vericred_client 0.0.23 → 0.0.25

Sign up to get free protection for your applications and to get access to all the features.
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
@@ -198,332 +208,1058 @@ 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:
201
351
 
202
- OpenAPI spec version: 1.0.0
352
+ ```
353
+ B = Base Rate
354
+ f = Rate Factor Function 1
355
+ f' = Rate Factor Function 2
203
356
 
204
- Generated by: https://github.com/swagger-api/swagger-codegen.git
357
+ B * f(x) * f'(y) [* f''(z)] ... = n
358
+ ```
205
359
 
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
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.
209
362
 
210
- http://www.apache.org/licenses/LICENSE-2.0
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`.
211
364
 
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.
365
+ *Rating Areas do not apply to products other than [Major Medical](#header-major-medical)*
217
366
 
218
- =end
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.
219
369
 
220
- require 'date'
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`.
221
371
 
222
- module VericredClient
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).
223
373
 
224
- class ACAPlan
225
- # Name of the insurance carrier
226
- attr_accessor :carrier_name
374
+ # Quoting
227
375
 
228
- # Alternate name for the Plan
229
- attr_accessor :display_name
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:
230
377
 
231
- # Effective date of coverage.
232
- attr_accessor :effective_date
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.
233
383
 
234
- # Expiration date of coverage.
235
- attr_accessor :expiration_date
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.
236
386
 
237
- # List of identifiers of this Plan
238
- attr_accessor :identifiers
387
+ For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
239
388
 
240
- # Marketing name of the plan
241
- attr_accessor :name
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
+ }
242
399
 
243
- # List of Vericred-generated network_ids
244
- attr_accessor :network_ids
400
+ ```
245
401
 
246
- # Total number of Providers in network
247
- attr_accessor :network_size
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
+ ```
248
428
 
249
- # Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
250
- attr_accessor :plan_type
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.
251
431
 
252
- # Foreign key for service area
253
- attr_accessor :service_area_id
432
+ ### Plan Benefits
433
+ Plan Benefits are returned in the response for [Individual Quotes](#individualquotes)
434
+ ```
435
+ POST /plans/medical/search
436
+ {
437
+ ...
438
+ }
254
439
 
255
- # Source of the plan benefit data
256
- attr_accessor :source
440
+ Response:
441
+ {
442
+ "plans": [
443
+ {
444
+ ...
445
+ "individual_medical_deductible": "$5,000",
446
+ "family_medical_deductible": "$10,000"
447
+ ...
448
+ }
449
+
450
+ ]
451
+ }
257
452
 
258
- # The type of the Plan
259
- attr_accessor :type
453
+ ```
260
454
 
261
- # Does the plan provide dental coverage for adults?
262
- attr_accessor :adult_dental
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`
263
457
 
264
- # True if the plan allows dependents up to age 29
265
- attr_accessor :age29_rider
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.
266
460
 
267
- # Benefits string for ambulance coverage
268
- attr_accessor :ambulance
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.
269
463
 
270
- # Link to the summary of benefits and coverage (SBC) document.
271
- attr_accessor :benefits_summary_url
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
+ ```
272
474
 
273
- # Link to a location to purchase the plan.
274
- attr_accessor :buy_link
475
+ The amount that the family will pay after subsidy is returned in the `premium_subsidized` field for each plan.
275
476
 
276
- # Does the plan provide dental coverage for children?
277
- attr_accessor :child_dental
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.
278
479
 
279
- # Child eyewear benefits summary
280
- attr_accessor :child_eyewear
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)
281
486
 
282
- # Child eye exam benefits summary
283
- attr_accessor :child_eye_exam
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.
284
489
 
285
- # Phone number to contact the insurance carrier
286
- attr_accessor :customer_service_phone_number
490
+ If a family is eligible for CSR Plans, the Vericred API will return the relevant Plan in place of the non-CSR version.
287
491
 
288
- # Benefits summary for durable medical equipment
289
- attr_accessor :durable_medical_equipment
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
+ ```
290
502
 
291
- # Diagnostic tests benefit summary
292
- attr_accessor :diagnostic_test
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.
293
505
 
294
- # True if plan does not cover domestic partners
295
- attr_accessor :dp_rider
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
+ ```
296
538
 
297
- # Link to the summary of drug benefits for the plan
298
- attr_accessor :drug_formulary_url
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
+ ```
299
551
 
300
- # Description of costs when visiting the ER
301
- attr_accessor :emergency_room
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.
302
553
 
303
- # Deductible for drugs when a family is on the plan.
304
- attr_accessor :family_drug_deductible
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
+ ```
305
580
 
306
- # Maximum out-of-pocket for drugs when a family is on the plan
307
- attr_accessor :family_drug_moop
581
+ Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Dental Quotes](#dentalquotes) require `gender`, but *do not* require `smoker`.
308
582
 
309
- # Deductible when a family is on the plan
310
- attr_accessor :family_medical_deductible
583
+ Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Dental Quotes](#dentalquotes).
311
584
 
312
- # Maximum out-of-pocket when a family is on the plan
313
- attr_accessor :family_medical_moop
585
+ ### Vision Quotes
314
586
 
315
- # True if plan does not cover family planning
316
- attr_accessor :fp_rider
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
+ ```
317
612
 
318
- # Cost for generic drugs
319
- attr_accessor :generic_drugs
613
+ Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Vision Quotes](#visionquotes) require `gender`, but *do not* require `smoker`.
320
614
 
321
- # Habilitation services benefits summary
322
- attr_accessor :habilitation_services
615
+ Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Vision Quotes](#visionquotes).
323
616
 
324
- #
325
- attr_accessor :hios_issuer_id
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.
326
619
 
327
- # Home health care benefits summary
328
- attr_accessor :home_health_care
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.
329
621
 
330
- # Hospice service benefits summary
331
- attr_accessor :hospice_service
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.
332
624
 
333
- # Is the plan HSA eligible?
334
- attr_accessor :hsa_eligible
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`
335
627
 
336
- # Government-issued HIOS plan ID
337
- attr_accessor :id
628
+ Full documentation is available [below](#groupscreate)
338
629
 
339
- # Benefits summary for imaging coverage
340
- attr_accessor :imaging
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.
341
632
 
342
- # Deductible for drugs when an individual is on the plan
343
- attr_accessor :individual_drug_deductible
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
+ ```
344
650
 
345
- # Maximum out-of-pocket for drugs when an individual is on the plan
346
- attr_accessor :individual_drug_moop
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`
347
673
 
348
- # Deductible when an individual is on the plan
349
- attr_accessor :individual_medical_deductible
674
+ ```
675
+ POST
350
676
 
351
- # Maximum out-of-pocket when an individual is on the plan
352
- attr_accessor :individual_medical_moop
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
+ }
353
702
 
354
- # Inpatient birth benefits summary
355
- attr_accessor :inpatient_birth
703
+ ```
356
704
 
357
- # Cost under the plan for an inpatient facility
358
- attr_accessor :inpatient_facility
705
+ ### Creating a Quote
706
+ Once the [Census](#header-specifying-the-census) has been created, we can generate a `Quote` for the `Group`.
359
707
 
360
- # Inpatient mental helath benefits summary
361
- attr_accessor :inpatient_mental_health
708
+ #### Major Medical Quotes
709
+ To generate a [Major Medical](#header-major-medical) Quote, specify the `product_line` of `Quote` as `medical`
362
710
 
363
- # Cost under the plan for an inpatient physician
364
- attr_accessor :inpatient_physician
711
+ ```
712
+ POST /groups/{id}/quotes
713
+ {
714
+ ...
715
+ "product_line": "medical"
716
+ ...
717
+ }
718
+ ```
365
719
 
366
- # Inpatient substance abuse benefits summary
367
- attr_accessor :inpatient_substance
720
+ #### Dental Quotes
721
+ To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
368
722
 
369
- # List of NPI numbers for Providers passed in who accept this Plan
370
- attr_accessor :in_network_ids
723
+ ```
724
+ POST /groups/{id}/quotes
725
+ {
726
+ ...
727
+ "product_line": "dental"
728
+ ...
729
+ }
730
+ ```
371
731
 
372
- # Plan metal grouping (e.g. platinum, gold, silver, etc)
373
- attr_accessor :level
732
+ #### Vision Quotes
733
+ To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
374
734
 
375
- # Link to a copy of the insurance carrier's logo
376
- attr_accessor :logo_url
735
+ ```
736
+ POST /groups/{id}/quotes
737
+ {
738
+ ...
739
+ "product_line": "vision"
740
+ ...
741
+ }
742
+ ```
377
743
 
378
- # Cost under the plan for non-preferred brand drugs
379
- attr_accessor :non_preferred_brand_drugs
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.
380
746
 
381
- # Is the plan on-market?
382
- attr_accessor :on_market
747
+ ```
748
+ GET /quotes/{id}/rates
383
749
 
