vericred_client 0.0.23 → 0.0.25

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Files changed (476) hide show
  1. checksums.yaml +4 -4
  2. data/README.md +826 -28
  3. data/docs/ACAPlan.md +35 -35
  4. data/docs/ACAPlan2018.md +36 -36
  5. data/docs/ACAPlan2018SearchResponse.md +1 -1
  6. data/docs/ACAPlan2018SearchResult.md +39 -39
  7. data/docs/ACAPlanPre2018.md +35 -35
  8. data/docs/ACAPlanPre2018SearchResponse.md +1 -1
  9. data/docs/ACAPlanPre2018SearchResult.md +38 -38
  10. data/docs/Address.md +14 -0
  11. data/docs/AncillaryPlanIdentifier.md +9 -0
  12. data/docs/BasePlanSearchResponse.md +1 -1
  13. data/docs/CarrierGroupRequest.md +1 -1
  14. data/docs/CarrierRequest.md +2 -2
  15. data/docs/CarrierSubsidiary.md +2 -2
  16. data/docs/CarrierVerificationDentalPlansApi.md +63 -0
  17. data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
  18. data/docs/CarrierVerificationVisionPlansApi.md +63 -0
  19. data/docs/County.md +1 -1
  20. data/docs/CountyBulk.md +1 -1
  21. data/docs/DentalPlan.md +7 -7
  22. data/docs/DentalPlanBenefits.md +22 -22
  23. data/docs/DentalPlanSearchRequest.md +1 -2
  24. data/docs/DentalPlanUpdate.md +5 -5
  25. data/docs/DentalPlansApi.md +118 -4
  26. data/docs/DependentCreate.md +12 -0
  27. data/docs/DependentCreateRequest.md +12 -0
  28. data/docs/DependentShow.md +12 -0
  29. data/docs/Drug.md +3 -3
  30. data/docs/DrugCoverage.md +3 -3
  31. data/docs/DrugCoverageResponse.md +2 -2
  32. data/docs/DrugPackage.md +1 -1
  33. data/docs/DrugSearchResponse.md +2 -2
  34. data/docs/EmbargoRequest.md +3 -2
  35. data/docs/FormularyResponse.md +1 -1
  36. data/docs/GroupCreate.md +14 -0
  37. data/docs/GroupCreateRequest.md +9 -0
  38. data/docs/GroupCreateResponse.md +9 -0
  39. data/docs/GroupShow.md +15 -0
  40. data/docs/GroupShowResponse.md +9 -0
  41. data/docs/GroupUpdate.md +14 -0
  42. data/docs/GroupUpdateRequest.md +9 -0
  43. data/docs/IssuerRequest.md +7 -7
  44. data/docs/LocationCreate.md +13 -0
  45. data/docs/LocationShow.md +14 -0
  46. data/docs/LocationUpdate.md +14 -0
  47. data/docs/MajorMedicalPlansApi.md +122 -0
  48. data/docs/MedicalPlanBenefits.md +35 -35
  49. data/docs/MedicalPlanUpdate.md +21 -20
  50. data/docs/MedicalPlansApi.md +0 -114
  51. data/docs/MedicareAdvantagePlan.md +25 -0
  52. data/docs/MedicareAdvantagePlanBenefits.md +148 -0
  53. data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
  54. data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
  55. data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
  56. data/docs/MemberCreate.md +17 -0
  57. data/docs/MemberRateShow.md +13 -0
  58. data/docs/MemberRateShowRequest.md +10 -0
  59. data/docs/MemberRatesShowResponse.md +9 -0
  60. data/docs/MemberShow.md +18 -0
  61. data/docs/MembersCreateRequest.md +9 -0
  62. data/docs/MembersCreateResponse.md +8 -0
  63. data/docs/MembersShowResponse.md +8 -0
  64. data/docs/MetaPlanSearchResponse.md +1 -1
  65. data/docs/NetworkComparisonResponse.md +1 -1
  66. data/docs/NetworkDetails.md +1 -1
  67. data/docs/NetworkSize.md +1 -1
  68. data/docs/NetworksApi.md +17 -12
  69. data/docs/PlanCounty.md +1 -1
  70. data/docs/PlanCountyBulk.md +1 -1
  71. data/docs/PlanMedicare.md +1 -1
  72. data/docs/PlanMedicareBulk.md +2 -2
  73. data/docs/PlanPricingMedicare.md +3 -3
  74. data/docs/PlanSearchResponse.md +1 -1
  75. data/docs/PlansApi.md +0 -169
  76. data/docs/PlansBulkACA2018.md +8 -0
  77. data/docs/PlansBulkACAPre2018.md +8 -0
  78. data/docs/PlansBulkBase.md +7 -0
  79. data/docs/PlansBulkDental.md +7 -0
  80. data/docs/PlansBulkVision.md +7 -0
  81. data/docs/Provider.md +2 -2
  82. data/docs/ProviderDetails.md +5 -3
  83. data/docs/ProviderNetworkEventNotification.md +3 -3
  84. data/docs/ProviderNetworks.md +11 -0
  85. data/docs/ProviderShowResponse.md +1 -1
  86. data/docs/ProvidersApi.md +1 -56
  87. data/docs/QuoteCreate.md +15 -0
  88. data/docs/QuoteCreateRequest.md +8 -0
  89. data/docs/QuoteCreateResponse.md +8 -0
  90. data/docs/QuoteShow.md +17 -0
  91. data/docs/QuoteShowResponse.md +8 -0
  92. data/docs/QuotingApi.md +344 -0
  93. data/docs/RateRequest.md +24 -24
  94. data/docs/RateSearch.md +23 -18
  95. data/docs/RateShow.md +12 -0
  96. data/docs/RateShowRequest.md +10 -0
  97. data/docs/RatesShowResponse.md +9 -0
  98. data/docs/RequestPlanFind.md +2 -2
  99. data/docs/RequestPlanFindCarrierVerification.md +3 -3
  100. data/docs/RequestProviderNotificationSubscription.md +1 -1
  101. data/docs/RequestProvidersSearch.md +1 -1
  102. data/docs/RequestRatesSearch.md +1 -1
  103. data/docs/RxCuiIdentifier.md +1 -1
  104. data/docs/RxCuiIdentifierSearchResponse.md +1 -1
  105. data/docs/State.md +2 -2
  106. data/docs/SupplementalOptions.md +13 -0
  107. data/docs/V7Network.md +10 -0
  108. data/docs/V7NetworkComparisonResponse.md +9 -0
  109. data/docs/V7NetworkDetails.md +11 -0
  110. data/docs/V7NetworkDetailsResponse.md +8 -0
  111. data/docs/V7NetworkSearchResponse.md +9 -0
  112. data/docs/V7ProviderDetails.md +33 -0
  113. data/docs/V7ProviderNetworks.md +12 -0
  114. data/docs/VisionPlan.md +7 -7
  115. data/docs/VisionPlanBenefits.md +22 -15
  116. data/docs/VisionPlanSearchRequest.md +1 -2
  117. data/docs/VisionPlanUpdate.md +5 -5
  118. data/docs/VisionPlansApi.md +114 -0
  119. data/docs/ZipCountiesResponse.md +1 -1
  120. data/docs/ZipCountyBulk.md +1 -1
  121. data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
  122. data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
  123. data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
  124. data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
  125. data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
  126. data/lib/vericred_client/api/carriers_api.rb +754 -15
  127. data/lib/vericred_client/api/dental_plans_api.rb +874 -18
  128. data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
  129. data/lib/vericred_client/api/drug_packages_api.rb +754 -15
  130. data/lib/vericred_client/api/drugs_api.rb +754 -15
  131. data/lib/vericred_client/api/embargoes_api.rb +754 -15
  132. data/lib/vericred_client/api/formularies_api.rb +754 -15
  133. data/lib/vericred_client/api/issuers_api.rb +754 -15
  134. data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
  135. data/lib/vericred_client/api/medical_plans_api.rb +754 -132
  136. data/lib/vericred_client/api/network_sizes_api.rb +754 -15
  137. data/lib/vericred_client/api/networks_api.rb +773 -27
  138. data/lib/vericred_client/api/plans_api.rb +754 -189
  139. data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
  140. data/lib/vericred_client/api/providers_api.rb +756 -74
  141. data/lib/vericred_client/api/quoting_api.rb +1316 -0
  142. data/lib/vericred_client/api/rates_api.rb +754 -15
  143. data/lib/vericred_client/api/vision_plans_api.rb +871 -15
  144. data/lib/vericred_client/api/zip_counties_api.rb +754 -15
  145. data/lib/vericred_client/api_client.rb +754 -15
  146. data/lib/vericred_client/api_error.rb +754 -15
  147. data/lib/vericred_client/configuration.rb +754 -15
  148. data/lib/vericred_client/models/aca_plan.rb +1165 -426
  149. data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
  150. data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
  151. data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
  152. data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
  153. data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
  154. data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
  155. data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
  156. data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
  157. data/lib/vericred_client/models/address.rb +1195 -0
  158. data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
  159. data/lib/vericred_client/models/base.rb +754 -15
  160. data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
  161. data/lib/vericred_client/models/carrier.rb +754 -15
  162. data/lib/vericred_client/models/carrier_group_request.rb +765 -26
  163. data/lib/vericred_client/models/carrier_request.rb +769 -30
  164. data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
  165. data/lib/vericred_client/models/county.rb +765 -26
  166. data/lib/vericred_client/models/county_bulk.rb +768 -29
  167. data/lib/vericred_client/models/dental_plan.rb +825 -86
  168. data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
  169. data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
  170. data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
  171. data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
  172. data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
  173. data/lib/vericred_client/models/dental_plan_update.rb +804 -65
  174. data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
  175. data/lib/vericred_client/models/dependent_create.rb +1175 -0
  176. data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
  177. data/lib/vericred_client/models/dependent_show.rb +1175 -0
  178. data/lib/vericred_client/models/drug.rb +781 -42
  179. data/lib/vericred_client/models/drug_coverage.rb +781 -42
  180. data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
  181. data/lib/vericred_client/models/drug_package.rb +765 -26
  182. data/lib/vericred_client/models/drug_search_response.rb +771 -32
  183. data/lib/vericred_client/models/embargo_request.rb +790 -39
  184. data/lib/vericred_client/models/formulary.rb +754 -15
  185. data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
  186. data/lib/vericred_client/models/formulary_response.rb +768 -29
  187. data/lib/vericred_client/models/group_create.rb +1195 -0
  188. data/lib/vericred_client/models/group_create_request.rb +1147 -0
  189. data/lib/vericred_client/models/group_create_response.rb +1147 -0
  190. data/lib/vericred_client/models/group_show.rb +1205 -0
  191. data/lib/vericred_client/models/group_show_response.rb +1147 -0
  192. data/lib/vericred_client/models/group_update.rb +1195 -0
  193. data/lib/vericred_client/models/group_update_request.rb +1147 -0
  194. data/lib/vericred_client/models/issuer_request.rb +819 -80
  195. data/lib/vericred_client/models/location_create.rb +1185 -0
  196. data/lib/vericred_client/models/location_show.rb +1195 -0
  197. data/lib/vericred_client/models/location_update.rb +1195 -0
  198. data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
  199. data/lib/vericred_client/models/medical_plan_update.rb +930 -181
  200. data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
  201. data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
  202. data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
  203. data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
  204. data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
  205. data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
  206. data/lib/vericred_client/models/member_create.rb +1227 -0
  207. data/lib/vericred_client/models/member_rate_show.rb +1185 -0
  208. data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
  209. data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
  210. data/lib/vericred_client/models/member_show.rb +1237 -0
  211. data/lib/vericred_client/models/members_create_request.rb +1147 -0
  212. data/lib/vericred_client/models/members_create_response.rb +1137 -0
  213. data/lib/vericred_client/models/members_show_response.rb +1137 -0
  214. data/lib/vericred_client/models/meta.rb +754 -15
  215. data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
  216. data/lib/vericred_client/models/network.rb +754 -15
  217. data/lib/vericred_client/models/network_comparison.rb +754 -15
  218. data/lib/vericred_client/models/network_comparison_request.rb +754 -15
  219. data/lib/vericred_client/models/network_comparison_response.rb +770 -31
  220. data/lib/vericred_client/models/network_details.rb +770 -31
  221. data/lib/vericred_client/models/network_details_response.rb +754 -15
  222. data/lib/vericred_client/models/network_search_response.rb +754 -15
  223. data/lib/vericred_client/models/network_size.rb +765 -26
  224. data/lib/vericred_client/models/notification_subscription.rb +754 -15
  225. data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
  226. data/lib/vericred_client/models/plan.rb +754 -15
  227. data/lib/vericred_client/models/plan_county.rb +768 -29
  228. data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
  229. data/lib/vericred_client/models/plan_deleted.rb +754 -15
  230. data/lib/vericred_client/models/plan_identifier.rb +754 -15
  231. data/lib/vericred_client/models/plan_medicare.rb +768 -29
  232. data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
  233. data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
  234. data/lib/vericred_client/models/plan_search_response.rb +765 -26
  235. data/lib/vericred_client/models/plan_show_response.rb +754 -15
  236. data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
  237. data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
  238. data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
  239. data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
  240. data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
  241. data/lib/vericred_client/models/provider.rb +780 -41
  242. data/lib/vericred_client/models/provider_details.rb +813 -50
  243. data/lib/vericred_client/models/provider_geocode.rb +754 -15
  244. data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
  245. data/lib/vericred_client/models/provider_networks.rb +1165 -0
  246. data/lib/vericred_client/models/provider_show_response.rb +755 -16
  247. data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
  248. data/lib/vericred_client/models/providers_search_response.rb +754 -15
  249. data/lib/vericred_client/models/quote_create.rb +1207 -0
