vericred_client 0.0.21 → 0.0.23

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Files changed (270) hide show
  1. checksums.yaml +4 -4
  2. data/LICENSE +201 -0
  3. data/README.md +204 -8
  4. data/docs/CarrierGroupsApi.md +3 -3
  5. data/docs/CarrierVerificationPlansApi.md +1 -1
  6. data/docs/CarriersApi.md +3 -3
  7. data/docs/DentalPlansApi.md +4 -4
  8. data/docs/DrugCoveragesApi.md +4 -4
  9. data/docs/DrugPackagesApi.md +2 -2
  10. data/docs/DrugsApi.md +2 -2
  11. data/docs/EmbargoesApi.md +3 -3
  12. data/docs/FormulariesApi.md +3 -3
  13. data/docs/IssuersApi.md +3 -3
  14. data/docs/MedicalPlansApi.md +3 -3
  15. data/docs/NetworkSizesApi.md +2 -2
  16. data/docs/NetworksApi.md +1 -1
  17. data/docs/PlansApi.md +3 -3
  18. data/docs/ProviderNotificationSubscriptionsApi.md +2 -2
  19. data/docs/ProvidersApi.md +1 -1
  20. data/docs/RatesApi.md +3 -3
  21. data/docs/VisionPlansApi.md +4 -4
  22. data/docs/ZipCountiesApi.md +2 -2
  23. data/lib/vericred_client/api/carrier_groups_api.rb +226 -17
  24. data/lib/vericred_client/api/carrier_verification_plans_api.rb +217 -8
  25. data/lib/vericred_client/api/carriers_api.rb +226 -17
  26. data/lib/vericred_client/api/dental_plans_api.rb +234 -23
  27. data/lib/vericred_client/api/drug_coverages_api.rb +221 -12
  28. data/lib/vericred_client/api/drug_packages_api.rb +218 -11
  29. data/lib/vericred_client/api/drugs_api.rb +217 -8
  30. data/lib/vericred_client/api/embargoes_api.rb +226 -17
  31. data/lib/vericred_client/api/formularies_api.rb +216 -5
  32. data/lib/vericred_client/api/issuers_api.rb +226 -17
  33. data/lib/vericred_client/api/medical_plans_api.rb +236 -21
  34. data/lib/vericred_client/api/network_sizes_api.rb +225 -14
  35. data/lib/vericred_client/api/networks_api.rb +234 -23
  36. data/lib/vericred_client/api/plans_api.rb +244 -27
  37. data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +233 -12
  38. data/lib/vericred_client/api/providers_api.rb +246 -25
  39. data/lib/vericred_client/api/rates_api.rb +226 -17
  40. data/lib/vericred_client/api/vision_plans_api.rb +234 -23
  41. data/lib/vericred_client/api/zip_counties_api.rb +229 -10
  42. data/lib/vericred_client/api_client.rb +257 -69
  43. data/lib/vericred_client/api_error.rb +214 -9
  44. data/lib/vericred_client/configuration.rb +209 -8
  45. data/lib/vericred_client/models/aca_plan.rb +211 -4
  46. data/lib/vericred_client/models/aca_plan2018.rb +211 -4
  47. data/lib/vericred_client/models/aca_plan2018_search_response.rb +211 -4
  48. data/lib/vericred_client/models/aca_plan2018_search_result.rb +211 -4
  49. data/lib/vericred_client/models/aca_plan2018_show_response.rb +211 -4
  50. data/lib/vericred_client/models/aca_plan_pre2018.rb +211 -4
  51. data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +211 -4
  52. data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +211 -4
  53. data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +211 -4
  54. data/lib/vericred_client/models/base.rb +211 -4
  55. data/lib/vericred_client/models/base_plan_search_response.rb +211 -4
  56. data/lib/vericred_client/models/carrier.rb +211 -4
  57. data/lib/vericred_client/models/carrier_group_request.rb +211 -4
  58. data/lib/vericred_client/models/carrier_request.rb +211 -4
  59. data/lib/vericred_client/models/carrier_subsidiary.rb +211 -4
  60. data/lib/vericred_client/models/county.rb +211 -4
  61. data/lib/vericred_client/models/county_bulk.rb +211 -4
  62. data/lib/vericred_client/models/dental_plan.rb +211 -4
  63. data/lib/vericred_client/models/dental_plan_benefits.rb +211 -4
  64. data/lib/vericred_client/models/dental_plan_search_applicant.rb +211 -4
  65. data/lib/vericred_client/models/dental_plan_search_request.rb +211 -4
  66. data/lib/vericred_client/models/dental_plan_search_response.rb +211 -4
  67. data/lib/vericred_client/models/dental_plan_show_response.rb +211 -4
  68. data/lib/vericred_client/models/dental_plan_update.rb +211 -4
  69. data/lib/vericred_client/models/dental_plan_update_request.rb +211 -4
  70. data/lib/vericred_client/models/drug.rb +211 -4
  71. data/lib/vericred_client/models/drug_coverage.rb +211 -4
  72. data/lib/vericred_client/models/drug_coverage_response.rb +211 -4
  73. data/lib/vericred_client/models/drug_package.rb +211 -4
  74. data/lib/vericred_client/models/drug_search_response.rb +211 -4
  75. data/lib/vericred_client/models/embargo_request.rb +211 -4
  76. data/lib/vericred_client/models/formulary.rb +211 -4
  77. data/lib/vericred_client/models/formulary_drug_package_response.rb +211 -4
  78. data/lib/vericred_client/models/formulary_response.rb +211 -4
  79. data/lib/vericred_client/models/issuer_request.rb +211 -4
  80. data/lib/vericred_client/models/medical_plan_benefits.rb +211 -4
  81. data/lib/vericred_client/models/medical_plan_update.rb +211 -4
  82. data/lib/vericred_client/models/medical_plan_update_request.rb +211 -4