384
- # Is the plan off-market?
385
- attr_accessor :off_market
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
+ ```
386
765
 
387
- # Does this plan provide any out of network coverage?
388
- attr_accessor :out_of_network_coverage
389
766
 
390
- # List of NPI numbers for Providers passed in who do not accept this Plan
391
- attr_accessor :out_of_network_ids
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:
392
769
 
393
- # Benefits summary for outpatient facility coverage
394
- attr_accessor :outpatient_facility
770
+ Loading the [Plan](#header-plans) from the API:
771
+ ```
772
+ GET /plans/{id}
395
773
 
396
- # Benefits summary for outpatient mental health coverage
397
- attr_accessor :outpatient_mental_health
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`.
398
790
 
399
- # Benefits summary for outpatient physician coverage
400
- attr_accessor :outpatient_physician
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`.
401
793
 
402
- # Outpatient substance abuse benefits summary
403
- attr_accessor :outpatient_substance
794
+ ```
795
+ GET /rates/{id}/member_rates
404
796
 
405
- # Market in which the plan is offered (on_marketplace, shop, etc)
406
- attr_accessor :plan_market
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
+ }
407
812
 
408
- # Cost under the plan for perferred brand drugs
409
- attr_accessor :preferred_brand_drugs
813
+ ```
410
814
 
411
- # Inpatient substance abuse benefits summary
412
- attr_accessor :prenatal_postnatal_care
815
+ Note that *all* `MemberRate`s are for one particular [Plan](#header-plans) - the one referenced by the parent [Rate](#header-rates).
413
816
 
414
- # Benefits summary for preventative care
415
- attr_accessor :preventative_care
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.
416
819
 
417
- # Cumulative premium amount after subsidy
418
- attr_accessor :premium_subsidized
820
+ These rules are applied transparently during the [Quoting](#header-quoting) process and *do not* require any additional action or input on your part.
419
821
 
420
- # Cumulative premium amount
421
- attr_accessor :premium
822
+ For a full accounting of Business Rules and a list of Carriers whose Business Rules are applied, please contact support@vericred.com
422
823
 
423
- # Source of the base pricing data
424
- attr_accessor :premium_source
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:
425
826
 
426
- # Cost under the plan to visit a Primary Care Physician
427
- attr_accessor :primary_care_physician
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.
428
832
 
429
- # Benefits summary for rehabilitation services
430
- attr_accessor :rehabilitation_services
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.
431
843
 
432
- # Benefits summary for skilled nursing services
433
- attr_accessor :skilled_nursing
844
+ # Network and Provider Data
434
845
 
435
- # Cost under the plan to visit a specialist
436
- attr_accessor :specialist
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.
437
847
 
438
- # Cost under the plan for specialty drugs
439
- attr_accessor :specialty_drugs
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.
440
849
 
441
- # Benefits summary for urgent care
442
- attr_accessor :urgent_care
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`
443
851
 
444
- # Percentage of total average costs for covered benefits that a plan will cover.
445
- attr_accessor :actuarial_value
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:
446
854
 
447
- # Chiropractic services benefits summary
448
- attr_accessor :chiropractic_services
855
+ ```
856
+ POST /providers/search
857
+ {
858
+ "search_term": "foo",
859
+ "zip_code": "11201"
860
+ }
861
+ ```
449
862
 
450
- # Standard cost share for most benefits
451
- attr_accessor :coinsurance
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
+
940
+
941
+ OpenAPI spec version: 1.0.0
942
+
943
+ Generated by: https://github.com/swagger-api/swagger-codegen.git
944
+
945
+ Licensed under the Apache License, Version 2.0 (the "License");
946
+ you may not use this file except in compliance with the License.
947
+ You may obtain a copy of the License at
948
+
949
+ http://www.apache.org/licenses/LICENSE-2.0
950
+
951
+ Unless required by applicable law or agreed to in writing, software
952
+ distributed under the License is distributed on an "AS IS" BASIS,
953
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
954
+ See the License for the specific language governing permissions and
955
+ limitations under the License.
956
+
957
+ =end
958
+
959
+ require 'date'
960
+
961
+ module VericredClient
962
+
963
+ class ACAPlan
964
+ # Percentage of total average costs for covered benefits that a plan will cover.
965
+ attr_accessor :actuarial_value
966
+
967
+ # Does the plan provide dental coverage for adults?
968
+ attr_accessor :adult_dental
969
+
970
+ # True if the plan allows dependents up to age 29
971
+ attr_accessor :age29_rider
972
+
973
+ # Benefits string for ambulance coverage
974
+ attr_accessor :ambulance
975
+
976
+ # Link to the summary of benefits and coverage (SBC) document.
977
+ attr_accessor :benefits_summary_url
978
+
979
+ # Link to a location to purchase the plan.
980
+ attr_accessor :buy_link
981
+
982
+ # Name of the insurance carrier
983
+ attr_accessor :carrier_name
984
+
985
+ # Does the plan provide dental coverage for children?
986
+ attr_accessor :child_dental
987
+
988
+ # Child eye exam benefits summary
989
+ attr_accessor :child_eye_exam
990
+
991
+ # Child eyewear benefits summary
992
+ attr_accessor :child_eyewear
993
+
994
+ # Chiropractic services benefits summary
995
+ attr_accessor :chiropractic_services
996
+
997
+ # Standard cost share for most benefits
998
+ attr_accessor :coinsurance
999
+
1000
+ # Phone number to contact the insurance carrier
1001
+ attr_accessor :customer_service_phone_number
1002
+
1003
+ # Diagnostic tests benefit summary
1004
+ attr_accessor :diagnostic_test
1005
+
1006
+ # Alternate name for the Plan
1007
+ attr_accessor :display_name
1008
+
1009
+ # True if plan does not cover domestic partners
1010
+ attr_accessor :dp_rider
1011
+
1012
+ # Link to the summary of drug benefits for the plan
1013
+ attr_accessor :drug_formulary_url
1014
+
1015
+ # Benefits summary for durable medical equipment
1016
+ attr_accessor :durable_medical_equipment
1017
+
1018
+ # Effective date of coverage.
1019
+ attr_accessor :effective_date
452
1020
 
453
1021
  # Is the individual deductible for each covered person, embedded in the family deductible
454
1022
  attr_accessor :embedded_deductible
455
1023
 
1024
+ # Description of costs when visiting the ER
1025
+ attr_accessor :emergency_room
1026
+
1027
+ # Expiration date of coverage.
1028
+ attr_accessor :expiration_date
1029
+
1030
+ # Deductible for drugs when a family is on the plan.
1031
+ attr_accessor :family_drug_deductible
1032
+
1033
+ # Maximum out-of-pocket for drugs when a family is on the plan
1034
+ attr_accessor :family_drug_moop
1035
+
1036
+ # Deductible when a family is on the plan
1037
+ attr_accessor :family_medical_deductible
1038
+
1039
+ # Maximum out-of-pocket when a family is on the plan
1040
+ attr_accessor :family_medical_moop
1041
+
1042
+ # True if plan does not cover family planning
1043
+ attr_accessor :fp_rider
1044
+
456
1045
  # Does the plan's network require a physician referral?
457
1046
  attr_accessor :gated
458
1047
 