  250. data/lib/vericred_client/models/quote_create_request.rb +1135 -0
  251. data/lib/vericred_client/models/quote_create_response.rb +1135 -0
  252. data/lib/vericred_client/models/quote_show.rb +1227 -0
  253. data/lib/vericred_client/models/quote_show_response.rb +1135 -0
  254. data/lib/vericred_client/models/rate_request.rb +990 -251
  255. data/lib/vericred_client/models/rate_search.rb +978 -189
  256. data/lib/vericred_client/models/rate_show.rb +1175 -0
  257. data/lib/vericred_client/models/rate_show_request.rb +1155 -0
  258. data/lib/vericred_client/models/rates_show_response.rb +1147 -0
  259. data/lib/vericred_client/models/rating_area.rb +754 -15
  260. data/lib/vericred_client/models/request_plan_find.rb +777 -38
  261. data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
  262. data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
  263. data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
  264. data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
  265. data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
  266. data/lib/vericred_client/models/request_providers_search.rb +767 -26
  267. data/lib/vericred_client/models/request_rates_search.rb +768 -29
  268. data/lib/vericred_client/models/response_rates_search.rb +754 -15
  269. data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
  270. data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
  271. data/lib/vericred_client/models/service_area.rb +754 -15
  272. data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
  273. data/lib/vericred_client/models/state.rb +778 -39
  274. data/lib/vericred_client/models/state_network_size_request.rb +754 -15
  275. data/lib/vericred_client/models/state_network_size_response.rb +754 -15
  276. data/lib/vericred_client/models/supplemental_options.rb +1187 -0
  277. data/lib/vericred_client/models/v7_network.rb +1155 -0
  278. data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
  279. data/lib/vericred_client/models/v7_network_details.rb +1167 -0
  280. data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
  281. data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
  282. data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
  283. data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
  284. data/lib/vericred_client/models/vision_plan.rb +825 -86
  285. data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
  286. data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
  287. data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
  288. data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
  289. data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
  290. data/lib/vericred_client/models/vision_plan_update.rb +804 -65
  291. data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
  292. data/lib/vericred_client/models/zip_code.rb +754 -15
  293. data/lib/vericred_client/models/zip_counties_response.rb +770 -31
  294. data/lib/vericred_client/models/zip_county.rb +754 -15
  295. data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
  296. data/lib/vericred_client/models/zip_county_response.rb +754 -15
  297. data/lib/vericred_client/version.rb +755 -16
  298. data/lib/vericred_client.rb +809 -15
  299. data/spec/api/carrier_groups_api_spec.rb +754 -15
  300. data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
  301. data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
  302. data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
  303. data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
  304. data/spec/api/carriers_api_spec.rb +754 -15
  305. data/spec/api/dental_plans_api_spec.rb +780 -16
  306. data/spec/api/drug_coverages_api_spec.rb +754 -15
  307. data/spec/api/drug_packages_api_spec.rb +754 -15
  308. data/spec/api/drugs_api_spec.rb +754 -15
  309. data/spec/api/embargoes_api_spec.rb +754 -15
  310. data/spec/api/formularies_api_spec.rb +754 -15
  311. data/spec/api/issuers_api_spec.rb +754 -15
  312. data/spec/api/major_medical_plans_api_spec.rb +1006 -0
  313. data/spec/api/medical_plans_api_spec.rb +754 -40
  314. data/spec/api/network_sizes_api_spec.rb +754 -15
  315. data/spec/api/networks_api_spec.rb +760 -18
  316. data/spec/api/plans_api_spec.rb +754 -52
  317. data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
  318. data/spec/api/providers_api_spec.rb +755 -28
  319. data/spec/api/quoting_api_spec.rb +1055 -0
  320. data/spec/api/rates_api_spec.rb +754 -15
  321. data/spec/api/vision_plans_api_spec.rb +779 -15
  322. data/spec/api/zip_counties_api_spec.rb +754 -15
  323. data/spec/api_client_spec.rb +754 -15
  324. data/spec/configuration_spec.rb +754 -15
  325. data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
  326. data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
  327. data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
  328. data/spec/models/aca_plan2018_spec.rb +843 -104
  329. data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
  330. data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
  331. data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
  332. data/spec/models/aca_plan_pre2018_spec.rb +837 -98
  333. data/spec/models/aca_plan_spec.rb +837 -98
  334. data/spec/models/address_spec.rb +1024 -0
  335. data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
  336. data/spec/models/base_plan_search_response_spec.rb +756 -17
  337. data/spec/models/base_spec.rb +754 -15
  338. data/spec/models/carrier_group_request_spec.rb +756 -17
  339. data/spec/models/carrier_request_spec.rb +756 -17
  340. data/spec/models/carrier_spec.rb +754 -15
  341. data/spec/models/carrier_subsidiary_spec.rb +758 -19
  342. data/spec/models/county_bulk_spec.rb +757 -18
  343. data/spec/models/county_spec.rb +756 -17
  344. data/spec/models/dental_plan_benefits_spec.rb +782 -43
  345. data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
  346. data/spec/models/dental_plan_search_request_spec.rb +758 -25
  347. data/spec/models/dental_plan_search_response_spec.rb +754 -15
  348. data/spec/models/dental_plan_show_response_spec.rb +754 -15
  349. data/spec/models/dental_plan_spec.rb +767 -28
  350. data/spec/models/dental_plan_update_request_spec.rb +754 -15
  351. data/spec/models/dental_plan_update_spec.rb +763 -24
  352. data/spec/models/dependent_create_request_spec.rb +1012 -0
  353. data/spec/models/dependent_create_spec.rb +1012 -0
  354. data/spec/models/dependent_show_spec.rb +1012 -0
  355. data/spec/models/drug_coverage_response_spec.rb +756 -17
  356. data/spec/models/drug_coverage_spec.rb +758 -19
  357. data/spec/models/drug_package_spec.rb +756 -17
  358. data/spec/models/drug_search_response_spec.rb +756 -17
  359. data/spec/models/drug_spec.rb +758 -19
  360. data/spec/models/embargo_request_spec.rb +766 -21
  361. data/spec/models/formulary_drug_package_response_spec.rb +754 -15
  362. data/spec/models/formulary_response_spec.rb +756 -17
  363. data/spec/models/formulary_spec.rb +754 -15
  364. data/spec/models/group_create_request_spec.rb +994 -0
  365. data/spec/models/group_create_response_spec.rb +994 -0
  366. data/spec/models/group_create_spec.rb +1024 -0
  367. data/spec/models/group_show_response_spec.rb +994 -0
  368. data/spec/models/group_show_spec.rb +1030 -0
  369. data/spec/models/group_update_request_spec.rb +994 -0
  370. data/spec/models/group_update_spec.rb +1024 -0
  371. data/spec/models/issuer_request_spec.rb +765 -26
  372. data/spec/models/location_create_spec.rb +1018 -0
  373. data/spec/models/location_show_spec.rb +1024 -0
  374. data/spec/models/location_update_spec.rb +1024 -0
  375. data/spec/models/medical_plan_benefits_spec.rb +801 -62
  376. data/spec/models/medical_plan_update_request_spec.rb +754 -15
  377. data/spec/models/medical_plan_update_spec.rb +792 -47
  378. data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
  379. data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
  380. data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
  381. data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
  382. data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
  383. data/spec/models/member_create_spec.rb +1042 -0
  384. data/spec/models/member_rate_show_request_spec.rb +1000 -0
  385. data/spec/models/member_rate_show_spec.rb +1018 -0
  386. data/spec/models/member_rates_show_response_spec.rb +994 -0
  387. data/spec/models/member_show_spec.rb +1048 -0
  388. data/spec/models/members_create_request_spec.rb +994 -0
  389. data/spec/models/members_create_response_spec.rb +988 -0
  390. data/spec/models/members_show_response_spec.rb +988 -0
  391. data/spec/models/meta_plan_search_response_spec.rb +757 -18
  392. data/spec/models/meta_spec.rb +754 -15
  393. data/spec/models/network_comparison_request_spec.rb +754 -15
  394. data/spec/models/network_comparison_response_spec.rb +756 -17
  395. data/spec/models/network_comparison_spec.rb +754 -15
  396. data/spec/models/network_details_response_spec.rb +754 -15
  397. data/spec/models/network_details_spec.rb +757 -18
  398. data/spec/models/network_search_response_spec.rb +754 -15
  399. data/spec/models/network_size_spec.rb +756 -17
  400. data/spec/models/network_spec.rb +754 -15
  401. data/spec/models/notification_subscription_response_spec.rb +754 -15
  402. data/spec/models/notification_subscription_spec.rb +754 -15
  403. data/spec/models/plan_county_bulk_spec.rb +756 -17
  404. data/spec/models/plan_county_spec.rb +756 -17
  405. data/spec/models/plan_deleted_spec.rb +754 -15
  406. data/spec/models/plan_identifier_spec.rb +754 -15
  407. data/spec/models/plan_medicare_bulk_spec.rb +763 -24
  408. data/spec/models/plan_medicare_spec.rb +760 -21
  409. data/spec/models/plan_pricing_medicare_spec.rb +761 -22
  410. data/spec/models/plan_search_response_spec.rb +756 -17
  411. data/spec/models/plan_show_response_spec.rb +754 -15
  412. data/spec/models/plan_spec.rb +754 -15
  413. data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
  414. data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
  415. data/spec/models/plans_bulk_base_spec.rb +982 -0
  416. data/spec/models/plans_bulk_dental_spec.rb +982 -0
  417. data/spec/models/plans_bulk_vision_spec.rb +982 -0
  418. data/spec/models/provider_details_spec.rb +779 -28
  419. data/spec/models/provider_geocode_spec.rb +754 -15
  420. data/spec/models/provider_network_event_notification_spec.rb +760 -21
  421. data/spec/models/provider_networks_spec.rb +1006 -0
  422. data/spec/models/provider_show_response_spec.rb +754 -15
  423. data/spec/models/provider_spec.rb +762 -23
  424. data/spec/models/providers_geocode_response_spec.rb +754 -15
  425. data/spec/models/providers_search_response_spec.rb +754 -15
  426. data/spec/models/quote_create_request_spec.rb +988 -0
  427. data/spec/models/quote_create_response_spec.rb +988 -0
  428. data/spec/models/quote_create_spec.rb +1030 -0
  429. data/spec/models/quote_show_response_spec.rb +988 -0
  430. data/spec/models/quote_show_spec.rb +1042 -0
  431. data/spec/models/rate_request_spec.rb +884 -145
  432. data/spec/models/rate_search_spec.rb +886 -117
  433. data/spec/models/rate_show_request_spec.rb +1000 -0
  434. data/spec/models/rate_show_spec.rb +1012 -0
  435. data/spec/models/rates_show_response_spec.rb +994 -0
  436. data/spec/models/rating_area_spec.rb +754 -15
  437. data/spec/models/request_plan_find_applicant_spec.rb +754 -15
  438. data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
  439. data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
  440. data/spec/models/request_plan_find_provider_spec.rb +754 -15
  441. data/spec/models/request_plan_find_spec.rb +759 -20
  442. data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
  443. data/spec/models/request_providers_search_spec.rb +758 -19
  444. data/spec/models/request_rates_search_spec.rb +756 -17
  445. data/spec/models/response_rates_search_spec.rb +754 -15
  446. data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
  447. data/spec/models/rx_cui_identifier_spec.rb +756 -17
  448. data/spec/models/service_area_spec.rb +754 -15
  449. data/spec/models/service_area_zip_county_spec.rb +754 -15
  450. data/spec/models/state_network_size_request_spec.rb +754 -15
  451. data/spec/models/state_network_size_response_spec.rb +754 -15
  452. data/spec/models/state_spec.rb +762 -23
  453. data/spec/models/supplemental_options_spec.rb +1018 -0
  454. data/spec/models/v7_network_comparison_response_spec.rb +994 -0
  455. data/spec/models/v7_network_details_response_spec.rb +988 -0
  456. data/spec/models/v7_network_details_spec.rb +1006 -0
  457. data/spec/models/v7_network_search_response_spec.rb +994 -0
  458. data/spec/models/v7_network_spec.rb +1000 -0
  459. data/spec/models/v7_provider_details_spec.rb +1138 -0
  460. data/spec/models/v7_provider_networks_spec.rb +1012 -0
  461. data/spec/models/vision_plan_benefits_spec.rb +813 -32
  462. data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
  463. data/spec/models/vision_plan_search_request_spec.rb +758 -25
  464. data/spec/models/vision_plan_search_response_spec.rb +754 -15
  465. data/spec/models/vision_plan_show_response_spec.rb +754 -15
  466. data/spec/models/vision_plan_spec.rb +767 -28
  467. data/spec/models/vision_plan_update_request_spec.rb +754 -15
  468. data/spec/models/vision_plan_update_spec.rb +763 -24
  469. data/spec/models/zip_code_spec.rb +754 -15
  470. data/spec/models/zip_counties_response_spec.rb +756 -17
  471. data/spec/models/zip_county_bulk_spec.rb +757 -18
  472. data/spec/models/zip_county_response_spec.rb +754 -15
  473. data/spec/models/zip_county_spec.rb +754 -15
  474. data/spec/spec_helper.rb +754 -15
  475. data/vericred_client.gemspec +754 -15
  476. metadata +315 -95
@@ -1,17 +1,15 @@
1
1
  =begin
2
2
  #Vericred API
3
3
 
