vericred_client 0.0.1
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- checksums.yaml +7 -0
- data/README.md +225 -0
- data/docs/Applicant.md +14 -0
- data/docs/Carrier.md +10 -0
- data/docs/CarrierSubsidiary.md +9 -0
- data/docs/County.md +16 -0
- data/docs/Drug.md +10 -0
- data/docs/DrugCoverage.md +13 -0
- data/docs/DrugCoverageApi.md +60 -0
- data/docs/InlineResponse200.md +9 -0
- data/docs/InlineResponse2001.md +8 -0
- data/docs/InlineResponse2002.md +10 -0
- data/docs/Plan.md +53 -0
- data/docs/PlanCounty.md +10 -0
- data/docs/PlanSearchResult.md +54 -0
- data/docs/PlansApi.md +118 -0
- data/docs/Pricing.md +12 -0
- data/docs/Provider.md +31 -0
- data/docs/ProvidersApi.md +135 -0
- data/docs/Query.md +15 -0
- data/docs/RatingArea.md +9 -0
- data/docs/State.md +15 -0
- data/docs/ZipCode.md +9 -0
- data/docs/ZipCountiesApi.md +63 -0
- data/docs/ZipCounty.md +10 -0
- data/lib/vericred_client/api/drug_coverage_api.rb +201 -0
- data/lib/vericred_client/api/plans_api.rb +317 -0
- data/lib/vericred_client/api/providers_api.rb +303 -0
- data/lib/vericred_client/api/zip_counties_api.rb +208 -0
- data/lib/vericred_client/api_client.rb +474 -0
- data/lib/vericred_client/api_error.rb +149 -0
- data/lib/vericred_client/configuration.rb +163 -0
- data/lib/vericred_client/models/applicant.rb +358 -0
- data/lib/vericred_client/models/carrier.rb +318 -0
- data/lib/vericred_client/models/carrier_subsidiary.rb +308 -0
- data/lib/vericred_client/models/county.rb +360 -0
- data/lib/vericred_client/models/drug.rb +318 -0
- data/lib/vericred_client/models/drug_coverage.rb +348 -0
- data/lib/vericred_client/models/inline_response_200.rb +308 -0
- data/lib/vericred_client/models/inline_response_200_1.rb +297 -0
- data/lib/vericred_client/models/inline_response_200_2.rb +321 -0
- data/lib/vericred_client/models/plan.rb +748 -0
- data/lib/vericred_client/models/plan_county.rb +318 -0
- data/lib/vericred_client/models/plan_search_result.rb +758 -0
- data/lib/vericred_client/models/pricing.rb +338 -0
- data/lib/vericred_client/models/provider.rb +528 -0
- data/lib/vericred_client/models/query.rb +364 -0
- data/lib/vericred_client/models/rating_area.rb +308 -0
- data/lib/vericred_client/models/state.rb +368 -0
- data/lib/vericred_client/models/zip_code.rb +308 -0
- data/lib/vericred_client/models/zip_county.rb +318 -0
- data/lib/vericred_client/version.rb +128 -0
- data/lib/vericred_client.rb +175 -0
- data/spec/api/drug_coverage_api_spec.rb +168 -0
- data/spec/api/plans_api_spec.rb +226 -0
- data/spec/api/providers_api_spec.rb +202 -0
- data/spec/api/zip_counties_api_spec.rb +171 -0
- data/vericred_client.gemspec +31 -0
- metadata +285 -0
checksums.yaml
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---
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SHA1:
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metadata.gz: 945030aaf97fceaacfa3cfb248e31fbdd6dbe12d
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data.tar.gz: 6bb7645738cfe35e12898c55563f541574726fcf
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SHA512:
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metadata.gz: 717c505e5ebc629e90da6ba08b89e0f5f6ba7ee744ec2f0b970d64b9dec9a1a376a2013dab0980fc853177d3c16d59075262498657b7f97b76577c855788741b
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data.tar.gz: fc71bec4b5f38c3539bc026f541364cb9a96811ada07cb258da525ab9da290bb1695746019c1ef8892c157ef338b0baf37be06d2a9204916e4fa0a55ec7fe7dc
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data/README.md
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# vericred_client
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VericredClient - the Ruby gem for the Vericred API
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Vericred's API allows you to search for Health Plans that a specific doctor
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accepts.
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## Getting Started
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Visit our [Developer Portal](https://vericred.3scale.net/access_code?access_code=vericred&cms_token=3545ca52af07bde85b7c0c3aa9d1985e) to
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create an account.
