metadata.gz: 6e9160fba2937f8c5771d74eda2bda1ed45eae88
4
- data.tar.gz: d0ea969762a6a9f303f7d864fe4bc7a9ab105226
3
+ metadata.gz: ce7c2ae83219ec4443a5e2501581dba614fb6212
4
+ data.tar.gz: 551a4c1278d48004addb74df57f95f30d0ba4309
5
5
  SHA512:
6
- metadata.gz: 698da4084e5cbba88c42e85ed1270856efd44a645768d049c12838dddad3f7cc24cbcc70fe38f46d5b3cbda9ae7d347ff342eeb465d7c74af251836869168958
7
- data.tar.gz: 2c4b9c67b39ae1e5f9bfdb203392e8eac1bd8a5c60959ea18314c0d9cc828aa603123554adadcf0cb52804b3303604dc038f19c770257a947b8fbb8f7b3394bf
6
+ metadata.gz: 35dd8c1f0cc8555f04c1fc22ee401bf93e23f63c96150bd76e658858bedf91e7070e0bcb92b7569f828a45a4b158a34451df8447691f1492a4949127a6fd7aaa
7
+ data.tar.gz: e5ac558a0269661c13ee936353050c8dfd7409f03046280f7145e3806b864a050a4c384ca174cb4ef052830f56ca0294ac6b322fa5e99b8d84d76cde2ec4ed41
data/VERSION CHANGED
@@ -1 +1 @@
1
- 0.4.1
1
+ 0.5.0
data/lib/pokitdok.rb CHANGED
@@ -156,13 +156,25 @@ module PokitDok
156
156
 
157
157
  # Invokes the payers endpoint, with an optional Hash of parameters.
158
158
  def payers(params = {})
159
- response = @token.get('payers', headers: headers, params: params)
159
+ response = @token.get('payers/', headers: headers, params: params)
160
160
  JSON.parse(response.body)
161
161
  end
162
162
 
163
163
  # Invokes the providers endpoint, with an optional Hash of parameters.
164
164
  def providers(params = {})
165
- response = @token.get('providers') do |request|
165
+ response = @token.get('providers/') do |request|
166
+ request.params = params
167
+ end
168
+ JSON.parse(response.body)
169
+ end
170
+
171
+ # Invokes the trading partners endpoint, with an optional Hash of
172
+ # parameters.
173
+ def trading_partners(params = {})
174
+ trading_partner_id = params.delete :trading_partner_id
175
+
176
+ response =
177
+ @token.get("tradingpartners/#{trading_partner_id}") do |request|
166
178
  request.params = params
167
179
  end
168
180
  JSON.parse(response.body)
data/pokitdok-ruby.gemspec CHANGED
@@ -2,16 +2,16 @@
2
2
  # DO NOT EDIT THIS FILE DIRECTLY
3
3
  # Instead, edit Jeweler::Tasks in Rakefile, and run 'rake gemspec'
4
4
  # -*- encoding: utf-8 -*-
5
- # stub: pokitdok-ruby 0.4.1 ruby lib
5
+ # stub: pokitdok-ruby 0.5.0 ruby lib
6
6
 
7
7
  Gem::Specification.new do |s|
8
8
  s.name = "pokitdok-ruby"
9
- s.version = "0.4.1"
9
+ s.version = "0.5.0"
10
10
 
11
11
  s.required_rubygems_version = Gem::Requirement.new(">= 0") if s.respond_to? :required_rubygems_version=
12
12
  s.require_paths = ["lib"]
13
13
  s.authors = ["John Riney"]
14
- s.date = "2014-08-05"
14
+ s.date = "2014-08-12"
15
15
  s.description = "Gem for easy access to the PokitDok Platform APIs."
16
16
  s.email = "john.riney@pokitdok.com"
17
17
  s.extra_rdoc_files = [
@@ -47,7 +47,9 @@ Gem::Specification.new do |s|
47
47
  "vcr_cassettes/files.yml",
48
48
  "vcr_cassettes/insurance_prices.yml",
49
49
  "vcr_cassettes/payers.yml",
50
- "vcr_cassettes/providers.yml"
50
+ "vcr_cassettes/providers.yml",
51
+ "vcr_cassettes/trading_partners_get.yml",
52
+ "vcr_cassettes/trading_partners_index.yml"
51
53
  ]
52
54
  s.homepage = "http://github.com/pokitdok/pokitdok-ruby"
53
55
  s.licenses = ["MIT"]
data/spec/pokitdok_spec.rb CHANGED
@@ -2,8 +2,8 @@
2
2
 
3
3
  require 'spec_helper'
4
4
 
5
- CLIENT_ID = '7x7nRAotGfxHfy7Llfl3'
6
- CLIENT_SECRET = 'T4JsCjMDJNxVQADl8ip3npmTm9JgEZhqL2xmc3Di'
5
+ CLIENT_ID = 'oB7rLIqHmdoAXHRAmWtM'
6
+ CLIENT_SECRET = 'ZE8xqtUY5kYqmHIhd8lzdjqD1CPa8sRBPvmF9UuG'
7
7
  POKITDOK_TEST_URL = 'http://localhost:5002'
8
8
 
9
9
  def check_meta_and_data(result)
@@ -70,7 +70,7 @@ describe PokitDok do
70
70
 
71
71
  describe 'Insurance Prices endpoint' do
72
72
  it 'should expose the insurance prices endpoint' do
73
- query = { cpt_code: '12345', zip_code: '75201' }
73
+ query = { cpt_code: '87799', zip_code: '32218' }
74
74
 
75
75
  VCR.use_cassette 'insurance_prices' do
76
76
  @prices = @pokitdok.insurance_prices query
@@ -105,7 +105,7 @@ describe PokitDok do
105
105
 
106
106
  check_meta_and_data @claims_status
107
107
  refute_empty @claims_status['data']
108
-
108
+
109
109
  assert_nil @claims_status['errors']
110
110
  end
111
111
  end
@@ -173,7 +173,7 @@ describe PokitDok do
173
173
 
174
174
  check_meta_and_data @payers
175
175
  refute_nil @payers['data']
176
- @payers['data'].size.must_equal 224
176
+ @payers['data'].size.must_equal 229
177
177
  end
178
178
  end
179
179
 
@@ -190,5 +190,33 @@ describe PokitDok do
190
190
  @providers['data'].size.must_equal 1
191
191
  end
192
192
  end
193
+
194
+ describe 'Trading Partners endpoint index' do
195
+ it 'should expose the trading partners endpoint (index call)' do
196
+ query = {}
197
+
198
+ VCR.use_cassette 'trading_partners_index' do
199
+ @trading_partners = @pokitdok.trading_partners(query)
200
+ end
201
+
202
+ check_meta_and_data @trading_partners
203
+ @trading_partners['data'].must_be_instance_of Array
204
+ @trading_partners['data'].length.must_be :>, 1
205
+ end
206
+ end
207
+
208
+ describe 'Trading Partners endpoint get' do
209
+ it 'should expose the trading partners endpoint (get call)' do
210
+ query = { trading_partner_id: 'MOCKPAYER' }
211
+
212
+ VCR.use_cassette 'trading_partners_get' do
213
+ @trading_partners = @pokitdok.trading_partners(query)
214
+ end
215
+
216
+ check_meta_and_data @trading_partners
217
+ @trading_partners['data'].must_be_instance_of Hash
218
+ end
219
+ end
220
+
193
221
  end
194
222
  end
data/vcr_cassettes/activities.yml CHANGED
@@ -8,13 +8,13 @@ http_interactions:
8
8
  string: ''
9
9
  headers:
10
10
  User-Agent:
11
- - pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
11
+ - pokitdok-ruby 0.4.1 ruby 2.0.0p451 (2014-02-24 revision 45167) [x86_64-darwin12.5.0]
12
12
  Authorization:
13
- - Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
13
+ - Bearer 88CVCN9YDDAQdTC3GeQMcrMPyDJPErQZ3PECJcln
14
14
  Accept-Encoding:
15
15
  - gzip;q=1.0,deflate;q=0.6,identity;q=0.3
16
16
  Accept:
17
- - "*/*"
17
+ - '*/*'
18
18
  response:
19
19
  status:
20
20
  code: 200
@@ -23,7 +23,7 @@ http_interactions:
23
23
  Content-Type:
24
24
  - text/html; charset=utf-8
25
25
  Content-Length:
26
- - '139250'
26
+ - '9065'
27
27
  Mimetype:
28
28
  - application/json
29
29
  Charset:
@@ -31,1703 +31,121 @@ http_interactions:
31
31
  Server:
32
32
  - Werkzeug/0.9.4 Python/2.7.3
33
33
  Date:
34
- - Tue, 05 Aug 2014 18:15:14 GMT
34
+ - Tue, 12 Aug 2014 15:19:08 GMT
35
35
  body:
36
36
  encoding: UTF-8
37
- string: '{"meta": {"processing_time": 618, "rate_limit_amount": 10, "rate_limit_reset":
38
- 1407266111, "next": "http://localhost:5002/api/v4/activities/?offset=20",
39
- "rate_limit_cap": 8434}, "data": [{"units_of_work": 1, "name": "insurance_prices",
40
- "parameters": {"service_types": ["health_benefit_plan_coverage"], "trading_partner_id":
41
- "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer For Testing"},
42
- "member": {"birth_date": "1985-06-24", "first_name": "Toney", "last_name":
43
- "Howe", "plan_start_date": "2013-08-10", "id": "698917720"}, "correlation_id":
44
- "25ec35c0-4318-4a6c-bb5e-2f77224e8610", "client_id": "7x7nRAotGfxHfy7Llfl3",
45
- "provider": {"first_name": "Brenden", "last_name": "Stokes", "npi": "6035743809"},
46
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
47
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
48
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
49
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1985-06-24", "first_name":
50
- "Toney", "last_name": "Howe", "id": "698917720", "address": {"city": "SPARTANBURG",
51
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
52
- "25ec35c0-4318-4a6c-bb5e-2f77224e8610", "trading_partner_id": "MOCKPAYER",
53
- "provider": {"first_name": "Brenden", "last_name": "Brenden Stokes", "npi":
54
- "6035743809"}, "coverage": {"service_types": ["professional_physician_visit_office"],
55
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
56
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
57
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
58
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
59
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
60
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
61
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
62
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
63
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
64
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
65
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
66
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
67
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
68
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
69
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
70
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
71
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
72
- "not_applicable", "service_types": ["professional_physician_visit_office"],
73
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
74
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
75
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
76
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
77
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
78
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
79
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
80
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
81
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
82
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
83
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
84
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
85
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
86
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
87
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
88
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
89
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
90
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
91
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
92
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
93
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
94
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
95
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
96
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
97
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
98
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
99
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
100
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
101
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
102
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
103
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
104
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
105
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
106
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
107
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
108
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
109
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
110
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
111
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
112
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
113
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
114
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
115
- "id": "53cdaa9e56c02c1cdb7a4097", "transition_path": ["generate", "transmit",
116
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:46.393000",
117
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:46.746000",
118
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
119
- "2014-07-22T00:04:46.747000", "name": "transmitting", "title": "Transmitting
120
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.749000",
121
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
122
- "2014-07-22T00:04:46.751000", "name": "receiving", "title": "Receiving transactions
123
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.867000", "name":
124
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
125
- 1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
126
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
127
- For Testing"}, "member": {"birth_date": "1990-10-31", "first_name": "Noe",
128
- "last_name": "Gerhold", "plan_start_date": "2013-08-10", "id": "120278826"},
129
- "correlation_id": "ed4b706e-5a89-4f13-9999-59e8b13bceb1", "client_id": "7x7nRAotGfxHfy7Llfl3",
130
- "provider": {"first_name": "Markus", "last_name": "Hauck", "npi": "6768571444"},
131
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
132
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
133
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
134
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-10-31", "first_name":
135
- "Noe", "last_name": "Gerhold", "id": "120278826", "address": {"city": "SPARTANBURG",
136
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
137
- "ed4b706e-5a89-4f13-9999-59e8b13bceb1", "trading_partner_id": "MOCKPAYER",
138
- "provider": {"first_name": "Markus", "last_name": "Markus Hauck", "npi": "6768571444"},
139
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
140
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
141
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
142
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
143
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
144
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
145
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
146
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
147
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
148
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
149
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
150
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
151
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
152
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
153
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
154
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
155
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
156
- "not_applicable", "service_types": ["professional_physician_visit_office"],
157
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
158
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
159
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
160
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
161
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
162
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
163
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
164
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
165
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
166
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
167
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
168
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
169
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
170
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
171
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
172
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
173
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
174
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
175
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
176
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
177
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
