vericred_client 0.0.11 → 0.0.18

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Files changed (319) hide show
  1. checksums.yaml +4 -4
  2. data/README.md +92 -21
  3. data/docs/ACAPlan.md +96 -0
  4. data/docs/ACAPlan2018.md +97 -0
  5. data/docs/ACAPlan2018SearchResponse.md +10 -0
  6. data/docs/ACAPlan2018SearchResult.md +100 -0
  7. data/docs/ACAPlan2018ShowResponse.md +8 -0
  8. data/docs/ACAPlanPre2018.md +96 -0
  9. data/docs/ACAPlanPre2018SearchResponse.md +10 -0
  10. data/docs/{PlanSearchResult.md → ACAPlanPre2018SearchResult.md} +30 -11
  11. data/docs/ACAPlanPre2018ShowResponse.md +8 -0
  12. data/docs/BasePlanSearchResponse.md +9 -0
  13. data/docs/Carrier.md +0 -1
  14. data/docs/CarrierGroupRequest.md +10 -0
  15. data/docs/CarrierGroupsApi.md +119 -0
  16. data/docs/CarrierRequest.md +11 -0
  17. data/docs/CarrierSubsidiary.md +1 -0
  18. data/docs/CarrierVerificationPlansApi.md +63 -0
  19. data/docs/CarriersApi.md +119 -0
  20. data/docs/DentalPlan.md +20 -0
  21. data/docs/DentalPlanBenefits.md +30 -0
  22. data/docs/DentalPlanSearchApplicant.md +10 -0
  23. data/docs/DentalPlanSearchRequest.md +15 -0
  24. data/docs/DentalPlanSearchResponse.md +9 -0
  25. data/docs/DentalPlanShowResponse.md +8 -0
  26. data/docs/DentalPlanUpdate.md +16 -0
  27. data/docs/DentalPlanUpdateRequest.md +8 -0
  28. data/docs/DentalPlansApi.md +174 -0
  29. data/docs/DrugCoverage.md +1 -0
  30. data/docs/DrugCoverageResponse.md +1 -2
  31. data/docs/EmbargoRequest.md +13 -0
  32. data/docs/EmbargoesApi.md +119 -0
  33. data/docs/FormulariesApi.md +70 -0
  34. data/docs/IssuerRequest.md +19 -0
  35. data/docs/IssuersApi.md +119 -0
  36. data/docs/MedicalPlansApi.md +122 -0
  37. data/docs/{PlanSearchResponseMeta.md → MetaPlanSearchResponse.md} +2 -1
  38. data/docs/NetworkComparison.md +13 -0
  39. data/docs/NetworkComparisonRequest.md +10 -0
  40. data/docs/NetworkComparisonResponse.md +9 -0
  41. data/docs/NetworksApi.md +58 -0
  42. data/docs/NotificationSubscription.md +8 -0
  43. data/docs/NotificationSubscriptionResponse.md +8 -0
  44. data/docs/Plan.md +2 -61
  45. data/docs/PlanDeleted.md +7 -0
  46. data/docs/PlanIdentifier.md +9 -0
  47. data/docs/PlanMedicare.md +19 -0
  48. data/docs/PlanMedicareBulk.md +21 -0
  49. data/docs/PlanPricingMedicare.md +15 -0
  50. data/docs/PlanSearchResponse.md +1 -1
  51. data/docs/PlanShowResponse.md +1 -1
  52. data/docs/PlansApi.md +111 -1
  53. data/docs/Provider.md +1 -1
  54. data/docs/ProviderDetails.md +1 -1
  55. data/docs/ProviderNetworkEventNotification.md +13 -0
  56. data/docs/ProviderNotificationSubscriptionsApi.md +173 -0
  57. data/docs/ProvidersApi.md +68 -18
  58. data/docs/RateRequest.md +148 -0
  59. data/docs/RateSearch.md +143 -0
  60. data/docs/RatesApi.md +119 -0
  61. data/docs/RequestPlanFind.md +2 -0
  62. data/docs/RequestPlanFindCarrierVerification.md +23 -0
  63. data/docs/RequestProviderNotificationSubscription.md +10 -0
  64. data/docs/RequestProvidersSearch.md +1 -0
  65. data/docs/RequestRatesSearch.md +10 -0
  66. data/docs/ResponseRatesSearch.md +8 -0
  67. data/docs/RxCuiIdentifier.md +11 -0
  68. data/docs/RxCuiIdentifierSearchResponse.md +9 -0
  69. data/docs/VisionPlan.md +20 -0
  70. data/docs/VisionPlanBenefits.md +25 -0
  71. data/docs/VisionPlanSearchApplicant.md +10 -0
  72. data/docs/VisionPlanSearchRequest.md +15 -0
  73. data/docs/VisionPlanSearchResponse.md +9 -0
  74. data/docs/VisionPlanShowResponse.md +8 -0
  75. data/docs/VisionPlanUpdate.md +16 -0
  76. data/docs/VisionPlanUpdateRequest.md +8 -0
  77. data/docs/VisionPlansApi.md +174 -0
  78. data/lib/vericred_client/api/carrier_groups_api.rb +346 -0
  79. data/lib/vericred_client/api/carrier_verification_plans_api.rb +287 -0
  80. data/lib/vericred_client/api/carriers_api.rb +346 -0
  81. data/lib/vericred_client/api/dental_plans_api.rb +403 -0
  82. data/lib/vericred_client/api/drug_coverages_api.rb +5 -3
  83. data/lib/vericred_client/api/drug_packages_api.rb +5 -3
  84. data/lib/vericred_client/api/drugs_api.rb +5 -3
  85. data/lib/vericred_client/api/embargoes_api.rb +346 -0
  86. data/lib/vericred_client/api/formularies_api.rb +295 -0
  87. data/lib/vericred_client/api/issuers_api.rb +346 -0