4
- #Vericred's API allows you to search for Health Plans that a specific doctor
5
- accepts.
6
-
7
4
  ## Getting Started
8
5
 
6
+ ## Signing Up
7
+
9
8
  Visit our [Developer Portal](https://developers.vericred.com) to
10
9
  create an account.
11
10
 
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).
11
+ Once you have created an account, you can create one Application for your
12
+ Production environment and another for a Sandbox (select the appropriate Plan when you create the Application).
15
13
 
16
14
  ## SDKs
17
15
 
@@ -32,9 +30,9 @@ a `Vericred-Api-Key` header.
32
30
  Vericred's API default to the latest version. However, if you need a specific
33
31
  version, you can request it with an `Accept-Version` header.
34
32
 
35
- The current version is `v3`. Previous versions are `v1` and `v2`.
33
+ The current version is `v4`. We also support `v2` and `v3`
36
34
 
37
- `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
35
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v3' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
38
36
 
39
37
  ## Pagination
40
38
 
@@ -47,11 +45,13 @@ For example, to display 5 results per page and view the second page of a
47
45
 
48
46
  ## Sideloading
49
47
 
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`
48
+ When we return multiple levels of an object graph (e.g. `Provider`s and their
49
+ `State`s we typically the associated data. In this example, we would
50
+ provide an Array of `State`s and a `state_id` for each provider. This is
51
+ done primarily to reduce the payload size since many of the `Provider`s
52
+ will share a `State`
54
53
 
54
+ ### Simplified Example
55
55
  ```
56
56
  {
57
57
  providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
@@ -87,8 +87,7 @@ For example, let's take a request that returns the following JSON by default
87
87
  ```
88
88
 
89
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.
90
+ `select` in the query string for a `GET` or the body for a `POST`.
92
91
 
93
92
  In this case, we want to select `name` and `phone` from the `provider` key,
94
93
  so we would add the parameters `select=provider.name,provider.phone`.
@@ -115,7 +114,18 @@ The response would be
115
114
  }
116
115
  ```
117
116
 
118
- ## Benefits summary format
117
+ # Plan and Rate Data
118
+
119
+ Vericred's Plan and Rate Data let you search and quote Major Medical and Ancillary Insurance Plans in a given area for a particular family in the Individual Market or a group of families in the Small Group Market. Vericred provides the relevant data via this API and via our Bulk Format (documented [below](#Bulk Plan and Rate Data))
120
+
121
+ ## Plans
122
+
123
+ A Plan defines a set of Benefits available to its purchaser. For example, a Major Medical Plan would specify cost-share Benefits for services like a Primary Care Provider visit, a Specialist visit or an Emergency Room visit. A Dental Plan might specify Benefits for Periodontics and Fluroride Treatments. The Benefits for each Product type ([Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision)) are documented below.
124
+
125
+ ### Benefits Format
126
+
127
+ Benefits for Plans can be quite complex. With the goals of capturing and standardizing the complexity while retaining a human-readable format, we have developed a [Bakus-Naur Form](https://en.wikipedia.org/wiki/Backus%E2%80%93Naur_form)(BNF) context-free grammar, with which we present Benefits.
128
+
119
129
  Benefit cost-share strings are formatted to capture:
120
130
  * Network tiers
121
131
  * Compound or conditional cost-share
@@ -198,6 +208,735 @@ space ::= /[ \t]/+
198
208
  ```
199
209
 