178
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
179
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
180
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
181
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
182
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
183
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
184
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
185
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
186
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
187
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
188
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
189
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
190
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
191
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
192
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
193
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
194
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
195
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
196
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
197
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
198
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
199
- "id": "53cdaa9e56c02c1cdb7a409a", "transition_path": ["generate", "transmit",
200
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:46.891000",
201
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:46.907000",
202
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
203
- "2014-07-22T00:04:46.919000", "name": "transmitting", "title": "Transmitting
204
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.921000",
205
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
206
- "2014-07-22T00:04:46.923000", "name": "receiving", "title": "Receiving transactions
207
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.985000", "name":
208
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
209
- 1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
210
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
211
- For Testing"}, "member": {"birth_date": "1986-05-14", "first_name": "Jessyca",
212
- "last_name": "Koelpin", "plan_start_date": "2013-08-10", "id": "743857791"},
213
- "correlation_id": "27d88726-6249-4fb4-9f36-3ba75d4ead38", "client_id": "7x7nRAotGfxHfy7Llfl3",
214
- "provider": {"first_name": "Buford", "last_name": "Kozey", "npi": "4103321030"},
215
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
216
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
217
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
218
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1986-05-14", "first_name":
219
- "Jessyca", "last_name": "Koelpin", "id": "743857791", "address": {"city":
220
- "SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
221
- ST"]}}, "correlation_id": "27d88726-6249-4fb4-9f36-3ba75d4ead38", "trading_partner_id":
222
- "MOCKPAYER", "provider": {"first_name": "Buford", "last_name": "Buford Kozey",
223
- "npi": "4103321030"}, "coverage": {"service_types": ["professional_physician_visit_office"],
224
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
225
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
226
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
227
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
228
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
229
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
230
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
231
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
232
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
233
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
234
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
235
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
236
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
237
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
238
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
239
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
240
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
241
- "not_applicable", "service_types": ["professional_physician_visit_office"],
242
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
243
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
244
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
245
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
246
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
247
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
248
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
249
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
250
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
251
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
252
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
253
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
254
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
255
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
256
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
257
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
258
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
259
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
260
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
261
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
262
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
263
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
264
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
265
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
266
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
267
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
268
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
269
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
270
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
271
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
272
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
273
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
274
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
275
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
276
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
277
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
278
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
279
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
280
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
281
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
282
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
283
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
284
- "id": "53cdaa9f56c02c1cdb7a409d", "transition_path": ["generate", "transmit",
285
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.006000",
286
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.028000",
287
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
288
- "2014-07-22T00:04:47.029000", "name": "transmitting", "title": "Transmitting
289
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.031000",
290
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
291
- "2014-07-22T00:04:47.032000", "name": "receiving", "title": "Receiving transactions
292
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.093000", "name":
293
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
294
- 1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
295
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
296
- For Testing"}, "member": {"birth_date": "1983-10-14", "first_name": "Rex",
297
- "last_name": "Wehner", "plan_start_date": "2013-08-10", "id": "997427526"},
298
- "correlation_id": "61ac613b-8780-45ce-a1b9-7ec37e71ae77", "client_id": "7x7nRAotGfxHfy7Llfl3",
299
- "provider": {"first_name": "Damon", "last_name": "Waelchi", "npi": "1825998395"},
300
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
301
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
302
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
303
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1983-10-14", "first_name":
304
- "Rex", "last_name": "Wehner", "id": "997427526", "address": {"city": "SPARTANBURG",
305
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
306
- "61ac613b-8780-45ce-a1b9-7ec37e71ae77", "trading_partner_id": "MOCKPAYER",
307
- "provider": {"first_name": "Damon", "last_name": "Damon Waelchi", "npi": "1825998395"},
308
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
309
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
310
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
311
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
312
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
313
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
314
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
315
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
316
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
317
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
318
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
319
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
320
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
321
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
322
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
323
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
324
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
325
- "not_applicable", "service_types": ["professional_physician_visit_office"],
326
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
327
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
328
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
329
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
330
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
331
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
332
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
333
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
334
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
335
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
336
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
337
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
338
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
339
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
340
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
341
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
342
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
343
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
344
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
345
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
346
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
347
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
348
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
349
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
350
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
351
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
352
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
353
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
354
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
355
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
356
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
357
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
358
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
359
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
360
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
361
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
362
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
363
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
364
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
365
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
366
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
367
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
368
- "id": "53cdaa9f56c02c1cdb7a40a0", "transition_path": ["generate", "transmit",
369
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.109000",
370
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.129000",
371
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
372
- "2014-07-22T00:04:47.130000", "name": "transmitting", "title": "Transmitting
373
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.132000",
374
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
375
- "2014-07-22T00:04:47.133000", "name": "receiving", "title": "Receiving transactions
376
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.210000", "name":
377
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
378
- 1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
379
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
380
- For Testing"}, "member": {"birth_date": "1991-05-07", "first_name": "Meda",
381
- "last_name": "Donnelly", "plan_start_date": "2013-08-10", "id": "006083744"},
382
- "correlation_id": "8513e1d0-26f8-4036-b535-71952aec0fdd", "client_id": "7x7nRAotGfxHfy7Llfl3",
383
- "provider": {"first_name": "Paige", "last_name": "Moen", "npi": "8484019303"},
384
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
385
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
386
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
387
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1991-05-07", "first_name":
388
- "Meda", "last_name": "Donnelly", "id": "006083744", "address": {"city": "SPARTANBURG",
389
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
390
- "8513e1d0-26f8-4036-b535-71952aec0fdd", "trading_partner_id": "MOCKPAYER",
391
- "provider": {"first_name": "Paige", "last_name": "Paige Moen", "npi": "8484019303"},
392
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
393
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
394
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
395
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
396
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
397
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
398
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
399
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
400
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
401
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
402
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
403
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
404
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
405
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
406
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
407
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
408
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
409
- "not_applicable", "service_types": ["professional_physician_visit_office"],
410
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
411
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
412
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
413
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
414
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
415
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
416
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
417
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
418
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
419
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
420
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
421
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