  88. data/lib/vericred_client/api/medical_plans_api.rb +347 -0
  89. data/lib/vericred_client/api/network_sizes_api.rb +5 -3
  90. data/lib/vericred_client/api/networks_api.rb +66 -3
  91. data/lib/vericred_client/api/plans_api.rb +122 -3
  92. data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +395 -0
  93. data/lib/vericred_client/api/providers_api.rb +82 -27
  94. data/lib/vericred_client/api/rates_api.rb +346 -0
  95. data/lib/vericred_client/api/vision_plans_api.rb +403 -0
  96. data/lib/vericred_client/api/zip_counties_api.rb +5 -3
  97. data/lib/vericred_client/api_client.rb +5 -3
  98. data/lib/vericred_client/api_error.rb +5 -3
  99. data/lib/vericred_client/configuration.rb +5 -3
  100. data/lib/vericred_client/models/aca_plan.rb +1284 -0
  101. data/lib/vericred_client/models/aca_plan2018.rb +1294 -0
  102. data/lib/vericred_client/models/aca_plan2018_search_response.rb +420 -0
  103. data/lib/vericred_client/models/aca_plan2018_search_result.rb +1324 -0
  104. data/lib/vericred_client/models/aca_plan2018_show_response.rb +396 -0
  105. data/lib/vericred_client/models/aca_plan_pre2018.rb +1284 -0
  106. data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +420 -0
  107. data/lib/vericred_client/models/{plan_search_result.rb → aca_plan_pre2018_search_result.rb} +294 -98
  108. data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +396 -0
  109. data/lib/vericred_client/models/base.rb +5 -3
  110. data/lib/vericred_client/models/base_plan_search_response.rb +408 -0
  111. data/lib/vericred_client/models/carrier.rb +9 -17
  112. data/lib/vericred_client/models/carrier_group_request.rb +416 -0
  113. data/lib/vericred_client/models/carrier_request.rb +426 -0
  114. data/lib/vericred_client/models/carrier_subsidiary.rb +19 -7
  115. data/lib/vericred_client/models/county.rb +5 -3
  116. data/lib/vericred_client/models/county_bulk.rb +5 -3
  117. data/lib/vericred_client/models/dental_plan.rb +518 -0
  118. data/lib/vericred_client/models/dental_plan_benefits.rb +616 -0
  119. data/lib/vericred_client/models/dental_plan_search_applicant.rb +416 -0
  120. data/lib/vericred_client/models/dental_plan_search_request.rb +468 -0
  121. data/lib/vericred_client/models/dental_plan_search_response.rb +408 -0
  122. data/lib/vericred_client/models/dental_plan_show_response.rb +396 -0
  123. data/lib/vericred_client/models/dental_plan_update.rb +478 -0
  124. data/lib/vericred_client/models/dental_plan_update_request.rb +396 -0
  125. data/lib/vericred_client/models/drug.rb +5 -3
  126. data/lib/vericred_client/models/drug_coverage.rb +18 -4
  127. data/lib/vericred_client/models/drug_coverage_response.rb +12 -24
  128. data/lib/vericred_client/models/drug_package.rb +5 -3
  129. data/lib/vericred_client/models/drug_search_response.rb +5 -3
  130. data/lib/vericred_client/models/embargo_request.rb +446 -0
  131. data/lib/vericred_client/models/formulary.rb +5 -3
  132. data/lib/vericred_client/models/formulary_drug_package_response.rb +5 -3
  133. data/lib/vericred_client/models/formulary_response.rb +5 -3
  134. data/lib/vericred_client/models/issuer_request.rb +506 -0
  135. data/lib/vericred_client/models/meta.rb +5 -3
  136. data/lib/vericred_client/models/{plan_search_response_meta.rb → meta_plan_search_response.rb} +20 -8
  137. data/lib/vericred_client/models/network.rb +5 -3
  138. data/lib/vericred_client/models/network_comparison.rb +446 -0
  139. data/lib/vericred_client/models/network_comparison_request.rb +418 -0
  140. data/lib/vericred_client/models/network_comparison_response.rb +410 -0
  141. data/lib/vericred_client/models/network_details.rb +5 -3
  142. data/lib/vericred_client/models/network_details_response.rb +5 -3
  143. data/lib/vericred_client/models/network_search_response.rb +5 -3
  144. data/lib/vericred_client/models/network_size.rb +5 -3
  145. data/lib/vericred_client/models/notification_subscription.rb +396 -0
  146. data/lib/vericred_client/models/notification_subscription_response.rb +396 -0
  147. data/lib/vericred_client/models/plan.rb +28 -616
  148. data/lib/vericred_client/models/plan_county.rb +5 -3
  149. data/lib/vericred_client/models/plan_county_bulk.rb +5 -3
  150. data/lib/vericred_client/models/plan_deleted.rb +386 -0