1048
+ # Cost for generic drugs
1049
+ attr_accessor :generic_drugs
1050
+
1051
+ # Habilitation services benefits summary
1052
+ attr_accessor :habilitation_services
1053
+
1054
+ #
1055
+ attr_accessor :hios_issuer_id
1056
+
1057
+ # Home health care benefits summary
1058
+ attr_accessor :home_health_care
1059
+
1060
+ # Hospice service benefits summary
1061
+ attr_accessor :hospice_service
1062
+
1063
+ # Is the plan HSA eligible?
1064
+ attr_accessor :hsa_eligible
1065
+
1066
+ # Government-issued HIOS plan ID
1067
+ attr_accessor :id
1068
+
1069
+ # List of identifiers of this Plan
1070
+ attr_accessor :identifiers
1071
+
1072
+ # Benefits summary for imaging coverage
1073
+ attr_accessor :imaging
1074
+
459
1075
  # Imaging center benefits summary
460
1076
  attr_accessor :imaging_center
461
1077
 
462
1078
  # Imaging physician benefits summary
463
1079
  attr_accessor :imaging_physician
464
1080
 
1081
+ # List of NPI numbers for Providers passed in who accept this Plan
1082
+ attr_accessor :in_network_ids
1083
+
1084
+ # Deductible for drugs when an individual is on the plan
1085
+ attr_accessor :individual_drug_deductible
1086
+
1087
+ # Maximum out-of-pocket for drugs when an individual is on the plan
1088
+ attr_accessor :individual_drug_moop
1089
+
1090
+ # Deductible when an individual is on the plan
1091
+ attr_accessor :individual_medical_deductible
1092
+
1093
+ # Maximum out-of-pocket when an individual is on the plan
1094
+ attr_accessor :individual_medical_moop
1095
+
1096
+ # Inpatient birth benefits summary
1097
+ attr_accessor :inpatient_birth
1098
+
1099
+ # Cost under the plan for an inpatient facility
1100
+ attr_accessor :inpatient_facility
1101
+
1102
+ # Inpatient mental helath benefits summary
1103
+ attr_accessor :inpatient_mental_health
1104
+
1105
+ # Cost under the plan for an inpatient physician
1106
+ attr_accessor :inpatient_physician
1107
+
1108
+ # Inpatient substance abuse benefits summary
1109
+ attr_accessor :inpatient_substance
1110
+
465
1111
  # Lab test benefits summary
466
1112
  attr_accessor :lab_test
467
1113
 
1114
+ # Plan metal grouping (e.g. platinum, gold, silver, etc)
1115
+ attr_accessor :level
1116
+
1117
+ # Link to a copy of the insurance carrier's logo
1118
+ attr_accessor :logo_url
1119
+
468
1120
  # Multiple of the standard Rx cost share for orders filled via mail order
469
1121
  attr_accessor :mail_order_rx
470
1122
 
1123
+ # Marketing name of the plan
1124
+ attr_accessor :name
1125
+
1126
+ # List of Vericred-generated network_ids
1127
+ attr_accessor :network_ids
1128
+
1129
+ # Total number of Providers in network
1130
+ attr_accessor :network_size
1131
+
1132
+ # Cost under the plan for non-preferred brand drugs
1133
+ attr_accessor :non_preferred_brand_drugs
1134
+
471
1135
  # Non-preferred generic drugs benefits summary
472
1136
  attr_accessor :nonpreferred_generic_drug_share
473
1137
 
474
1138
  # Non-preferred specialty drugs benefits summary
475
1139
  attr_accessor :nonpreferred_specialty_drug_share
476
1140
 
1141
+ # Is the plan off-market?
1142
+ attr_accessor :off_market
1143
+
1144
+ # Is the plan on-market?
1145
+ attr_accessor :on_market
1146
+
1147
+ # Does this plan provide any out of network coverage?
1148
+ attr_accessor :out_of_network_coverage
1149
+
1150
+ # List of NPI numbers for Providers passed in who do not accept this Plan
1151
+ attr_accessor :out_of_network_ids
1152
+
477
1153
  # Outpatient ambulatory care center benefits summary
478
1154
  attr_accessor :outpatient_ambulatory_care_center
479
1155
 
480
- # Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")?
1156
+ # Benefits summary for outpatient facility coverage
1157
+ attr_accessor :outpatient_facility
1158
+
1159
+ # Benefits summary for outpatient mental health coverage
1160
+ attr_accessor :outpatient_mental_health
1161
+
1162
+ # Benefits summary for outpatient physician coverage
1163
+ attr_accessor :outpatient_physician
1164
+
1165
+ # Outpatient substance abuse benefits summary
1166
+ attr_accessor :outpatient_substance
1167
+
1168
+ # Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 day(s) after enrollment date (\"plan year\"), or are both options available (\"both\")?
481
1169
  attr_accessor :plan_calendar
482
1170
 
483
- # Prenatal care benefits summary
484
- attr_accessor :prenatal_care
1171
+ # Market in which the plan is offered (on_marketplace, shop, etc)
1172
+ attr_accessor :plan_market
1173
+
1174
+ # Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
1175
+ attr_accessor :plan_type
485
1176
 
486
1177
  # Post-natal care benefits summary
487
1178
  attr_accessor :postnatal_care
488
1179
 
1180
+ # Cost under the plan for perferred brand drugs
1181
+ attr_accessor :preferred_brand_drugs
1182
+
1183
+ # Cumulative premium amount
1184
+ attr_accessor :premium
1185
+
1186
+ # Source of the base pricing data
1187
+ attr_accessor :premium_source
1188
+
1189
+ # Cumulative premium amount after subsidy
1190
+ attr_accessor :premium_subsidized
1191
+
1192
+ # Prenatal care benefits summary
1193
+ attr_accessor :prenatal_care
1194
+
1195
+ # Inpatient substance abuse benefits summary
1196
+ attr_accessor :prenatal_postnatal_care
1197
+
1198
+ # Benefits summary for preventative care
1199
+ attr_accessor :preventative_care
1200
+
1201
+ # Cost under the plan to visit a Primary Care Physician
1202
+ attr_accessor :primary_care_physician
1203
+
1204
+ # Benefits summary for rehabilitation services
1205
+ attr_accessor :rehabilitation_services
1206
+
1207
+ # Foreign key for service area
1208
+ attr_accessor :service_area_id
1209
+
1210
+ # Benefits summary for skilled nursing services
1211
+ attr_accessor :skilled_nursing
1212
+
489
1213
  # Does the plan cover full-time, year-round, nursing facilities?
490
1214
  attr_accessor :skilled_nursing_facility_365
491
1215
 
1216
+ # Source of the plan benefit data
1217
+ attr_accessor :source
1218
+
1219
+ # Cost under the plan to visit a specialist
1220
+ attr_accessor :specialist
1221
+
1222
+ # Cost under the plan for specialty drugs
1223
+ attr_accessor :specialty_drugs
1224
+
1225
+ # The type of the Plan
1226
+ attr_accessor :type
1227
+
1228
+ # Benefits summary for urgent care
1229
+ attr_accessor :urgent_care
1230
+
492
1231
 
