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.
- checksums.yaml +4 -4
- data/README.md +826 -28
- data/docs/ACAPlan.md +35 -35
- data/docs/ACAPlan2018.md +36 -36
- data/docs/ACAPlan2018SearchResponse.md +1 -1
- data/docs/ACAPlan2018SearchResult.md +39 -39
- data/docs/ACAPlanPre2018.md +35 -35
- data/docs/ACAPlanPre2018SearchResponse.md +1 -1
- data/docs/ACAPlanPre2018SearchResult.md +38 -38
- data/docs/Address.md +14 -0
- data/docs/AncillaryPlanIdentifier.md +9 -0
- data/docs/BasePlanSearchResponse.md +1 -1
- data/docs/CarrierGroupRequest.md +1 -1
- data/docs/CarrierRequest.md +2 -2
- data/docs/CarrierSubsidiary.md +2 -2
- data/docs/CarrierVerificationDentalPlansApi.md +63 -0
- data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
- data/docs/CarrierVerificationVisionPlansApi.md +63 -0
- data/docs/County.md +1 -1
- data/docs/CountyBulk.md +1 -1
- data/docs/DentalPlan.md +7 -7
- data/docs/DentalPlanBenefits.md +22 -22
- data/docs/DentalPlanSearchRequest.md +1 -2
- data/docs/DentalPlanUpdate.md +5 -5
- data/docs/DentalPlansApi.md +118 -4
- data/docs/DependentCreate.md +12 -0
- data/docs/DependentCreateRequest.md +12 -0
- data/docs/DependentShow.md +12 -0
- data/docs/Drug.md +3 -3
- data/docs/DrugCoverage.md +3 -3
- data/docs/DrugCoverageResponse.md +2 -2
- data/docs/DrugPackage.md +1 -1
- data/docs/DrugSearchResponse.md +2 -2
- data/docs/EmbargoRequest.md +3 -2
- data/docs/FormularyResponse.md +1 -1
- data/docs/GroupCreate.md +14 -0
- data/docs/GroupCreateRequest.md +9 -0
- data/docs/GroupCreateResponse.md +9 -0
- data/docs/GroupShow.md +15 -0
- data/docs/GroupShowResponse.md +9 -0
- data/docs/GroupUpdate.md +14 -0
- data/docs/GroupUpdateRequest.md +9 -0
- data/docs/IssuerRequest.md +7 -7
- data/docs/LocationCreate.md +13 -0
- data/docs/LocationShow.md +14 -0
- data/docs/LocationUpdate.md +14 -0
- data/docs/MajorMedicalPlansApi.md +122 -0
- data/docs/MedicalPlanBenefits.md +35 -35
- data/docs/MedicalPlanUpdate.md +21 -20
- data/docs/MedicalPlansApi.md +0 -114
- data/docs/MedicareAdvantagePlan.md +25 -0
- data/docs/MedicareAdvantagePlanBenefits.md +148 -0
- data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
- data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
- data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
- data/docs/MemberCreate.md +17 -0
- data/docs/MemberRateShow.md +13 -0
- data/docs/MemberRateShowRequest.md +10 -0
- data/docs/MemberRatesShowResponse.md +9 -0
- data/docs/MemberShow.md +18 -0
- data/docs/MembersCreateRequest.md +9 -0
- data/docs/MembersCreateResponse.md +8 -0
- data/docs/MembersShowResponse.md +8 -0
- data/docs/MetaPlanSearchResponse.md +1 -1
- data/docs/NetworkComparisonResponse.md +1 -1
- data/docs/NetworkDetails.md +1 -1
- data/docs/NetworkSize.md +1 -1
- data/docs/NetworksApi.md +17 -12
- data/docs/PlanCounty.md +1 -1
- data/docs/PlanCountyBulk.md +1 -1
- data/docs/PlanMedicare.md +1 -1
- data/docs/PlanMedicareBulk.md +2 -2
- data/docs/PlanPricingMedicare.md +3 -3
- data/docs/PlanSearchResponse.md +1 -1
- data/docs/PlansApi.md +0 -169
- data/docs/PlansBulkACA2018.md +8 -0
- data/docs/PlansBulkACAPre2018.md +8 -0
- data/docs/PlansBulkBase.md +7 -0
- data/docs/PlansBulkDental.md +7 -0
- data/docs/PlansBulkVision.md +7 -0
- data/docs/Provider.md +2 -2
- data/docs/ProviderDetails.md +5 -3
- data/docs/ProviderNetworkEventNotification.md +3 -3
- data/docs/ProviderNetworks.md +11 -0
- data/docs/ProviderShowResponse.md +1 -1
- data/docs/ProvidersApi.md +1 -56
- data/docs/QuoteCreate.md +15 -0
- data/docs/QuoteCreateRequest.md +8 -0
- data/docs/QuoteCreateResponse.md +8 -0
- data/docs/QuoteShow.md +17 -0
- data/docs/QuoteShowResponse.md +8 -0
- data/docs/QuotingApi.md +344 -0
- data/docs/RateRequest.md +24 -24
- data/docs/RateSearch.md +23 -18
- data/docs/RateShow.md +12 -0
- data/docs/RateShowRequest.md +10 -0
- data/docs/RatesShowResponse.md +9 -0
- data/docs/RequestPlanFind.md +2 -2
- data/docs/RequestPlanFindCarrierVerification.md +3 -3
- data/docs/RequestProviderNotificationSubscription.md +1 -1
- data/docs/RequestProvidersSearch.md +1 -1
- data/docs/RequestRatesSearch.md +1 -1
- data/docs/RxCuiIdentifier.md +1 -1
- data/docs/RxCuiIdentifierSearchResponse.md +1 -1
- data/docs/State.md +2 -2
- data/docs/SupplementalOptions.md +13 -0
- data/docs/V7Network.md +10 -0
- data/docs/V7NetworkComparisonResponse.md +9 -0
- data/docs/V7NetworkDetails.md +11 -0
- data/docs/V7NetworkDetailsResponse.md +8 -0
- data/docs/V7NetworkSearchResponse.md +9 -0
- data/docs/V7ProviderDetails.md +33 -0
- data/docs/V7ProviderNetworks.md +12 -0
- data/docs/VisionPlan.md +7 -7
- data/docs/VisionPlanBenefits.md +22 -15
- data/docs/VisionPlanSearchRequest.md +1 -2
- data/docs/VisionPlanUpdate.md +5 -5
- data/docs/VisionPlansApi.md +114 -0
- data/docs/ZipCountiesResponse.md +1 -1
- data/docs/ZipCountyBulk.md +1 -1
- data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carriers_api.rb +754 -15
- data/lib/vericred_client/api/dental_plans_api.rb +874 -18
- data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
- data/lib/vericred_client/api/drug_packages_api.rb +754 -15
- data/lib/vericred_client/api/drugs_api.rb +754 -15
- data/lib/vericred_client/api/embargoes_api.rb +754 -15
- data/lib/vericred_client/api/formularies_api.rb +754 -15
- data/lib/vericred_client/api/issuers_api.rb +754 -15
- data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
- data/lib/vericred_client/api/medical_plans_api.rb +754 -132
- data/lib/vericred_client/api/network_sizes_api.rb +754 -15
- data/lib/vericred_client/api/networks_api.rb +773 -27