  151. data/lib/vericred_client/models/plan_identifier.rb +406 -0
  152. data/lib/vericred_client/models/plan_medicare.rb +510 -0
  153. data/lib/vericred_client/models/plan_medicare_bulk.rb +530 -0
  154. data/lib/vericred_client/models/plan_pricing_medicare.rb +466 -0
  155. data/lib/vericred_client/models/plan_search_response.rb +21 -19
  156. data/lib/vericred_client/models/plan_show_response.rb +6 -4
  157. data/lib/vericred_client/models/provider.rb +21 -17
  158. data/lib/vericred_client/models/provider_details.rb +18 -14
  159. data/lib/vericred_client/models/provider_geocode.rb +5 -3
  160. data/lib/vericred_client/models/provider_network_event_notification.rb +450 -0
  161. data/lib/vericred_client/models/provider_show_response.rb +5 -3
  162. data/lib/vericred_client/models/providers_geocode_response.rb +5 -3
  163. data/lib/vericred_client/models/providers_search_response.rb +5 -3
  164. data/lib/vericred_client/models/rate_request.rb +1796 -0
  165. data/lib/vericred_client/models/rate_search.rb +1746 -0
  166. data/lib/vericred_client/models/rating_area.rb +5 -3
  167. data/lib/vericred_client/models/request_plan_find.rb +26 -4
  168. data/lib/vericred_client/models/request_plan_find_applicant.rb +5 -3
  169. data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +556 -0
  170. data/lib/vericred_client/models/request_plan_find_drug_package.rb +5 -3
  171. data/lib/vericred_client/models/request_plan_find_provider.rb +5 -3
  172. data/lib/vericred_client/models/request_provider_notification_subscription.rb +418 -0
  173. data/lib/vericred_client/models/request_providers_search.rb +18 -4
  174. data/lib/vericred_client/models/request_rates_search.rb +416 -0
  175. data/lib/vericred_client/models/response_rates_search.rb +396 -0
  176. data/lib/vericred_client/models/{applicant.rb → rx_cui_identifier.rb} +23 -51
  177. data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +408 -0
  178. data/lib/vericred_client/models/service_area.rb +5 -3
  179. data/lib/vericred_client/models/service_area_zip_county.rb +5 -3
  180. data/lib/vericred_client/models/state.rb +5 -3
  181. data/lib/vericred_client/models/state_network_size_request.rb +5 -3
  182. data/lib/vericred_client/models/state_network_size_response.rb +5 -3
  183. data/lib/vericred_client/models/vision_plan.rb +518 -0
  184. data/lib/vericred_client/models/vision_plan_benefits.rb +566 -0
  185. data/lib/vericred_client/models/vision_plan_search_applicant.rb +416 -0
  186. data/lib/vericred_client/models/vision_plan_search_request.rb +468 -0
  187. data/lib/vericred_client/models/vision_plan_search_response.rb +408 -0
  188. data/lib/vericred_client/models/vision_plan_show_response.rb +396 -0
  189. data/lib/vericred_client/models/vision_plan_update.rb +478 -0
  190. data/lib/vericred_client/models/vision_plan_update_request.rb +396 -0
  191. data/lib/vericred_client/models/zip_code.rb +5 -3
  192. data/lib/vericred_client/models/zip_counties_response.rb +5 -3
  193. data/lib/vericred_client/models/zip_county.rb +5 -3
  194. data/lib/vericred_client/models/zip_county_bulk.rb +5 -3
  195. data/lib/vericred_client/models/zip_county_response.rb +5 -3
  196. data/lib/vericred_client/version.rb +6 -4
  197. data/lib/vericred_client.rb +66 -6
  198. data/spec/api/carrier_groups_api_spec.rb +267 -0
  199. data/spec/api/carrier_verification_plans_api_spec.rb +254 -0
  200. data/spec/api/carriers_api_spec.rb +267 -0
  201. data/spec/api/dental_plans_api_spec.rb +279 -0
  202. data/spec/api/drug_coverages_api_spec.rb +5 -3
  203. data/spec/api/drug_packages_api_spec.rb +5 -3
  204. data/spec/api/drugs_api_spec.rb +5 -3
  205. data/spec/api/embargoes_api_spec.rb +267 -0
  206. data/spec/api/formularies_api_spec.rb +257 -0
  207. data/spec/api/issuers_api_spec.rb +267 -0
  208. data/spec/api/medical_plans_api_spec.rb +267 -0
  209. data/spec/api/network_sizes_api_spec.rb +5 -3
  210. data/spec/api/networks_api_spec.rb +18 -3
  211. data/spec/api/plans_api_spec.rb +30 -3
  212. data/spec/api/provider_notification_subscriptions_api_spec.rb +278 -0
  213. data/spec/api/providers_api_spec.rb +23 -10
  214. data/spec/api/rates_api_spec.rb +267 -0
  215. data/spec/api/vision_plans_api_spec.rb +279 -0
  216. data/spec/api/zip_counties_api_spec.rb +5 -3