493
1232
  # Attribute mapping from ruby-style variable name to JSON key.
494
1233
  def self.attribute_map
495
1234
  {
496
- :'carrier_name' => :'carrier_name',
497
- :'display_name' => :'display_name',
498
- :'effective_date' => :'effective_date',
499
- :'expiration_date' => :'expiration_date',
500
- :'identifiers' => :'identifiers',
501
- :'name' => :'name',
502
- :'network_ids' => :'network_ids',
503
- :'network_size' => :'network_size',
504
- :'plan_type' => :'plan_type',
505
- :'service_area_id' => :'service_area_id',
506
- :'source' => :'source',
507
- :'type' => :'type',
1235
+ :'actuarial_value' => :'actuarial_value',
508
1236
  :'adult_dental' => :'adult_dental',
509
1237
  :'age29_rider' => :'age29_rider',
510
1238
  :'ambulance' => :'ambulance',
511
1239
  :'benefits_summary_url' => :'benefits_summary_url',
512
1240
  :'buy_link' => :'buy_link',
1241
+ :'carrier_name' => :'carrier_name',
513
1242
  :'child_dental' => :'child_dental',
514
- :'child_eyewear' => :'child_eyewear',
515
1243
  :'child_eye_exam' => :'child_eye_exam',
1244
+ :'child_eyewear' => :'child_eyewear',
1245
+ :'chiropractic_services' => :'chiropractic_services',
1246
+ :'coinsurance' => :'coinsurance',
516
1247
  :'customer_service_phone_number' => :'customer_service_phone_number',
517
- :'durable_medical_equipment' => :'durable_medical_equipment',
518
1248
  :'diagnostic_test' => :'diagnostic_test',
1249
+ :'display_name' => :'display_name',
519
1250
  :'dp_rider' => :'dp_rider',
520
1251
  :'drug_formulary_url' => :'drug_formulary_url',
1252
+ :'durable_medical_equipment' => :'durable_medical_equipment',
1253
+ :'effective_date' => :'effective_date',
1254
+ :'embedded_deductible' => :'embedded_deductible',
521
1255
  :'emergency_room' => :'emergency_room',
1256
+ :'expiration_date' => :'expiration_date',
522
1257
  :'family_drug_deductible' => :'family_drug_deductible',
523
1258
  :'family_drug_moop' => :'family_drug_moop',
524
1259
  :'family_medical_deductible' => :'family_medical_deductible',
525
1260
  :'family_medical_moop' => :'family_medical_moop',
526
1261
  :'fp_rider' => :'fp_rider',
1262
+ :'gated' => :'gated',
527
1263
  :'generic_drugs' => :'generic_drugs',
528
1264
  :'habilitation_services' => :'habilitation_services',
529
1265
  :'hios_issuer_id' => :'hios_issuer_id',
@@ -531,7 +1267,11 @@ module VericredClient
531
1267
  :'hospice_service' => :'hospice_service',
532
1268
  :'hsa_eligible' => :'hsa_eligible',
533
1269
  :'id' => :'id',
1270
+ :'identifiers' => :'identifiers',
534
1271
  :'imaging' => :'imaging',
1272
+ :'imaging_center' => :'imaging_center',
1273
+ :'imaging_physician' => :'imaging_physician',
1274
+ :'in_network_ids' => :'in_network_ids',
535
1275
  :'individual_drug_deductible' => :'individual_drug_deductible',
536
1276
  :'individual_drug_moop' => :'individual_drug_moop',
537
1277
  :'individual_medical_deductible' => :'individual_medical_deductible',
@@ -541,84 +1281,80 @@ module VericredClient
541
1281
  :'inpatient_mental_health' => :'inpatient_mental_health',
542
1282
  :'inpatient_physician' => :'inpatient_physician',
543
1283
  :'inpatient_substance' => :'inpatient_substance',
544
- :'in_network_ids' => :'in_network_ids',
1284
+ :'lab_test' => :'lab_test',
545
1285
  :'level' => :'level',
546
1286
  :'logo_url' => :'logo_url',
1287
+ :'mail_order_rx' => :'mail_order_rx',
1288
+ :'name' => :'name',
1289
+ :'network_ids' => :'network_ids',
1290
+ :'network_size' => :'network_size',
547
1291
  :'non_preferred_brand_drugs' => :'non_preferred_brand_drugs',
548
- :'on_market' => :'on_market',
1292
+ :'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
1293
+ :'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
549
1294
  :'off_market' => :'off_market',
1295
+ :'on_market' => :'on_market',
550
1296
  :'out_of_network_coverage' => :'out_of_network_coverage',
551
1297
  :'out_of_network_ids' => :'out_of_network_ids',
1298
+ :'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
552
1299
  :'outpatient_facility' => :'outpatient_facility',
553
1300
  :'outpatient_mental_health' => :'outpatient_mental_health',
554
1301
  :'outpatient_physician' => :'outpatient_physician',
555
1302
  :'outpatient_substance' => :'outpatient_substance',
1303
+ :'plan_calendar' => :'plan_calendar',
556
1304
  :'plan_market' => :'plan_market',
1305
+ :'plan_type' => :'plan_type',
1306
+ :'postnatal_care' => :'postnatal_care',
557
1307
  :'preferred_brand_drugs' => :'preferred_brand_drugs',
558
- :'prenatal_postnatal_care' => :'prenatal_postnatal_care',
559
- :'preventative_care' => :'preventative_care',
560
- :'premium_subsidized' => :'premium_subsidized',
561
1308
  :'premium' => :'premium',
562
1309
  :'premium_source' => :'premium_source',
1310
+ :'premium_subsidized' => :'premium_subsidized',
1311
+ :'prenatal_care' => :'prenatal_care',
1312
+ :'prenatal_postnatal_care' => :'prenatal_postnatal_care',
1313
+ :'preventative_care' => :'preventative_care',
563
1314
  :'primary_care_physician' => :'primary_care_physician',
564
1315
  :'rehabilitation_services' => :'rehabilitation_services',
1316
+ :'service_area_id' => :'service_area_id',
565
1317
  :'skilled_nursing' => :'skilled_nursing',
1318
+ :'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
1319
+ :'source' => :'source',
566
1320
  :'specialist' => :'specialist',
567
1321
  :'specialty_drugs' => :'specialty_drugs',
568
- :'urgent_care' => :'urgent_care',
569
- :'actuarial_value' => :'actuarial_value',
570
- :'chiropractic_services' => :'chiropractic_services',
571
- :'coinsurance' => :'coinsurance',
572
- :'embedded_deductible' => :'embedded_deductible',
573
- :'gated' => :'gated',
574
- :'imaging_center' => :'imaging_center',
575
- :'imaging_physician' => :'imaging_physician',
576
- :'lab_test' => :'lab_test',
577
- :'mail_order_rx' => :'mail_order_rx',
578
- :'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
579
- :'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
580
- :'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
581
- :'plan_calendar' => :'plan_calendar',
582
- :'prenatal_care' => :'prenatal_care',
583
- :'postnatal_care' => :'postnatal_care',
584
- :'skilled_nursing_facility_365' => :'skilled_nursing_facility_365'
1322
+ :'type' => :'type',
1323
+ :'urgent_care' => :'urgent_care'
585
1324
  }
586
1325
  end
587
1326
 