- data/lib/vericred_client/api/plans_api.rb +754 -189
- data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
- data/lib/vericred_client/api/providers_api.rb +756 -74
- data/lib/vericred_client/api/quoting_api.rb +1316 -0
- data/lib/vericred_client/api/rates_api.rb +754 -15
- data/lib/vericred_client/api/vision_plans_api.rb +871 -15
- data/lib/vericred_client/api/zip_counties_api.rb +754 -15
- data/lib/vericred_client/api_client.rb +754 -15
- data/lib/vericred_client/api_error.rb +754 -15
- data/lib/vericred_client/configuration.rb +754 -15
- data/lib/vericred_client/models/aca_plan.rb +1165 -426
- data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
- data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
- data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
- data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
- data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
- data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
- data/lib/vericred_client/models/address.rb +1195 -0
- data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
- data/lib/vericred_client/models/base.rb +754 -15
- data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/carrier.rb +754 -15
- data/lib/vericred_client/models/carrier_group_request.rb +765 -26
- data/lib/vericred_client/models/carrier_request.rb +769 -30
- data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
- data/lib/vericred_client/models/county.rb +765 -26
- data/lib/vericred_client/models/county_bulk.rb +768 -29
- data/lib/vericred_client/models/dental_plan.rb +825 -86
- data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
- data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_update.rb +804 -65
- data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/dependent_create.rb +1175 -0
- data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
- data/lib/vericred_client/models/dependent_show.rb +1175 -0
- data/lib/vericred_client/models/drug.rb +781 -42
- data/lib/vericred_client/models/drug_coverage.rb +781 -42
- data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
- data/lib/vericred_client/models/drug_package.rb +765 -26
- data/lib/vericred_client/models/drug_search_response.rb +771 -32
- data/lib/vericred_client/models/embargo_request.rb +790 -39
- data/lib/vericred_client/models/formulary.rb +754 -15
- data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
- data/lib/vericred_client/models/formulary_response.rb +768 -29
- data/lib/vericred_client/models/group_create.rb +1195 -0
- data/lib/vericred_client/models/group_create_request.rb +1147 -0
- data/lib/vericred_client/models/group_create_response.rb +1147 -0
- data/lib/vericred_client/models/group_show.rb +1205 -0
- data/lib/vericred_client/models/group_show_response.rb +1147 -0
- data/lib/vericred_client/models/group_update.rb +1195 -0
- data/lib/vericred_client/models/group_update_request.rb +1147 -0
- data/lib/vericred_client/models/issuer_request.rb +819 -80
- data/lib/vericred_client/models/location_create.rb +1185 -0
- data/lib/vericred_client/models/location_show.rb +1195 -0
- data/lib/vericred_client/models/location_update.rb +1195 -0
- data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
- data/lib/vericred_client/models/medical_plan_update.rb +930 -181
- data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
- data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
- data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
- data/lib/vericred_client/models/member_create.rb +1227 -0
- data/lib/vericred_client/models/member_rate_show.rb +1185 -0
- data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/member_show.rb +1237 -0
- data/lib/vericred_client/models/members_create_request.rb +1147 -0
- data/lib/vericred_client/models/members_create_response.rb +1137 -0
- data/lib/vericred_client/models/members_show_response.rb +1137 -0
- data/lib/vericred_client/models/meta.rb +754 -15
- data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/network.rb +754 -15
- data/lib/vericred_client/models/network_comparison.rb +754 -15
- data/lib/vericred_client/models/network_comparison_request.rb +754 -15
- data/lib/vericred_client/models/network_comparison_response.rb +770 -31
- data/lib/vericred_client/models/network_details.rb +770 -31
- data/lib/vericred_client/models/network_details_response.rb +754 -15
- data/lib/vericred_client/models/network_search_response.rb +754 -15
- data/lib/vericred_client/models/network_size.rb +765 -26
- data/lib/vericred_client/models/notification_subscription.rb +754 -15
- data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
- data/lib/vericred_client/models/plan.rb +754 -15
- data/lib/vericred_client/models/plan_county.rb +768 -29
- data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
- data/lib/vericred_client/models/plan_deleted.rb +754 -15
- data/lib/vericred_client/models/plan_identifier.rb +754 -15
- data/lib/vericred_client/models/plan_medicare.rb +768 -29
- data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
- data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
- data/lib/vericred_client/models/plan_search_response.rb +765 -26
- data/lib/vericred_client/models/plan_show_response.rb +754 -15
- data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
- data/lib/vericred_client/models/provider.rb +780 -41
- data/lib/vericred_client/models/provider_details.rb +813 -50
- data/lib/vericred_client/models/provider_geocode.rb +754 -15
- data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
- data/lib/vericred_client/models/provider_networks.rb +1165 -0