200
210
 
211
+ ### Major Medical
212
+
213
+ Vericred's data covers all Major Medical Plans available in the Individual and Small Groups (2-50 or 2-100) Markets in the US. These Plans are governed by CMS and are ACA-compliant. We do not include certain Plans that fall outside of the ACA, for example, Faith-Based Plans or Short-Term Medical Plans
214
+
215
+ We support the following Benefits Fields for Major Medical Plans. These represent the vast majority of fields available on a [Summary of Benefits and Coverage](https://www.healthcare.gov/health-care-law-protections/summary-of-benefits-and-coverage/)
216
+
217
+ The following are the appropriate Benefit Fields for Major Medical:
218
+
219
+ - ambulance
220
+ - child\_eye\_exam
221
+ - child\_eyewear
222
+ - chiropractic\_services
223
+ - diagnostic\_test
224
+ - durable\_medical\_equipment
225
+ - emergency\_room
226
+ - family\_drug\_deductible
227
+ - family\_drug\_moop
228
+ - family\_medical\_deductible
229
+ - family\_medical\_moop
230
+ - generic\_drugs
231
+ - habilitation\_services
232
+ - home\_health\_care
233
+ - hospice\_service
234
+ - imaging\_center
235
+ - imaging\_physician
236
+ - individual\_drug\_deductible
237
+ - individual\_drug\_moop
238
+ - individual\_medical\_deductible
239
+ - individual\_medical\_moop
240
+ - inpatient\_birth
241
+ - inpatient\_facility
242
+ - inpatient\_mental\_health
243
+ - inpatient\_physician
244
+ - inpatient\_substance
245
+ - lab\_test
246
+ - non\_preferred\_brand\_drugs
247
+ - nonpreferred\_generic\_drug\_share
248
+ - nonpreferred\_specialty\_drug\_share
249
+ - outpatient\_ambulatory\_care\_center
250
+ - outpatient\_facility
251
+ - outpatient\_mental\_health
252
+ - outpatient\_physician
253
+ - outpatient\_substance
254
+ - postnatal\_care
255
+ - preferred\_brand\_drugs
256
+ - prenatal\_care
257
+ - preventative\_care
258
+ - primary\_care\_physician
259
+ - rehabilitation\_services
260
+ - skilled\_nursing
261
+ - specialist
262
+ - specialty\_drugs
263
+ - urgent\_care
264
+
265
+ ### Dental
266
+
267
+ Dental benefits are less standardized than [Major Medical](#header-major-medical). Because of this, we have captured benefits for the most commonly specified services and procedures. If a Plan only specifies cost-share for "Major", "Minor", "Elective", etc, we determine the category for each of the benefits that we support and display the appropriate value for its category.
268
+
269
+ To view the technical documentation, [click here](#dental-plans).
270
+
271
+ The following are the supported Benefit Fields for Dental:
272
+
273
+ - bridges
274
+ - crowns
275
+ - denture\_relines\_rebases
276
+ - denture\_repair\_and\_adjustments
277
+ - dentures
278
+ - emergency\_treatment
279
+ - endodontics
280
+ - family\_annual\_max
281
+ - family\_deductible
282
+ - fluoride\_treatment
283
+ - implants
284
+ - individual\_annual\_max
285
+ - individual\_deductible
286
+ - inlays
287
+ - onlays
288
+ - oral\_exam
289
+ - oral\_surgery
290
+ - orthodontics\_adult
291
+ - orthodontics\_child
292
+ - periodontal\_maintenance
293
+ - periodontics
294
+ - prophylaxis\_cleaning
295
+ - radiograph\_bitewings
296
+ - radiograph\_other
297
+ - restoration\_fillings
298
+ - sealant
299
+ - simple\_extraction
300
+ - space\_maintainers
301
+
302
+ ### Vision
303
+
304
+ Vision benefits are similar in structure to [Dental](#header-dental). Again, when benefits are broken out by category, we determine the appropriate category for each service or procedure and display the approprate value for its category.
305
+
306
+ To view the technical documentation, [click here](#vision-plans).
307
+
308
+ The following are the supported Benefit Fields for Vision:
309
+
310
+ - eye\_exam
311
+ - retinal\_imaging
312
+ - frame
313
+ - eyeglass\_lenses\_single\_vision
314
+ - eyeglass\_lenses\_bifocal
315
+ - eyeglass\_lenses\_trifocal
316
+ - eyeglass\_lenses\_lenticular
317
+ - uv\_coating
318
+ - tint
319
+ - standard\_antireflective\_coating
320
+ - premium\_antireflective\_coating
321
+ - standard\_polycarbonate\_lenses\_child
322
+ - standard\_polycarbonate\_lenses\_adult
323
+ - standard\_progressive\_lenses
324
+ - premium\_progressive\_lenses
325
+ - standard\_scratch\_resistance
326
+ - polarized\_lenses
327
+ - photochromatic\_lenses
328
+ - standard\_contact\_lens\_fit\_and\_follow\_up
329
+ - premium\_contact\_lens\_fit\_and\_follow\_up
330
+ - contact\_lenses\_conventional
331
+ - contact\_lenses\_disposable
332
+ - contact\_lenses\_medically\_necessary
333
+ - laser\_vision\_correction
334
+ - additional\_pairs\_of\_eyeglasses
335
+
336
+ ## Rates
337
+
338
+ Rates are returned from the API as a part of [Quoting](#header-quoting). We calculate Rates in one of two ways.
339
+
340
+ ### Sheet Rates
341
+ When a Carrier supplies us with Sheet Rates, we display *exactly* the value provided to us. For example, in the Major Medical market, most Carriers provide a single rate for each combination of Applicant age and tobacco status in a given [Rating Area](#header-rating-areas). For example, in Austin, TX, a 21-year-old non-tobacco-user may be $312.41 per month while a 22-year-old tobacco-user may be $401.75 per month. Certain Vision and Dental Carriers supply Sheet Rates as well, though it is less common.
342
+
343
+ ### Rate Factors
344
+ Certain [Major Medical](#header-major-medical) Carriers and most [Vision](#header-vision) and [Dental](#header-dental) Carriers supply Rate Factors. The attributes on which the factors are based are the same as [Sheet Rates](#header-sheet-rates) for the [Major Medical](#header-major-medical) market (due to restrictions on what factors may be used in ACA Plans, which limit the possible factors to age and tobacco status).
345
+
346
+ In [Dental](#header-dental) and [Vision](#header-vision), the types of [Rate Factors](#header-rate-factors) are more varied. For example, SIC Code and Group size in the Group market and Gender in the Individual Market are commonly used [Rate Factors](#header-rate-factors)
347
+
348
+ Other common [Rate Factors](#header-rate-factors) for [Dental](#header-dental) and [Vision](#header-vision) products are Geographic and "Trend" (enrollment date) Factors. In [Major Medical](#header-major-medical), these types of variance are handled by CMS-defined [Rating Areas](#header-rating-areas).
349
+
350
+ In order to calculate a Rate using [Rate Factors](#header-rate-factors), the following methodology is applied:
351
+
352
+ ```
353
+ B = Base Rate
354
+ f = Rate Factor Function 1
355
+ f' = Rate Factor Function 2
356
+
357
+ B * f(x) * f'(y) [* f''(z)] ... = n
358
+ ```
359
+
360
+ ## Rating Areas
361
+ For [Major Medical](#header-major-medical) products, [CMS](https://www.cms.gov/) defines [Rating Areas](https://www.cms.gov/cciio/programs-and-initiatives/health-insurance-market-reforms/state-gra.html). Under the ACA, *all* [Rate Factors](#header-rate-factors) in a Rating Area must be identical for a given time period. E.g. in Arizona, the rate for a 21-year-old non-tobacco user must be identical in all counties contained in Rating Area 1 (Mohave, Coconino, Apache, and Navajo), but *may* be different than the rate for a 21-year-old non-tobacco user in all counties Rating Area 2 (Yavapai county only) for a given year in the Individual Market and a given quartern in the Small Group market.
362
+
363
+ [Rating Areas](#header-rating-areas) are defined either by County, Zip Code or both, depending on the State. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
364
+
365
+ *Rating Areas do not apply to products other than [Major Medical](#header-major-medical)*
366
+
367
+ ## Service Areas
368
+ CMS mandates that [Major Medical](#header-major-medical) Rates be defined by [Rating Areas](#header-rating-areas), which themselves define a geography in which Plans are offered. Carriers often choose *not* to offer a Plan in and entire [Rating Area](#header-rating-areas) due to network coverage or other factors. Instead, the Carrier would define a [Service Area](#header-service-areas) that specifies where a given Plan is offered.
369
+
370
+ Each Plan is available in a single [Service Area](#header-service-areas) and each [Service Area](#header-service-areas) is defined by either County, Zip Code, or both, depending on the Carrier. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
371
+
372
+ In [Dental](#header-dental) and [Vision](#header-vision) plans, we use a [Service Area](#header-service-areas) to define availability as well, although it typically mirrors a Geographic [Rate Factor](#header-rate-factors).
373
+
374
+ # Quoting
375
+
376
+ One of the primary use-cases for the Vericred API is to run Quotes to determine the Rate for a given family (in the Individual Market) or group (in the Small Group Market). We support quoting across [Major Medical](#header-major-medical), [Vision](#header-vision), and [Dental](#header-dental). In both cases, the process of generating a Quote is broken out into several steps:
377
+
378
+ 1. Find all available [Plans](#header-plans) in the relevent [Service Areas](#header-service-areas) for the family or group.
379
+ 1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine if the family or group is eligible for that [Plan](#header-plans).
380
+ 1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine which members of the family or which members of each family in the group should be considered for Rating.
381
+ 1. Using the [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) for each [Plan](#header-plans), determine the Rate the family, or for each family in the group.
382
+ 1. If running a [Composite](#compositerates) quote, determine the portion of the total Rate that each family will pay.
383
+
384
+ ## Individual Quotes
385
+ An Individual Quote is one for Plans that are available to a particular family, outside the context of their Employer. In the [Major Medical](#header-major-medical) market, many of these Plans are available on [Healthcare.gov](https://www.healthcare.gov) or the State-Based Exchange for non-Healthcare.gov states. The API supports both on-market and off-market Plans.
386
+
387
+ For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