588
1327
  # Attribute type mapping.
589
1328
  def self.swagger_types
590
1329
  {
591
- :'carrier_name' => :'String',
592
- :'display_name' => :'String',
593
- :'effective_date' => :'String',
594
- :'expiration_date' => :'String',
595
- :'identifiers' => :'Array<PlanIdentifier>',
596
- :'name' => :'String',
597
- :'network_ids' => :'Array<Integer>',
598
- :'network_size' => :'Integer',
599
- :'plan_type' => :'String',
600
- :'service_area_id' => :'String',
601
- :'source' => :'String',
602
- :'type' => :'String',
1330
+ :'actuarial_value' => :'Float',
603
1331
  :'adult_dental' => :'BOOLEAN',
604
1332
  :'age29_rider' => :'BOOLEAN',
605
1333
  :'ambulance' => :'String',
606
1334
  :'benefits_summary_url' => :'String',
607
1335
  :'buy_link' => :'String',
1336
+ :'carrier_name' => :'String',
608
1337
  :'child_dental' => :'BOOLEAN',
609
- :'child_eyewear' => :'String',
610
1338
  :'child_eye_exam' => :'String',
1339
+ :'child_eyewear' => :'String',
1340
+ :'chiropractic_services' => :'String',
1341
+ :'coinsurance' => :'Float',
611
1342
  :'customer_service_phone_number' => :'String',
612
- :'durable_medical_equipment' => :'String',
613
1343
  :'diagnostic_test' => :'String',
1344
+ :'display_name' => :'String',
614
1345
  :'dp_rider' => :'BOOLEAN',
615
1346
  :'drug_formulary_url' => :'String',
1347
+ :'durable_medical_equipment' => :'String',
1348
+ :'effective_date' => :'String',
1349
+ :'embedded_deductible' => :'String',
616
1350
  :'emergency_room' => :'String',
1351
+ :'expiration_date' => :'String',
617
1352
  :'family_drug_deductible' => :'String',
618
1353
  :'family_drug_moop' => :'String',
619
1354
  :'family_medical_deductible' => :'String',
620
1355
  :'family_medical_moop' => :'String',
621
1356
  :'fp_rider' => :'BOOLEAN',
1357
+ :'gated' => :'BOOLEAN',
622
1358
  :'generic_drugs' => :'String',
623
1359
  :'habilitation_services' => :'String',
624
1360
  :'hios_issuer_id' => :'String',
@@ -626,7 +1362,11 @@ module VericredClient
626
1362
  :'hospice_service' => :'String',
627
1363
  :'hsa_eligible' => :'BOOLEAN',
628
1364
  :'id' => :'String',
1365
+ :'identifiers' => :'Array<PlanIdentifier>',
629
1366
  :'imaging' => :'String',
1367
+ :'imaging_center' => :'String',
1368
+ :'imaging_physician' => :'String',
1369
+ :'in_network_ids' => :'Array<Integer>',
630
1370
  :'individual_drug_deductible' => :'String',
631
1371
  :'individual_drug_moop' => :'String',
632
1372
  :'individual_medical_deductible' => :'String',
@@ -636,47 +1376,46 @@ module VericredClient
636
1376
  :'inpatient_mental_health' => :'String',
637
1377
  :'inpatient_physician' => :'String',
638
1378
  :'inpatient_substance' => :'String',
639
- :'in_network_ids' => :'Array<Integer>',
1379
+ :'lab_test' => :'String',
640
1380
  :'level' => :'String',
641
1381
  :'logo_url' => :'String',
1382
+ :'mail_order_rx' => :'Float',
1383
+ :'name' => :'String',
1384
+ :'network_ids' => :'Array<Integer>',
1385
+ :'network_size' => :'Integer',
642
1386
  :'non_preferred_brand_drugs' => :'String',
643
- :'on_market' => :'BOOLEAN',
1387
+ :'nonpreferred_generic_drug_share' => :'String',
1388
+ :'nonpreferred_specialty_drug_share' => :'String',
644
1389
  :'off_market' => :'BOOLEAN',
1390
+ :'on_market' => :'BOOLEAN',
645
1391
  :'out_of_network_coverage' => :'BOOLEAN',
646
1392
  :'out_of_network_ids' => :'Array<Integer>',
1393
+ :'outpatient_ambulatory_care_center' => :'String',
647
1394
  :'outpatient_facility' => :'String',
648
1395
  :'outpatient_mental_health' => :'String',
649
1396
  :'outpatient_physician' => :'String',
650
1397
  :'outpatient_substance' => :'String',
1398
+ :'plan_calendar' => :'String',
651
1399
  :'plan_market' => :'String',
1400
+ :'plan_type' => :'String',
1401
+ :'postnatal_care' => :'String',
652
1402
  :'preferred_brand_drugs' => :'String',
653
- :'prenatal_postnatal_care' => :'String',
654
- :'preventative_care' => :'String',
655
- :'premium_subsidized' => :'Float',
656
1403
  :'premium' => :'Float',
657
1404
  :'premium_source' => :'String',
1405
+ :'premium_subsidized' => :'Float',
1406
+ :'prenatal_care' => :'String',
1407
+ :'prenatal_postnatal_care' => :'String',
1408
+ :'preventative_care' => :'String',
658
1409
  :'primary_care_physician' => :'String',
659
1410
  :'rehabilitation_services' => :'String',
1411
+ :'service_area_id' => :'String',
660
1412
  :'skilled_nursing' => :'String',
1413
+ :'skilled_nursing_facility_365' => :'String',
1414
+ :'source' => :'String',
661
1415
  :'specialist' => :'String',
662
1416
  :'specialty_drugs' => :'String',
663
- :'urgent_care' => :'String',
664
- :'actuarial_value' => :'Float',
665
- :'chiropractic_services' => :'String',
666
- :'coinsurance' => :'Float',
667
- :'embedded_deductible' => :'String',
668
- :'gated' => :'BOOLEAN',
669
- :'imaging_center' => :'String',
670
- :'imaging_physician' => :'String',
671
- :'lab_test' => :'String',
672
- :'mail_order_rx' => :'Float',
673
- :'nonpreferred_generic_drug_share' => :'String',
674
- :'nonpreferred_specialty_drug_share' => :'String',
675
- :'outpatient_ambulatory_care_center' => :'String',
676
- :'plan_calendar' => :'String',
677
- :'prenatal_care' => :'String',
678
- :'postnatal_care' => :'String',
679
- :'skilled_nursing_facility_365' => :'String'
1417
+ :'type' => :'String',
1418
+ :'urgent_care' => :'String'
680
1419
  }
681
1420
  end
682
1421
 
@@ -688,56 +1427,8 @@ module VericredClient
688
1427
  # convert string to symbol for hash key
689
1428
  attributes = attributes.each_with_object({}){|(k,v), h| h[k.to_sym] = v}
690
1429
 
691
- if attributes.has_key?(:'carrier_name')
692
- self.carrier_name = attributes[:'carrier_name']
693
- end
694
-
695
- if attributes.has_key?(:'display_name')
696
- self.display_name = attributes[:'display_name']
697
- end
698
-
699
- if attributes.has_key?(:'effective_date')
700
- self.effective_date = attributes[:'effective_date']
701
- end
702
-
703
- if attributes.has_key?(:'expiration_date')
704
- self.expiration_date = attributes[:'expiration_date']
705
- end
706
-
707
- if attributes.has_key?(:'identifiers')
708
- if (value = attributes[:'identifiers']).is_a?(Array)
709
- self.identifiers = value
710
- end
711
- end
712
-
713
- if attributes.has_key?(:'name')
714
- self.name = attributes[:'name']
715
- end
716
-
717
- if attributes.has_key?(:'network_ids')
718
- if (value = attributes[:'network_ids']).is_a?(Array)
719
- self.network_ids = value
720
- end
721
- end
722
-
723
- if attributes.has_key?(:'network_size')
724
- self.network_size = attributes[:'network_size']
725
- end
726
-
727
- if attributes.has_key?(:'plan_type')
728
- self.plan_type = attributes[:'plan_type']
729
- end
730
-
731
- if attributes.has_key?(:'service_area_id')
732
- self.service_area_id = attributes[:'service_area_id']
733
- end
734
-
735
- if attributes.has_key?(:'source')
736
- self.source = attributes[:'source']
737
- end
738
-
739
- if attributes.has_key?(:'type')
740
- self.type = attributes[:'type']
1430
+ if attributes.has_key?(:'actuarial_value')
1431
+ self.actuarial_value = attributes[:'actuarial_value']
741
1432
  end
742
1433
 
743
1434
  if attributes.has_key?(:'adult_dental')
@@ -760,30 +1451,42 @@ module VericredClient
760
1451
  self.buy_link = attributes[:'buy_link']
761
1452
  end
762
1453
 
1454
+ if attributes.has_key?(:'carrier_name')
1455
+ self.carrier_name = attributes[:'carrier_name']
1456
+ end
1457
+
763
1458
  if attributes.has_key?(:'child_dental')
764
1459
  self.child_dental = attributes[:'child_dental']
765
1460
  end
766
1461
 
1462
+ if attributes.has_key?(:'child_eye_exam')
1463
+ self.child_eye_exam = attributes[:'child_eye_exam']
1464
+ end
1465
+
767
1466
  if attributes.has_key?(:'child_eyewear')
768
1467
  self.child_eyewear = attributes[:'child_eyewear']
769
1468
  end
770
1469
 
771
- if attributes.has_key?(:'child_eye_exam')
772
- self.child_eye_exam = attributes[:'child_eye_exam']
1470
+ if attributes.has_key?(:'chiropractic_services')
1471
+ self.chiropractic_services = attributes[:'chiropractic_services']
773
1472
  end
774
1473
 