- data/lib/vericred_client/models/provider_show_response.rb +755 -16
- data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
- data/lib/vericred_client/models/providers_search_response.rb +754 -15
- data/lib/vericred_client/models/quote_create.rb +1207 -0
- data/lib/vericred_client/models/quote_create_request.rb +1135 -0
- data/lib/vericred_client/models/quote_create_response.rb +1135 -0
- data/lib/vericred_client/models/quote_show.rb +1227 -0
- data/lib/vericred_client/models/quote_show_response.rb +1135 -0
- data/lib/vericred_client/models/rate_request.rb +990 -251
- data/lib/vericred_client/models/rate_search.rb +978 -189
- data/lib/vericred_client/models/rate_show.rb +1175 -0
- data/lib/vericred_client/models/rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/rating_area.rb +754 -15
- data/lib/vericred_client/models/request_plan_find.rb +777 -38
- data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
- data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
- data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
- data/lib/vericred_client/models/request_providers_search.rb +767 -26
- data/lib/vericred_client/models/request_rates_search.rb +768 -29
- data/lib/vericred_client/models/response_rates_search.rb +754 -15
- data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
- data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
- data/lib/vericred_client/models/service_area.rb +754 -15
- data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
- data/lib/vericred_client/models/state.rb +778 -39
- data/lib/vericred_client/models/state_network_size_request.rb +754 -15
- data/lib/vericred_client/models/state_network_size_response.rb +754 -15
- data/lib/vericred_client/models/supplemental_options.rb +1187 -0
- data/lib/vericred_client/models/v7_network.rb +1155 -0
- data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
- data/lib/vericred_client/models/v7_network_details.rb +1167 -0
- data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
- data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
- data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
- data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
- data/lib/vericred_client/models/vision_plan.rb +825 -86
- data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
- data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_update.rb +804 -65
- data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/zip_code.rb +754 -15
- data/lib/vericred_client/models/zip_counties_response.rb +770 -31
- data/lib/vericred_client/models/zip_county.rb +754 -15
- data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
- data/lib/vericred_client/models/zip_county_response.rb +754 -15
- data/lib/vericred_client/version.rb +755 -16
- data/lib/vericred_client.rb +809 -15
- data/spec/api/carrier_groups_api_spec.rb +754 -15
- data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
- data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
- data/spec/api/carriers_api_spec.rb +754 -15
- data/spec/api/dental_plans_api_spec.rb +780 -16
- data/spec/api/drug_coverages_api_spec.rb +754 -15
- data/spec/api/drug_packages_api_spec.rb +754 -15
- data/spec/api/drugs_api_spec.rb +754 -15
- data/spec/api/embargoes_api_spec.rb +754 -15
- data/spec/api/formularies_api_spec.rb +754 -15
- data/spec/api/issuers_api_spec.rb +754 -15
- data/spec/api/major_medical_plans_api_spec.rb +1006 -0
- data/spec/api/medical_plans_api_spec.rb +754 -40
- data/spec/api/network_sizes_api_spec.rb +754 -15
- data/spec/api/networks_api_spec.rb +760 -18
- data/spec/api/plans_api_spec.rb +754 -52
- data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
- data/spec/api/providers_api_spec.rb +755 -28
- data/spec/api/quoting_api_spec.rb +1055 -0
- data/spec/api/rates_api_spec.rb +754 -15
- data/spec/api/vision_plans_api_spec.rb +779 -15
- data/spec/api/zip_counties_api_spec.rb +754 -15
- data/spec/api_client_spec.rb +754 -15
- data/spec/configuration_spec.rb +754 -15
- data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan2018_spec.rb +843 -104
- data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan_pre2018_spec.rb +837 -98
- data/spec/models/aca_plan_spec.rb +837 -98
- data/spec/models/address_spec.rb +1024 -0
- data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
- data/spec/models/base_plan_search_response_spec.rb +756 -17
- data/spec/models/base_spec.rb +754 -15
- data/spec/models/carrier_group_request_spec.rb +756 -17
- data/spec/models/carrier_request_spec.rb +756 -17
- data/spec/models/carrier_spec.rb +754 -15
- data/spec/models/carrier_subsidiary_spec.rb +758 -19
- data/spec/models/county_bulk_spec.rb +757 -18
- data/spec/models/county_spec.rb +756 -17
- data/spec/models/dental_plan_benefits_spec.rb +782 -43
- data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
- data/spec/models/dental_plan_search_request_spec.rb +758 -25
- data/spec/models/dental_plan_search_response_spec.rb +754 -15
- data/spec/models/dental_plan_show_response_spec.rb +754 -15
- data/spec/models/dental_plan_spec.rb +767 -28
- data/spec/models/dental_plan_update_request_spec.rb +754 -15
- data/spec/models/dental_plan_update_spec.rb +763 -24
- data/spec/models/dependent_create_request_spec.rb +1012 -0
- data/spec/models/dependent_create_spec.rb +1012 -0
- data/spec/models/dependent_show_spec.rb +1012 -0
- data/spec/models/drug_coverage_response_spec.rb +756 -17
- data/spec/models/drug_coverage_spec.rb +758 -19
- data/spec/models/drug_package_spec.rb +756 -17
- data/spec/models/drug_search_response_spec.rb +756 -17
- data/spec/models/drug_spec.rb +758 -19