422
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
423
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
424
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
425
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
426
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
427
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
428
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
429
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
430
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
431
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
432
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
433
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
434
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
435
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
436
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
437
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
438
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
439
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
440
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
441
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
442
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
443
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
444
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
445
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
446
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
447
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
448
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
449
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
450
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
451
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
452
- "id": "53cdaa9f56c02c1cdb7a40a3", "transition_path": ["generate", "transmit",
453
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.228000",
454
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.253000",
455
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
456
- "2014-07-22T00:04:47.254000", "name": "transmitting", "title": "Transmitting
457
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.255000",
458
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
459
- "2014-07-22T00:04:47.257000", "name": "receiving", "title": "Receiving transactions
460
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.368000", "name":
461
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
462
- 1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
463
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
464
- For Testing"}, "member": {"birth_date": "1991-09-08", "first_name": "Aracely",
465
- "last_name": "Olson", "plan_start_date": "2013-08-10", "id": "603492058"},
466
- "correlation_id": "dac8b634-3ad6-45fc-a522-80202db907e8", "client_id": "7x7nRAotGfxHfy7Llfl3",
467
- "provider": {"first_name": "Adrian", "last_name": "Yundt", "npi": "2724259969"},
468
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
469
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
470
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
471
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1991-09-08", "first_name":
472
- "Aracely", "last_name": "Olson", "id": "603492058", "address": {"city": "SPARTANBURG",
473
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
474
- "dac8b634-3ad6-45fc-a522-80202db907e8", "trading_partner_id": "MOCKPAYER",
475
- "provider": {"first_name": "Adrian", "last_name": "Adrian Yundt", "npi": "2724259969"},
476
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
477
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
478
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
479
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
480
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
481
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
482
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
483
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
484
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
485
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
486
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
487
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
488
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
489
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
490
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
491
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
492
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
493
- "not_applicable", "service_types": ["professional_physician_visit_office"],
494
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
495
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
496
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
497
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
498
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
499
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
500
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
501
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
502
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
503
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
504
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
505
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
506
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
507
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
508
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
509
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
510
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
511
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
512
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
513
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
514
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
515
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
516
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
517
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
518
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
519
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
520
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
521
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
522
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
523
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
524
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
525
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
526
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
527
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
528
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
529
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
530
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
531
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
532
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
533
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
534
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
535
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
536
- "id": "53cdaa9f56c02c1cdb7a40a6", "transition_path": ["generate", "transmit",
537
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.382000",
538
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.398000",
539
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
540
- "2014-07-22T00:04:47.400000", "name": "transmitting", "title": "Transmitting
541
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.401000",
542
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
543
- "2014-07-22T00:04:47.403000", "name": "receiving", "title": "Receiving transactions
544
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.468000", "name":
545
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
546
- 1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
547
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
548
- For Testing"}, "member": {"birth_date": "1980-12-30", "first_name": "Erica",
549
- "last_name": "Rowe", "plan_start_date": "2013-08-10", "id": "156268289"},
550
- "correlation_id": "10c348f7-9193-48f9-b44a-2991ddd5c68e", "client_id": "7x7nRAotGfxHfy7Llfl3",
551
- "provider": {"first_name": "Geovanni", "last_name": "Corkery", "npi": "3322623552"},
552
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
553
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
554
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
555
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1980-12-30", "first_name":
556
- "Erica", "last_name": "Rowe", "id": "156268289", "address": {"city": "SPARTANBURG",
557
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
558
- "10c348f7-9193-48f9-b44a-2991ddd5c68e", "trading_partner_id": "MOCKPAYER",
559
- "provider": {"first_name": "Geovanni", "last_name": "Geovanni Corkery", "npi":
560
- "3322623552"}, "coverage": {"service_types": ["professional_physician_visit_office"],
561
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
562
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
563
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
564
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
565
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
566
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
567
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
568
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
569
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
570
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
571
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
572
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
573
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
574
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
575
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
576
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
577
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
578
- "not_applicable", "service_types": ["professional_physician_visit_office"],
579
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
580
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
581
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
582
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
583
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
584
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
585
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
586
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
587
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
588
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
589
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
590
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
591
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
592
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
593
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
594
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
595
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
596
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
597
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
598
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
599
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
600
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
601
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
602
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
603
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
604
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
605
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
606
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
607
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
608
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
609
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
610
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
611
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
612
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
613
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
614
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
615
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
616
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
617
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
618
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
619
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
620
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
621
- "id": "53cdaa9f56c02c1cdb7a40a9", "transition_path": ["generate", "transmit",
622
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.486000",
623
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.508000",
624
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
625
- "2014-07-22T00:04:47.510000", "name": "transmitting", "title": "Transmitting
626
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.511000",
627
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
628
- "2014-07-22T00:04:47.512000", "name": "receiving", "title": "Receiving transactions
629
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.576000", "name":
630
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
631
- 1, "name": "insurance_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
632
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
633
- For Testing"}, "member": {"birth_date": "1990-09-20", "first_name": "Mason",
634
- "last_name": "Nolan", "plan_start_date": "2013-08-10", "id": "023393527"},
635
- "correlation_id": "b5020a9e-df35-41f5-a47e-3ae2397d42de", "client_id": "7x7nRAotGfxHfy7Llfl3",
636
- "provider": {"first_name": "Kailyn", "last_name": "Stark", "npi": "3841318739"},
637
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
638
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
639
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
640
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-09-20", "first_name":
641
- "Mason", "last_name": "Nolan", "id": "023393527", "address": {"city": "SPARTANBURG",
642
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
643
- "b5020a9e-df35-41f5-a47e-3ae2397d42de", "trading_partner_id": "MOCKPAYER",
644
- "provider": {"first_name": "Kailyn", "last_name": "Kailyn Stark", "npi": "3841318739"},
645
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
646
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
647
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
648
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
649
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
650
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
651
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
652
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
653
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
654
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
655
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
656
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
657
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
658
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
659
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
660
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
661
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
662
- "not_applicable", "service_types": ["professional_physician_visit_office"],
663
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
664
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
665
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