775
- if attributes.has_key?(:'customer_service_phone_number')
776
- self.customer_service_phone_number = attributes[:'customer_service_phone_number']
1474
+ if attributes.has_key?(:'coinsurance')
1475
+ self.coinsurance = attributes[:'coinsurance']
777
1476
  end
778
1477
 
779
- if attributes.has_key?(:'durable_medical_equipment')
780
- self.durable_medical_equipment = attributes[:'durable_medical_equipment']
1478
+ if attributes.has_key?(:'customer_service_phone_number')
1479
+ self.customer_service_phone_number = attributes[:'customer_service_phone_number']
781
1480
  end
782
1481
 
783
1482
  if attributes.has_key?(:'diagnostic_test')
784
1483
  self.diagnostic_test = attributes[:'diagnostic_test']
785
1484
  end
786
1485
 
1486
+ if attributes.has_key?(:'display_name')
1487
+ self.display_name = attributes[:'display_name']
1488
+ end
1489
+
787
1490
  if attributes.has_key?(:'dp_rider')
788
1491
  self.dp_rider = attributes[:'dp_rider']
789
1492
  end
@@ -792,10 +1495,26 @@ module VericredClient
792
1495
  self.drug_formulary_url = attributes[:'drug_formulary_url']
793
1496
  end
794
1497
 
1498
+ if attributes.has_key?(:'durable_medical_equipment')
1499
+ self.durable_medical_equipment = attributes[:'durable_medical_equipment']
1500
+ end
1501
+
1502
+ if attributes.has_key?(:'effective_date')
1503
+ self.effective_date = attributes[:'effective_date']
1504
+ end
1505
+
1506
+ if attributes.has_key?(:'embedded_deductible')
1507
+ self.embedded_deductible = attributes[:'embedded_deductible']
1508
+ end
1509
+
795
1510
  if attributes.has_key?(:'emergency_room')
796
1511
  self.emergency_room = attributes[:'emergency_room']
797
1512
  end
798
1513
 
1514
+ if attributes.has_key?(:'expiration_date')
1515
+ self.expiration_date = attributes[:'expiration_date']
1516
+ end
1517
+
799
1518
  if attributes.has_key?(:'family_drug_deductible')
800
1519
  self.family_drug_deductible = attributes[:'family_drug_deductible']
801
1520
  end
@@ -816,6 +1535,10 @@ module VericredClient
816
1535
  self.fp_rider = attributes[:'fp_rider']
817
1536
  end
818
1537
 
1538
+ if attributes.has_key?(:'gated')
1539
+ self.gated = attributes[:'gated']
1540
+ end
1541
+
819
1542
  if attributes.has_key?(:'generic_drugs')
820
1543
  self.generic_drugs = attributes[:'generic_drugs']
821
1544
  end
@@ -844,10 +1567,30 @@ module VericredClient
844
1567
  self.id = attributes[:'id']
845
1568
  end
846
1569
 
1570
+ if attributes.has_key?(:'identifiers')
1571
+ if (value = attributes[:'identifiers']).is_a?(Array)
1572
+ self.identifiers = value
1573
+ end
1574
+ end
1575
+
847
1576
  if attributes.has_key?(:'imaging')
848
1577
  self.imaging = attributes[:'imaging']
849
1578
  end
850
1579
 
1580
+ if attributes.has_key?(:'imaging_center')
1581
+ self.imaging_center = attributes[:'imaging_center']
1582
+ end
1583
+
1584
+ if attributes.has_key?(:'imaging_physician')
1585
+ self.imaging_physician = attributes[:'imaging_physician']
1586
+ end
1587
+
1588
+ if attributes.has_key?(:'in_network_ids')
1589
+ if (value = attributes[:'in_network_ids']).is_a?(Array)
1590
+ self.in_network_ids = value
1591
+ end
1592
+ end
1593
+
851
1594
  if attributes.has_key?(:'individual_drug_deductible')
852
1595
  self.individual_drug_deductible = attributes[:'individual_drug_deductible']
853
1596
  end
@@ -884,10 +1627,8 @@ module VericredClient
884
1627
  self.inpatient_substance = attributes[:'inpatient_substance']
885
1628
  end
886
1629
 
887
- if attributes.has_key?(:'in_network_ids')
888
- if (value = attributes[:'in_network_ids']).is_a?(Array)
889
- self.in_network_ids = value
890
- end
1630
+ if attributes.has_key?(:'lab_test')
1631
+ self.lab_test = attributes[:'lab_test']
891
1632
  end
892
1633
 
893
1634
  if attributes.has_key?(:'level')
@@ -898,18 +1639,44 @@ module VericredClient
898
1639
  self.logo_url = attributes[:'logo_url']
899
1640
  end
900
1641
 
1642
+ if attributes.has_key?(:'mail_order_rx')
1643
+ self.mail_order_rx = attributes[:'mail_order_rx']
1644
+ end
1645
+
1646
+ if attributes.has_key?(:'name')
1647
+ self.name = attributes[:'name']
1648
+ end
1649
+
1650
+ if attributes.has_key?(:'network_ids')
1651
+ if (value = attributes[:'network_ids']).is_a?(Array)
1652
+ self.network_ids = value
1653
+ end
1654
+ end
1655
+
1656
+ if attributes.has_key?(:'network_size')
1657
+ self.network_size = attributes[:'network_size']
1658
+ end
1659
+
901
1660
  if attributes.has_key?(:'non_preferred_brand_drugs')
902
1661
  self.non_preferred_brand_drugs = attributes[:'non_preferred_brand_drugs']
903
1662
  end
904
1663
 
905
- if attributes.has_key?(:'on_market')
906
- self.on_market = attributes[:'on_market']
1664
+ if attributes.has_key?(:'nonpreferred_generic_drug_share')
1665
+ self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
1666
+ end
1667
+
1668
+ if attributes.has_key?(:'nonpreferred_specialty_drug_share')
1669
+ self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
907
1670
  end
908
1671
 
909
1672
  if attributes.has_key?(:'off_market')
910
1673
  self.off_market = attributes[:'off_market']
911
1674
  end
912
1675
 
1676
+ if attributes.has_key?(:'on_market')
1677
+ self.on_market = attributes[:'on_market']
1678
+ end
1679
+
913
1680
  if attributes.has_key?(:'out_of_network_coverage')
914
1681
  self.out_of_network_coverage = attributes[:'out_of_network_coverage']
915
1682
  end
@@ -920,6 +1687,10 @@ module VericredClient
920
1687
  end
921
1688
  end
922
1689
 
1690
+ if attributes.has_key?(:'outpatient_ambulatory_care_center')
1691
+ self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
1692
+ end
1693
+
923
1694
  if attributes.has_key?(:'outpatient_facility')
924
1695
  self.outpatient_facility = attributes[:'outpatient_facility']
925
1696
  end
@@ -936,24 +1707,24 @@ module VericredClient
936
1707
  self.outpatient_substance = attributes[:'outpatient_substance']
937
1708
  end
938
1709
 
939
- if attributes.has_key?(:'plan_market')
940
- self.plan_market = attributes[:'plan_market']
1710
+ if attributes.has_key?(:'plan_calendar')
1711
+ self.plan_calendar = attributes[:'plan_calendar']
941
1712
  end
942
1713
 
943
- if attributes.has_key?(:'preferred_brand_drugs')
944
- self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
1714
+ if attributes.has_key?(:'plan_market')
1715
+ self.plan_market = attributes[:'plan_market']
945
1716
  end
946
1717
 
947
- if attributes.has_key?(:'prenatal_postnatal_care')
948
- self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
1718
+ if attributes.has_key?(:'plan_type')
1719
+ self.plan_type = attributes[:'plan_type']
949
1720
  end
950
1721
 
951
- if attributes.has_key?(:'preventative_care')
952
- self.preventative_care = attributes[:'preventative_care']
1722
+ if attributes.has_key?(:'postnatal_care')
1723
+ self.postnatal_care = attributes[:'postnatal_care']
953
1724
  end
954
1725
 
