vericred_client 0.0.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- 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
ADDED
@@ -0,0 +1,7 @@
|
|
1
|
+
---
|
2
|
+
SHA1:
|
3
|
+
metadata.gz: 945030aaf97fceaacfa3cfb248e31fbdd6dbe12d
|
4
|
+
data.tar.gz: 6bb7645738cfe35e12898c55563f541574726fcf
|
5
|
+
SHA512:
|
6
|
+
metadata.gz: 717c505e5ebc629e90da6ba08b89e0f5f6ba7ee744ec2f0b970d64b9dec9a1a376a2013dab0980fc853177d3c16d59075262498657b7f97b76577c855788741b
|
7
|
+
data.tar.gz: fc71bec4b5f38c3539bc026f541364cb9a96811ada07cb258da525ab9da290bb1695746019c1ef8892c157ef338b0baf37be06d2a9204916e4fa0a55ec7fe7dc
|
data/README.md
ADDED
@@ -0,0 +1,225 @@
|
|
1
|
+
# vericred_client
|
2
|
+
|
3
|
+
VericredClient - the Ruby gem for the Vericred API
|
4
|
+
|
5
|
+
Vericred's API allows you to search for Health Plans that a specific doctor
|
6
|
+
accepts.
|
7
|
+
|
8
|
+
## Getting Started
|
9
|
+
|
10
|
+
Visit our [Developer Portal](https://vericred.3scale.net/access_code?access_code=vericred&cms_token=3545ca52af07bde85b7c0c3aa9d1985e) to
|
11
|
+
create an account.
|
12
|
+
|
13
|
+
Once you have created an account, you can create one Application for
|
14
|
+
Production and another for our Sandbox (select the appropriate Plan when
|
15
|
+
you create the Application).
|
16
|
+
|
17
|
+
## Authentication
|
18
|
+
|
19
|
+
To authenticate, pass the API Key you created in the Developer Portal as
|
20
|
+
a `Vericred-Api-Key` header.
|
21
|
+
|
22
|
+
`curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
|
23
|
+
|
24
|
+
## Versioning
|
25
|
+
|
26
|
+
Vericred's API default to the latest version. However, if you need a specific
|
27
|
+
version, you can request it with an `Accept-Version` header.
|
28
|
+
|
29
|
+
The current version is `v3`. Previous versions are `v1` and `v2`.
|
30
|
+
|
31
|
+
`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
|
32
|
+
|
33
|
+
## Pagination
|
34
|
+
|
35
|
+
Most endpoints are not paginated. It will be noted in the documentation if/when
|
36
|
+
an endpoint is paginated.
|
37
|
+
|
38
|
+
When pagination is present, a `meta` stanza will be present in the response
|
39
|
+
with the total number of records
|
40
|
+
|
41
|
+
```
|
42
|
+
{
|
43
|
+
things: [{ id: 1 }, { id: 2 }],
|
44
|
+
meta: { total: 500 }
|
45
|
+
}
|
46
|
+
```
|
47
|
+
|
48
|
+
## Sideloading
|
49
|
+
|
50
|
+
When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
|
51
|
+
we sideload the associated data. In this example, we would provide an Array of
|
52
|
+
`State`s and a `state_id` for each provider. This is done primarily to reduce the
|
53
|
+
payload size since many of the `Provider`s will share a `State`
|
54
|
+
|
55
|
+
```
|
56
|
+
{
|
57
|
+
providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
|
58
|
+
states: [{ id: 1, code: 'NY' }]
|
59
|
+
}
|
60
|
+
```
|
61
|
+
|
62
|
+
If you need the second level of the object graph, you can just match the
|
63
|
+
corresponding id.
|
64
|
+
|
65
|
+
## Selecting specific data
|
66
|
+
|
67
|
+
All endpoints allow you to specify which fields you would like to return.
|
68
|
+
This allows you to limit the response to contain only the data you need.
|
69
|
+
|
70
|
+
For example, let's take a request that returns the following JSON by default
|
71
|
+
|
72
|
+
```
|
73
|
+
{
|
74
|
+
provider: {
|
75
|
+
id: 1,
|
76
|
+
name: 'John',
|
77
|
+
phone: '1234567890',
|
78
|
+
field_we_dont_care_about: 'value_we_dont_care_about'
|
79
|
+
},
|
80
|
+
states: [{
|
81
|
+
id: 1,
|
82
|
+
name: 'New York',
|
83
|
+
code: 'NY',
|
84
|
+
field_we_dont_care_about: 'value_we_dont_care_about'
|
85
|
+
}]
|
86
|
+
}
|
87
|
+
```
|
88
|
+
|
89
|
+
To limit our results to only return the fields we care about, we specify the
|
90
|
+
`select` query string parameter for the corresponding fields in the JSON
|
91
|
+
document.
|
92
|
+
|
93
|
+
In this case, we want to select `name` and `phone` from the `provider` key,
|
94
|
+
so we would add the parameters `select=provider.name,provider.phone`.