388
+
389
+ ### Specifying the Location
390
+ In order to determine which plans are [available](#header-service-areas) and the [rate](#header-rating-areas) for each Plan, you must specify a location. When creating a [Quote](#header-quoting) for the Individual Market, that information is contained in the `POST` body of the request:
391
+ ```
392
+ POST /plans/medical/search
393
+ {
394
+ ...
395
+ "zip_code": "11201",
396
+ "fips_code": "36047"
397
+ ...
398
+ }
399
+
400
+ ```
401
+
402
+ ### Specifying Applicants
403
+ Applicants are the members of the family being quoted and are specified in the `POST` body of the request.
404
+ ```
405
+ POST /plans/medical/search
406
+ {
407
+ ...
408
+ "applicants": [
409
+ {
410
+ "age": 34,
411
+ "smoker": true,
412
+ "child": false
413
+ },
414
+ {
415
+ "age": 32,
416
+ "smoker": false,
417
+ "child": false
418
+ },
419
+ {
420
+ "age": 4,
421
+ "smoker": false,
422
+ "child": true
423
+ }
424
+ ]
425
+ ...
426
+ }
427
+ ```
428
+
429
+ ### Specifying Enrollment Date
430
+ The `enrollment_date` determines which [Plans](#header-plans) and [Rates](#header-rates) are returned. Specifying an `enrollment_date` in the past allows you to calculate historical data as far back as 2014.
431
+
432
+ ### Plan Benefits
433
+ Plan Benefits are returned in the response for [Individual Quotes](#individualquotes)
434
+ ```
435
+ POST /plans/medical/search
436
+ {
437
+ ...
438
+ }
439
+
440
+ Response:
441
+ {
442
+ "plans": [
443
+ {
444
+ ...
445
+ "individual_medical_deductible": "$5,000",
446
+ "family_medical_deductible": "$10,000"
447
+ ...
448
+ }
449
+
450
+ ]
451
+ }
452
+
453
+ ```
454
+
455
+ ### Premiums
456
+ The value for the family being quoted is returned in the `premium` field. If no [Applicants](#specifyingapplicants) are provided, the `premium` field will be `0`
457
+
458
+ ### Major Medical Quotes
459
+ In order to [Quote](#header-quoting) [Major Medical](#header-major-medical) Plans, send a `POST` to `/plans/medical/search`. In addition, the `age`, `smoker` and `child` attributes of each Applicant must be present.
460
+
461
+ #### Subsidies
462
+ On-market ([Healthcare.gov](https://www.healthcare.gov) and State-Based Exchange) [Major Medical](#header-major-medical) Plans are eligible for government subsidies. The subsidy calculation is based on the percentage of the family's income that the IRS has designated as "affordable" for that family and the Second Lowest-Cost Silver Plan available to that family.
463
+
464
+ In order to calculate subsidies for a family the following parameters must be supplied:
465
+ ```
466
+ POST /plans/medical/search
467
+ {
468
+ ...
469
+ "household_size": 4,
470
+ "household_income": 40000
471
+ ...
472
+ }
473
+ ```
474
+
475
+ The amount that the family will pay after subsidy is returned in the `premium_subsidized` field for each plan.
476
+
477
+ ##### Subsidy Calculation
478
+ Here is how subsidies are calculated. This is fully handled by the Vericred API, but the steps are enumerated below for clarity.
479
+
480
+ 1. Determine the percentage of the [Federal Poverty Level](https://aspe.hhs.gov/poverty-guidelines) for the family based on the household size and income.
481
+ 1. Reference the [CMS table](https://www.irs.gov/pub/irs-drop/rp-17-36.pdf) to determine the appropriate percentage of income for the family to spend on healthcare.
482
+ 1. Multiply that value by the family's income. This is the total amount that the family can spend on healthcare for the year, after the subsidy.
483
+ 1. Find the cost of the Second Least-Expensive Silver Plan available to the family, accounting for the percentage of premium that goes to [Essential Health Benefits](https://www.healthcare.gov/glossary/essential-health-benefits/)
484
+ 1. Calculate the difference in price between the amount the family should spend on healthcare and the Second Least-Expensive Silver Plan's premium. This is the subsidy.
485
+ 1. Apply the subsidy to all on-market Plans available to the family. The subsidized premium can never be below $0 (for example, a low-cost Bronze Plan may be less expensive than the subsidy)
486
+
487
+ #### Cost Sharing Reduction Plans
488
+ [Cost Sharing Reduction (CSR)](https://www.healthcare.gov/glossary/cost-sharing-reduction/) Plans are available to lower income families and offer enhanced benefits for certain Silver Plans at the same cost as the non-CSR Plans available to higher-income families.
489
+
490
+ If a family is eligible for CSR Plans, the Vericred API will return the relevant Plan in place of the non-CSR version.
491
+
492
+ In order to include CSR Plans where applicable, the following parameters must be supplied:
493
+ ```
494
+ POST /plans/medical/search
495
+ {
496
+ ...
497
+ "household_size": 4,
498
+ "household_income": 40000
499
+ ...
500
+ }
501
+ ```
502
+
503
+ #### The Children's Health Insurance Program (CHIP)
504
+ [The Children's Health Insurance Program (CHIP)](https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/) provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid.
505
+
506
+ If a family is eligible for CHIP, the Vericred API will include the subsidy in the returned premiums. In order to include CHIP subsidies in premium calculations, the following parameters must be supplied:
507
+ ```
508
+ POST /plans/medical/search
509
+ {
510
+ ...
511
+ "applicants": [
512
+ {
513
+ "age": 34,
514
+ "smoker": true,
515
+ "child": false
516
+ },
517
+ {
518
+ "age": 32,
519
+ "smoker": false,
520
+ "child": false
521
+ },
522
+ {
523
+ "age": 4,
524
+ "smoker": false,
525
+ "child": true
526
+ },
527
+ {
528
+ "age": 4,
529
+ "smoker": false,
530
+ "child": true
531
+ }
532
+ ],
533
+ "household_size": 4,
534
+ "household_income": 40000
535
+ ...
536
+ }
537
+ ```
538
+
539
+ CHIP eligibility is displayed within the meta-tag in the response as `eligible_for_chip_medicaid`:
540
+ ```
541
+ {
542
+ "meta": {
543
+ "total": 150,
544
+ "eligible_for_chip_medicaid": true,
545
+ "premium_tax_credit": 500.20
546
+ },
547
+ "coverages": [],
548
+ "plans": [...]
549
+ }
550
+ ```
551
+
552
+ If you do not want CHIP subsidies to be included in the premiums, simply do not include the `household_income` parameter in the request.
553
+
554
+ ### Dental Quotes
555
+ Quoting [Dental](#header-dental) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
556
+ ```
557
+ POST /plans/dental/search
558
+ {
559
+ ...
560
+ "applicants": [
561
+ {
562
+ "age": 34,
563
+ "gender": "M",
564
+ "child": false
565
+ },
566
+ {
567
+ "age": 32,
568
+ "gender": "F",
569
+ "child": false
570
+ },
571
+ {
572
+ "age": 4,
573
+ "gender": "M",
574
+ "child": true
575
+ }
576
+ ]
577
+ ...
578
+ }
579
+ ```
580
+
581
+ Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Dental Quotes](#dentalquotes) require `gender`, but *do not* require `smoker`.
582
+
583
+ Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Dental Quotes](#dentalquotes).
584
+
585
+ ### Vision Quotes
586
+
587
+ Quoting [Vision](#header-vision) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
588
+ ```
589
+ POST /plans/vision/search
590
+ {
591
+ ...
592
+ "applicants": [
593
+ {
594
+ "age": 34,
595
+ "gender": "M",
596
+ "child": false
597
+ },
598
+ {
599
+ "age": 32,
600
+ "gender": "F",
601
+ "child": false
602
+ },
603
+ {
604
+ "age": 4,
605
+ "gender": "M",
606
+ "child": true
607
+ }
608
+ ]
609
+ ...
610
+ }
611
+ ```
612
+
613
+ Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Vision Quotes](#visionquotes) require `gender`, but *do not* require `smoker`.
614
+
615
+ Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Vision Quotes](#visionquotes).
616
+
617
+ ## Quotes for Groups
618
+ A Group Quote finds [Plans](#header-plans) and [Rates](#header-rates) for a group of employees for a small business. Different [Plans](#header-plans) are available to small groups than are available in [Individual Quoting](#individualquotes). In addition, [Business Rules](#header-business-rules) that apply across multiple families or based upon employer attributes such as [SIC](https://en.wikipedia.org/wiki/Standard_Industrial_Classification) code factor into rates and availability.
619
+
620
+ In addition, due to performance requirements and for enhanced auditing, [Group Quotes](#groupquotes) are persisted across requests. This means that a given [Quote](#groupquotes) can be retrieved after it has been created.
621
+
622
+ ### Identifiers
623
+ In order to make it easier to cross-reference local copies of data with [Quotes](#header-creating-a-quote) and other data in the Vericred API, most entities allow for the specification of an `external_id` field. You can use this to store a primary or natural key from your system in order to easily match records returned from the API with records in your system.
624
+
625
+ ### Specifying the Group
626
+ Creating a group is the first step in [Group Quoting](#groupquoting). The API requires that certain information such as `sic_code`, and `chamber_association` be provided and returns a the attributes and `id` for the newly created `Group`
627
+
628
+ Full documentation is available [below](#groupscreate)
629
+
630
+ ### Specifying the Locations
631
+ When creating a `Group`, you must also specify one or more `Location`s. Of those `Location`s specified, one must be `primary`. That `Location` is used to calculate Plan eligibility using the relevant [Service Areas](#header-service-areas). Some Carriers use secondary `Location`s to determine eligibility as well, which is why those must be specified as well.
632
+
633
+ ```
634
+ POST /groups
635
+ {
636
+ "group": {
637
+ ...
638
+ },
639
+ "locations": [
640
+ {
641
+ ...
642
+ "zip_code": "11201",
643
+ "fips_code": "36047",
644
+ "primary": true
645
+ ...
646
+ }
647
+ ]
648
+ }
649
+ ```
650
+
651
+ ### Specifying the Census
652
+ A Census is the collection of `Member`s contained in the `Group`. The attributes of each `Member` and his or her `Dependent`s determine the [Rate](#header-rates) for the `Group` as a whole. Certain attributes of the `Member` are important for calculating [Rates](#header-rates) and applying [Business Rules](#header-business-rules). For example, the `Member`'s home address and in which office he or she works are relevant for certain [Business Rules](#header-business-rules).