666
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
667
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
668
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
669
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
670
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
671
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
672
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
673
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
674
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
675
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
676
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
677
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
678
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
679
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
680
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
681
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
682
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
683
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
684
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
685
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
686
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
687
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
688
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
689
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
690
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
691
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
692
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
693
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
694
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
695
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
696
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
697
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
698
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
699
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
700
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
701
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
702
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
703
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
704
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
705
- "id": "53cdaa9f56c02c1cdb7a40ac", "transition_path": ["generate", "transmit",
706
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.597000",
707
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.614000",
708
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
709
- "2014-07-22T00:04:47.615000", "name": "transmitting", "title": "Transmitting
710
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.617000",
711
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
712
- "2014-07-22T00:04:47.618000", "name": "receiving", "title": "Receiving transactions
713
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.683000", "name":
714
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
715
- 1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
716
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
717
- For Testing"}, "member": {"birth_date": "1992-01-08", "first_name": "Alfonso",
718
- "last_name": "Tremblay", "plan_start_date": "2013-08-10", "id": "039173051"},
719
- "correlation_id": "4ca33e09-3f0a-4b84-a52e-8ca2b3ed75fe", "client_id": "7x7nRAotGfxHfy7Llfl3",
720
- "provider": {"first_name": "Dayana", "last_name": "Doyle", "npi": "8369176691"},
721
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
722
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
723
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
724
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1992-01-08", "first_name":
725
- "Alfonso", "last_name": "Tremblay", "id": "039173051", "address": {"city":
726
- "SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
727
- ST"]}}, "correlation_id": "4ca33e09-3f0a-4b84-a52e-8ca2b3ed75fe", "trading_partner_id":
728
- "MOCKPAYER", "provider": {"first_name": "Dayana", "last_name": "Dayana Doyle",
729
- "npi": "8369176691"}, "coverage": {"service_types": ["professional_physician_visit_office"],
730
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
731
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
732
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
733
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
734
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
735
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
736
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
737
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
738
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
739
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
740
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
741
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
742
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
743
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
744
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
745
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
746
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
747
- "not_applicable", "service_types": ["professional_physician_visit_office"],
748
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
749
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
750
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
751
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
752
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
753
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
754
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
755
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
756
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
757
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
758
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
759
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
760
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
761
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
762
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
763
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
764
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
765
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
766
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
767
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
768
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
769
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
770
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
771
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
772
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
773
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
774
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
775
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
776
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
777
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
778
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
779
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
780
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
781
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
782
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
783
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
784
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
785
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
786
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
787
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
788
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
789
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
790
- "id": "53cdaa9f56c02c1cdb7a40af", "transition_path": ["generate", "transmit",
791
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.696000",
792
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.712000",
793
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
794
- "2014-07-22T00:04:47.713000", "name": "transmitting", "title": "Transmitting
795
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.715000",
796
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
797
- "2014-07-22T00:04:47.716000", "name": "receiving", "title": "Receiving transactions
798
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.783000", "name":
799
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
800
- 1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
801
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
802
- For Testing"}, "member": {"birth_date": "1997-11-28", "first_name": "Cleo",
803
- "last_name": "Green", "plan_start_date": "2013-08-10", "id": "454534266"},
804
- "correlation_id": "9ecd6843-a6ef-477b-a531-2978097b0abe", "client_id": "7x7nRAotGfxHfy7Llfl3",
805
- "provider": {"first_name": "Levi", "last_name": "Price", "npi": "4541551516"},
806
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
807
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
808
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
809
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-11-28", "first_name":
810
- "Cleo", "last_name": "Green", "id": "454534266", "address": {"city": "SPARTANBURG",
811
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
812
- "9ecd6843-a6ef-477b-a531-2978097b0abe", "trading_partner_id": "MOCKPAYER",
813
- "provider": {"first_name": "Levi", "last_name": "Levi Price", "npi": "4541551516"},
814
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
815
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
816
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
817
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
818
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
819
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
820
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
821
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
822
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
823
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
824
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
825
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
826
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
827
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
828
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
829
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
830
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
831
- "not_applicable", "service_types": ["professional_physician_visit_office"],
832
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
833
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
834
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
835
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
836
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
837
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
838
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
839
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
840
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
841
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
842
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
843
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
844
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
845
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
846
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
847
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
848
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
849
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
850
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
851
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
852
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
853
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
854
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
855
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
856
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
857
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
858
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
859
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
860
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
861
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
862
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
863
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
864
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
865
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
866
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
867
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
868
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
869
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
870
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
871
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
872
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
873
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
874
- "id": "53cdaa9f56c02c1cdb7a40b2", "transition_path": ["generate", "transmit",
875
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.799000",
876
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.816000",
877
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
878
- "2014-07-22T00:04:47.817000", "name": "transmitting", "title": "Transmitting
879
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.818000",
880
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
881
- "2014-07-22T00:04:47.819000", "name": "receiving", "title": "Receiving transactions
882
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.888000", "name":
883
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
884
- 1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
885
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
886
- For Testing"}, "member": {"birth_date": "1992-06-26", "first_name": "Enos",
887
- "last_name": "Hammes", "plan_start_date": "2013-08-10", "id": "803850921"},
888
- "correlation_id": "2c111b0c-2bce-4188-9487-1d173cac2f04", "client_id": "7x7nRAotGfxHfy7Llfl3",
889
- "provider": {"first_name": "Edythe", "last_name": "Kertzmann", "npi": "0303839453"},
890
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
891
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
892
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
893
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1992-06-26", "first_name":
894
- "Enos", "last_name": "Hammes", "id": "803850921", "address": {"city": "SPARTANBURG",
895
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
896
- "2c111b0c-2bce-4188-9487-1d173cac2f04", "trading_partner_id": "MOCKPAYER",
897
- "provider": {"first_name": "Edythe", "last_name": "Edythe Kertzmann", "npi":
898
- "0303839453"}, "coverage": {"service_types": ["professional_physician_visit_office"],
899
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
900
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
901
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
902
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
903
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
904
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
905
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
906
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
907
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
908
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
909
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
910