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Once you have created an account, you can create one Application for
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Production and another for our Sandbox (select the appropriate Plan when
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you create the Application).
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## Authentication
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To authenticate, pass the API Key you created in the Developer Portal as
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a `Vericred-Api-Key` header.
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`curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
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## Versioning
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Vericred's API default to the latest version. However, if you need a specific
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version, you can request it with an `Accept-Version` header.
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The current version is `v3`. Previous versions are `v1` and `v2`.
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`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
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## Pagination
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Most endpoints are not paginated. It will be noted in the documentation if/when
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an endpoint is paginated.
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When pagination is present, a `meta` stanza will be present in the response
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with the total number of records
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```
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{
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things: [{ id: 1 }, { id: 2 }],
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meta: { total: 500 }
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}
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```
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## Sideloading
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When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
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we sideload the associated data. In this example, we would provide an Array of
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`State`s and a `state_id` for each provider. This is done primarily to reduce the
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payload size since many of the `Provider`s will share a `State`
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```
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{
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providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
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states: [{ id: 1, code: 'NY' }]
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}
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```
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If you need the second level of the object graph, you can just match the
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corresponding id.
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## Selecting specific data
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All endpoints allow you to specify which fields you would like to return.
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This allows you to limit the response to contain only the data you need.
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For example, let's take a request that returns the following JSON by default
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```
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{
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provider: {
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id: 1,
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name: 'John',
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phone: '1234567890',
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field_we_dont_care_about: 'value_we_dont_care_about'
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},
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states: [{
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id: 1,
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name: 'New York',
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code: 'NY',
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field_we_dont_care_about: 'value_we_dont_care_about'
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}]
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}
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```
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To limit our results to only return the fields we care about, we specify the
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`select` query string parameter for the corresponding fields in the JSON
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document.
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In this case, we want to select `name` and `phone` from the `provider` key,
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so we would add the parameters `select=provider.name,provider.phone`.
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We also want the `name` and `code` from the `states` key, so we would
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add the parameters `select=states.name,staes.code`. The id field of
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each document is always returned whether or not it is requested.
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Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
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The response would be
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```
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{
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provider: {
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id: 1,
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name: 'John',
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phone: '1234567890'
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},
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states: [{
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id: 1,
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name: 'New York',
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code: 'NY'
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}]
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}
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```
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This SDK is automatically generated by the [Swagger Codegen](https://github.com/swagger-api/swagger-codegen) project:
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- API version:
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- Package version: 0.0.1
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- Build date: 2016-04-29T19:28:54.758-04:00
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- Build package: class io.swagger.codegen.languages.RubyClientCodegen
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## Installation
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### Build a gem
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To build the Ruby code into a gem:
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```shell
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gem build vericred_client.gemspec
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```
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Then either install the gem locally:
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```shell
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gem install ./vericred_client-0.0.1.gem
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```
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(for development, run `gem install --dev ./vericred_client-0.0.1.gem` to install the development dependencies)
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or publish the gem to a gem hosting service, e.g. [RubyGems](https://rubygems.org/).