  83. data/lib/vericred_client/models/meta.rb +211 -4
  84. data/lib/vericred_client/models/meta_plan_search_response.rb +211 -4
  85. data/lib/vericred_client/models/network.rb +211 -4
  86. data/lib/vericred_client/models/network_comparison.rb +211 -4
  87. data/lib/vericred_client/models/network_comparison_request.rb +211 -4
  88. data/lib/vericred_client/models/network_comparison_response.rb +211 -4
  89. data/lib/vericred_client/models/network_details.rb +211 -4
  90. data/lib/vericred_client/models/network_details_response.rb +211 -4
  91. data/lib/vericred_client/models/network_search_response.rb +211 -4
  92. data/lib/vericred_client/models/network_size.rb +211 -4
  93. data/lib/vericred_client/models/notification_subscription.rb +211 -4
  94. data/lib/vericred_client/models/notification_subscription_response.rb +211 -4
  95. data/lib/vericred_client/models/plan.rb +211 -4
  96. data/lib/vericred_client/models/plan_county.rb +211 -4
  97. data/lib/vericred_client/models/plan_county_bulk.rb +211 -4
  98. data/lib/vericred_client/models/plan_deleted.rb +211 -4
  99. data/lib/vericred_client/models/plan_identifier.rb +211 -4
  100. data/lib/vericred_client/models/plan_medicare.rb +211 -4
  101. data/lib/vericred_client/models/plan_medicare_bulk.rb +211 -4
  102. data/lib/vericred_client/models/plan_pricing_medicare.rb +211 -4
  103. data/lib/vericred_client/models/plan_search_response.rb +211 -4
  104. data/lib/vericred_client/models/plan_show_response.rb +211 -4
  105. data/lib/vericred_client/models/provider.rb +211 -4
  106. data/lib/vericred_client/models/provider_details.rb +211 -4
  107. data/lib/vericred_client/models/provider_geocode.rb +211 -4
  108. data/lib/vericred_client/models/provider_network_event_notification.rb +211 -4
  109. data/lib/vericred_client/models/provider_show_response.rb +211 -4
  110. data/lib/vericred_client/models/providers_geocode_response.rb +211 -4
  111. data/lib/vericred_client/models/providers_search_response.rb +211 -4
  112. data/lib/vericred_client/models/rate_request.rb +211 -4
  113. data/lib/vericred_client/models/rate_search.rb +211 -4
  114. data/lib/vericred_client/models/rating_area.rb +211 -4
  115. data/lib/vericred_client/models/request_plan_find.rb +211 -4
  116. data/lib/vericred_client/models/request_plan_find_applicant.rb +211 -4
  117. data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +211 -4
  118. data/lib/vericred_client/models/request_plan_find_drug_package.rb +211 -4
  119. data/lib/vericred_client/models/request_plan_find_provider.rb +211 -4
  120. data/lib/vericred_client/models/request_provider_notification_subscription.rb +211 -4
  121. data/lib/vericred_client/models/request_providers_search.rb +211 -4
  122. data/lib/vericred_client/models/request_rates_search.rb +211 -4
  123. data/lib/vericred_client/models/response_rates_search.rb +211 -4
  124. data/lib/vericred_client/models/rx_cui_identifier.rb +211 -4
  125. data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +211 -4
  126. data/lib/vericred_client/models/service_area.rb +211 -4
  127. data/lib/vericred_client/models/service_area_zip_county.rb +211 -4
  128. data/lib/vericred_client/models/state.rb +211 -4
  129. data/lib/vericred_client/models/state_network_size_request.rb +211 -4
  130. data/lib/vericred_client/models/state_network_size_response.rb +211 -4
  131. data/lib/vericred_client/models/vision_plan.rb +211 -4
  132. data/lib/vericred_client/models/vision_plan_benefits.rb +211 -4
  133. data/lib/vericred_client/models/vision_plan_search_applicant.rb +211 -4
  134. data/lib/vericred_client/models/vision_plan_search_request.rb +211 -4
  135. data/lib/vericred_client/models/vision_plan_search_response.rb +211 -4
  136. data/lib/vericred_client/models/vision_plan_show_response.rb +211 -4
  137. data/lib/vericred_client/models/vision_plan_update.rb +211 -4
  138. data/lib/vericred_client/models/vision_plan_update_request.rb +211 -4
  139. data/lib/vericred_client/models/zip_code.rb +211 -4
  140. data/lib/vericred_client/models/zip_counties_response.rb +211 -4
  141. data/lib/vericred_client/models/zip_county.rb +211 -4
  142. data/lib/vericred_client/models/zip_county_bulk.rb +211 -4
  143. data/lib/vericred_client/models/zip_county_response.rb +211 -4
  144. data/lib/vericred_client/version.rb +210 -3
  145. data/lib/vericred_client.rb +209 -2
  146. data/spec/api/carrier_groups_api_spec.rb +210 -3
  147. data/spec/api/carrier_verification_plans_api_spec.rb +210 -3
  148. data/spec/api/carriers_api_spec.rb +210 -3
  149. data/spec/api/dental_plans_api_spec.rb +210 -3
  150. data/spec/api/drug_coverages_api_spec.rb +210 -3
  151. data/spec/api/drug_packages_api_spec.rb +210 -3
  152. data/spec/api/drugs_api_spec.rb +210 -3
  153. data/spec/api/embargoes_api_spec.rb +210 -3
  154. data/spec/api/formularies_api_spec.rb +210 -3
  155. data/spec/api/issuers_api_spec.rb +210 -3
  156. data/spec/api/medical_plans_api_spec.rb +210 -3