653
+
654
+ #### Dependent Relationships
655
+ The `Dependent`s for a given `Member` also factor into the [Rates](#header-rates) and application of [Business Rules](#header-business-rules). For example, certain [Plans](#header-plans) cover only `Dependent`s of particular types and/or only `Dependent`s of a particular type who live in the same household as the primary `Member`
656
+
657
+ Valid Dependent Relationships:
658
+ - `adopted_child`
659
+ - `child`
660
+ - `court_appointed_guardian`
661
+ - `dependent_of_dependent`
662
+ - `ex_spouse`
663
+ - `foster_child`
664
+ - `grand_child`
665
+ - `guardian`
666
+ - `life_partner`
667
+ - `other`
668
+ - `sibling`
669
+ - `sponsored_dependent`
670
+ - `spouse`
671
+ - `step_child`
672
+ - `ward`
673
+
674
+ ```
675
+ POST
676
+
677
+ /groups/{id}/members
678
+ {
679
+ "members": [
680
+ ...
681
+ {
682
+ "cobra": false,
683
+ "date_of_birth": "1980-01-01",
684
+ "fips_code": "36047"
685
+ "gender": "M",
686
+ "last_used_tobacco": "2017-01-01",
687
+ "location_id": :location_id
688
+ "retiree": false,
689
+ "zip_code": "11201",
690
+ "dependents": [
691
+ ...
692
+ {
693
+ "relationship": "child",
694
+ "same_household": true
695
+ }
696
+ ...
697
+ ]
698
+ }
699
+ ...
700
+ ]
701
+ }
702
+
703
+ ```
704
+
705
+ ### Creating a Quote
706
+ Once the [Census](#header-specifying-the-census) has been created, we can generate a `Quote` for the `Group`.
707
+
708
+ #### Major Medical Quotes
709
+ To generate a [Major Medical](#header-major-medical) Quote, specify the `product_line` of `Quote` as `medical`
710
+
711
+ ```
712
+ POST /groups/{id}/quotes
713
+ {
714
+ ...
715
+ "product_line": "medical"
716
+ ...
717
+ }
718
+ ```
719
+
720
+ #### Dental Quotes
721
+ To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
722
+
723
+ ```
724
+ POST /groups/{id}/quotes
725
+ {
726
+ ...
727
+ "product_line": "dental"
728
+ ...
729
+ }
730
+ ```
731
+
732
+ #### Vision Quotes
733
+ To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
734
+
735
+ ```
736
+ POST /groups/{id}/quotes
737
+ {
738
+ ...
739
+ "product_line": "vision"
740
+ ...
741
+ }
742
+ ```
743
+
744
+ ### Retrieving Aggregate Rates
745
+ Once you have created a [Quote](#header-creating-a-quote), you can retrieve its aggregate [Rates](#header-rates). [Rates](#header-rates) are broken down by `Member` and `Dependent`, so that you can show the final cost in different scenarios where an employer might cover a different percentage of `Member` and `Dependent` costs.
746
+
747
+ ```
748
+ GET /quotes/{id}/rates
749
+
750
+ Response
751
+ {
752
+ "rates": [
753
+ ...
754
+ {
755
+ "plan_id": "12345NY6789012",
756
+ "total_premium": 2800.0,
757
+ "member_premium": 1000.0,
758
+ "dependent_premium": 1800.0,
759
+ "id": "123abc"
760
+ }
761
+ ...
762
+ ]
763
+ }
764
+ ```
765
+
766
+
767
+ #### Loading Plan Data
768
+ Aggregate [Rates](#header-rates) responses *do not* include [Plan](#header-plans) details in order to keep the payload small. [Plan](#header-plans) data can be retrieved in one of two ways:
769
+
770
+ Loading the [Plan](#header-plans) from the API:
771
+ ```
772
+ GET /plans/{id}
773
+
774
+ Response:
775
+ {
776
+ "plans": [
777
+ ...
778
+ {
779
+ ...
780
+ "individual_medical_deductible": "$5,000",
781
+ "family_medical_deductible": "$10,000",
782
+ ...
783
+ }
784
+ ...
785
+
786
+ ]
787
+ }
788
+ ```
789
+ Pulling in [Bulk Plan Data](#bulkplans) and matching up [Plans](#header-plans) by their `id`.
790
+
791
+ ### Retrieving Member-Level Rates
792
+ In order to retrieve the exact [Rate](#header-rates) for each `Member` and their `Dependents` for given [Plan](#header-plans), you can load Member-Level `Rates`.
793
+
794
+ ```
795
+ GET /rates/{id}/member_rates
796
+
797
+ Response
798
+ {
799
+ "member_rates": [
800
+ ...
801
+ {
802
+ "id": "123abc",
803
+ "member_id": "234def",
804
+ "member_external_id": "externally-supplied-id",
805
+ "member_premium": 500.0,
806
+ "dependent_premium": 600.0,
807
+ "total_premium": 1100.0,
808
+ }
809
+ ...
810
+ ]
811
+ }
812
+
813
+ ```
814
+
815
+ Note that *all* `MemberRate`s are for one particular [Plan](#header-plans) - the one referenced by the parent [Rate](#header-rates).
816
+
817
+ ### Business Rules
818
+ Vericred works with our Carrier partners to acquire and apply Business Rules that can affect either [Plan](#header-plans) availability or the way in which `Member`s and `Dependent`s are rated. For example, one Carrier's Business Rules might specify that `Member`s and `Dependent`s who have used tobacco in the past 4 months are considered "tobacco-users", while another's may specify that period to be 1 year.
819
+
820
+ These rules are applied transparently during the [Quoting](#header-quoting) process and *do not* require any additional action or input on your part.
821
+
822
+ For a full accounting of Business Rules and a list of Carriers whose Business Rules are applied, please contact support@vericred.com
823
+
824
+ ### Composite Rates
825
+ Composite Rates are commonly used in [Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision) [Plans](#header-plans) to simplify operations by charging each family the weighted average of the `Group`'s total premium. The most common methodology is as follows:
826
+
827
+ 1. Calculate the [Rates](#header-rates) for the entire `Group` using [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) as appropriate
828
+ 1. Categorize each Family within the Group. The categorization differs depending on whether the Composite Rate is 2, 3, or 4-tier
829
+ 1. Multiply the number of Families in each category by the constant for that category. These constants are provided to Vericred by the Carrier. This determines the total number of "Rating Units"
830
+ 1. Divide the total premium calculated in Step 1 by the total number of Rating Units to get the price per Rating Unit
831
+ 1. The [Rate](#header-rates) each Family pays is the constant for that Family's category multiplied by the price per Rating Unit.
832
+
833
+ You can request that a [Quote](#header-quoting) be calculated using Composite Rates when creating it:
834
+ ```
835
+ POST /quotes
836
+ {
837
+ ...
838
+ "rating_method": "4_tier_composite"
839
+ ...
840
+ }
841
+ ```
842
+ If no Composite Rates methodology is available, the Vericred API will return standard age-banded Rates.
843
+
844
+ # Network and Provider Data
845
+
846
+ A `Provider` is an individual or organization in the medical profession. For example, an individual doctor is a `Provider` as are certain clinics and hospitals.
847
+
848
+ `Provider`s are related to `Network`s. A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
849
+
850
+ Each `Plan` has a `Network`. A consumer who visits a `Provider` typically incurs fewer costs when visiting a `Provider` in the `Network` covered by his or her `Plan`. The `premium` for a `Plan` is often proportional to the size of its `Network`
851
+
852
+ ## Finding Providers
853
+ In order to determine if a particular `Plan` covers a given `Provider`, you must first identify the `Provider`. To do so, use the [Provider Search API endpoint](#providers-providers-post) and specify some search criteria:
854
+
855
+ ```
856
+ POST /providers/search
857
+ {
858
+ "search_term": "foo",
859
+ "zip_code": "11201"
860
+ }
861
+ ```
862
+
863
+ The API will return an ordered list of `Provider`s who match the query along with their names, addresses, and other demographic data. The `id` field returned refers to the `Provider`'s [NPI number](https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand/). This is the key that is used to identify the `Provider` across different API endpoints.
864
+
865
+ ## Finding Networks
866
+
867
+ A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
868
+
869
+ The API supports searching for `Networks` by Carrier, market and state. For more details view the [endpoint documentation](#networks-networks-get)
870
+
871
+ ## Matching Providers to Networks
872
+ In order to determine if a `Provider` is covered by a user's `Plan`, you will need to map the `Provider` to a `Network`. There are several methods to do this using the API
873
+
874
+ ### Using Plan Search
875
+ You can specify one or more `npi` values in the [`plan` search](#majormedicalplans-majormedicalplans-post). To do so, include a list of `providers` in the request
876
+ ```
877
+ POST /plans/medical/search
878
+ {
879
+ ...
880
+ "providers": [
881
+ { "npi": 1234567890 },
882
+ { "npi": 2345678901 }
883
+ ]
884
+ ...
885
+ }
886
+
887
+ The response will then return a list of `in_network_ids` and `out_of_network_ids` for each `Plan`
888
+
889
+ ```
890
+ {
891
+ "plans": [
892
+ ...
893
+ {
894
+ ...
895
+ "id": "12345NY1234567",
896
+ "in_network_ids": [1234567890],
897
+ "out_of_network_ids": [1234567890]
898
+ ...
899
+ },
900
+ {
901
+ ...
902
+ "id": "12345NY2345678",
903
+ "in_network_ids": [1234567890, 1234567890],
904
+ "out_of_network_ids": []
905
+ ...
906
+ }
907
+ ...
908
+ ]
909
+ }
910
+
911
+ Simply reference the `Provider` in question by its `id` for each `Plan` to see if that `Provider` is in-network for the `Plan`.
912
+
913
+ ### Matching by Plan ID
914
+ Given a `Provider`'s `id`, you can retrieve all of his or her `hios_ids`
915
+
916
+ For more details see the [endpoint documentation](#providers-providers-get)
917
+
918
+ ```
919
+ GET /providers/1234567890
920
+ {
921
+ "provider": {
922
+ ...
923
+ "hios_ids": [
924
+ ...
925
+ "12345NY1234567"
926
+ ...
927
+ ]
928
+ ...
929
+ }
930
+ }
931
+ ```
932
+
933
+ The returned `hios_ids` can be used to cross-reference a `Plan`
934
+
935
+ ### Matching by Network
936
+ Once you have an ID returned from the [`Network` search endpoint](#networks-networks-get), you can cross-reference it with the `network_ids` returned from both the [`Provider` search](#providers-providers-post) and [`Provider` details](#providers-providers-get) endpoints.
937
+
938
+ This is useful for large group data or when you are not dealing with `Plan`s directly, but rather at the `Network` level.
939
+
201
940
 