955
- if attributes.has_key?(:'premium_subsidized')
956
- self.premium_subsidized = attributes[:'premium_subsidized']
1726
+ if attributes.has_key?(:'preferred_brand_drugs')
1727
+ self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
957
1728
  end
958
1729
 
959
1730
  if attributes.has_key?(:'premium')
@@ -964,92 +1735,60 @@ module VericredClient
964
1735
  self.premium_source = attributes[:'premium_source']
965
1736
  end
966
1737
 
967
- if attributes.has_key?(:'primary_care_physician')
968
- self.primary_care_physician = attributes[:'primary_care_physician']
969
- end
970
-
971
- if attributes.has_key?(:'rehabilitation_services')
972
- self.rehabilitation_services = attributes[:'rehabilitation_services']
973
- end
974
-
975
- if attributes.has_key?(:'skilled_nursing')
976
- self.skilled_nursing = attributes[:'skilled_nursing']
977
- end
978
-
979
- if attributes.has_key?(:'specialist')
980
- self.specialist = attributes[:'specialist']
981
- end
982
-
983
- if attributes.has_key?(:'specialty_drugs')
984
- self.specialty_drugs = attributes[:'specialty_drugs']
985
- end
986
-
987
- if attributes.has_key?(:'urgent_care')
988
- self.urgent_care = attributes[:'urgent_care']
989
- end
990
-
991
- if attributes.has_key?(:'actuarial_value')
992
- self.actuarial_value = attributes[:'actuarial_value']
993
- end
994
-
995
- if attributes.has_key?(:'chiropractic_services')
996
- self.chiropractic_services = attributes[:'chiropractic_services']
997
- end
998
-
999
- if attributes.has_key?(:'coinsurance')
1000
- self.coinsurance = attributes[:'coinsurance']
1738
+ if attributes.has_key?(:'premium_subsidized')
1739
+ self.premium_subsidized = attributes[:'premium_subsidized']
1001
1740
  end
1002
1741
 
1003
- if attributes.has_key?(:'embedded_deductible')
1004
- self.embedded_deductible = attributes[:'embedded_deductible']
1742
+ if attributes.has_key?(:'prenatal_care')
1743
+ self.prenatal_care = attributes[:'prenatal_care']
1005
1744
  end
1006
1745
 
1007
- if attributes.has_key?(:'gated')
1008
- self.gated = attributes[:'gated']
1746
+ if attributes.has_key?(:'prenatal_postnatal_care')
1747
+ self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
1009
1748
  end
1010
1749
 
1011
- if attributes.has_key?(:'imaging_center')
1012
- self.imaging_center = attributes[:'imaging_center']
1750
+ if attributes.has_key?(:'preventative_care')
1751
+ self.preventative_care = attributes[:'preventative_care']
1013
1752
  end
1014
1753
 
1015
- if attributes.has_key?(:'imaging_physician')
1016
- self.imaging_physician = attributes[:'imaging_physician']
1754
+ if attributes.has_key?(:'primary_care_physician')
1755
+ self.primary_care_physician = attributes[:'primary_care_physician']
1017
1756
  end
1018
1757
 
1019
- if attributes.has_key?(:'lab_test')
1020
- self.lab_test = attributes[:'lab_test']
1758
+ if attributes.has_key?(:'rehabilitation_services')
1759
+ self.rehabilitation_services = attributes[:'rehabilitation_services']
1021
1760
  end
1022
1761
 
1023
- if attributes.has_key?(:'mail_order_rx')
1024
- self.mail_order_rx = attributes[:'mail_order_rx']
1762
+ if attributes.has_key?(:'service_area_id')
1763
+ self.service_area_id = attributes[:'service_area_id']
1025
1764
  end
1026
1765
 
1027
- if attributes.has_key?(:'nonpreferred_generic_drug_share')
1028
- self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
1766
+ if attributes.has_key?(:'skilled_nursing')
1767
+ self.skilled_nursing = attributes[:'skilled_nursing']
1029
1768
  end
1030
1769
 
1031
- if attributes.has_key?(:'nonpreferred_specialty_drug_share')
1032
- self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
1770
+ if attributes.has_key?(:'skilled_nursing_facility_365')
1771
+ self.skilled_nursing_facility_365 = attributes[:'skilled_nursing_facility_365']
1033
1772
  end
1034
1773
 
1035
- if attributes.has_key?(:'outpatient_ambulatory_care_center')
1036
- self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
1774
+ if attributes.has_key?(:'source')
1775
+ self.source = attributes[:'source']
1037
1776
  end
1038
1777
 
1039
- if attributes.has_key?(:'plan_calendar')
1040
- self.plan_calendar = attributes[:'plan_calendar']
1778
+ if attributes.has_key?(:'specialist')
1779
+ self.specialist = attributes[:'specialist']
1041
1780
  end
1042
1781
 
1043
- if attributes.has_key?(:'prenatal_care')
1044
- self.prenatal_care = attributes[:'prenatal_care']
1782
+ if attributes.has_key?(:'specialty_drugs')
1783
+ self.specialty_drugs = attributes[:'specialty_drugs']
1045
1784
  end
1046
1785
 
1047
- if attributes.has_key?(:'postnatal_care')
1048
- self.postnatal_care = attributes[:'postnatal_care']
1786
+ if attributes.has_key?(:'type')
1787
+ self.type = attributes[:'type']
1049
1788
  end
1050
1789
 
1051
- if attributes.has_key?(:'skilled_nursing_facility_365')
1052
- self.skilled_nursing_facility_365 = attributes[:'skilled_nursing_facility_365']
1790
+ if attributes.has_key?(:'urgent_care')
1791
+ self.urgent_care = attributes[:'urgent_care']
1053
1792
  end
1054
1793
 