- data/spec/models/embargo_request_spec.rb +766 -21
- data/spec/models/formulary_drug_package_response_spec.rb +754 -15
- data/spec/models/formulary_response_spec.rb +756 -17
- data/spec/models/formulary_spec.rb +754 -15
- data/spec/models/group_create_request_spec.rb +994 -0
- data/spec/models/group_create_response_spec.rb +994 -0
- data/spec/models/group_create_spec.rb +1024 -0
- data/spec/models/group_show_response_spec.rb +994 -0
- data/spec/models/group_show_spec.rb +1030 -0
- data/spec/models/group_update_request_spec.rb +994 -0
- data/spec/models/group_update_spec.rb +1024 -0
- data/spec/models/issuer_request_spec.rb +765 -26
- data/spec/models/location_create_spec.rb +1018 -0
- data/spec/models/location_show_spec.rb +1024 -0
- data/spec/models/location_update_spec.rb +1024 -0
- data/spec/models/medical_plan_benefits_spec.rb +801 -62
- data/spec/models/medical_plan_update_request_spec.rb +754 -15
- data/spec/models/medical_plan_update_spec.rb +792 -47
- data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
- data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
- data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
- data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
- data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
- data/spec/models/member_create_spec.rb +1042 -0
- data/spec/models/member_rate_show_request_spec.rb +1000 -0
- data/spec/models/member_rate_show_spec.rb +1018 -0
- data/spec/models/member_rates_show_response_spec.rb +994 -0
- data/spec/models/member_show_spec.rb +1048 -0
- data/spec/models/members_create_request_spec.rb +994 -0
- data/spec/models/members_create_response_spec.rb +988 -0
- data/spec/models/members_show_response_spec.rb +988 -0
- data/spec/models/meta_plan_search_response_spec.rb +757 -18
- data/spec/models/meta_spec.rb +754 -15
- data/spec/models/network_comparison_request_spec.rb +754 -15
- data/spec/models/network_comparison_response_spec.rb +756 -17
- data/spec/models/network_comparison_spec.rb +754 -15
- data/spec/models/network_details_response_spec.rb +754 -15
- data/spec/models/network_details_spec.rb +757 -18
- data/spec/models/network_search_response_spec.rb +754 -15
- data/spec/models/network_size_spec.rb +756 -17
- data/spec/models/network_spec.rb +754 -15
- data/spec/models/notification_subscription_response_spec.rb +754 -15
- data/spec/models/notification_subscription_spec.rb +754 -15
- data/spec/models/plan_county_bulk_spec.rb +756 -17
- data/spec/models/plan_county_spec.rb +756 -17
- data/spec/models/plan_deleted_spec.rb +754 -15
- data/spec/models/plan_identifier_spec.rb +754 -15
- data/spec/models/plan_medicare_bulk_spec.rb +763 -24
- data/spec/models/plan_medicare_spec.rb +760 -21
- data/spec/models/plan_pricing_medicare_spec.rb +761 -22
- data/spec/models/plan_search_response_spec.rb +756 -17
- data/spec/models/plan_show_response_spec.rb +754 -15
- data/spec/models/plan_spec.rb +754 -15
- data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
- data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
- data/spec/models/plans_bulk_base_spec.rb +982 -0
- data/spec/models/plans_bulk_dental_spec.rb +982 -0
- data/spec/models/plans_bulk_vision_spec.rb +982 -0
- data/spec/models/provider_details_spec.rb +779 -28
- data/spec/models/provider_geocode_spec.rb +754 -15
- data/spec/models/provider_network_event_notification_spec.rb +760 -21
- data/spec/models/provider_networks_spec.rb +1006 -0
- data/spec/models/provider_show_response_spec.rb +754 -15
- data/spec/models/provider_spec.rb +762 -23
- data/spec/models/providers_geocode_response_spec.rb +754 -15
- data/spec/models/providers_search_response_spec.rb +754 -15
- data/spec/models/quote_create_request_spec.rb +988 -0
- data/spec/models/quote_create_response_spec.rb +988 -0
- data/spec/models/quote_create_spec.rb +1030 -0
- data/spec/models/quote_show_response_spec.rb +988 -0
- data/spec/models/quote_show_spec.rb +1042 -0
- data/spec/models/rate_request_spec.rb +884 -145
- data/spec/models/rate_search_spec.rb +886 -117
- data/spec/models/rate_show_request_spec.rb +1000 -0
- data/spec/models/rate_show_spec.rb +1012 -0
- data/spec/models/rates_show_response_spec.rb +994 -0
- data/spec/models/rating_area_spec.rb +754 -15
- data/spec/models/request_plan_find_applicant_spec.rb +754 -15
- data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
- data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
- data/spec/models/request_plan_find_provider_spec.rb +754 -15
- data/spec/models/request_plan_find_spec.rb +759 -20
- data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
- data/spec/models/request_providers_search_spec.rb +758 -19
- data/spec/models/request_rates_search_spec.rb +756 -17
- data/spec/models/response_rates_search_spec.rb +754 -15
- data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
- data/spec/models/rx_cui_identifier_spec.rb +756 -17
- data/spec/models/service_area_spec.rb +754 -15
- data/spec/models/service_area_zip_county_spec.rb +754 -15
- data/spec/models/state_network_size_request_spec.rb +754 -15
- data/spec/models/state_network_size_response_spec.rb +754 -15
- data/spec/models/state_spec.rb +762 -23
- data/spec/models/supplemental_options_spec.rb +1018 -0
- data/spec/models/v7_network_comparison_response_spec.rb +994 -0
- data/spec/models/v7_network_details_response_spec.rb +988 -0
- data/spec/models/v7_network_details_spec.rb +1006 -0
- data/spec/models/v7_network_search_response_spec.rb +994 -0
- data/spec/models/v7_network_spec.rb +1000 -0
- data/spec/models/v7_provider_details_spec.rb +1138 -0