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Finally add this to the Gemfile:
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gem 'vericred_client', '~> 0.0.1'
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### Install from Git
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If the Ruby gem is hosted at a git repository: https://github.com/YOUR_GIT_USR_ID/YOUR_GIT_REPO_ID, then add the following in the Gemfile:
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gem 'vericred_client', :git => 'https://github.com/YOUR_GIT_USR_ID/YOUR_GIT_REPO_ID.git'
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### Include the Ruby code directly
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Include the Ruby code directly using `-I` as follows:
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```shell
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ruby -Ilib script.rb
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```
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## Getting Started
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Please follow the [installation](#installation) procedure and then run the following code:
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```ruby
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# Load the gem
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require 'vericred_client'
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api_instance = VericredClient::DrugCoverageApi.new
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ndc = "ndc_example" # String | NDC for a drug
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begin
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#Find Drug Coverages for a given NDC
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result = api_instance.drugs_ndc_coverages_get(ndc)
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p result
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rescue VericredClient::ApiError => e
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puts "Exception when calling DrugCoverageApi->drugs_ndc_coverages_get: #{e}"
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end
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```
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## Documentation for API Endpoints
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All URIs are relative to *https://api.vericred.com/*
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Class | Method | HTTP request | Description
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------------ | ------------- | ------------- | -------------
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*VericredClient::DrugCoverageApi* | [**drugs_ndc_coverages_get**](docs/DrugCoverageApi.md#drugs_ndc_coverages_get) | **GET** /drugs/{ndc}/coverages | Find Drug Coverages for a given NDC
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*VericredClient::PlansApi* | [**plans_find_post**](docs/PlansApi.md#plans_find_post) | **POST** /plans/find | Find a set of plans for a Zip Code and County
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*VericredClient::ProvidersApi* | [**providers_get**](docs/ProvidersApi.md#providers_get) | **GET** /providers | Find providers by term and zip code
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*VericredClient::ProvidersApi* | [**providers_npi_get**](docs/ProvidersApi.md#providers_npi_get) | **GET** /providers/{npi} | Find a specific Provider
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*VericredClient::ZipCountiesApi* | [**zip_counties_get**](docs/ZipCountiesApi.md#zip_counties_get) | **GET** /zip_counties | Find Zip Counties by Zip Code
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## Documentation for Models
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- [VericredClient::Applicant](docs/Applicant.md)
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- [VericredClient::Carrier](docs/Carrier.md)
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- [VericredClient::CarrierSubsidiary](docs/CarrierSubsidiary.md)
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- [VericredClient::County](docs/County.md)
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- [VericredClient::Drug](docs/Drug.md)
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- [VericredClient::DrugCoverage](docs/DrugCoverage.md)
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- [VericredClient::InlineResponse200](docs/InlineResponse200.md)
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- [VericredClient::InlineResponse2001](docs/InlineResponse2001.md)
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- [VericredClient::InlineResponse2002](docs/InlineResponse2002.md)
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- [VericredClient::Plan](docs/Plan.md)
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- [VericredClient::PlanCounty](docs/PlanCounty.md)
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- [VericredClient::PlanSearchResult](docs/PlanSearchResult.md)
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- [VericredClient::Pricing](docs/Pricing.md)
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- [VericredClient::Provider](docs/Provider.md)
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- [VericredClient::Query](docs/Query.md)
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- [VericredClient::RatingArea](docs/RatingArea.md)
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- [VericredClient::State](docs/State.md)
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- [VericredClient::ZipCode](docs/ZipCode.md)
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- [VericredClient::ZipCounty](docs/ZipCounty.md)
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## Documentation for Authorization
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All endpoints do not require authorization.
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data/docs/Applicant.md
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# VericredClient::Applicant
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **Integer** | Primary key | [optional]
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**dob** | **Date** | Date of Birth | [optional]
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**member_id** | **String** | Foreign key to members | [optional]
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**name** | **String** | Full name of the Applicant | [optional]
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**relationship** | **String** | Relationship of the Applicant to the Member | [optional]
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**smoker** | **BOOLEAN** | Does the Applicant smoke? | [optional]
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**ssn** | **String** | Applicant's Social Security Number | [optional]
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data/docs/Carrier.md
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# VericredClient::Carrier
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **Integer** | Primary key | [optional]
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**name** | **String** | Name of the Carrier | [optional]
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**logo_path** | **String** | URL for the Carrier's logo | [optional]
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data/docs/County.md
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# VericredClient::County
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **Integer** | Primary key | [optional]
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**fips_code** | **String** | State FIPS code | [optional]
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**name** | **String** | Human-readable name | [optional]
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**state_code** | **String** | Two-character state code | [optional]
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**state_id** | **Integer** | state relationship | [optional]
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**state_live** | **BOOLEAN** | Is the state containing this county active for consumers?
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*deprecated in favor of last_date_for_individual | [optional]
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**state_live_for_business** | **BOOLEAN** | Is the state containing this county active for business?