202
941
  OpenAPI spec version: 1.0.0
203
942
 
@@ -239,235 +978,241 @@ describe 'ACAPlanPre2018' do
239
978
  expect(@instance).to be_instance_of(VericredClient::ACAPlanPre2018)
240
979
  end
241
980
  end
242
- describe 'test attribute "carrier_name"' do
981
+ describe 'test attribute "actuarial_value"' do
243
982
  it 'should work' do
244
983
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
245
984
  end
246
985
  end
247
986
 
248
- describe 'test attribute "display_name"' do
987
+ describe 'test attribute "adult_dental"' do
249
988
  it 'should work' do
250
989
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
251
990
  end
252
991
  end
253
992
 
254
- describe 'test attribute "effective_date"' do
993
+ describe 'test attribute "age29_rider"' do
255
994
  it 'should work' do
256
995
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
257
996
  end
258
997
  end
259
998
 
260
- describe 'test attribute "expiration_date"' do
999
+ describe 'test attribute "ambulance"' do
261
1000
  it 'should work' do
262
1001
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
263
1002
  end
264
1003
  end
265
1004
 
266
- describe 'test attribute "identifiers"' do
1005
+ describe 'test attribute "benefits_summary_url"' do
267
1006
  it 'should work' do
268
1007
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
269
1008
  end
270
1009
  end
271
1010
 
272
- describe 'test attribute "name"' do
1011
+ describe 'test attribute "buy_link"' do
273
1012
  it 'should work' do
274
1013
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
275
1014
  end
276
1015
  end
277
1016
 
278
- describe 'test attribute "network_ids"' do
1017
+ describe 'test attribute "carrier_name"' do
279
1018
  it 'should work' do
280
1019
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
281
1020
  end
282
1021
  end
283
1022
 
284
- describe 'test attribute "network_size"' do
1023
+ describe 'test attribute "child_dental"' do
285
1024
  it 'should work' do
286
1025
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
287
1026
  end
288
1027
  end
289
1028
 
290
- describe 'test attribute "plan_type"' do
1029
+ describe 'test attribute "child_eye_exam"' do
291
1030
  it 'should work' do
292
1031
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
293
1032
  end
294
1033
  end
295
1034
 
296
- describe 'test attribute "service_area_id"' do
1035
+ describe 'test attribute "child_eyewear"' do
297
1036
  it 'should work' do
298
1037
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
299
1038
  end
300
1039
  end
301
1040
 
302
- describe 'test attribute "source"' do
1041
+ describe 'test attribute "chiropractic_services"' do
303
1042
  it 'should work' do
304
1043
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
305
1044
  end
306
1045
  end
307
1046
 
308
- describe 'test attribute "type"' do
1047
+ describe 'test attribute "coinsurance"' do
309
1048
  it 'should work' do
310
1049
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
311
1050
  end
312
1051
  end
313
1052
 
314
- describe 'test attribute "adult_dental"' do
1053
+ describe 'test attribute "customer_service_phone_number"' do
315
1054
  it 'should work' do
316
1055
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
317
1056
  end
318
1057
  end
319
1058
 
320
- describe 'test attribute "age29_rider"' do
1059
+ describe 'test attribute "diagnostic_test"' do
321
1060
  it 'should work' do
322
1061
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
323
1062
  end
324
1063
  end
325
1064
 
326
- describe 'test attribute "ambulance"' do
1065
+ describe 'test attribute "display_name"' do
327
1066
  it 'should work' do
328
1067
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
329
1068
  end
330
1069
  end
331
1070
 
332
- describe 'test attribute "benefits_summary_url"' do
1071
+ describe 'test attribute "dp_rider"' do
333
1072
  it 'should work' do
334
1073
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
335
1074
  end
336
1075
  end
337
1076
 
338
- describe 'test attribute "buy_link"' do
1077
+ describe 'test attribute "drug_formulary_url"' do
339
1078
  it 'should work' do
340
1079
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
341
1080
  end
342
1081
  end
343
1082
 
344
- describe 'test attribute "child_dental"' do
1083
+ describe 'test attribute "durable_medical_equipment"' do
345
1084
  it 'should work' do
346
1085
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
347
1086
  end
348
1087
  end
349
1088
 
350
- describe 'test attribute "child_eyewear"' do
1089
+ describe 'test attribute "effective_date"' do
351
1090
  it 'should work' do
352
1091
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
353
1092
  end
354
1093
  end
355
1094
 
356
- describe 'test attribute "child_eye_exam"' do
1095
+ describe 'test attribute "embedded_deductible"' do
357
1096
  it 'should work' do
358
1097
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
359
1098
  end
360
1099
  end
361
1100
 
362
- describe 'test attribute "customer_service_phone_number"' do
1101
+ describe 'test attribute "emergency_room"' do
363
1102
  it 'should work' do
364
1103
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
365
1104
  end
366
1105
  end
367
1106
 
368
- describe 'test attribute "durable_medical_equipment"' do
1107
+ describe 'test attribute "expiration_date"' do
369
1108
  it 'should work' do
370
1109
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
371
1110
  end
372
1111
  end
373
1112
 
374
- describe 'test attribute "diagnostic_test"' do
1113
+ describe 'test attribute "family_drug_deductible"' do
375
1114
  it 'should work' do
376
1115
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
377
1116
  end
378
1117
  end
379
1118
 
380
- describe 'test attribute "dp_rider"' do
1119
+ describe 'test attribute "family_drug_moop"' do
381
1120
  it 'should work' do
382
1121
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
383
1122
  end
384
1123
  end
385
1124
 
386
- describe 'test attribute "drug_formulary_url"' do
1125
+ describe 'test attribute "family_medical_deductible"' do
387
1126
  it 'should work' do
388
1127
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
389
1128
  end
390
1129
  end
391
1130
 
392
- describe 'test attribute "emergency_room"' do
1131
+ describe 'test attribute "family_medical_moop"' do
393
1132
  it 'should work' do
394
1133
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
395
1134
  end
396
1135
  end
397
1136
 
398
- describe 'test attribute "family_drug_deductible"' do
1137
+ describe 'test attribute "fp_rider"' do
399
1138
  it 'should work' do
400
1139
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
401
1140
  end
402
1141
  end
403
1142
 
404
- describe 'test attribute "family_drug_moop"' do
1143
+ describe 'test attribute "gated"' do
405
1144
  it 'should work' do
406
1145
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
407
1146
  end
408
1147
  end
409
1148
 
410
- describe 'test attribute "family_medical_deductible"' do
1149
+ describe 'test attribute "generic_drugs"' do
411
1150
  it 'should work' do
412
1151
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
413
1152
  end
414
1153
  end
415
1154
 
416
- describe 'test attribute "family_medical_moop"' do
1155
+ describe 'test attribute "habilitation_services"' do
417
1156
  it 'should work' do
418
1157
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
419
1158
  end
420
1159
  end
421
1160
 
422
- describe 'test attribute "fp_rider"' do
1161
+ describe 'test attribute "hios_issuer_id"' do
423
1162
  it 'should work' do
424
1163
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
425
1164
  end
426
1165
  end
427
1166
 
428
- describe 'test attribute "generic_drugs"' do
1167
+ describe 'test attribute "home_health_care"' do
429
1168
  it 'should work' do
430
1169
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
431
1170
  end
432
1171
  end
433
1172
 
434
- describe 'test attribute "habilitation_services"' do
1173
+ describe 'test attribute "hospice_service"' do
435
1174
  it 'should work' do
436
1175
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
437
1176
  end
438
1177
  end
439
1178
 
440
- describe 'test attribute "hios_issuer_id"' do
1179
+ describe 'test attribute "hsa_eligible"' do
441
1180
  it 'should work' do
442
1181
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
443
1182
  end
444
1183
  end
445
1184
 
446
- describe 'test attribute "home_health_care"' do
1185
+ describe 'test attribute "id"' do
447
1186
  it 'should work' do
448
1187
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
449
1188
  end
450
1189
  end
451
1190
 