- data/spec/models/v7_provider_networks_spec.rb +1012 -0
- data/spec/models/vision_plan_benefits_spec.rb +813 -32
- data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
- data/spec/models/vision_plan_search_request_spec.rb +758 -25
- data/spec/models/vision_plan_search_response_spec.rb +754 -15
- data/spec/models/vision_plan_show_response_spec.rb +754 -15
- data/spec/models/vision_plan_spec.rb +767 -28
- data/spec/models/vision_plan_update_request_spec.rb +754 -15
- data/spec/models/vision_plan_update_spec.rb +763 -24
- data/spec/models/zip_code_spec.rb +754 -15
- data/spec/models/zip_counties_response_spec.rb +756 -17
- data/spec/models/zip_county_bulk_spec.rb +757 -18
- data/spec/models/zip_county_response_spec.rb +754 -15
- data/spec/models/zip_county_spec.rb +754 -15
- data/spec/spec_helper.rb +754 -15
- data/vericred_client.gemspec +754 -15
- 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
|
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 `
|
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:
|
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
|
51
|
-
we
|
52
|
-
`State`s and a `state_id` for each provider. This is
|
53
|
-
payload size since many of the `Provider`s
|
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
|
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
|
-
|
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
|
@@ -198,335 +208,1062 @@ 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
|
-
|
352
|
+
```
|
353
|
+
B = Base Rate
|
354
|
+
f = Rate Factor Function 1
|
355
|
+
f' = Rate Factor Function 2
|
203
356
|
|
204
|
-
|
357
|
+
B * f(x) * f'(y) [* f''(z)] ... = n
|
358
|
+
```
|
205
359
|
|
206
|
-
|
207
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
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
|
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
|
-
|
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
|
-
|
225
|
-
# Name of the insurance carrier
|
226
|
-
attr_accessor :carrier_name
|
374
|
+
# Quoting
|
227
375
|
|
228
|
-
|
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
|
-
|
232
|
-
|
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
|
-
|
235
|
-
|
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
|
-
|
238
|
-
attr_accessor :identifiers
|
387
|
+
For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
|
239
388
|
|
240
|
-
|
241
|
-
|
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
|
-
|
244
|
-
attr_accessor :network_ids
|
400
|
+
```
|
245
401
|
|
246
|
-
|
247
|
-
|
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
|
-
|
250
|
-
|
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
|
-
|
253
|
-
|
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
|
-
|
256
|
-
|
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
|
-
|
259
|
-
attr_accessor :type
|
453
|
+
```
|
260
454
|
|
261
|
-
|
262
|
-
|
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
|
-
|
265
|
-
|
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
|
-
|
268
|
-
|
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
|
-
|
271
|
-
|
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
|
-
|
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
|
-
|
277
|
-
|
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
|
-
|
280
|
-
|
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
|
-
|
283
|
-
|
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
|
-
|
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
|
-
|
289
|
-
|
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
|
-
|
292
|
-
|
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
|
-
|
295
|
-
|
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
|
-
|
298
|
-
|
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
|
-
|
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
|
-
|
304
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
313
|
-
attr_accessor :family_medical_moop
|
585
|
+
### Vision Quotes
|
314
586
|
|
315
|
-
|
316
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
331
|
-
|
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
|
-
|
334
|
-
|
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
|
-
|
337
|
-
attr_accessor :id
|
628
|
+
Full documentation is available [below](#groupscreate)
|
338
629
|
|
339
|
-
|
340
|
-
|
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
|
-
|
343
|
-
|
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
|
-
|
346
|
-
|
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
|
-
|
349
|
-
|
674
|
+
```
|
675
|
+
POST
|
350
676
|
|
351
|
-
|
352
|
-
|
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
|
-
|
355
|
-
attr_accessor :inpatient_birth
|
703
|
+
```
|
356
704
|
|
357
|
-
|
358
|
-
|
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
|
-
|
361
|
-
|
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
|
-
|
364
|
-
|
711
|
+
```
|
712
|
+
POST /groups/{id}/quotes
|
713
|
+
{
|
714
|
+
...
|
715
|
+
"product_line": "medical"
|
716
|
+
...
|
717
|
+
}
|
718
|
+
```
|
365
719
|
|
366
|
-
|
367
|
-
|
720
|
+
#### Dental Quotes
|
721
|
+
To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
|
368
722
|
|
369
|
-
|
370
|
-
|
723
|
+
```
|
724
|
+
POST /groups/{id}/quotes
|
725
|
+
{
|
726
|
+
...
|
727
|
+
"product_line": "dental"
|
728
|
+
...
|
729
|
+
}
|
730
|
+
```
|
371
731
|
|
372
|
-
|
373
|
-
|
732
|
+
#### Vision Quotes
|
733
|
+
To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
|
374
734
|
|
375
|
-
|
376
|
-
|
735
|
+
```
|
736
|
+
POST /groups/{id}/quotes
|
737
|
+
{
|
738
|
+
...
|
739
|
+
"product_line": "vision"
|
740
|
+
...