  157. data/spec/api/network_sizes_api_spec.rb +210 -3
  158. data/spec/api/networks_api_spec.rb +210 -3
  159. data/spec/api/plans_api_spec.rb +210 -3
  160. data/spec/api/provider_notification_subscriptions_api_spec.rb +210 -3
  161. data/spec/api/providers_api_spec.rb +210 -3
  162. data/spec/api/rates_api_spec.rb +210 -3
  163. data/spec/api/vision_plans_api_spec.rb +210 -3
  164. data/spec/api/zip_counties_api_spec.rb +210 -3
  165. data/spec/api_client_spec.rb +212 -26
  166. data/spec/configuration_spec.rb +212 -5
  167. data/spec/models/aca_plan2018_search_response_spec.rb +210 -3
  168. data/spec/models/aca_plan2018_search_result_spec.rb +210 -3
  169. data/spec/models/aca_plan2018_show_response_spec.rb +210 -3
  170. data/spec/models/aca_plan2018_spec.rb +210 -3
  171. data/spec/models/aca_plan_pre2018_search_response_spec.rb +210 -3
  172. data/spec/models/aca_plan_pre2018_search_result_spec.rb +210 -3
  173. data/spec/models/aca_plan_pre2018_show_response_spec.rb +210 -3
  174. data/spec/models/aca_plan_pre2018_spec.rb +210 -3
  175. data/spec/models/aca_plan_spec.rb +210 -3
  176. data/spec/models/base_plan_search_response_spec.rb +210 -3
  177. data/spec/models/base_spec.rb +210 -3
  178. data/spec/models/carrier_group_request_spec.rb +210 -3
  179. data/spec/models/carrier_request_spec.rb +210 -3
  180. data/spec/models/carrier_spec.rb +210 -3
  181. data/spec/models/carrier_subsidiary_spec.rb +210 -3
  182. data/spec/models/county_bulk_spec.rb +210 -3
  183. data/spec/models/county_spec.rb +210 -3
  184. data/spec/models/dental_plan_benefits_spec.rb +210 -3
  185. data/spec/models/dental_plan_search_applicant_spec.rb +210 -3
  186. data/spec/models/dental_plan_search_request_spec.rb +210 -3
  187. data/spec/models/dental_plan_search_response_spec.rb +210 -3
  188. data/spec/models/dental_plan_show_response_spec.rb +210 -3
  189. data/spec/models/dental_plan_spec.rb +210 -3
  190. data/spec/models/dental_plan_update_request_spec.rb +210 -3
  191. data/spec/models/dental_plan_update_spec.rb +210 -3
  192. data/spec/models/drug_coverage_response_spec.rb +210 -3
  193. data/spec/models/drug_coverage_spec.rb +210 -3
  194. data/spec/models/drug_package_spec.rb +210 -3
  195. data/spec/models/drug_search_response_spec.rb +210 -3
  196. data/spec/models/drug_spec.rb +210 -3
  197. data/spec/models/embargo_request_spec.rb +210 -3
  198. data/spec/models/formulary_drug_package_response_spec.rb +210 -3
  199. data/spec/models/formulary_response_spec.rb +210 -3
  200. data/spec/models/formulary_spec.rb +210 -3
  201. data/spec/models/issuer_request_spec.rb +210 -3
  202. data/spec/models/medical_plan_benefits_spec.rb +210 -3
  203. data/spec/models/medical_plan_update_request_spec.rb +210 -3
  204. data/spec/models/medical_plan_update_spec.rb +210 -3
  205. data/spec/models/meta_plan_search_response_spec.rb +210 -3
  206. data/spec/models/meta_spec.rb +210 -3
  207. data/spec/models/network_comparison_request_spec.rb +210 -3
  208. data/spec/models/network_comparison_response_spec.rb +210 -3
  209. data/spec/models/network_comparison_spec.rb +210 -3
  210. data/spec/models/network_details_response_spec.rb +210 -3
  211. data/spec/models/network_details_spec.rb +210 -3
  212. data/spec/models/network_search_response_spec.rb +210 -3
  213. data/spec/models/network_size_spec.rb +210 -3
  214. data/spec/models/network_spec.rb +210 -3
  215. data/spec/models/notification_subscription_response_spec.rb +210 -3
  216. data/spec/models/notification_subscription_spec.rb +210 -3
  217. data/spec/models/plan_county_bulk_spec.rb +210 -3
  218. data/spec/models/plan_county_spec.rb +210 -3
  219. data/spec/models/plan_deleted_spec.rb +210 -3
  220. data/spec/models/plan_identifier_spec.rb +210 -3
  221. data/spec/models/plan_medicare_bulk_spec.rb +210 -3
  222. data/spec/models/plan_medicare_spec.rb +210 -3
  223. data/spec/models/plan_pricing_medicare_spec.rb +210 -3
  224. data/spec/models/plan_search_response_spec.rb +210 -3
  225. data/spec/models/plan_show_response_spec.rb +210 -3
  226. data/spec/models/plan_spec.rb +210 -3
  227. data/spec/models/provider_details_spec.rb +210 -3
  228. data/spec/models/provider_geocode_spec.rb +210 -3
  229. data/spec/models/provider_network_event_notification_spec.rb +210 -3
  230. data/spec/models/provider_show_response_spec.rb +210 -3
  231. data/spec/models/provider_spec.rb +210 -3
  232. data/spec/models/providers_geocode_response_spec.rb +210 -3
  233. data/spec/models/providers_search_response_spec.rb +210 -3
  234. data/spec/models/rate_request_spec.rb +210 -3
  235. data/spec/models/rate_search_spec.rb +210 -3
  236. data/spec/models/rating_area_spec.rb +210 -3
  237. data/spec/models/request_plan_find_applicant_spec.rb +210 -3
  238. data/spec/models/request_plan_find_carrier_verification_spec.rb +210 -3
  239. data/spec/models/request_plan_find_drug_package_spec.rb +210 -3