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
911
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
912
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
913
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
914
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
915
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
916
- "not_applicable", "service_types": ["professional_physician_visit_office"],
917
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
918
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
919
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
920
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
921
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
922
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
923
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
924
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
925
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
926
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
927
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
928
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
929
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
930
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
931
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
932
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
933
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
934
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
935
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
936
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
937
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
938
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
939
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
940
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
941
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
942
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
943
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
944
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
945
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
946
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
947
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
948
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
949
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
950
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
951
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
952
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
953
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
954
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
955
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
956
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
957
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
958
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
959
- "id": "53cdaa9f56c02c1cdb7a40b5", "transition_path": ["generate", "transmit",
960
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.901000",
961
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.938000",
962
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
963
- "2014-07-22T00:04:47.939000", "name": "transmitting", "title": "Transmitting
964
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.940000",
965
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
966
- "2014-07-22T00:04:47.942000", "name": "receiving", "title": "Receiving transactions
967
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.020000", "name":
968
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
969
- 1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
970
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
971
- For Testing"}, "member": {"birth_date": "1985-06-30", "first_name": "Elian",
972
- "last_name": "Larson", "plan_start_date": "2013-08-10", "id": "431585370"},
973
- "correlation_id": "62fc1541-69a2-4377-9eb9-dd6b391ca0bd", "client_id": "7x7nRAotGfxHfy7Llfl3",
974
- "provider": {"first_name": "Tomasa", "last_name": "Cronin", "npi": "0826932801"},
975
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
976
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
977
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
978
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1985-06-30", "first_name":
979
- "Elian", "last_name": "Larson", "id": "431585370", "address": {"city": "SPARTANBURG",
980
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
981
- "62fc1541-69a2-4377-9eb9-dd6b391ca0bd", "trading_partner_id": "MOCKPAYER",
982
- "provider": {"first_name": "Tomasa", "last_name": "Tomasa Cronin", "npi":
983
- "0826932801"}, "coverage": {"service_types": ["professional_physician_visit_office"],
984
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
985
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
986
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
987
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
988
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
989
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
990
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
991
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
992
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
993
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
994
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
995
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
996
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
997
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
998
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
999
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1000
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1001
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1002
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1003
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1004
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1005
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1006
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1007
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1008
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1009
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1010
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1011
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1012
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1013
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1014
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1015
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1016
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1017
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1018
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1019
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1020
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1021
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1022
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1023
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1024
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1025
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1026
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1027
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1028
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1029
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1030
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1031
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1032
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1033
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1034
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1035
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1036
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1037
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1038
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1039
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1040
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1041
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1042
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1043
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1044
- "id": "53cdaaa056c02c1cdb7a40b8", "transition_path": ["generate", "transmit",
1045
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.035000",
1046
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.063000",
1047
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1048
- "2014-07-22T00:04:48.065000", "name": "transmitting", "title": "Transmitting
1049
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.066000",
1050
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1051
- "2014-07-22T00:04:48.067000", "name": "receiving", "title": "Receiving transactions
1052
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.138000", "name":
1053
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1054
- 1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1055
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1056
- For Testing"}, "member": {"birth_date": "1990-02-13", "first_name": "Gordon",
1057
- "last_name": "Berge", "plan_start_date": "2013-08-10", "id": "781167793"},
1058
- "correlation_id": "7f7185e5-d7a0-47fd-b0a0-38ac8642e393", "client_id": "7x7nRAotGfxHfy7Llfl3",
1059
- "provider": {"first_name": "Joana", "last_name": "Herzog", "npi": "7669802604"},
1060
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1061
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1062
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1063
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-02-13", "first_name":
1064
- "Gordon", "last_name": "Berge", "id": "781167793", "address": {"city": "SPARTANBURG",
1065
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
1066
- "7f7185e5-d7a0-47fd-b0a0-38ac8642e393", "trading_partner_id": "MOCKPAYER",
1067
- "provider": {"first_name": "Joana", "last_name": "Joana Herzog", "npi": "7669802604"},
1068
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
1069
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
1070
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
1071
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
1072
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
1073
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
1074
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
1075
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1076
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
1077
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1078
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1079
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1080
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1081
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1082
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1083
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1084
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1085
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1086
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1087
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1088
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1089
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1090
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1091
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1092
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1093
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1094
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1095
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1096
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1097
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1098
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1099
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1100
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1101
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1102
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1103
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1104
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1105
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1106
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1107
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1108
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1109
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1110
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1111
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1112
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1113
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1114
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1115
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1116
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1117
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1118
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1119
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1120
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1121
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1122
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1123
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1124
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1125
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1126
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1127
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1128
- "id": "53cdaaa056c02c1cdb7a40bb", "transition_path": ["generate", "transmit",
1129
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.154000",
1130
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.179000",
1131
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1132
- "2014-07-22T00:04:48.181000", "name": "transmitting", "title": "Transmitting
1133
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.183000",
1134
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1135
- "2014-07-22T00:04:48.184000", "name": "receiving", "title": "Receiving transactions
1136
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.251000", "name":
1137
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1138
- 1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1139
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1140
- For Testing"}, "member": {"birth_date": "1997-07-19", "first_name": "Bernita",
1141
- "last_name": "Hessel", "plan_start_date": "2013-08-10", "id": "869808195"},
1142
- "correlation_id": "ef2befe5-5498-400e-b282-3211744fc7dd", "client_id": "7x7nRAotGfxHfy7Llfl3",
1143
- "provider": {"first_name": "Armand", "last_name": "Kulas", "npi": "1287623786"},
1144
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1145
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1146
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1147
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-07-19", "first_name":
1148
- "Bernita", "last_name": "Hessel", "id": "869808195", "address": {"city": "SPARTANBURG",
1149
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
1150
- "ef2befe5-5498-400e-b282-3211744fc7dd", "trading_partner_id": "MOCKPAYER",
1151
- "provider": {"first_name": "Armand", "last_name": "Armand Kulas", "npi": "1287623786"},
1152
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
1153
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
1154
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