  217. data/spec/api_client_spec.rb +5 -3
  218. data/spec/configuration_spec.rb +5 -3
  219. data/spec/models/aca_plan2018_search_response_spec.rb +261 -0
  220. data/spec/models/aca_plan2018_search_result_spec.rb +801 -0
  221. data/spec/models/aca_plan2018_show_response_spec.rb +249 -0
  222. data/spec/models/aca_plan2018_spec.rb +783 -0
  223. data/spec/models/aca_plan_pre2018_search_response_spec.rb +261 -0
  224. data/spec/models/aca_plan_pre2018_search_result_spec.rb +795 -0
  225. data/spec/models/aca_plan_pre2018_show_response_spec.rb +249 -0
  226. data/spec/models/aca_plan_pre2018_spec.rb +777 -0
  227. data/spec/models/{plan_search_result_spec.rb → aca_plan_spec.rb} +149 -51
  228. data/spec/models/base_plan_search_response_spec.rb +255 -0
  229. data/spec/models/base_spec.rb +5 -3
  230. data/spec/models/carrier_group_request_spec.rb +261 -0
  231. data/spec/models/carrier_request_spec.rb +267 -0
  232. data/spec/models/carrier_spec.rb +5 -9
  233. data/spec/models/carrier_subsidiary_spec.rb +11 -3
  234. data/spec/models/county_bulk_spec.rb +5 -3
  235. data/spec/models/county_spec.rb +5 -3
  236. data/spec/models/dental_plan_benefits_spec.rb +381 -0
  237. data/spec/models/dental_plan_search_applicant_spec.rb +261 -0
  238. data/spec/models/dental_plan_search_request_spec.rb +291 -0
  239. data/spec/models/dental_plan_search_response_spec.rb +255 -0
  240. data/spec/models/dental_plan_show_response_spec.rb +249 -0
  241. data/spec/models/dental_plan_spec.rb +321 -0
  242. data/spec/models/dental_plan_update_request_spec.rb +249 -0
  243. data/spec/models/dental_plan_update_spec.rb +297 -0
  244. data/spec/models/drug_coverage_response_spec.rb +6 -10
  245. data/spec/models/drug_coverage_spec.rb +11 -3
  246. data/spec/models/drug_package_spec.rb +5 -3
  247. data/spec/models/drug_search_response_spec.rb +5 -3
  248. data/spec/models/drug_spec.rb +5 -3
  249. data/spec/models/{applicant_spec.rb → embargo_request_spec.rb} +17 -21
  250. data/spec/models/formulary_drug_package_response_spec.rb +5 -3
  251. data/spec/models/formulary_response_spec.rb +5 -3
  252. data/spec/models/formulary_spec.rb +5 -3
  253. data/spec/models/issuer_request_spec.rb +315 -0
  254. data/spec/models/meta_plan_search_response_spec.rb +261 -0
  255. data/spec/models/meta_spec.rb +5 -3
  256. data/spec/models/network_comparison_request_spec.rb +261 -0
  257. data/spec/models/network_comparison_response_spec.rb +255 -0
  258. data/spec/models/network_comparison_spec.rb +279 -0
  259. data/spec/models/network_details_response_spec.rb +5 -3
  260. data/spec/models/network_details_spec.rb +5 -3
  261. data/spec/models/network_search_response_spec.rb +5 -3
  262. data/spec/models/network_size_spec.rb +5 -3
  263. data/spec/models/network_spec.rb +5 -3
  264. data/spec/models/notification_subscription_response_spec.rb +249 -0
  265. data/spec/models/notification_subscription_spec.rb +249 -0
  266. data/spec/models/plan_county_bulk_spec.rb +5 -3
  267. data/spec/models/plan_county_spec.rb +5 -3
  268. data/spec/models/plan_deleted_spec.rb +243 -0
  269. data/spec/models/{plan_search_response_meta_spec.rb → plan_identifier_spec.rb} +13 -11
  270. data/spec/models/plan_medicare_bulk_spec.rb +327 -0
  271. data/spec/models/plan_medicare_spec.rb +315 -0
  272. data/spec/models/plan_pricing_medicare_spec.rb +291 -0
  273. data/spec/models/plan_search_response_spec.rb +7 -5
  274. data/spec/models/plan_show_response_spec.rb +5 -3
  275. data/spec/models/plan_spec.rb +8 -360
  276. data/spec/models/provider_details_spec.rb +11 -9
  277. data/spec/models/provider_geocode_spec.rb +5 -3
  278. data/spec/models/provider_network_event_notification_spec.rb +279 -0
  279. data/spec/models/provider_show_response_spec.rb +5 -3
  280. data/spec/models/provider_spec.rb +11 -9
  281. data/spec/models/providers_geocode_response_spec.rb +5 -3
  282. data/spec/models/providers_search_response_spec.rb +5 -3
  283. data/spec/models/rate_request_spec.rb +1089 -0
  284. data/spec/models/rate_search_spec.rb +1059 -0
  285. data/spec/models/rating_area_spec.rb +5 -3
  286. data/spec/models/request_plan_find_applicant_spec.rb +5 -3
  287. data/spec/models/request_plan_find_carrier_verification_spec.rb +339 -0