|
741
|
+
}
|
742
|
+
```
|
377
743
|
|
378
|
-
|
379
|
-
|
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
|
-
|
382
|
-
|
747
|
+
```
|
748
|
+
GET /quotes/{id}/rates
|
383
749
|
|
384
|
-
|
385
|
-
|
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
|
-
|
391
|
-
|
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
|
-
|
394
|
-
|
770
|
+
Loading the [Plan](#header-plans) from the API:
|
771
|
+
```
|
772
|
+
GET /plans/{id}
|
395
773
|
|
396
|
-
|
397
|
-
|
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
|
-
|
400
|
-
|
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
|
-
|
403
|
-
|
794
|
+
```
|
795
|
+
GET /rates/{id}/member_rates
|
404
796
|
|
405
|
-
|
406
|
-
|
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
|
-
|
409
|
-
attr_accessor :preferred_brand_drugs
|
813
|
+
```
|
410
814
|
|
411
|
-
|
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
|
-
|
415
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
424
|
-
|
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
|
-
|
427
|
-
|
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
|
-
|
430
|
-
|
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
|
-
|
433
|
-
attr_accessor :skilled_nursing
|
844
|
+
# Network and Provider Data
|
434
845
|
|
435
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
445
|
-
|
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
|
-
|
448
|
-
|
855
|
+
```
|
856
|
+
POST /providers/search
|
857
|
+
{
|
858
|
+
"search_term": "foo",
|
859
|
+
"zip_code": "11201"