  240. data/spec/models/request_plan_find_provider_spec.rb +210 -3
  241. data/spec/models/request_plan_find_spec.rb +210 -3
  242. data/spec/models/request_provider_notification_subscription_spec.rb +210 -3
  243. data/spec/models/request_providers_search_spec.rb +210 -3
  244. data/spec/models/request_rates_search_spec.rb +210 -3
  245. data/spec/models/response_rates_search_spec.rb +210 -3
  246. data/spec/models/rx_cui_identifier_search_response_spec.rb +210 -3
  247. data/spec/models/rx_cui_identifier_spec.rb +210 -3
  248. data/spec/models/service_area_spec.rb +210 -3
  249. data/spec/models/service_area_zip_county_spec.rb +210 -3
  250. data/spec/models/state_network_size_request_spec.rb +210 -3
  251. data/spec/models/state_network_size_response_spec.rb +210 -3
  252. data/spec/models/state_spec.rb +210 -3
  253. data/spec/models/vision_plan_benefits_spec.rb +210 -3
  254. data/spec/models/vision_plan_search_applicant_spec.rb +210 -3
  255. data/spec/models/vision_plan_search_request_spec.rb +210 -3
  256. data/spec/models/vision_plan_search_response_spec.rb +210 -3
  257. data/spec/models/vision_plan_show_response_spec.rb +210 -3
  258. data/spec/models/vision_plan_spec.rb +210 -3
  259. data/spec/models/vision_plan_update_request_spec.rb +210 -3
  260. data/spec/models/vision_plan_update_spec.rb +210 -3
  261. data/spec/models/zip_code_spec.rb +210 -3
  262. data/spec/models/zip_counties_response_spec.rb +210 -3
  263. data/spec/models/zip_county_bulk_spec.rb +210 -3
  264. data/spec/models/zip_county_response_spec.rb +210 -3
  265. data/spec/models/zip_county_spec.rb +210 -3
  266. data/spec/spec_helper.rb +209 -2
  267. data/vericred_client.gemspec +213 -6
  268. metadata +16 -23
  269. data/Gemfile +0 -7
  270. data/Rakefile +0 -8
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  =begin
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  #Vericred API
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- #Vericred's API allows you to search for Health Plans that a specific doctor accepts. ## Getting Started Visit our [Developer Portal](https://developers.vericred.com) to create an account. Once you have created an account, you can create one Application for Production and another for our Sandbox (select the appropriate Plan when you create the Application). ## SDKs Our API follows standard REST conventions, so you can use any HTTP client to integrate with us. You will likely find it easier to use one of our [autogenerated SDKs](https://github.com/vericred/?query=vericred-), which we make available for several common programming languages. ## Authentication To authenticate, pass the API Key you created in the Developer Portal as a `Vericred-Api-Key` header. `curl -H 'Vericred-Api-Key: YOUR_KEY' \"https://api.vericred.com/providers?search_term=Foo&zip_code=11215\"` ## Versioning Vericred's API default to the latest version. However, if you need a specific version, you can request it with an `Accept-Version` header. The current version is `v3`. Previous versions are `v1` and `v2`. `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' \"https://api.vericred.com/providers?search_term=Foo&zip_code=11215\"` ## Pagination Endpoints that accept `page` and `per_page` parameters are paginated. They expose four additional fields that contain data about your position in the response, namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988). For example, to display 5 results per page and view the second page of a `GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`. ## Sideloading When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s we sideload the associated data. In this example, we would provide an Array of `State`s and a `state_id` for each provider. This is done primarily to reduce the payload size since many of the `Provider`s will share a `State` ``` { providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }], states: [{ id: 1, code: 'NY' }] } ``` If you need the second level of the object graph, you can just match the corresponding id. ## Selecting specific data All endpoints allow you to specify which fields you would like to return. This allows you to limit the response to contain only the data you need. For example, let's take a request that returns the following JSON by default ``` { provider: { id: 1, name: 'John', phone: '1234567890', field_we_dont_care_about: 'value_we_dont_care_about' }, states: [{ id: 1, name: 'New York', code: 'NY', field_we_dont_care_about: 'value_we_dont_care_about' }] } ``` To limit our results to only return the fields we care about, we specify the `select` query string parameter for the corresponding fields in the JSON document. In this case, we want to select `name` and `phone` from the `provider` key, so we would add the parameters `select=provider.name,provider.phone`. We also want the `name` and `code` from the `states` key, so we would add the parameters `select=states.name,states.code`. The id field of each document is always returned whether or not it is requested. Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code` The response would be ``` { provider: { id: 1, name: 'John', phone: '1234567890' }, states: [{ id: 1, name: 'New York', code: 'NY' }] } ``` ## Benefits summary format Benefit cost-share strings are formatted to capture: * Network tiers * Compound or conditional cost-share * Limits on the cost-share * Benefit-specific maximum out-of-pocket costs **Example #1** As an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as: * **Hospital stay facility fees**: - Network Provider: `$400 copay/admit plus 20% coinsurance` - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance` - Vericred's format for this benefit: `In-Network: $400 before deductible then 20% after deductible / Out-of-Network: $1,500 before deductible then 50% after deductible` * **Rehabilitation services:** - Network Provider: `20% coinsurance` - Out-of-Network Provider: `50% coinsurance` - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.` - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period` **Example #2** In [this other Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/40733CA0110568.pdf), the **specialty_drugs** cost-share has a maximum out-of-pocket for in-network pharmacies. * **Specialty drugs:** - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply` - Out-of-Network Provider `Not covered` - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%` **BNF** Here's a description of the benefits summary string, represented as a context-free grammar: ``` root ::= coverage coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)? tiered_coverage ::= tier (space slash space tier)* tier ::= tier_name colon space (tier_coverage | not_applicable) tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation? simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)? coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers) waived_if_admitted ::= (\"copay\" space)? \"waived if admitted\" simple_limitation ::= pre_coverage_limitation space \"copay applies\" tier_name ::= \"In-Network-Tier-2\" | \"Out-of-Network\" | \"In-Network\" limit_condition ::= \"limit\" | \"condition\" tier_limitation ::= comma space \"up to\" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)? coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?) pre_coverage_limitation ::= first space digits space time_unit plural? post_coverage_limitation ::= (((then space currency) | \"per condition\") space)? \"per\" space (treatment_unit | (integer space time_unit) | time_unit) plural? coverage_condition ::= (\"before deductible\" | \"after deductible\" | \"penalty\" | allowance | \"in-state\" | \"out-of-state\") (space allowance)? allowance ::= upto_allowance | after_allowance upto_allowance ::= \"up to\" space (currency space)? \"allowance\" after_allowance ::= \"after\" space (currency space)? \"allowance\" see_carrier_documentation ::= \"see carrier documentation for more information\" shared_across_tiers ::= \"shared across all tiers\" unknown ::= \"unknown\" unlimited ::= /[uU]nlimited/ included ::= /[iI]ncluded in [mM]edical/ time_unit ::= /[hH]our/ | (((/[cC]alendar/ | /[cC]ontract/) space)? /[yY]ear/) | /[mM]onth/ | /[dD]ay/ | /[wW]eek/ | /[vV]isit/ | /[lL]ifetime/ | ((((/[bB]enefit/ plural?) | /[eE]ligibility/) space)? /[pP]eriod/) treatment_unit ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/ comma ::= \",\" colon ::= \":\" semicolon ::= \";\" pipe ::= \"|\" slash ::= \"/\" plural ::= \"(s)\" | \"s\" then ::= \"then\" | (\",\" space) | space or ::= \"or\" and ::= \"and\" not_applicable ::= \"Not Applicable\" | \"N/A\" | \"NA\" first ::= \"first\" currency ::= \"$\" number percentage ::= number \"%\" number ::= float | integer float ::= digits \".\" digits integer ::= /[0-9]/+ (comma_int | under_int)* comma_int ::= (\",\" /[0-9]/*3) !\"_\" under_int ::= (\"_\" /[0-9]/*3) !\",\" digits ::= /[0-9]/+ (\"_\" /[0-9]/+)* space ::= /[ \\t]/+ ```
4
+ #Vericred's API allows you to search for Health Plans that a specific doctor
5
+ accepts.
6
+
7
+ ## Getting Started
8
+
9
+ Visit our [Developer Portal](https://developers.vericred.com) to
10
+ create an account.
11
+
12
+ Once you have created an account, you can create one Application for
13
+ Production and another for our Sandbox (select the appropriate Plan when
14
+ you create the Application).
15
+
16
+ ## SDKs
17
+
18
+ Our API follows standard REST conventions, so you can use any HTTP client
19
+ to integrate with us. You will likely find it easier to use one of our
20
+ [autogenerated SDKs](https://github.com/vericred/?query=vericred-),
21
+ which we make available for several common programming languages.
22
+
23
+ ## Authentication
24
+
25
+ To authenticate, pass the API Key you created in the Developer Portal as
26
+ a `Vericred-Api-Key` header.
27
+
28