  288. data/spec/models/request_plan_find_drug_package_spec.rb +5 -3
  289. data/spec/models/request_plan_find_provider_spec.rb +5 -3
  290. data/spec/models/request_plan_find_spec.rb +17 -3
  291. data/spec/models/request_provider_notification_subscription_spec.rb +261 -0
  292. data/spec/models/request_providers_search_spec.rb +11 -3
  293. data/spec/models/request_rates_search_spec.rb +261 -0
  294. data/spec/models/response_rates_search_spec.rb +249 -0
  295. data/spec/models/rx_cui_identifier_search_response_spec.rb +255 -0
  296. data/spec/models/rx_cui_identifier_spec.rb +267 -0
  297. data/spec/models/service_area_spec.rb +5 -3
  298. data/spec/models/service_area_zip_county_spec.rb +5 -3
  299. data/spec/models/state_network_size_request_spec.rb +5 -3
  300. data/spec/models/state_network_size_response_spec.rb +5 -3
  301. data/spec/models/state_spec.rb +5 -3
  302. data/spec/models/vision_plan_benefits_spec.rb +351 -0
  303. data/spec/models/vision_plan_search_applicant_spec.rb +261 -0
  304. data/spec/models/vision_plan_search_request_spec.rb +291 -0
  305. data/spec/models/vision_plan_search_response_spec.rb +255 -0
  306. data/spec/models/vision_plan_show_response_spec.rb +249 -0
  307. data/spec/models/vision_plan_spec.rb +321 -0
  308. data/spec/models/vision_plan_update_request_spec.rb +249 -0
  309. data/spec/models/vision_plan_update_spec.rb +297 -0
  310. data/spec/models/zip_code_spec.rb +5 -3
  311. data/spec/models/zip_counties_response_spec.rb +5 -3
  312. data/spec/models/zip_county_bulk_spec.rb +5 -3
  313. data/spec/models/zip_county_response_spec.rb +5 -3
  314. data/spec/models/zip_county_spec.rb +5 -3
  315. data/spec/spec_helper.rb +5 -3
  316. data/vericred_client.gemspec +5 -3
  317. metadata +247 -16
  318. data/docs/Applicant.md +0 -14
  319. data/git_push.sh +0 -67
@@ -93,7 +93,7 @@ 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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+ add the parameters `select=states.name,states.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`
@@ -150,15 +150,16 @@ Here's a description of the benefits summary string, represented as a context-fr
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  ```
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  root ::= coverage
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152
 
153
- coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_limitation)?
153
+ coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
154
154
  tiered_coverage ::= tier (space slash space tier)*
155
155
  tier ::= tier_name colon space (tier_coverage | not_applicable)
156
156
  tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
157
157
  simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
158
- coverage_limitation ::= "limit" colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted)
158
+ coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
159
159
  waived_if_admitted ::= ("copay" space)? "waived if admitted"
160
160
  simple_limitation ::= pre_coverage_limitation space "copay applies"
161
161
  tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
162
+ limit_condition ::= "limit" | "condition"
162
163
  tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
163
164
  coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
164
165
  pre_coverage_limitation ::= first space digits space time_unit plural?
@@ -168,6 +169,7 @@ allowance ::= upto_allowance | after_allowance
168
169
  upto_allowance ::= "up to" space (currency space)? "allowance"
169
170
  after_allowance ::= "after" space (currency space)? "allowance"
170
171
  see_carrier_documentation ::= "see carrier documentation for more information"
172
+ shared_across_tiers ::= "shared across all tiers"
171
173
  unknown ::= "unknown"
172
174
  unlimited ::= /[uU]nlimited/
173
175
  included ::= /[iI]ncluded in [mM]edical/
@@ -93,7 +93,7 @@ document.
93
93
  In this case, we want to select `name` and `phone` from the `provider` key,
94
94
  so we would add the parameters `select=provider.name,provider.phone`.
95
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
96
+ add the parameters `select=states.name,states.code`. The id field of
97
97
  each document is always returned whether or not it is requested.