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*deprecated in favor of last_date_for_shop | [optional]
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data/docs/Drug.md
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# VericredClient::Drug
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**ndc** | **String** | National Drug Code ID | [optional]
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**proprietary_name** | **String** | Proprietary name of drug | [optional]
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**non_proprietary_name** | **String** | Non-proprietary name of drug | [optional]
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# VericredClient::DrugCoverage
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**plan_id** | **String** | Health Insurance Oversight System id | [optional]
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**ndc_package_code** | **String** | NDC package code | [optional]
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**tier** | **String** | Tier Name | [optional]
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+
**quantity_limit** | **BOOLEAN** | Quantity limit exists | [optional]
|
10
|
+
**prior_authorization** | **BOOLEAN** | Prior authorization required | [optional]
|
11
|
+
**step_therapy** | **BOOLEAN** | Step Treatment required | [optional]
|
12
|
+
|
13
|
+
|
@@ -0,0 +1,60 @@
|
|
1
|
+
# VericredClient::DrugCoverageApi
|
2
|
+
|
3
|
+
All URIs are relative to *https://api.vericred.com/*
|
4
|
+
|
5
|
+
Method | HTTP request | Description
|
6
|
+
------------- | ------------- | -------------
|
7
|
+
[**drugs_ndc_coverages_get**](DrugCoverageApi.md#drugs_ndc_coverages_get) | **GET** /drugs/{ndc}/coverages | Find Drug Coverages for a given NDC
|
8
|
+
|
9
|
+
|
10
|
+
# **drugs_ndc_coverages_get**
|
11
|
+
> Array<DrugCoverage> drugs_ndc_coverages_get(ndc)
|
12
|
+
|
13
|
+
Find Drug Coverages for a given NDC
|
14
|
+
|
15
|
+
Drug Coverages are the specific tier level, quantity limit, prior authorization
|
16
|
+
and step therapy for a given Drug/Plan combination. This endpoint returns
|
17
|
+
all DrugCoverages for a given Drug
|
18
|
+
|
19
|
+
|
20
|
+
|
21
|
+
### Example
|
22
|
+
```ruby
|
23
|
+
# load the gem
|
24
|
+
require 'vericred_client'
|
25
|
+
|
26
|
+
api_instance = VericredClient::DrugCoverageApi.new
|
27
|
+
|
28
|
+
ndc = "ndc_example" # String | NDC for a drug
|
29
|
+
|
30
|
+
|
31
|
+
begin
|
32
|
+
#Find Drug Coverages for a given NDC
|
33
|
+
result = api_instance.drugs_ndc_coverages_get(ndc)
|
34
|
+
p result
|
35
|
+
rescue VericredClient::ApiError => e
|
36
|
+
puts "Exception when calling DrugCoverageApi->drugs_ndc_coverages_get: #{e}"
|
37
|
+
end
|
38
|
+
```
|
39
|
+
|
40
|
+
### Parameters
|
41
|
+
|
42
|
+
Name | Type | Description | Notes
|
43
|
+
------------- | ------------- | ------------- | -------------
|
44
|
+
**ndc** | **String**| NDC for a drug |
|
45
|
+
|
46
|
+
### Return type
|
47
|
+
|
48
|
+
[**Array<DrugCoverage>**](DrugCoverage.md)
|
49
|
+
|
50
|
+
### Authorization
|
51
|
+
|
52
|
+
No authorization required
|
53
|
+
|
54
|
+
### HTTP request headers
|
55
|
+
|
56
|
+
- **Content-Type**: Not defined
|
57
|
+
- **Accept**: Not defined
|
58
|
+
|
59
|
+
|
60
|
+
|
@@ -0,0 +1,9 @@
|
|
1
|
+
# VericredClient::InlineResponse200
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**meta** | **Object** | | [optional]
|
7
|
+
**providers** | [**Array<Provider>**](Provider.md) | | [optional]
|
8
|
+
|
9
|
+
|
@@ -0,0 +1,10 @@
|
|
1
|
+
# VericredClient::InlineResponse2002
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**zip_counties** | [**Array<ZipCounty>**](ZipCounty.md) | | [optional]
|
7
|
+
**counties** | [**Array<County>**](County.md) | | [optional]
|
8
|
+
**zip_codes** | [**Array<ZipCode>**](ZipCode.md) | | [optional]
|
9
|
+
|
10
|
+
|
data/docs/Plan.md
ADDED
@@ -0,0 +1,53 @@
|
|
1
|
+
# VericredClient::Plan
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
7
|
+
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
8
|
+
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
9
|
+
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
10
|
+
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
11
|
+
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
12
|
+
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
13
|
+
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
14
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
15
|
+
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
16
|
+
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
17
|
+
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
18
|
+
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
19
|
+
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
20
|
+
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
21
|
+
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
22
|
+
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
23
|
+
**hios_issuer_id** | **String** | | [optional]
|
24
|
+
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
25
|
+
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
26
|
+
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
27
|
+
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
28
|
+
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
29
|
+
**individual_medical_moop** | **String** | Maximum out-of-pocket when an individual is on the plan | [optional]
|
30
|
+
**inpatient_facility** | **String** | Cost under the plan for an inpatient facility | [optional]
|
31
|
+
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
32
|
+
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
33
|
+
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
34
|
+
**name** | **String** | Marketing name of the plan | [optional]
|
35
|
+
**network_size** | **Integer** | Total number of Providers in network | [optional]
|
36
|
+
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