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
29
+
30
+ ## Versioning
31
+
32
+ Vericred's API default to the latest version. However, if you need a specific
33
+ version, you can request it with an `Accept-Version` header.
34
+
35
+ The current version is `v3`. Previous versions are `v1` and `v2`.
36
+
37
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
38
+
39
+ ## Pagination
40
+
41
+ Endpoints that accept `page` and `per_page` parameters are paginated. They expose
42
+ four additional fields that contain data about your position in the response,
43
+ namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988).
44
+
45
+ For example, to display 5 results per page and view the second page of a
46
+ `GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`.
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,states.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
+ ## Benefits summary format
119
+ Benefit cost-share strings are formatted to capture:
120
+ * Network tiers
121
+ * Compound or conditional cost-share
122
+ * Limits on the cost-share
123
+ * Benefit-specific maximum out-of-pocket costs
124
+
125
+ **Example #1**
126
+ As an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as:
127
+
128
+ * **Hospital stay facility fees**:
129
+ - Network Provider: `$400 copay/admit plus 20% coinsurance`
130
+ - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance`
131
+ - Vericred's format for this benefit: `In-Network: $400 before deductible then 20% after deductible / Out-of-Network: $1,500 before deductible then 50% after deductible`
132
+
133
+ * **Rehabilitation services:**
134
+ - Network Provider: `20% coinsurance`
135
+ - Out-of-Network Provider: `50% coinsurance`
136
+ - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.`
137
+ - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period`
138
+
139
+ **Example #2**
140
+ In [this other Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/40733CA0110568.pdf), the **specialty_drugs** cost-share has a maximum out-of-pocket for in-network pharmacies.
141
+ * **Specialty drugs:**
142
+ - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply`
143
+ - Out-of-Network Provider `Not covered`
144
+ - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%`
145
+
146
+ **BNF**
147
+
148
+ Here's a description of the benefits summary string, represented as a context-free grammar:
149
+
150
+ ```
151
+ root ::= coverage
152
+
153
+ coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
154
+ tiered_coverage ::= tier (space slash space tier)*
155
+ tier ::= tier_name colon space (tier_coverage | not_applicable)
156
+ tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
157
+ simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
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
+ waived_if_admitted ::= ("copay" space)? "waived if admitted"
160
+ simple_limitation ::= pre_coverage_limitation space "copay applies"
161
+ tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
162
+ limit_condition ::= "limit" | "condition"
163
+ tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
164
+ coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
165
+ pre_coverage_limitation ::= first space digits space time_unit plural?
166
+ post_coverage_limitation ::= (((then space currency) | "per condition") space)? "per" space (treatment_unit | (integer space time_unit) | time_unit) plural?
167
+ coverage_condition ::= ("before deductible" | "after deductible" | "penalty" | allowance | "in-state" | "out-of-state") (space allowance)?
168
+ allowance ::= upto_allowance | after_allowance
169
+ upto_allowance ::= "up to" space (currency space)? "allowance"
170
+ after_allowance ::= "after" space (currency space)? "allowance"
171
+ see_carrier_documentation ::= "see carrier documentation for more information"
172
+ shared_across_tiers ::= "shared across all tiers"
173
+ unknown ::= "unknown"
174
+ unlimited ::= /[uU]nlimited/
175
+ included ::= /[iI]ncluded in [mM]edical/
176
+ time_unit ::= /[hH]our/ | (((/[cC]alendar/ | /[cC]ontract/) space)? /[yY]ear/) | /[mM]onth/ | /[dD]ay/ | /[wW]eek/ | /[vV]isit/ | /[lL]ifetime/ | ((((/[bB]enefit/ plural?) | /[eE]ligibility/) space)? /[pP]eriod/)
177
+ treatment_unit ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/
178
+ comma ::= ","
179
+ colon ::= ":"
180
+ semicolon ::= ";"
181
+ pipe ::= "|"
182
+ slash ::= "/"
183
+ plural ::= "(s)" | "s"
184
+ then ::= "then" | ("," space) | space
185
+ or ::= "or"
186
+ and ::= "and"
187
+ not_applicable ::= "Not Applicable" | "N/A" | "NA"
188
+ first ::= "first"
189
+ currency ::= "$" number
190
+ percentage ::= number "%"
191
+ number ::= float | integer
192
+ float ::= digits "." digits
193
+ integer ::= /[0-9]/+ (comma_int | under_int)*
194
+ comma_int ::= ("," /[0-9]/*3) !"_"
195
+ under_int ::= ("_" /[0-9]/*3) !","
196
+ digits ::= /[0-9]/+ ("_" /[0-9]/+)*
197
+ space ::= /[ \t]/+
198
+ ```
199
+
200
+
5
201
 