1155
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
1156
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
1157
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
1158
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
1159
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1160
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
1161
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1162
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1163
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1164
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1165
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1166
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1167
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1168
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1169
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1170
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1171
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1172
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1173
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1174
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1175
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1176
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1177
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1178
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1179
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1180
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1181
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1182
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1183
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1184
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1185
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1186
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1187
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1188
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1189
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1190
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1191
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1192
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1193
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1194
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1195
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1196
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1197
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1198
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1199
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1200
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1201
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1202
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1203
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1204
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1205
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1206
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1207
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1208
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1209
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1210
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1211
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1212
- "id": "53cdaaa056c02c1cdb7a40be", "transition_path": ["generate", "transmit",
1213
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.268000",
1214
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.284000",
1215
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1216
- "2014-07-22T00:04:48.285000", "name": "transmitting", "title": "Transmitting
1217
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.286000",
1218
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1219
- "2014-07-22T00:04:48.288000", "name": "receiving", "title": "Receiving transactions
1220
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.347000", "name":
1221
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1222
- 1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1223
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1224
- For Testing"}, "member": {"birth_date": "1997-10-31", "first_name": "Filiberto",
1225
- "last_name": "Robel", "plan_start_date": "2013-08-10", "id": "950795427"},
1226
- "correlation_id": "8e95d79d-d09d-4034-94f9-d3a367c10b18", "client_id": "7x7nRAotGfxHfy7Llfl3",
1227
- "provider": {"first_name": "Judy", "last_name": "Strosin", "npi": "3462453852"},
1228
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1229
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1230
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1231
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-10-31", "first_name":
1232
- "Filiberto", "last_name": "Robel", "id": "950795427", "address": {"city":
1233
- "SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
1234
- ST"]}}, "correlation_id": "8e95d79d-d09d-4034-94f9-d3a367c10b18", "trading_partner_id":
1235
- "MOCKPAYER", "provider": {"first_name": "Judy", "last_name": "Judy Strosin",
1236
- "npi": "3462453852"}, "coverage": {"service_types": ["professional_physician_visit_office"],
1237
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
1238
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
1239
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
1240
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
1241
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
1242
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
1243
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
1244
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
1245
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
1246
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1247
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1248
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1249
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1250
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1251
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1252
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1253
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1254
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1255
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1256
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1257
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1258
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1259
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1260
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1261
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1262
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1263
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1264
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1265
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1266
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1267
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1268
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1269
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1270
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1271
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1272
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1273
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1274
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1275
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1276
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1277
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1278
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1279
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1280
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1281
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1282
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1283
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1284
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1285
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1286
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1287
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1288
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1289
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1290
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1291
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1292
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1293
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1294
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1295
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1296
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1297
- "id": "53cdaaa056c02c1cdb7a40c1", "transition_path": ["generate", "transmit",
1298
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.360000",
1299
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.375000",
1300
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1301
- "2014-07-22T00:04:48.376000", "name": "transmitting", "title": "Transmitting
1302
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.378000",
1303
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1304
- "2014-07-22T00:04:48.379000", "name": "receiving", "title": "Receiving transactions
1305
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.434000", "name":
1306
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1307
- 1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1308
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1309
- For Testing"}, "member": {"birth_date": "1986-09-19", "first_name": "Kobe",
1310
- "last_name": "Konopelski", "plan_start_date": "2013-08-10", "id": "966447696"},
1311
- "correlation_id": "2e063c46-c744-4a58-81d2-7eed19707545", "client_id": "7x7nRAotGfxHfy7Llfl3",
1312
- "provider": {"first_name": "Dasia", "last_name": "Jones", "npi": "9845281621"},
1313
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1314
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1315
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1316
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1986-09-19", "first_name":
1317
- "Kobe", "last_name": "Konopelski", "id": "966447696", "address": {"city":
1318
- "SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
1319
- ST"]}}, "correlation_id": "2e063c46-c744-4a58-81d2-7eed19707545", "trading_partner_id":
1320
- "MOCKPAYER", "provider": {"first_name": "Dasia", "last_name": "Dasia Jones",
1321
- "npi": "9845281621"}, "coverage": {"service_types": ["professional_physician_visit_office"],
1322
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
1323
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
1324
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
1325
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
1326
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
1327
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
1328
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
1329
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
1330
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
1331
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1332
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1333
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1334
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1335
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1336
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1337
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1338
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1339
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1340
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1341
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1342
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1343
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1344
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1345
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1346
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1347
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1348
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1349
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1350
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1351
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1352
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1353
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1354
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1355
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1356
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1357
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1358
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1359
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1360
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1361
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1362
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1363
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1364
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1365
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1366
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1367
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1368
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1369
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1370
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1371
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1372
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1373
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1374
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1375
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1376
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1377
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1378
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1379
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1380
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1381
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1382
- "id": "53cdaaa056c02c1cdb7a40c4", "transition_path": ["generate", "transmit",
1383
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.450000",
1384
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.466000",
1385
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1386
- "2014-07-22T00:04:48.467000", "name": "transmitting", "title": "Transmitting
1387
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.469000",
1388
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1389
- "2014-07-22T00:04:48.471000", "name": "receiving", "title": "Receiving transactions
1390
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.533000", "name":
1391
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1392
- 1, "name": "insurance_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1393
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1394
- For Testing"}, "member": {"birth_date": "1983-03-07", "first_name": "Rodger",
1395
- "last_name": "Koss", "plan_start_date": "2013-08-10", "id": "190345307"},
1396
- "correlation_id": "b886a354-28a5-4dd7-a645-7bd1e6c1b09b", "client_id": "7x7nRAotGfxHfy7Llfl3",
1397
- "provider": {"first_name": "Reed", "last_name": "O''Keefe", "npi": "0228483630"},
1398
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1399
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1400