98
98
 
99
99
  Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
@@ -150,15 +150,16 @@ Here's a description of the benefits summary string, represented as a context-fr
150
150
  ```
151
151
  root ::= coverage
152
152
 
153
- coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_limitation)?
153
+ coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
154
154
  tiered_coverage ::= tier (space slash space tier)*
155
155
  tier ::= tier_name colon space (tier_coverage | not_applicable)
156
156
  tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
157
157
  simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
158
- coverage_limitation ::= "limit" colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted)
158
+ coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
159
159
  waived_if_admitted ::= ("copay" space)? "waived if admitted"
160
160
  simple_limitation ::= pre_coverage_limitation space "copay applies"
161
161
  tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
162
+ limit_condition ::= "limit" | "condition"
162
163
  tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
163
164
  coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
164
165
  pre_coverage_limitation ::= first space digits space time_unit plural?
@@ -168,6 +169,7 @@ allowance ::= upto_allowance | after_allowance
168
169
  upto_allowance ::= "up to" space (currency space)? "allowance"
169
170
  after_allowance ::= "after" space (currency space)? "allowance"
170
171
  see_carrier_documentation ::= "see carrier documentation for more information"
172
+ shared_across_tiers ::= "shared across all tiers"
171
173
  unknown ::= "unknown"
172
174
  unlimited ::= /[uU]nlimited/
173
175
  included ::= /[iI]ncluded in [mM]edical/
@@ -237,96 +239,18 @@ describe 'Plan' do
237
239
  expect(@instance).to be_instance_of(VericredClient::Plan)
238
240
  end
239
241
  end
240
- describe 'test attribute "adult_dental"' do
241
- it 'should work' do
242
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
243
- end
244
- end
245
-
246
- describe 'test attribute "age29_rider"' do
247
- it 'should work' do
248
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
249
- end
250
- end
251
-
252
- describe 'test attribute "ambulance"' do
253
- it 'should work' do
254
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
255
- end
256
- end
257
-
258
- describe 'test attribute "benefits_summary_url"' do
259
- it 'should work' do
260
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
261
- end
262
- end
263
-
264
- describe 'test attribute "buy_link"' do
265
- it 'should work' do
266
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
267
- end
268
- end
269
-
270
242
  describe 'test attribute "carrier_name"' do
271
243
  it 'should work' do
272
244
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
273
245
  end
274
246
  end
275
247
 
276
- describe 'test attribute "child_dental"' do
277
- it 'should work' do
278
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
279
- end
280
- end
281
-
282
- describe 'test attribute "child_eyewear"' do
283
- it 'should work' do
284
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
285
- end
286
- end
287
-
288
- describe 'test attribute "child_eye_exam"' do
289
- it 'should work' do
290
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
291
- end
292
- end
293
-
294
- describe 'test attribute "customer_service_phone_number"' do
295
- it 'should work' do
296
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
297
- end
298
- end
299
-
300
- describe 'test attribute "durable_medical_equipment"' do
301
- it 'should work' do
302
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
303
- end
304
- end
305
-
306
- describe 'test attribute "diagnostic_test"' do
307
- it 'should work' do
308
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
309
- end
310
- end
311
-
312
248
  describe 'test attribute "display_name"' do
313
249
  it 'should work' do
314
250
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
315
251
  end
316
252
  end
317
253
 
318
- describe 'test attribute "dp_rider"' do
319
- it 'should work' do
320
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
321
- end
322
- end
323
-
324
- describe 'test attribute "drug_formulary_url"' do
325
- it 'should work' do
326
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
327
- end
328
- end
329
-
330
254
  describe 'test attribute "effective_date"' do
331
255
  it 'should work' do
332
256
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
@@ -339,157 +263,7 @@ describe 'Plan' do
339
263
  end
340
264
  end
341
265
 
342
- describe 'test attribute "emergency_room"' do
343
- it 'should work' do
344
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
345
- end
346
- end
347
-
348
- describe 'test attribute "family_drug_deductible"' do
349
- it 'should work' do
350
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
351
- end
352
- end
353
-
354
- describe 'test attribute "family_drug_moop"' do
355
- it 'should work' do
356
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
357
- end
358
- end
359
-
360
- describe 'test attribute "family_medical_deductible"' do
361
- it 'should work' do
362
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
363
- end
364
- end
365
-
366
- describe 'test attribute "family_medical_moop"' do
367
- it 'should work' do
368
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
369
- end
370
- end
371
-
372
- describe 'test attribute "fp_rider"' do
373
- it 'should work' do
374
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
375
- end
376
- end
377
-
378
- describe 'test attribute "generic_drugs"' do
379
- it 'should work' do
380
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
381
- end
382
- end
383
-
384
- describe 'test attribute "habilitation_services"' do
385
- it 'should work' do
386
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
387
- end
388
- end
389
-
390
- describe 'test attribute "hios_issuer_id"' do
391
- it 'should work' do
392
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
393
- end
394
- end
395
-
396
- describe 'test attribute "home_health_care"' do
397
- it 'should work' do
398
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
399
- end
400
- end
401
-
402
- describe 'test attribute "hospice_service"' do
403
- it 'should work' do
404
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
405
- end
406
- end
407
-
408
- describe 'test attribute "hsa_eligible"' do
409
- it 'should work' do
410
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
411
- end
412
- end
413
-
414
- describe 'test attribute "id"' do
415
- it 'should work' do
416
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
417