|
95
|
+
We also want the `name` and `code` from the `states` key, so we would
|
96
|
+
add the parameters `select=states.name,staes.code`. The id field of
|
97
|
+
each document is always returned whether or not it is requested.
|
98
|
+
|
99
|
+
Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
|
100
|
+
|
101
|
+
The response would be
|
102
|
+
|
103
|
+
```
|
104
|
+
{
|
105
|
+
provider: {
|
106
|
+
id: 1,
|
107
|
+
name: 'John',
|
108
|
+
phone: '1234567890'
|
109
|
+
},
|
110
|
+
states: [{
|
111
|
+
id: 1,
|
112
|
+
name: 'New York',
|
113
|
+
code: 'NY'
|
114
|
+
}]
|
115
|
+
}
|
116
|
+
```
|
117
|
+
|
118
|
+
|
119
|
+
|
120
|
+
This SDK is automatically generated by the [Swagger Codegen](https://github.com/swagger-api/swagger-codegen) project:
|
121
|
+
|
122
|
+
- API version:
|
123
|
+
- Package version: 0.0.1
|
124
|
+
- Build date: 2016-04-29T19:28:54.758-04:00
|
125
|
+
- Build package: class io.swagger.codegen.languages.RubyClientCodegen
|
126
|
+
|
127
|
+
## Installation
|
128
|
+
|
129
|
+
### Build a gem
|
130
|
+
|
131
|
+
To build the Ruby code into a gem:
|
132
|
+
|
133
|
+
```shell
|
134
|
+
gem build vericred_client.gemspec
|
135
|
+
```
|
136
|
+
|
137
|
+
Then either install the gem locally:
|
138
|
+
|
139
|
+
```shell
|
140
|
+
gem install ./vericred_client-0.0.1.gem
|
141
|
+
```
|
142
|
+
(for development, run `gem install --dev ./vericred_client-0.0.1.gem` to install the development dependencies)
|
143
|
+
|
144
|
+
or publish the gem to a gem hosting service, e.g. [RubyGems](https://rubygems.org/).
|
145
|
+
|
146
|
+
Finally add this to the Gemfile:
|
147
|
+
|
148
|
+
gem 'vericred_client', '~> 0.0.1'
|
149
|
+
|
150
|
+
### Install from Git
|
151
|
+
|
152
|
+
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:
|
153
|
+
|
154
|
+
gem 'vericred_client', :git => 'https://github.com/YOUR_GIT_USR_ID/YOUR_GIT_REPO_ID.git'
|
155
|
+
|
156
|
+
### Include the Ruby code directly
|
157
|
+
|
158
|
+
Include the Ruby code directly using `-I` as follows:
|
159
|
+
|
160
|
+
```shell
|
161
|
+
ruby -Ilib script.rb
|
162
|
+
```
|
163
|
+
|
164
|
+
## Getting Started
|
165
|
+
|
166
|
+
Please follow the [installation](#installation) procedure and then run the following code:
|
167
|
+
```ruby
|
168
|
+
# Load the gem
|
169
|
+
require 'vericred_client'
|
170
|
+
|
171
|
+
api_instance = VericredClient::DrugCoverageApi.new
|
172
|
+
|
173
|
+
ndc = "ndc_example" # String | NDC for a drug
|
174
|
+
|
175
|
+
|
176
|
+
begin
|
177
|
+
#Find Drug Coverages for a given NDC
|
178
|
+
result = api_instance.drugs_ndc_coverages_get(ndc)
|
179
|
+
p result
|
180
|
+
rescue VericredClient::ApiError => e
|
181
|
+
puts "Exception when calling DrugCoverageApi->drugs_ndc_coverages_get: #{e}"
|
182
|
+
end
|
183
|
+
|
184
|
+
```
|
185
|
+
|
186
|
+
## Documentation for API Endpoints
|
187
|
+
|
188
|
+
All URIs are relative to *https://api.vericred.com/*
|
189
|
+
|
190
|
+
Class | Method | HTTP request | Description
|
191
|
+
------------ | ------------- | ------------- | -------------
|
192
|
+
*VericredClient::DrugCoverageApi* | [**drugs_ndc_coverages_get**](docs/DrugCoverageApi.md#drugs_ndc_coverages_get) | **GET** /drugs/{ndc}/coverages | Find Drug Coverages for a given NDC
|
193
|
+
*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
|
194
|
+
*VericredClient::ProvidersApi* | [**providers_get**](docs/ProvidersApi.md#providers_get) | **GET** /providers | Find providers by term and zip code
|
195
|
+
*VericredClient::ProvidersApi* | [**providers_npi_get**](docs/ProvidersApi.md#providers_npi_get) | **GET** /providers/{npi} | Find a specific Provider
|
196
|
+
*VericredClient::ZipCountiesApi* | [**zip_counties_get**](docs/ZipCountiesApi.md#zip_counties_get) | **GET** /zip_counties | Find Zip Counties by Zip Code
|
197
|
+
|
198
|
+
|
199
|
+
## Documentation for Models
|
200
|
+
|
201
|
+