|
860
|
+
}
|
861
|
+
```
|
449
862
|
|
450
|
-
|
451
|
-
|
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 ACAPlan2018
|
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
|
+
# Percentage of essential plan benefits
|
1028
|
+
attr_accessor :essential_health_benefits_percentage
|
1029
|
+
|
1030
|
+
# Expiration date of coverage.
|
1031
|
+
attr_accessor :expiration_date
|
1032
|
+
|
1033
|
+
# Deductible for drugs when a family is on the plan.
|
1034
|
+
attr_accessor :family_drug_deductible
|
1035
|
+
|
1036
|
+
# Maximum out-of-pocket for drugs when a family is on the plan
|
1037
|
+
attr_accessor :family_drug_moop
|
1038
|
+
|
1039
|
+
# Deductible when a family is on the plan
|
1040
|
+
attr_accessor :family_medical_deductible
|
1041
|
+
|
1042
|
+
# Maximum out-of-pocket when a family is on the plan
|
1043
|
+
attr_accessor :family_medical_moop
|
1044
|
+
|
1045
|
+
# True if plan does not cover family planning
|
1046
|
+
attr_accessor :fp_rider
|
1047
|
+
|
456
1048
|
# Does the plan's network require a physician referral?
|
457
1049
|
attr_accessor :gated
|
458
1050
|
|
1051
|
+
# Cost for generic drugs
|
1052
|
+
attr_accessor :generic_drugs
|
1053
|
+
|
1054
|
+
# Habilitation services benefits summary
|
1055
|
+
attr_accessor :habilitation_services
|
1056
|
+
|
1057
|
+
#
|
1058
|
+
attr_accessor :hios_issuer_id
|
1059
|
+
|
1060
|
+
# Home health care benefits summary
|
1061
|
+
attr_accessor :home_health_care
|
1062
|
+
|
1063
|
+
# Hospice service benefits summary
|
1064
|
+
attr_accessor :hospice_service
|
1065
|
+
|
1066
|
+
# Is the plan HSA eligible?
|
1067
|
+
attr_accessor :hsa_eligible
|
1068
|
+
|
1069
|
+
# Government-issued HIOS plan ID
|
1070
|
+
attr_accessor :id
|
1071
|
+
|
1072
|
+
# List of identifiers of this Plan
|
1073
|
+
attr_accessor :identifiers
|
1074
|
+
|
1075
|
+
# Benefits summary for imaging coverage
|
1076
|
+
attr_accessor :imaging
|
1077
|
+
|
459
1078
|
# Imaging center benefits summary
|
460
1079
|
attr_accessor :imaging_center
|
461
1080
|
|
462
1081
|
# Imaging physician benefits summary
|
463
1082
|
attr_accessor :imaging_physician
|
464
1083
|
|
1084
|
+
# List of NPI numbers for Providers passed in who accept this Plan
|
1085
|
+
attr_accessor :in_network_ids
|
1086
|
+
|
1087
|
+
# Deductible for drugs when an individual is on the plan
|
1088
|
+
attr_accessor :individual_drug_deductible
|
1089
|
+
|
1090
|
+
# Maximum out-of-pocket for drugs when an individual is on the plan
|
1091
|
+
attr_accessor :individual_drug_moop
|
1092
|
+
|
1093
|
+
# Deductible when an individual is on the plan
|
1094
|
+
attr_accessor :individual_medical_deductible
|
1095
|
+
|
1096
|
+
# Maximum out-of-pocket when an individual is on the plan
|
1097
|
+
attr_accessor :individual_medical_moop
|
1098
|
+
|
1099
|
+
# Inpatient birth benefits summary
|
1100
|
+
attr_accessor :inpatient_birth
|
1101
|
+
|
1102
|
+
# Cost under the plan for an inpatient facility
|
1103
|
+
attr_accessor :inpatient_facility
|
1104
|
+
|
1105
|
+
# Inpatient mental helath benefits summary
|
1106
|
+
attr_accessor :inpatient_mental_health
|
1107
|
+
|
1108
|
+
# Cost under the plan for an inpatient physician
|
1109
|
+
attr_accessor :inpatient_physician
|
1110
|
+
|
1111
|
+
# Inpatient substance abuse benefits summary
|
1112
|
+
attr_accessor :inpatient_substance
|
1113
|
+
|
465
1114
|
# Lab test benefits summary
|
466
1115
|
attr_accessor :lab_test
|
467
1116
|
|
1117
|
+
# Plan metal grouping (e.g. platinum, gold, silver, etc)
|
1118
|
+
attr_accessor :level
|
1119
|
+
|
1120
|
+
# Link to a copy of the insurance carrier's logo
|
1121
|
+
attr_accessor :logo_url
|
1122
|
+
|
468
1123
|
# Multiple of the standard Rx cost share for orders filled via mail order
|
469
1124
|
attr_accessor :mail_order_rx
|
470
1125
|
|
1126
|
+
# Marketing name of the plan
|
1127
|
+
attr_accessor :name
|
1128
|
+
|
1129
|
+
# List of Vericred-generated network_ids
|
1130
|
+
attr_accessor :network_ids
|
1131
|
+
|
1132
|
+
# Total number of Providers in network
|
1133
|
+
attr_accessor :network_size
|
1134
|
+
|
1135
|
+
# Cost under the plan for non-preferred brand drugs
|
1136
|
+
attr_accessor :non_preferred_brand_drugs
|
1137
|
+
|
471
1138
|
# Non-preferred generic drugs benefits summary
|
472
1139
|
attr_accessor :nonpreferred_generic_drug_share
|
473
1140
|
|
474
1141
|
# Non-preferred specialty drugs benefits summary
|
475
1142
|
attr_accessor :nonpreferred_specialty_drug_share
|
476
1143
|
|
1144
|
+
# Is the plan off-market?
|
1145
|
+
attr_accessor :off_market
|
1146
|
+
|
1147
|
+
# Is the plan on-market?
|
1148
|
+
attr_accessor :on_market
|
1149
|
+
|
1150
|
+
# Does this plan provide any out of network coverage?
|
1151
|
+
attr_accessor :out_of_network_coverage
|
1152
|
+
|
1153
|
+
# List of NPI numbers for Providers passed in who do not accept this Plan
|
1154
|
+
attr_accessor :out_of_network_ids
|
1155
|
+
|
477
1156
|
# Outpatient ambulatory care center benefits summary
|
478
1157
|
attr_accessor :outpatient_ambulatory_care_center
|
479
1158
|
|
480
|
-
#
|
1159
|
+
# Benefits summary for outpatient facility coverage
|
1160
|
+
attr_accessor :outpatient_facility
|
1161
|
+
|
1162
|
+
# Benefits summary for outpatient mental health coverage
|
1163
|
+
attr_accessor :outpatient_mental_health
|
1164
|
+
|
1165
|
+
# Benefits summary for outpatient physician coverage
|
1166
|
+
attr_accessor :outpatient_physician
|
1167
|
+
|
1168
|
+
# Outpatient substance abuse benefits summary
|
1169
|
+
attr_accessor :outpatient_substance
|
1170
|
+
|
1171
|
+
# 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
1172
|
attr_accessor :plan_calendar
|
482
1173
|
|
483
|
-
#
|
484
|
-
attr_accessor :
|
1174
|
+
# Market in which the plan is offered (on_marketplace, shop, etc)
|
1175
|
+
attr_accessor :plan_market
|
1176
|
+
|
1177
|
+
# Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
|
1178
|
+
attr_accessor :plan_type
|
485
1179
|
|
486
1180
|
# Post-natal care benefits summary
|
487
1181
|
attr_accessor :postnatal_care
|
488
1182
|
|
1183
|
+
# Cost under the plan for perferred brand drugs
|
1184
|
+
attr_accessor :preferred_brand_drugs
|
1185
|
+
|
1186
|
+
# Cumulative premium amount
|
1187
|
+
attr_accessor :premium
|
1188
|
+
|
1189
|
+
# Source of the base pricing data
|
1190
|
+
attr_accessor :premium_source
|
1191
|
+
|
1192
|
+
# Cumulative premium amount after subsidy
|
1193
|
+
attr_accessor :premium_subsidized
|
1194
|
+
|
1195
|
+
# Prenatal care benefits summary
|
1196
|
+
attr_accessor :prenatal_care
|
1197
|
+
|
1198
|
+
# Inpatient substance abuse benefits summary
|
1199
|
+
attr_accessor :prenatal_postnatal_care
|
1200
|
+
|
1201
|
+
# Benefits summary for preventative care
|
1202
|
+
attr_accessor :preventative_care
|
1203
|
+
|
1204
|
+
# Cost under the plan to visit a Primary Care Physician
|
1205
|
+
attr_accessor :primary_care_physician
|
1206
|
+
|
1207
|
+
# Benefits summary for rehabilitation services
|
1208
|
+
attr_accessor :rehabilitation_services
|
1209
|
+
|
1210
|
+
# Foreign key for service area
|
1211
|
+
attr_accessor :service_area_id
|
1212
|
+
|
1213
|
+
# Benefits summary for skilled nursing services
|
1214
|
+
attr_accessor :skilled_nursing
|
1215
|
+
|
489
1216
|
# Does the plan cover full-time, year-round, nursing facilities?
|
490
1217
|
attr_accessor :skilled_nursing_facility_365
|
491
1218
|
|
492
|
-
#
|
493
|
-
attr_accessor :