- end
418
- end
419
-
420
- describe 'test attribute "imaging"' do
421
- it 'should work' do
422
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
423
- end
424
- end
425
-
426
- describe 'test attribute "in_network_ids"' do
427
- it 'should work' do
428
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
429
- end
430
- end
431
-
432
- describe 'test attribute "individual_drug_deductible"' do
433
- it 'should work' do
434
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
435
- end
436
- end
437
-
438
- describe 'test attribute "individual_drug_moop"' do
439
- it 'should work' do
440
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
441
- end
442
- end
443
-
444
- describe 'test attribute "individual_medical_deductible"' do
445
- it 'should work' do
446
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
447
- end
448
- end
449
-
450
- describe 'test attribute "individual_medical_moop"' do
451
- it 'should work' do
452
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
453
- end
454
- end
455
-
456
- describe 'test attribute "inpatient_birth"' do
457
- it 'should work' do
458
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
459
- end
460
- end
461
-
462
- describe 'test attribute "inpatient_facility"' do
463
- it 'should work' do
464
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
465
- end
466
- end
467
-
468
- describe 'test attribute "inpatient_mental_health"' do
469
- it 'should work' do
470
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
471
- end
472
- end
473
-
474
- describe 'test attribute "inpatient_physician"' do
475
- it 'should work' do
476
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
477
- end
478
- end
479
-
480
- describe 'test attribute "inpatient_substance"' do
481
- it 'should work' do
482
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
483
- end
484
- end
485
-
486
- describe 'test attribute "level"' do
487
- it 'should work' do
488
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
489
- end
490
- end
491
-
492
- describe 'test attribute "logo_url"' do
266
+ describe 'test attribute "identifiers"' do
493
267
  it 'should work' do
494
268
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
495
269
  end
@@ -501,67 +275,13 @@ describe 'Plan' do
501
275
  end
502
276
  end
503
277
 
504
- describe 'test attribute "network_size"' do
505
- it 'should work' do
506
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
507
- end
508
- end
509
-
510
- describe 'test attribute "non_preferred_brand_drugs"' do
511
- it 'should work' do
512
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
513
- end
514
- end
515
-
516
- describe 'test attribute "on_market"' do
517
- it 'should work' do
518
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
519
- end
520
- end
521
-
522
- describe 'test attribute "off_market"' do
523
- it 'should work' do
524
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
525
- end
526
- end
527
-
528
- describe 'test attribute "out_of_network_coverage"' do
529
- it 'should work' do
530
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
531
- end
532
- end
533
-
534
- describe 'test attribute "out_of_network_ids"' do
535
- it 'should work' do
536
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
537
- end
538
- end
539
-
540
- describe 'test attribute "outpatient_facility"' do
541
- it 'should work' do
542
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
543
- end
544
- end
545
-
546
- describe 'test attribute "outpatient_mental_health"' do
547
- it 'should work' do
548
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
549
- end
550
- end
551
-
552
- describe 'test attribute "outpatient_physician"' do
278
+ describe 'test attribute "network_ids"' do
553
279
  it 'should work' do
554
280
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
555
281
  end
556
282
  end
557
283
 
558
- describe 'test attribute "outpatient_substance"' do
559
- it 'should work' do
560
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
561
- end
562
- end
563
-
564
- describe 'test attribute "plan_market"' do
284
+ describe 'test attribute "network_size"' do
565
285
  it 'should work' do
566
286
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
567
287
  end
@@ -573,89 +293,17 @@ describe 'Plan' do
573
293
  end
574
294
  end
575
295
 
576
- describe 'test attribute "preferred_brand_drugs"' do
577
- it 'should work' do
578
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
579
- end
580
- end
581
-
582
- describe 'test attribute "prenatal_postnatal_care"' do
583
- it 'should work' do
584
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
585
- end
586
- end
587
-
588
- describe 'test attribute "preventative_care"' do
589
- it 'should work' do
590
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
591
- end
592
- end
593
-
594
- describe 'test attribute "premium_subsidized"' do
595
- it 'should work' do
596
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
597
- end
598
- end
599
-
600
- describe 'test attribute "premium"' do
601
- it 'should work' do
602
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
603
- end
604
- end
605
-
606
- describe 'test attribute "premium_source"' do
607
- it 'should work' do
608
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
609
- end
610
- end
611
-
612
- describe 'test attribute "primary_care_physician"' do
613
- it 'should work' do
614
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
615
- end
616
- end
617
-
618
- describe 'test attribute "rehabilitation_services"' do
619
- it 'should work' do
620
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
621
- end
622
- end
623
-
624
296
  describe 'test attribute "service_area_id"' do
625
297
  it 'should work' do
626
298
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
627
299
  end
628
300
  end
629
301
 
630
- describe 'test attribute "skilled_nursing"' do
631
- it 'should work' do
632
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
633
- end
634
- end
635
-
636
302
  describe 'test attribute "source"' do
637
303
  it 'should work' do
638
304
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
639
305
  end
640
306
  end
641
307
 
642
- describe 'test attribute "specialist"' do
643
- it 'should work' do
644
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
645
- end
646
- end
647
-
648
- describe 'test attribute "specialty_drugs"' do
649
- it 'should work' do
650
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
651
- end
652
- end
653
-
654
- describe 'test attribute "urgent_care"' do
655
- it 'should work' do
656
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
657
- end
658
- end
659
-
660
308
  end
661
309
 
@@ -93,7 +93,7 @@ document.