6
202
  OpenAPI spec version: 1.0.0
7
203
 
8
204
  Generated by: https://github.com/swagger-api/swagger-codegen.git
9
- Swagger Codegen version: 2.3.1
205
+
206
+ Licensed under the Apache License, Version 2.0 (the "License");
207
+ you may not use this file except in compliance with the License.
208
+ You may obtain a copy of the License at
209
+
210
+ http://www.apache.org/licenses/LICENSE-2.0
211
+
212
+ Unless required by applicable law or agreed to in writing, software
213
+ distributed under the License is distributed on an "AS IS" BASIS,
214
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
215
+ See the License for the specific language governing permissions and
216
+ limitations under the License.
10
217
 
11
218
  =end
12
219
 
@@ -42,25 +249,25 @@ module VericredClient
42
249
  @api_client.config.logger.debug "Calling API: PlansApi.delete_plan ..."
43
250
  end
44
251
  # verify the required parameter 'hios' is set
45
- if @api_client.config.client_side_validation && hios.nil?
46
- fail ArgumentError, "Missing the required parameter 'hios' when calling PlansApi.delete_plan"
47
- end
252
+ fail ArgumentError, "Missing the required parameter 'hios' when calling PlansApi.delete_plan" if hios.nil?
48
253
  # verify the required parameter 'year' is set
49
- if @api_client.config.client_side_validation && year.nil?
50
- fail ArgumentError, "Missing the required parameter 'year' when calling PlansApi.delete_plan"
51
- end
254
+ fail ArgumentError, "Missing the required parameter 'year' when calling PlansApi.delete_plan" if year.nil?
52
255
  # resource path
53
- local_var_path = "/plans/{hios}/{year}".sub('{' + 'hios' + '}', hios.to_s).sub('{' + 'year' + '}', year.to_s)
256
+ local_var_path = "/plans/{hios}/{year}".sub('{format}','json').sub('{' + 'hios' + '}', hios.to_s).sub('{' + 'year' + '}', year.to_s)
54
257
 
55
258
  # query parameters
56
259
  query_params = {}
57
260
 
58
261
  # header parameters
59
262
  header_params = {}
263
+
60
264
  # HTTP header 'Accept' (if needed)
61
- header_params['Accept'] = @api_client.select_header_accept(['application/json'])
265
+ local_header_accept = ['application/json']
266
+ local_header_accept_result = @api_client.select_header_accept(local_header_accept) and header_params['Accept'] = local_header_accept_result
267
+
62
268
  # HTTP header 'Content-Type'
63
- header_params['Content-Type'] = @api_client.select_header_content_type(['application/json'])
269
+ local_header_content_type = ['application/json']
270
+ header_params['Content-Type'] = @api_client.select_header_content_type(local_header_content_type)
64
271
 