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1401
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1983-03-07", "first_name":
1402
- "Rodger", "last_name": "Koss", "id": "190345307", "address": {"city": "SPARTANBURG",
1403
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
1404
- "b886a354-28a5-4dd7-a645-7bd1e6c1b09b", "trading_partner_id": "MOCKPAYER",
1405
- "provider": {"first_name": "Reed", "last_name": "Reed O''Keefe", "npi": "0228483630"},
1406
- "coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
1407
- "088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
1408
- {"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
1409
- "yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
1410
- "individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
1411
- {"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
1412
- "yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
1413
- "family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1414
- {"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
1415
- "no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1416
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1417
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1418
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1419
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1420
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1421
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1422
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1423
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1424
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1425
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1426
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1427
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1428
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1429
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1430
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1431
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1432
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1433
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1434
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1435
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1436
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1437
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1438
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1439
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1440
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1441
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1442
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1443
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1444
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1445
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1446
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1447
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1448
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1449
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1450
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1451
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1452
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1453
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1454
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1455
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1456
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1457
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1458
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1459
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1460
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1461
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1462
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1463
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1464
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1465
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1466
- "id": "53cdaaa056c02c1cdb7a40c7", "transition_path": ["generate", "transmit",
1467
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.551000",
1468
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.572000",
1469
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1470
- "2014-07-22T00:04:48.573000", "name": "transmitting", "title": "Transmitting
1471
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.575000",
1472
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1473
- "2014-07-22T00:04:48.578000", "name": "receiving", "title": "Receiving transactions
1474
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.645000", "name":
1475
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1476
- 1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1477
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1478
- For Testing"}, "member": {"birth_date": "1978-04-04", "first_name": "Gianni",
1479
- "last_name": "Cassin", "plan_start_date": "2013-08-10", "id": "178975927"},
1480
- "correlation_id": "fbca5ddc-0a37-483a-9fc9-4fd1ecc98715", "client_id": "7x7nRAotGfxHfy7Llfl3",
1481
- "provider": {"first_name": "Margarete", "last_name": "Dicki", "npi": "7954513966"},
1482
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1483
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1484
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1485
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1978-04-04", "first_name":
1486
- "Gianni", "last_name": "Cassin", "id": "178975927", "address": {"city": "SPARTANBURG",
1487
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
1488
- "fbca5ddc-0a37-483a-9fc9-4fd1ecc98715", "trading_partner_id": "MOCKPAYER",
1489
- "provider": {"first_name": "Margarete", "last_name": "Margarete Dicki", "npi":
1490
- "7954513966"}, "coverage": {"service_types": ["professional_physician_visit_office"],
1491
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
1492
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
1493
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
1494
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
1495
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
1496
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
1497
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
1498
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
1499
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
1500
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1501
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1502
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1503
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1504
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1505
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1506
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1507
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1508
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1509
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1510
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1511
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1512
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1513
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1514
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1515
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1516
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1517
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1518
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1519
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1520
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1521
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1522
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1523
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1524
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1525
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1526
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1527
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1528
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1529
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1530
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1531
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1532
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1533
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1534
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1535
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1536
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1537
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1538
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1539
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1540
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1541
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1542
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1543
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1544
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1545
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1546
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1547
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1548
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1549
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1550
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1551
- "id": "53cdaaa056c02c1cdb7a40ca", "transition_path": ["generate", "transmit",
1552
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.660000",
1553
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.675000",
1554
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1555
- "2014-07-22T00:04:48.677000", "name": "transmitting", "title": "Transmitting
1556
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.679000",
1557
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1558
- "2014-07-22T00:04:48.681000", "name": "receiving", "title": "Receiving transactions
1559
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.741000", "name":
1560
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1561
- 1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1562
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1563
- For Testing"}, "member": {"birth_date": "1984-01-19", "first_name": "Jaleel",
1564
- "last_name": "Hilll", "plan_start_date": "2013-08-10", "id": "513952516"},
1565
- "correlation_id": "4bd99d75-4db1-4546-8e87-baf2b3ab082a", "client_id": "7x7nRAotGfxHfy7Llfl3",
1566
- "provider": {"first_name": "Gerald", "last_name": "Lehner", "npi": "1126688385"},
1567
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1568
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1569
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1570
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1984-01-19", "first_name":
1571
- "Jaleel", "last_name": "Hilll", "id": "513952516", "address": {"city": "SPARTANBURG",
1572
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
1573
- "4bd99d75-4db1-4546-8e87-baf2b3ab082a", "trading_partner_id": "MOCKPAYER",
1574
- "provider": {"first_name": "Gerald", "last_name": "Gerald Lehner", "npi":
1575
- "1126688385"}, "coverage": {"service_types": ["professional_physician_visit_office"],
1576
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
1577
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
1578
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
1579
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
1580
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
1581
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
1582
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
1583
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
1584
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
1585
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1586
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1587
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1588
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1589
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1590
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1591
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1592
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1593
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1594
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1595
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1596
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1597
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1598
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1599
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1600
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1601
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1602
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1603
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1604
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1605
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1606
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1607
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1608
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1609
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1610
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1611
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1612
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1613
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1614
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1615
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1616
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1617
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1618
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1619
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1620
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1621
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1622
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1623
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1624
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1625
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1626
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1627
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1628
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1629
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1630
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1631
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1632
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1633
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1634
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1635
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1636
- "id": "53cdaaa056c02c1cdb7a40cd", "transition_path": ["generate", "transmit",
1637
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.755000",
1638
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.770000",
1639
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1640
- "2014-07-22T00:04:48.772000", "name": "transmitting", "title": "Transmitting
1641
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.773000",
1642
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1643
- "2014-07-22T00:04:48.774000", "name": "receiving", "title": "Receiving transactions
1644
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.830000", "name":
1645