1055
1794
  end
@@ -1072,37 +1811,34 @@ module VericredClient
1072
1811
  def ==(o)
1073
1812
  return true if self.equal?(o)
1074
1813
  self.class == o.class &&
1075
- carrier_name == o.carrier_name &&
1076
- display_name == o.display_name &&
1077
- effective_date == o.effective_date &&
1078
- expiration_date == o.expiration_date &&
1079
- identifiers == o.identifiers &&
1080
- name == o.name &&
1081
- network_ids == o.network_ids &&
1082
- network_size == o.network_size &&
1083
- plan_type == o.plan_type &&
1084
- service_area_id == o.service_area_id &&
1085
- source == o.source &&
1086
- type == o.type &&
1814
+ actuarial_value == o.actuarial_value &&
1087
1815
  adult_dental == o.adult_dental &&
1088
1816
  age29_rider == o.age29_rider &&
1089
1817
  ambulance == o.ambulance &&
1090
1818
  benefits_summary_url == o.benefits_summary_url &&
1091
1819
  buy_link == o.buy_link &&
1820
+ carrier_name == o.carrier_name &&
1092
1821
  child_dental == o.child_dental &&
1093
- child_eyewear == o.child_eyewear &&
1094
1822
  child_eye_exam == o.child_eye_exam &&
1823
+ child_eyewear == o.child_eyewear &&
1824
+ chiropractic_services == o.chiropractic_services &&
1825
+ coinsurance == o.coinsurance &&
1095
1826
  customer_service_phone_number == o.customer_service_phone_number &&
1096
- durable_medical_equipment == o.durable_medical_equipment &&
1097
1827
  diagnostic_test == o.diagnostic_test &&
1828
+ display_name == o.display_name &&
1098
1829
  dp_rider == o.dp_rider &&
1099
1830
  drug_formulary_url == o.drug_formulary_url &&
1831
+ durable_medical_equipment == o.durable_medical_equipment &&
1832
+ effective_date == o.effective_date &&
1833
+ embedded_deductible == o.embedded_deductible &&
1100
1834
  emergency_room == o.emergency_room &&
1835
+ expiration_date == o.expiration_date &&
1101
1836
  family_drug_deductible == o.family_drug_deductible &&
1102
1837
  family_drug_moop == o.family_drug_moop &&
1103
1838
  family_medical_deductible == o.family_medical_deductible &&
1104
1839
  family_medical_moop == o.family_medical_moop &&
1105
1840
  fp_rider == o.fp_rider &&
1841
+ gated == o.gated &&
1106
1842
  generic_drugs == o.generic_drugs &&
1107
1843
  habilitation_services == o.habilitation_services &&
1108
1844
  hios_issuer_id == o.hios_issuer_id &&
@@ -1110,7 +1846,11 @@ module VericredClient
1110
1846
  hospice_service == o.hospice_service &&
1111
1847
  hsa_eligible == o.hsa_eligible &&
1112
1848
  id == o.id &&
1849
+ identifiers == o.identifiers &&
1113
1850
  imaging == o.imaging &&
1851
+ imaging_center == o.imaging_center &&
1852
+ imaging_physician == o.imaging_physician &&
1853
+ in_network_ids == o.in_network_ids &&
1114
1854
  individual_drug_deductible == o.individual_drug_deductible &&
1115
1855
  individual_drug_moop == o.individual_drug_moop &&
1116
1856
  individual_medical_deductible == o.individual_medical_deductible &&
@@ -1120,47 +1860,46 @@ module VericredClient
1120
1860
  inpatient_mental_health == o.inpatient_mental_health &&
1121
1861
  inpatient_physician == o.inpatient_physician &&
1122
1862
  inpatient_substance == o.inpatient_substance &&
1123
- in_network_ids == o.in_network_ids &&
1863
+ lab_test == o.lab_test &&
1124
1864
  level == o.level &&
1125
1865
  logo_url == o.logo_url &&
1866
+ mail_order_rx == o.mail_order_rx &&
1867
+ name == o.name &&
1868
+ network_ids == o.network_ids &&
1869
+ network_size == o.network_size &&
1126
1870
  non_preferred_brand_drugs == o.non_preferred_brand_drugs &&
1127
- on_market == o.on_market &&
1871
+ nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
1872
+ nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
1128
1873
  off_market == o.off_market &&
1874
+ on_market == o.on_market &&
1129
1875
  out_of_network_coverage == o.out_of_network_coverage &&
1130
1876
  out_of_network_ids == o.out_of_network_ids &&
1877
+ outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
1131
1878
  outpatient_facility == o.outpatient_facility &&
1132
1879
  outpatient_mental_health == o.outpatient_mental_health &&
1133
1880
  outpatient_physician == o.outpatient_physician &&
1134
1881
  outpatient_substance == o.outpatient_substance &&
1882
+ plan_calendar == o.plan_calendar &&
1135
1883
  plan_market == o.plan_market &&
1884
+ plan_type == o.plan_type &&
1885
+ postnatal_care == o.postnatal_care &&
1136
1886
  preferred_brand_drugs == o.preferred_brand_drugs &&
1137
- prenatal_postnatal_care == o.prenatal_postnatal_care &&
1138
- preventative_care == o.preventative_care &&
1139
- premium_subsidized == o.premium_subsidized &&
1140
1887
  premium == o.premium &&
1141
1888
  premium_source == o.premium_source &&
1889
+ premium_subsidized == o.premium_subsidized &&
1890
+ prenatal_care == o.prenatal_care &&
1891
+ prenatal_postnatal_care == o.prenatal_postnatal_care &&
1892
+ preventative_care == o.preventative_care &&
1142
1893
  primary_care_physician == o.primary_care_physician &&
1143
1894
  rehabilitation_services == o.rehabilitation_services &&
1895
+ service_area_id == o.service_area_id &&
1144
1896
  skilled_nursing == o.skilled_nursing &&
1897
+ skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
1898
+ source == o.source &&
1145
1899
  specialist == o.specialist &&
1146
1900
  specialty_drugs == o.specialty_drugs &&
1147
- urgent_care == o.urgent_care &&
1148
- actuarial_value == o.actuarial_value &&
1149
- chiropractic_services == o.chiropractic_services &&
1150
- coinsurance == o.coinsurance &&
1151
- embedded_deductible == o.embedded_deductible &&
1152
- gated == o.gated &&
1153
- imaging_center == o.imaging_center &&
1154
- imaging_physician == o.imaging_physician &&
1155
- lab_test == o.lab_test &&
1156
- mail_order_rx == o.mail_order_rx &&
1157
- nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
1158
- nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
1159
- outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
1160
- plan_calendar == o.plan_calendar &&
1161
- prenatal_care == o.prenatal_care &&
1162
- postnatal_care == o.postnatal_care &&
1163
- skilled_nursing_facility_365 == o.skilled_nursing_facility_365
1901
+ type == o.type &&
1902
+ urgent_care == o.urgent_care
1164
1903
  end
1165
1904
 
1166
1905
  # @see the `==` method
@@ -1172,7 +1911,7 @@ module VericredClient
1172
1911
  # Calculates hash code according to all attributes.
1173
1912
  # @return [Fixnum] Hash code
1174
1913
  def hash
1175
- [carrier_name, display_name, effective_date, expiration_date, identifiers, name, network_ids, network_size, plan_type, service_area_id, source, type, adult_dental, age29_rider, ambulance, benefits_summary_url, buy_link, child_dental, child_eyewear, child_eye_exam, customer_service_phone_number, durable_medical_equipment, diagnostic_test, dp_rider, drug_formulary_url, emergency_room, family_drug_deductible, family_drug_moop, family_medical_deductible, family_medical_moop, fp_rider, generic_drugs, habilitation_services, hios_issuer_id, home_health_care, hospice_service, hsa_eligible, id, imaging, individual_drug_deductible, individual_drug_moop, individual_medical_deductible, individual_medical_moop, inpatient_birth, inpatient_facility, inpatient_mental_health, inpatient_physician, inpatient_substance, in_network_ids, level, logo_url, non_preferred_brand_drugs, on_market, off_market, out_of_network_coverage, out_of_network_ids, outpatient_facility, outpatient_mental_health, outpatient_physician, outpatient_substance, plan_market, preferred_brand_drugs, prenatal_postnatal_care, preventative_care, premium_subsidized, premium, premium_source, primary_care_physician, rehabilitation_services, skilled_nursing, specialist, specialty_drugs, urgent_care, actuarial_value, chiropractic_services, coinsurance, embedded_deductible, gated, imaging_center, imaging_physician, lab_test, mail_order_rx, nonpreferred_generic_drug_share, nonpreferred_specialty_drug_share, outpatient_ambulatory_care_center, plan_calendar, prenatal_care, postnatal_care, skilled_nursing_facility_365].hash
1914
+ [actuarial_value, adult_dental, age29_rider, ambulance, benefits_summary_url, buy_link, carrier_name, child_dental, child_eye_exam, child_eyewear, chiropractic_services, coinsurance, customer_service_phone_number, diagnostic_test, display_name, dp_rider, drug_formulary_url, durable_medical_equipment, effective_date, embedded_deductible, emergency_room, expiration_date, family_drug_deductible, family_drug_moop, family_medical_deductible, family_medical_moop, fp_rider, gated, generic_drugs, habilitation_services, hios_issuer_id, home_health_care, hospice_service, hsa_eligible, id, identifiers, imaging, imaging_center, imaging_physician, in_network_ids, individual_drug_deductible, individual_drug_moop, individual_medical_deductible, individual_medical_moop, inpatient_birth, inpatient_facility, inpatient_mental_health, inpatient_physician, inpatient_substance, lab_test, level, logo_url, mail_order_rx, name, network_ids, network_size, non_preferred_brand_drugs, nonpreferred_generic_drug_share, nonpreferred_specialty_drug_share, off_market, on_market, out_of_network_coverage, out_of_network_ids, outpatient_ambulatory_care_center, outpatient_facility, outpatient_mental_health, outpatient_physician, outpatient_substance, plan_calendar, plan_market, plan_type, postnatal_care, preferred_brand_drugs, premium, premium_source, premium_subsidized, prenatal_care, prenatal_postnatal_care, preventative_care, primary_care_physician, rehabilitation_services, service_area_id, skilled_nursing, skilled_nursing_facility_365, source, specialist, specialty_drugs, type, urgent_care].hash
1176
1915
  end
1177
1916
 
1178
1917
  # Builds the object from hash