65
272
  # form parameters
66
273
  form_params = {}
@@ -100,11 +307,9 @@ module VericredClient
100
307
  @api_client.config.logger.debug "Calling API: PlansApi.find_plans ..."
101
308
  end
102
309
  # verify the required parameter 'body' is set
103
- if @api_client.config.client_side_validation && body.nil?
104
- fail ArgumentError, "Missing the required parameter 'body' when calling PlansApi.find_plans"
105
- end
310
+ fail ArgumentError, "Missing the required parameter 'body' when calling PlansApi.find_plans" if body.nil?
106
311
  # resource path
107
- local_var_path = "/plans/search"
312
+ local_var_path = "/plans/search".sub('{format}','json')
108
313
 
109
314
  # query parameters
110
315
  query_params = {}
@@ -112,6 +317,14 @@ module VericredClient
112
317
  # header parameters
113
318
  header_params = {}
114
319
 
320
+ # HTTP header 'Accept' (if needed)
321
+ local_header_accept = []
322
+ local_header_accept_result = @api_client.select_header_accept(local_header_accept) and header_params['Accept'] = local_header_accept_result
323
+
324
+ # HTTP header 'Content-Type'
325
+ local_header_content_type = []
326
+ header_params['Content-Type'] = @api_client.select_header_content_type(local_header_content_type)
327
+
115
328
  # form parameters
116
329
  form_params = {}
117
330
 
@@ -151,21 +364,23 @@ module VericredClient
151
364
  @api_client.config.logger.debug "Calling API: PlansApi.search_rates ..."
152
365
  end
153
366
  # verify the required parameter 'body' is set
154
- if @api_client.config.client_side_validation && body.nil?
155
- fail ArgumentError, "Missing the required parameter 'body' when calling PlansApi.search_rates"
156
- end
367
+ fail ArgumentError, "Missing the required parameter 'body' when calling PlansApi.search_rates" if body.nil?
157
368
  # resource path
158
- local_var_path = "/plans/{id}/rates"
369
+ local_var_path = "/plans/{id}/rates".sub('{format}','json')
159
370
 
160
371
  # query parameters
161
372
  query_params = {}
162
373
 
163
374
  # header parameters
164
375
  header_params = {}
376
+
165
377
  # HTTP header 'Accept' (if needed)
166
- header_params['Accept'] = @api_client.select_header_accept(['application/json'])
378
+ local_header_accept = ['application/json']
379
+ local_header_accept_result = @api_client.select_header_accept(local_header_accept) and header_params['Accept'] = local_header_accept_result
380
+
167
381
  # HTTP header 'Content-Type'
168
- header_params['Content-Type'] = @api_client.select_header_content_type(['application/json'])
382
+ local_header_content_type = ['application/json']
383
+ header_params['Content-Type'] = @api_client.select_header_content_type(local_header_content_type)
169
384
 
170
385
  # form parameters
171
386
  form_params = {}
@@ -208,11 +423,9 @@ module VericredClient
208
423
  @api_client.config.logger.debug "Calling API: PlansApi.show_plan ..."
209
424
  end
210
425
  # verify the required parameter 'id' is set
211
- if @api_client.config.client_side_validation && id.nil?
212
- fail ArgumentError, "Missing the required parameter 'id' when calling PlansApi.show_plan"
213
- end
426
+ fail ArgumentError, "Missing the required parameter 'id' when calling PlansApi.show_plan" if id.nil?
214
427
  # resource path
215
- local_var_path = "/plans/{id}".sub('{' + 'id' + '}', id.to_s)
428
+ local_var_path = "/plans/{id}".sub('{format}','json').sub('{' + 'id' + '}', id.to_s)
216
429
 
217
430
  # query parameters
218
431
  query_params = {}
@@ -220,10 +433,14 @@ module VericredClient
220
433
 
221
434
  # header parameters
222
435
  header_params = {}
436
+
223
437
  # HTTP header 'Accept' (if needed)
224
- header_params['Accept'] = @api_client.select_header_accept(['application/json'])
438
+ local_header_accept = ['application/json']
439
+ local_header_accept_result = @api_client.select_header_accept(local_header_accept) and header_params['Accept'] = local_header_accept_result
440
+
225
441
  # HTTP header 'Content-Type'
226
- header_params['Content-Type'] = @api_client.select_header_content_type(['application/json'])
442
+ local_header_content_type = ['application/json']
443
+ header_params['Content-Type'] = @api_client.select_header_content_type(local_header_content_type)
227
444
 
228
445
  # form parameters
229
446
  form_params = {}