452
- describe 'test attribute "hospice_service"' do
1191
+ describe 'test attribute "identifiers"' do
453
1192
  it 'should work' do
454
1193
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
455
1194
  end
456
1195
  end
457
1196
 
458
- describe 'test attribute "hsa_eligible"' do
1197
+ describe 'test attribute "imaging"' do
459
1198
  it 'should work' do
460
1199
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
461
1200
  end
462
1201
  end
463
1202
 
464
- describe 'test attribute "id"' do
1203
+ describe 'test attribute "imaging_center"' do
465
1204
  it 'should work' do
466
1205
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
467
1206
  end
468
1207
  end
469
1208
 
470
- describe 'test attribute "imaging"' do
1209
+ describe 'test attribute "imaging_physician"' do
1210
+ it 'should work' do
1211
+ # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
1212
+ end
1213
+ end
1214
+
1215
+ describe 'test attribute "in_network_ids"' do
471
1216
  it 'should work' do
472
1217
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
473
1218
  end
@@ -527,7 +1272,7 @@ describe 'ACAPlanPre2018' do
527
1272
  end
528
1273
  end
529
1274
 
530
- describe 'test attribute "in_network_ids"' do
1275
+ describe 'test attribute "lab_test"' do
531
1276
  it 'should work' do
532
1277
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
533
1278
  end
@@ -545,229 +1290,223 @@ describe 'ACAPlanPre2018' do
545
1290
  end
546
1291
  end
547
1292
 
548
- describe 'test attribute "non_preferred_brand_drugs"' do
549
- it 'should work' do
550
- # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
551
- end
552
- end
553
-
554
- describe 'test attribute "on_market"' do
1293
+ describe 'test attribute "mail_order_rx"' do
555
1294
  it 'should work' do
556
1295
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
557
1296
  end
558
1297
  end
559
1298
 
560
- describe 'test attribute "off_market"' do
1299
+ describe 'test attribute "name"' do
561
1300
  it 'should work' do
562
1301
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
563
1302
  end
564
1303
  end
565
1304
 
566
- describe 'test attribute "out_of_network_coverage"' do
1305
+ describe 'test attribute "network_ids"' do
567
1306
  it 'should work' do
568
1307
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
569
1308
  end
570
1309
  end
571
1310
 
572
- describe 'test attribute "out_of_network_ids"' do
1311
+ describe 'test attribute "network_size"' do
573
1312
  it 'should work' do
574
1313
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
575
1314
  end
576
1315
  end
577
1316
 
578
- describe 'test attribute "outpatient_facility"' do
1317
+ describe 'test attribute "non_preferred_brand_drugs"' do
579
1318
  it 'should work' do
580
1319
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
581
1320
  end
582
1321
  end
583
1322
 
584
- describe 'test attribute "outpatient_mental_health"' do
1323
+ describe 'test attribute "nonpreferred_generic_drug_share"' do
585
1324
  it 'should work' do
586
1325
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
587
1326
  end
588
1327
  end
589
1328
 
590
- describe 'test attribute "outpatient_physician"' do
1329
+ describe 'test attribute "nonpreferred_specialty_drug_share"' do
591
1330
  it 'should work' do
592
1331
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
593
1332
  end
594
1333
  end
595
1334
 
596
- describe 'test attribute "outpatient_substance"' do
1335
+ describe 'test attribute "off_market"' do
597
1336
  it 'should work' do
598
1337
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
599
1338
  end
600
1339
  end
601
1340
 
602
- describe 'test attribute "plan_market"' do
1341
+ describe 'test attribute "on_market"' do
603
1342
  it 'should work' do
604
1343
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
605
1344
  end
606
1345
  end
607
1346
 
608
- describe 'test attribute "preferred_brand_drugs"' do
1347
+ describe 'test attribute "out_of_network_coverage"' do
609
1348
  it 'should work' do
610
1349
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
611
1350
  end
612
1351
  end
613
1352
 
614
- describe 'test attribute "prenatal_postnatal_care"' do
1353
+ describe 'test attribute "out_of_network_ids"' do
615
1354
  it 'should work' do
616
1355
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
617
1356
  end
618
1357
  end
619
1358
 
620
- describe 'test attribute "preventative_care"' do
1359
+ describe 'test attribute "outpatient_ambulatory_care_center"' do
621
1360
  it 'should work' do
622
1361
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
623
1362
  end
624
1363
  end
625
1364
 
626
- describe 'test attribute "premium_subsidized"' do
1365
+ describe 'test attribute "outpatient_facility"' do
627
1366
  it 'should work' do
628
1367
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
629
1368
  end
630
1369
  end
631
1370
 
632
- describe 'test attribute "premium"' do
1371
+ describe 'test attribute "outpatient_mental_health"' do
633
1372
  it 'should work' do
634
1373
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
635
1374
  end
636
1375
  end
637
1376
 
638
- describe 'test attribute "premium_source"' do
1377
+ describe 'test attribute "outpatient_physician"' do
639
1378
  it 'should work' do
640
1379
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
641
1380
  end
642
1381
  end
643
1382
 
644
- describe 'test attribute "primary_care_physician"' do
1383
+ describe 'test attribute "outpatient_substance"' do
645
1384
  it 'should work' do
646
1385
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
647
1386
  end
648
1387
  end
649
1388
 
650
- describe 'test attribute "rehabilitation_services"' do
1389
+ describe 'test attribute "plan_calendar"' do
651
1390
  it 'should work' do
652
1391
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
653
1392
  end
654
1393
  end
655
1394
 
656
- describe 'test attribute "skilled_nursing"' do
1395
+ describe 'test attribute "plan_market"' do
657
1396
  it 'should work' do
658
1397
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
659
1398
  end
660
1399
  end
661
1400
 
662
- describe 'test attribute "specialist"' do
1401
+ describe 'test attribute "plan_type"' do
663
1402
  it 'should work' do
664
1403
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
665
1404
  end
666
1405
  end
667
1406
 
668
- describe 'test attribute "specialty_drugs"' do
1407
+ describe 'test attribute "postnatal_care"' do
669
1408
  it 'should work' do
670
1409
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
671
1410
  end
672
1411
  end
673
1412
 
674
- describe 'test attribute "urgent_care"' do
1413
+ describe 'test attribute "preferred_brand_drugs"' do
675
1414
  it 'should work' do
676
1415
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
677
1416
  end
678
1417
  end
679
1418
 
680
- describe 'test attribute "actuarial_value"' do
1419
+ describe 'test attribute "premium"' do
681
1420
  it 'should work' do
682
1421
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
683
1422
  end
684
1423
  end
685
1424
 
686
- describe 'test attribute "chiropractic_services"' do
1425
+ describe 'test attribute "premium_source"' do
687
1426
  it 'should work' do
688
1427
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
689
1428
  end
690
1429
  end
691
1430
 
692
- describe 'test attribute "coinsurance"' do
1431
+ describe 'test attribute "premium_subsidized"' do
693
1432
  it 'should work' do
694
1433
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
695
1434
  end
696
1435
  end
697
1436
 
698
- describe 'test attribute "embedded_deductible"' do
1437
+ describe 'test attribute "prenatal_care"' do
699
1438
  it 'should work' do
700
1439
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
701
1440
  end
702
1441
  end
703
1442
 
704
- describe 'test attribute "gated"' do
1443
+ describe 'test attribute "prenatal_postnatal_care"' do
705
1444
  it 'should work' do
706
1445
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
707
1446
  end
708
1447
  end
709
1448
 
710
- describe 'test attribute "imaging_center"' do
1449
+ describe 'test attribute "preventative_care"' do
711
1450
  it 'should work' do
712
1451
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
713
1452
  end
714
1453
  end
715
1454
 
716
- describe 'test attribute "imaging_physician"' do
1455
+ describe 'test attribute "primary_care_physician"' do
717
1456
  it 'should work' do
718
1457
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
719
1458
  end
720
1459
  end
721
1460
 
722
- describe 'test attribute "lab_test"' do
1461
+ describe 'test attribute "rehabilitation_services"' do
723
1462
  it 'should work' do
724
1463
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
725
1464
  end
726
1465
  end
727
1466
 
728
- describe 'test attribute "mail_order_rx"' do
1467
+ describe 'test attribute "service_area_id"' do
729
1468
  it 'should work' do
730
1469
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
731
1470
  end
732
1471
  end
733
1472
 
734
- describe 'test attribute "nonpreferred_generic_drug_share"' do
1473
+ describe 'test attribute "skilled_nursing"' do
735
1474
  it 'should work' do
736
1475
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
737
1476
  end
738
1477
  end
739
1478
 
740
- describe 'test attribute "nonpreferred_specialty_drug_share"' do
1479
+ describe 'test attribute "skilled_nursing_facility_365"' do
741
1480
  it 'should work' do
742
1481
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
743
1482
  end
744
1483
  end
745
1484
 
746
- describe 'test attribute "outpatient_ambulatory_care_center"' do
1485
+ describe 'test attribute "source"' do
747
1486
  it 'should work' do
748
1487
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
749
1488
  end
750
1489
  end
751
1490
 
752
- describe 'test attribute "plan_calendar"' do
1491
+ describe 'test attribute "specialist"' do
753
1492
  it 'should work' do
754
1493
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
755
1494
  end
756
1495
  end
757
1496
 
758
- describe 'test attribute "prenatal_care"' do
1497
+ describe 'test attribute "specialty_drugs"' do
759
1498
  it 'should work' do
760
1499
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
761
1500
  end
762
1501
  end
763
1502
 
764
- describe 'test attribute "postnatal_care"' do
1503
+ describe 'test attribute "type"' do
765
1504
  it 'should work' do
766
1505
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
767
1506
  end
768
1507
  end
769
1508
 
770
- describe 'test attribute "skilled_nursing_facility_365"' do
1509
+ describe 'test attribute "urgent_care"' do
771
1510
  it 'should work' do
772
1511
  # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
773
1512
  end