93
93
  In this case, we want to select `name` and `phone` from the `provider` key,
94
94
  so we would add the parameters `select=provider.name,provider.phone`.
95
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
96
+ add the parameters `select=states.name,states.code`. The id field of
97
97
  each document is always returned whether or not it is requested.
98
98
 
99
99
  Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
@@ -150,15 +150,16 @@ Here's a description of the benefits summary string, represented as a context-fr
150
150
  ```
151
151
  root ::= coverage
152
152
 
153
- coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_limitation)?
153
+ coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
154
154
  tiered_coverage ::= tier (space slash space tier)*
155
155
  tier ::= tier_name colon space (tier_coverage | not_applicable)
156
156
  tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
157
157
  simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
158
- coverage_limitation ::= "limit" colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted)
158
+ coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
159
159
  waived_if_admitted ::= ("copay" space)? "waived if admitted"
160
160
  simple_limitation ::= pre_coverage_limitation space "copay applies"
161
161
  tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
162
+ limit_condition ::= "limit" | "condition"
162
163
  tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
163
164
  coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
164
165
  pre_coverage_limitation ::= first space digits space time_unit plural?
@@ -168,6 +169,7 @@ allowance ::= upto_allowance | after_allowance
168
169
  upto_allowance ::= "up to" space (currency space)? "allowance"
169
170
  after_allowance ::= "after" space (currency space)? "allowance"
170
171
  see_carrier_documentation ::= "see carrier documentation for more information"
172
+ shared_across_tiers ::= "shared across all tiers"
171
173
  unknown ::= "unknown"
172
174
  unlimited ::= /[uU]nlimited/
173
175
  included ::= /[iI]ncluded in [mM]edical/
@@ -303,12 +305,6 @@ describe 'ProviderDetails' do
303
305
  end
304
306
  end
305
307
 
306
- describe 'test attribute "personal_phone"' do
307
- it 'should work' do
308
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
309
- end
310
- end
311
-
312
308
  describe 'test attribute "phone"' do
313
309
  it 'should work' do
314
310
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
@@ -375,6 +371,12 @@ describe 'ProviderDetails' do
375
371
  end
376
372
  end
377
373
 
374
+ describe 'test attribute "npis"' do
375
+ it 'should work' do
376
+ # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
377
+ end
378
+ end
379
+
378
380
  describe 'test attribute "hios_ids"' do
379
381
  it 'should work' do
380
382
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
@@ -93,7 +93,7 @@ document.
93
93
  In this case, we want to select `name` and `phone` from the `provider` key,
94
94
  so we would add the parameters `select=provider.name,provider.phone`.
95
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
96
+ add the parameters `select=states.name,states.code`. The id field of
97
97
  each document is always returned whether or not it is requested.
98
98
 
99
99
  Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
@@ -150,15 +150,16 @@ Here's a description of the benefits summary string, represented as a context-fr
150
150
  ```
151
151
  root ::= coverage
152
152
 
153
- coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_limitation)?
153
+ coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
154
154
  tiered_coverage ::= tier (space slash space tier)*
155
155
  tier ::= tier_name colon space (tier_coverage | not_applicable)
156
156
  tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
157
157
  simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
158
- coverage_limitation ::= "limit" colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted)
158
+ coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
159
159
  waived_if_admitted ::= ("copay" space)? "waived if admitted"
160
160
  simple_limitation ::= pre_coverage_limitation space "copay applies"
161
161
  tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
162
+ limit_condition ::= "limit" | "condition"
162
163
  tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
163
164
  coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
164
165
  pre_coverage_limitation ::= first space digits space time_unit plural?
@@ -168,6 +169,7 @@ allowance ::= upto_allowance | after_allowance
168
169
  upto_allowance ::= "up to" space (currency space)? "allowance"
169
170
  after_allowance ::= "after" space (currency space)? "allowance"
170
171
  see_carrier_documentation ::= "see carrier documentation for more information"
172
+ shared_across_tiers ::= "shared across all tiers"
171
173
  unknown ::= "unknown"
172
174
  unlimited ::= /[uU]nlimited/
173
175
  included ::= /[iI]ncluded in [mM]edical/