37
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional]
|
38
|
+
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional]
|
39
|
+
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
40
|
+
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
41
|
+
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
42
|
+
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
43
|
+
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
44
|
+
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity) | [optional]
|
45
|
+
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
46
|
+
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
47
|
+
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
48
|
+
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
49
|
+
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
50
|
+
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
51
|
+
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
52
|
+
|
53
|
+
|
data/docs/PlanCounty.md
ADDED
@@ -0,0 +1,10 @@
|
|
1
|
+
# VericredClient::PlanCounty
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**id** | **Integer** | Primary key | [optional]
|
7
|
+
**plan_id** | **Integer** | Foreign key to plan | [optional]
|
8
|
+
**county_id** | **Integer** | Foreign key to county | [optional]
|
9
|
+
|
10
|
+
|
@@ -0,0 +1,54 @@
|
|
1
|
+
# VericredClient::PlanSearchResult
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
7
|
+
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
8
|
+
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
9
|
+
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
10
|
+
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
11
|
+
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
12
|
+
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
13
|
+
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
14
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
15
|
+
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
16
|
+
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
17
|
+
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
18
|
+
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
19
|
+
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
20
|
+
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
21
|
+
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
22
|
+
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
23
|
+
**hios_issuer_id** | **String** | | [optional]
|
24
|
+
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
25
|
+
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
26
|
+
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
27
|
+
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
28
|
+
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
29
|
+
**individual_medical_moop** | **String** | Maximum out-of-pocket when an individual is on the plan | [optional]
|
30
|
+
**inpatient_facility** | **String** | Cost under the plan for an inpatient facility | [optional]
|
31
|
+
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
32
|
+
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
33
|
+
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
34
|
+
**name** | **String** | Marketing name of the plan | [optional]
|
35
|
+
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
36
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional]
|
37
|
+
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional]
|
38
|
+
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
39
|
+
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
40
|
+
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
41
|
+
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
42
|
+
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
43
|
+
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity) | [optional]
|
44
|
+
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
45
|
+
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
46
|
+
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
47
|
+
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
48
|
+
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
49
|
+
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
50
|
+
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
51
|
+
**match_percentage** | **Integer** | Percentage of doctors who matched this Plan | [optional]
|
52
|
+
**perfect_match_percentage** | **Integer** | Percentage of employees with 100% match | [optional]
|
53
|
+
|
54
|
+
|
data/docs/PlansApi.md
ADDED
@@ -0,0 +1,118 @@
|
|
1
|
+
# VericredClient::PlansApi
|
2
|
+
|
3
|
+
All URIs are relative to *https://api.vericred.com/*
|
4
|
+
|
5
|
+
Method | HTTP request | Description
|
6
|
+
------------- | ------------- | -------------
|
7
|
+
[**plans_find_post**](PlansApi.md#plans_find_post) | **POST** /plans/find | Find a set of plans for a Zip Code and County
|
8
|
+
|
9
|
+
|
10
|
+
# **plans_find_post**
|
11
|
+
> Array<Plan> plans_find_post(query)
|
12
|
+
|
13
|
+
Find a set of plans for a Zip Code and County
|
14
|
+
|
15
|
+
### Location Information
|
16
|
+
|
17
|
+
Searching for a set of plans requires a `zip_code` and `fips_code`
|
18
|
+
code. These are used to determine pricing and availabity
|
19
|
+
of health plans.
|
20
|
+
|
21
|
+
Optionally, you may provide a list of Applicants or Providers
|
22
|
+
|
23
|
+
### Applicants
|
24
|
+
|
25
|
+
This is a list of people who will be covered by the plan. We
|
26
|
+
use this list to calculate the premium. You must include `age`
|
27
|
+
and can include `smoker`, which also factors into pricing in some
|
28
|
+
states.
|
29
|
+
|
30
|
+
Applicants *must* include an age. If smoker is omitted, its value is assumed
|
31
|
+
to be false.
|
32
|
+
|
33
|
+
#### Multiple Applicants
|
34
|
+
|
35
|
+
To get pricing for multiple applicants, just append multiple sets
|
36
|
+
of data to the URL with the age and smoking status of each applicant
|
37
|
+
next to each other.