- [VericredClient::Applicant](docs/Applicant.md)
|
202
|
+
- [VericredClient::Carrier](docs/Carrier.md)
|
203
|
+
- [VericredClient::CarrierSubsidiary](docs/CarrierSubsidiary.md)
|
204
|
+
- [VericredClient::County](docs/County.md)
|
205
|
+
- [VericredClient::Drug](docs/Drug.md)
|
206
|
+
- [VericredClient::DrugCoverage](docs/DrugCoverage.md)
|
207
|
+
- [VericredClient::InlineResponse200](docs/InlineResponse200.md)
|
208
|
+
- [VericredClient::InlineResponse2001](docs/InlineResponse2001.md)
|
209
|
+
- [VericredClient::InlineResponse2002](docs/InlineResponse2002.md)
|
210
|
+
- [VericredClient::Plan](docs/Plan.md)
|
211
|
+
- [VericredClient::PlanCounty](docs/PlanCounty.md)
|
212
|
+
- [VericredClient::PlanSearchResult](docs/PlanSearchResult.md)
|
213
|
+
- [VericredClient::Pricing](docs/Pricing.md)
|
214
|
+
- [VericredClient::Provider](docs/Provider.md)
|
215
|
+
- [VericredClient::Query](docs/Query.md)
|
216
|
+
- [VericredClient::RatingArea](docs/RatingArea.md)
|
217
|
+
- [VericredClient::State](docs/State.md)
|
218
|
+
- [VericredClient::ZipCode](docs/ZipCode.md)
|
219
|
+
- [VericredClient::ZipCounty](docs/ZipCounty.md)
|
220
|
+
|
221
|
+
|
222
|
+
## Documentation for Authorization
|
223
|
+
|
224
|
+
All endpoints do not require authorization.
|
225
|
+
|
data/docs/Applicant.md
ADDED
@@ -0,0 +1,14 @@
|
|
1
|
+
# VericredClient::Applicant
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**id** | **Integer** | Primary key | [optional]
|
7
|
+
**dob** | **Date** | Date of Birth | [optional]
|
8
|
+
**member_id** | **String** | Foreign key to members | [optional]
|
9
|
+
**name** | **String** | Full name of the Applicant | [optional]
|
10
|
+
**relationship** | **String** | Relationship of the Applicant to the Member | [optional]
|
11
|
+
**smoker** | **BOOLEAN** | Does the Applicant smoke? | [optional]
|
12
|
+
**ssn** | **String** | Applicant's Social Security Number | [optional]
|
13
|
+
|
14
|
+
|
data/docs/Carrier.md
ADDED
@@ -0,0 +1,10 @@
|
|
1
|
+
# VericredClient::Carrier
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**id** | **Integer** | Primary key | [optional]
|
7
|
+
**name** | **String** | Name of the Carrier | [optional]
|
8
|
+
**logo_path** | **String** | URL for the Carrier's logo | [optional]
|
9
|
+
|
10
|
+
|
data/docs/County.md
ADDED
@@ -0,0 +1,16 @@
|
|
1
|
+
# VericredClient::County
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**id** | **Integer** | Primary key | [optional]
|
7
|
+
**fips_code** | **String** | State FIPS code | [optional]
|
8
|
+
**name** | **String** | Human-readable name | [optional]
|
9
|
+
**state_code** | **String** | Two-character state code | [optional]
|
10
|
+
**state_id** | **Integer** | state relationship | [optional]
|
11
|
+
**state_live** | **BOOLEAN** | Is the state containing this county active for consumers?
|
12
|
+
*deprecated in favor of last_date_for_individual | [optional]
|
13
|
+
**state_live_for_business** | **BOOLEAN** | Is the state containing this county active for business?
|
14
|
+
*deprecated in favor of last_date_for_shop | [optional]
|
15
|
+
|
16
|
+
|
data/docs/Drug.md
ADDED
@@ -0,0 +1,10 @@
|
|
1
|
+
# VericredClient::Drug
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**ndc** | **String** | National Drug Code ID | [optional]
|
7
|
+
**proprietary_name** | **String** | Proprietary name of drug | [optional]
|
8
|
+
**non_proprietary_name** | **String** | Non-proprietary name of drug | [optional]
|
9
|
+
|
10
|
+
|
@@ -0,0 +1,13 @@
|
|
1
|
+
# VericredClient::DrugCoverage
|
2
|
+
|
3
|
+
## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**plan_id** | **String** | Health Insurance Oversight System id | [optional]
|
7
|
+
**ndc_package_code** | **String** | NDC package code | [optional]
|
8
|
+
**tier** | **String** | Tier Name | [optional]
|
9
|
+
**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
|
+
|