- "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
1646
- 1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
1647
- "trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
1648
- For Testing"}, "member": {"birth_date": "1977-01-12", "first_name": "Lorine",
1649
- "last_name": "Nolan", "plan_start_date": "2013-08-10", "id": "152238613"},
1650
- "correlation_id": "6a5571a2-7ee3-4cfd-bcc5-ea0c945140fe", "client_id": "7x7nRAotGfxHfy7Llfl3",
1651
- "provider": {"first_name": "Humberto", "last_name": "Casper", "npi": "6223440922"},
1652
- "async": false, "transaction_code": "request"}, "state": {"name": "completed",
1653
- "title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
1654
- "client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
1655
- "MOCK PAYER INC"}, "subscriber": {"birth_date": "1977-01-12", "first_name":
1656
- "Lorine", "last_name": "Nolan", "id": "152238613", "address": {"city": "SPARTANBURG",
1657
- "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
1658
- "6a5571a2-7ee3-4cfd-bcc5-ea0c945140fe", "trading_partner_id": "MOCKPAYER",
1659
- "provider": {"first_name": "Humberto", "last_name": "Humberto Casper", "npi":
1660
- "6223440922"}, "coverage": {"service_types": ["professional_physician_visit_office"],
1661
- "group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
1662
- "benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
1663
- "individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
1664
- "amount": "2983.57"}, "coverage_level": "individual", "time_period": "remaining"},
1665
- {"in_plan_network": "yes", "benefit_amount": {"currency": "USD", "amount":
1666
- "6000"}, "coverage_level": "family"}, {"in_plan_network": "yes", "benefit_amount":
1667
- {"currency": "USD", "amount": "5956.09"}, "coverage_level": "family", "time_period":
1668
- "remaining"}, {"in_plan_network": "no", "benefit_amount": {"currency": "USD",
1669
- "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network": "no",
1670
- "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
1671
- "individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
1672
- {"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
1673
- "no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
1674
- "family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
1675
- "remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
1676
- "yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
1677
- "employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
1678
- "not_applicable", "service_types": ["professional_physician_visit_office"],
1679
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1680
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1681
- VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
1682
- {"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
1683
- may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
1684
- OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
1685
- CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
1686
- "calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
1687
- "USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
1688
- "coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
1689
- {"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
1690
- MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
1691
- OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
1692
- "time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
1693
- {"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
1694
- "remaining", "coverage_level": "individual", "messages": [{"message": "INT
1695
- MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
1696
- {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
1697
- VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
1698
- "2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
1699
- "benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
1700
- "no", "time_period": "remaining", "coverage_level": "family", "messages":
1701
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1702
- "11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
1703
- INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
1704
- "no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
1705
- "individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
1706
- "no", "time_period": "remaining", "coverage_level": "individual", "messages":
1707
- [{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
1708
- "5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
1709
- "coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
1710
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1711
- VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
1712
- VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
1713
- "yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
1714
- "coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
1715
- VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
1716
- TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
1717
- {"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
1718
- CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
1719
- "MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
1720
- "2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
1721
- "id": "53cdaaa056c02c1cdb7a40d0", "transition_path": ["generate", "transmit",
1722
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.844000",
1723
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.867000",
1724
- "name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
1725
- "2014-07-22T00:04:48.869000", "name": "transmitting", "title": "Transmitting
1726
- transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.870000",
1727
- "name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
1728
- "2014-07-22T00:04:48.871000", "name": "receiving", "title": "Receiving transactions
1729
- from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.930000", "name":
1730
- "processing", "title": "Processing X12 transactions"}]}]}'
37
+ string: '{"meta": {"rate_limit_amount": 257, "rate_limit_reset": 1407856935,
38
+ "application_mode": "production", "processing_time": 23, "rate_limit_cap":
39
+ 1000, "result_count": 1196, "activity_id": "53ea306c56c02c23a9a3f755", "next":
40
+ "http://localhost:5002/api/v4/activities/?offset=20"}, "data": [{"units_of_work":
41
+ 1, "name": "providers", "parameters": {"npi": "1467560003"}, "state": {"name":
42
+ "completed", "title": "Completed"}, "trading_partner_id": "PokitDok", "id":
43
+ "53e38c2c56c02c25e47bb462", "transition_path": ["process", "complete"], "history":
44
+ [{"record_dt": "2014-08-07T14:24:44.741000", "name": "init", "title": "Initializing"},
45
+ {"record_dt": "2014-08-07T14:24:44.742000", "name": "processing", "title":
46
+ "Processing transactions"}]}, {"units_of_work": 1, "name": "cash_prices",
47
+ "parameters": {"cpt_code": "12345", "zip_code": "75201"}, "state": {"name":
48
+ "completed", "title": "Completed"}, "trading_partner_id": "PokitDok", "id":
49
+ "53e2a29356c02c27c461e799", "transition_path": ["process", "complete"], "history":
50
+ [{"record_dt": "2014-08-06T21:48:03.556000", "name": "init", "title": "Initializing"},
51
+ {"record_dt": "2014-08-06T21:48:03.557000", "name": "processing", "title":
52
+ "Processing transactions"}]}, {"units_of_work": 1, "name": "providers", "parameters":
53
+ {"id": "1467560003"}, "state": {"name": "completed", "title": "Completed"},
54
+ "trading_partner_id": "PokitDok", "id": "53e38ab356c02c2505f1d7b1", "transition_path":
55
+ ["process", "complete"], "history": [{"record_dt": "2014-08-07T14:18:27.506000",
56
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-07T14:18:27.507000",
57
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
58
+ 1, "name": "insurance_prices", "parameters": {"cpt_code": "12345", "zip_code":
59
+ "75201"}, "state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
60
+ "PokitDok", "id": "53e2a29356c02c27bb61e799", "transition_path": ["process",
61
+ "complete"], "history": [{"record_dt": "2014-08-06T21:48:03.267000", "name":
62
+ "init", "title": "Initializing"}, {"record_dt": "2014-08-06T21:48:03.268000",
63
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
64
+ 1, "name": "tradingpartners", "state": {"name": "completed", "title": "Completed"},
65
+ "trading_partner_id": "PokitDok", "id": "53e2a29356c02c27c261e799", "transition_path":
66
+ ["process", "complete"], "history": [{"record_dt": "2014-08-06T21:48:03.476000",
67
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-06T21:48:03.507000",
68
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
69
+ 1, "name": "providers", "parameters": {"npi": "1467560003"}, "state": {"name":
70
+ "completed", "title": "Completed"}, "trading_partner_id": "PokitDok", "id":
71
+ "53e2a29356c02c27b961e799", "transition_path": ["process", "complete"], "history":
72
+ [{"record_dt": "2014-08-06T21:48:03.229000", "name": "init", "title": "Initializing"},
73
+ {"record_dt": "2014-08-06T21:48:03.230000", "name": "processing", "title":
74
+ "Processing transactions"}]}, {"units_of_work": 1, "name": "providers", "parameters":
75
+ {"npi": "1467560003"}, "state": {"name": "completed", "title": "Completed"},
76
+ "trading_partner_id": "PokitDok", "id": "53e3b78656c02c154466a4a0", "transition_path":
77
+ ["process", "complete"], "history": [{"record_dt": "2014-08-07T17:29:42.142000",
78
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-07T17:29:42.144000",
79
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
80
+ 1, "name": "insurance_prices", "parameters": {"cpt_code": "12345", "zip_code":
81
+ "75201"}, "state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
82
+ "PokitDok", "id": "53e25d5756c02c2b3d59cfc8", "transition_path": ["process",
83
+ "complete"], "history": [{"record_dt": "2014-08-06T16:52:39.199000", "name":
84
+ "init", "title": "Initializing"}, {"record_dt": "2014-08-06T16:52:39.201000",
85
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
86
+ 1, "name": "payers", "parameters": {"state": "CA"}, "state": {"name": "completed",
87
+ "title": "Completed"}, "trading_partner_id": "PokitDok", "id": "53e2a29256c02c27b161e799",
88
+ "transition_path": ["process", "complete"], "history": [{"record_dt": "2014-08-06T21:48:03.013000",
89
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-06T21:48:03.036000",
90
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
91
+ 1, "name": "providers", "parameters": {"npi": "1467560003"}, "state": {"name":
92
+ "completed", "title": "Completed"}, "trading_partner_id": "PokitDok", "id":
93
+ "53e272cc56c02c36d859cfc8", "transition_path": ["process", "complete"], "history":
94
+ [{"record_dt": "2014-08-06T18:24:12.147000", "name": "init", "title": "Initializing"},
95
+ {"record_dt": "2014-08-06T18:24:12.150000", "name": "processing", "title":
96
+ "Processing transactions"}]}, {"units_of_work": 1, "name": "activities", "state":
97
+ {"name": "completed", "title": "Completed"}, "trading_partner_id": "PokitDok",
98
+ "id": "53e272cb56c02c36c859cfc8", "transition_path": ["process", "complete"],
99
+ "history": [{"record_dt": "2014-08-06T18:24:11.384000", "name": "init", "title":
100
+ "Initializing"}, {"record_dt": "2014-08-06T18:24:11.399000", "name": "processing",
101
+ "title": "Processing transactions"}]}, {"units_of_work": 1, "name": "tradingpartners",
102
+ "state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
103
+ "PokitDok", "id": "53e2729656c02c36a159cfc8", "transition_path": ["process",
104
+ "complete"], "history": [{"record_dt": "2014-08-06T18:23:18.458000", "name":
105
+ "init", "title": "Initializing"}, {"record_dt": "2014-08-06T18:23:18.487000",
106
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
107
+ 1, "name": "payers", "parameters": {"state": "CA"}, "state": {"name": "completed",
108
+ "title": "Completed"}, "trading_partner_id": "PokitDok", "id": "53e2729656c02c369b59cfc8",
109
+ "transition_path": ["process", "complete"], "history": [{"record_dt": "2014-08-06T18:23:18.305000",
110
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-06T18:23:18.329000",
111
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
112
+ 1, "name": "providers", "parameters": {"npi": "1467560003"}, "state": {"name":
113
+ "completed", "title": "Completed"}, "trading_partner_id": "PokitDok", "id":
114
+ "53e2729656c02c369959cfc8", "transition_path": ["process", "complete"], "history":
115
+ [{"record_dt": "2014-08-06T18:23:18.250000", "name": "init", "title": "Initializing"},
116
+ {"record_dt": "2014-08-06T18:23:18.252000", "name": "processing", "title":
117
+ "Processing transactions"}]}, {"units_of_work": 1, "name": "activities", "state":
118
+ {"name": "completed", "title": "Completed"}, "trading_partner_id": "PokitDok",
119
+ "id": "53e2729656c02c369559cfc8", "transition_path": ["process", "complete"],
120
+ "history": [{"record_dt": "2014-08-06T18:23:18.155000", "name": "init", "title":
121
+ "Initializing"}, {"record_dt": "2014-08-06T18:23:18.173000", "name": "processing",
122
+ "title": "Processing transactions"}]}, {"units_of_work": 1, "name": "activities",
123
+ "state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
124
+ "PokitDok", "id": "53e2727456c02c367959cfc8", "transition_path": ["process",
125
+ "complete"], "history": [{"record_dt": "2014-08-06T18:22:44.171000", "name":
126
+ "init", "title": "Initializing"}, {"record_dt": "2014-08-06T18:22:44.187000",
127
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
128
+ 1, "name": "payers", "parameters": {"state": "CA"}, "state": {"name": "completed",
129
+ "title": "Completed"}, "trading_partner_id": "PokitDok", "id": "53e2727456c02c367759cfc8",
130
+ "transition_path": ["process", "complete"], "history": [{"record_dt": "2014-08-06T18:22:44.112000",
131
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-06T18:22:44.127000",
132
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
133
+ 1, "name": "tradingpartners", "state": {"name": "completed", "title": "Completed"},
134
+ "trading_partner_id": "PokitDok", "id": "53e2727356c02c366c59cfc8", "transition_path":
135
+ ["process", "complete"], "history": [{"record_dt": "2014-08-06T18:22:43.849000",
136
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-06T18:22:43.878000",
137
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
138
+ 1, "name": "tradingpartners", "state": {"name": "completed", "title": "Completed"},
139
+ "trading_partner_id": "PokitDok", "id": "53e2726156c02c365459cfc8", "transition_path":
140
+ ["process", "complete"], "history": [{"record_dt": "2014-08-06T18:22:25.397000",
141
+ "name": "init", "title": "Initializing"}, {"record_dt": "2014-08-06T18:22:25.451000",
142
+ "name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
143
+ 1, "name": "providers", "parameters": {"npi": "1467560003"}, "state": {"name":
144
+ "completed", "title": "Completed"}, "trading_partner_id": "PokitDok", "id":
145
+ "53e2726156c02c365259cfc8", "transition_path": ["process", "complete"], "history":
146
+ [{"record_dt": "2014-08-06T18:22:25.364000", "name": "init", "title": "Initializing"},
147
+ {"record_dt": "2014-08-06T18:22:25.365000", "name": "processing", "title":
148
+ "Processing transactions"}]}]}'
1731
149
  http_version:
1732
- recorded_at: Tue, 05 Aug 2014 18:22:47 GMT
150
+ recorded_at: Tue, 12 Aug 2014 15:19:08 GMT
1733
151
  recorded_with: VCR 2.9.2