|
38
|
+
|
39
|
+
For example, given two applicants - one age 32 and a non-smoker and one
|
40
|
+
age 29 and a smoker, you could use the following request
|
41
|
+
|
42
|
+
`GET /plans?zip_code=07451&fips_code=33025&applicants[][age]=32&applicants[][age]=29&applicants[][smoker]=true`
|
43
|
+
|
44
|
+
It would also be acceptible to include `applicants[][smoker]=false` after the
|
45
|
+
first applicant's age.
|
46
|
+
|
47
|
+
### Providers
|
48
|
+
|
49
|
+
We identify Providers (Doctors) by their National Practitioner
|
50
|
+
Index number (NPI). If you pass a list of Providers, keyed by
|
51
|
+
their NPI number, we will return a list of which Providers are
|
52
|
+
in and out of network for each plan returned.
|
53
|
+
|
54
|
+
For example, if we had two providers with the NPI numbers `12345` and `23456`
|
55
|
+
you would make the following request
|
56
|
+
|
57
|
+
`GET /plans?zip_code=07451&fips_code=33025&providers[][npi]=12345&providers[][npi]=23456`
|
58
|
+
|
59
|
+
### Enrollment Date
|
60
|
+
|
61
|
+
To calculate plan pricing and availability, we default to the current date
|
62
|
+
as the enrollment date. To specify a date in the future (or the past), pass
|
63
|
+
a string with the format `YYYY-MM-DD` in the `enrollment_date` parameter.
|
64
|
+
|
65
|
+
`GET /plans?zip_code=07451&fips_code=33025&enrollment_date=2016-01-01`
|
66
|
+
|
67
|
+
### Subsidy
|
68
|
+
|
69
|
+
On-marketplace plans are eligible for a subsidy based on the
|
70
|
+
`household_size` and `household_income` of the applicants. If you
|
71
|
+
pass those values, we will calculate the `subsidized_premium`
|
72
|
+
and return it for each plan. If no values are provided, the
|
73
|
+
`subsidized_premium` will be the same as the `premium`
|
74
|
+
|
75
|
+
`GET /plans?zip_code=07451&fips_code=33025&household_size=4&household_income=40000`
|
76
|
+
|
77
|
+
|
78
|
+
|
79
|
+
### Example
|
80
|
+
```ruby
|
81
|
+
# load the gem
|
82
|
+
require 'vericred_client'
|
83
|
+
|
84
|
+
api_instance = VericredClient::PlansApi.new
|
85
|
+
|
86
|
+
query = VericredClient::Query.new # Query | Plan query
|
87
|
+
|
88
|
+
|
89
|
+
begin
|
90
|
+
#Find a set of plans for a Zip Code and County
|
91
|
+
result = api_instance.plans_find_post(query)
|
92
|
+
p result
|
93
|
+
rescue VericredClient::ApiError => e
|
94
|
+
puts "Exception when calling PlansApi->plans_find_post: #{e}"
|
95
|
+
end
|
96
|
+
```
|
97
|
+
|
98
|
+
### Parameters
|
99
|
+
|
100
|
+
Name | Type | Description | Notes
|
101
|
+
------------- | ------------- | ------------- | -------------
|
102
|
+
**query** | [**Query**](Query.md)| Plan query |
|
103
|
+
|
104
|
+
### Return type
|
105
|
+
|
106
|
+
[**Array<Plan>**](Plan.md)
|
107
|
+
|
108
|
+
### Authorization
|
109
|
+
|
110
|
+
No authorization required
|
111
|
+
|
112
|
+
### HTTP request headers
|
113
|
+
|
114
|
+
- **Content-Type**: Not defined
|
115
|
+
- **Accept**: Not defined
|
116
|
+
|
117
|
+
|
118
|
+
|
data/docs/Pricing.md
ADDED
@@ -0,0 +1,12 @@
|
|
1
|
+
# VericredClient::Pricing
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**age** | **Integer** | Age of applicant | [optional]
|
7
|
+
**effective_date** | **Date** | Effective date of plan | [optional]
|
8
|
+
**expiration_date** | **Date** | Plan expiration date | [optional]
|
9
|
+
**plan_id** | **Integer** | Foreign key to plans | [optional]
|
10
|
+
**rating_area_id** | **Integer** | Foreign key to rating areas | [optional]
|
11
|
+
|
12
|
+
|