|
1219
|
+
# Source of the plan benefit data
|
1220
|
+
attr_accessor :source
|
1221
|
+
|
1222
|
+
# Cost under the plan to visit a specialist
|
1223
|
+
attr_accessor :specialist
|
1224
|
+
|
1225
|
+
# Cost under the plan for specialty drugs
|
1226
|
+
attr_accessor :specialty_drugs
|
1227
|
+
|
1228
|
+
# The type of the Plan
|
1229
|
+
attr_accessor :type
|
1230
|
+
|
1231
|
+
# Benefits summary for urgent care
|
1232
|
+
attr_accessor :urgent_care
|
494
1233
|
|
495
1234
|
|
496
1235
|
# Attribute mapping from ruby-style variable name to JSON key.
|
497
1236
|
def self.attribute_map
|
498
1237
|
{
|
499
|
-
:'
|
500
|
-
:'display_name' => :'display_name',
|
501
|
-
:'effective_date' => :'effective_date',
|
502
|
-
:'expiration_date' => :'expiration_date',
|
503
|
-
:'identifiers' => :'identifiers',
|
504
|
-
:'name' => :'name',
|
505
|
-
:'network_ids' => :'network_ids',
|
506
|
-
:'network_size' => :'network_size',
|
507
|
-
:'plan_type' => :'plan_type',
|
508
|
-
:'service_area_id' => :'service_area_id',
|
509
|
-
:'source' => :'source',
|
510
|
-
:'type' => :'type',
|
1238
|
+
:'actuarial_value' => :'actuarial_value',
|
511
1239
|
:'adult_dental' => :'adult_dental',
|
512
1240
|
:'age29_rider' => :'age29_rider',
|
513
1241
|
:'ambulance' => :'ambulance',
|
514
1242
|
:'benefits_summary_url' => :'benefits_summary_url',
|
515
1243
|
:'buy_link' => :'buy_link',
|
1244
|
+
:'carrier_name' => :'carrier_name',
|
516
1245
|
:'child_dental' => :'child_dental',
|
517
|
-
:'child_eyewear' => :'child_eyewear',
|
518
1246
|
:'child_eye_exam' => :'child_eye_exam',
|
1247
|
+
:'child_eyewear' => :'child_eyewear',
|
1248
|
+
:'chiropractic_services' => :'chiropractic_services',
|
1249
|
+
:'coinsurance' => :'coinsurance',
|
519
1250
|
:'customer_service_phone_number' => :'customer_service_phone_number',
|
520
|
-
:'durable_medical_equipment' => :'durable_medical_equipment',
|
521
1251
|
:'diagnostic_test' => :'diagnostic_test',
|
1252
|
+
:'display_name' => :'display_name',
|
522
1253
|
:'dp_rider' => :'dp_rider',
|
523
1254
|
:'drug_formulary_url' => :'drug_formulary_url',
|
1255
|
+
:'durable_medical_equipment' => :'durable_medical_equipment',
|
1256
|
+
:'effective_date' => :'effective_date',
|
1257
|
+
:'embedded_deductible' => :'embedded_deductible',
|
524
1258
|
:'emergency_room' => :'emergency_room',
|
1259
|
+
:'essential_health_benefits_percentage' => :'essential_health_benefits_percentage',
|
1260
|
+
:'expiration_date' => :'expiration_date',
|
525
1261
|
:'family_drug_deductible' => :'family_drug_deductible',
|
526
1262
|
:'family_drug_moop' => :'family_drug_moop',
|
527
1263
|
:'family_medical_deductible' => :'family_medical_deductible',
|
528
1264
|
:'family_medical_moop' => :'family_medical_moop',
|
529
1265
|
:'fp_rider' => :'fp_rider',
|
1266
|
+
:'gated' => :'gated',
|
530
1267
|
:'generic_drugs' => :'generic_drugs',
|
531
1268
|
:'habilitation_services' => :'habilitation_services',
|
532
1269
|
:'hios_issuer_id' => :'hios_issuer_id',
|
@@ -534,7 +1271,11 @@ module VericredClient
|
|
534
1271
|
:'hospice_service' => :'hospice_service',
|
535
1272
|
:'hsa_eligible' => :'hsa_eligible',
|
536
1273
|
:'id' => :'id',
|
1274
|
+
:'identifiers' => :'identifiers',
|
537
1275
|
:'imaging' => :'imaging',
|
1276
|
+
:'imaging_center' => :'imaging_center',
|
1277
|
+
:'imaging_physician' => :'imaging_physician',
|
1278
|
+
:'in_network_ids' => :'in_network_ids',
|
538
1279
|
:'individual_drug_deductible' => :'individual_drug_deductible',
|
539
1280
|
:'individual_drug_moop' => :'individual_drug_moop',
|
540
1281
|
:'individual_medical_deductible' => :'individual_medical_deductible',
|
@@ -544,85 +1285,81 @@ module VericredClient
|
|
544
1285
|
:'inpatient_mental_health' => :'inpatient_mental_health',
|
545
1286
|
:'inpatient_physician' => :'inpatient_physician',
|
546
1287
|
:'inpatient_substance' => :'inpatient_substance',
|
547
|
-
:'
|
1288
|
+
:'lab_test' => :'lab_test',
|
548
1289
|
:'level' => :'level',
|
549
1290
|
:'logo_url' => :'logo_url',
|
1291
|
+
:'mail_order_rx' => :'mail_order_rx',
|
1292
|
+
:'name' => :'name',
|
1293
|
+
:'network_ids' => :'network_ids',
|
1294
|
+
:'network_size' => :'network_size',
|
550
1295
|
:'non_preferred_brand_drugs' => :'non_preferred_brand_drugs',
|
551
|
-
:'
|
1296
|
+
:'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
|
1297
|
+
:'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
|
552
1298
|
:'off_market' => :'off_market',
|
1299
|
+
:'on_market' => :'on_market',
|
553
1300
|
:'out_of_network_coverage' => :'out_of_network_coverage',
|
554
1301
|
:'out_of_network_ids' => :'out_of_network_ids',
|
1302
|
+
:'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
|
555
1303
|
:'outpatient_facility' => :'outpatient_facility',
|
556
1304
|
:'outpatient_mental_health' => :'outpatient_mental_health',
|
557
1305
|
:'outpatient_physician' => :'outpatient_physician',
|
558
1306
|
:'outpatient_substance' => :'outpatient_substance',
|
1307
|
+
:'plan_calendar' => :'plan_calendar',
|
559
1308
|
:'plan_market' => :'plan_market',
|
1309
|
+
:'plan_type' => :'plan_type',
|
1310
|
+
:'postnatal_care' => :'postnatal_care',
|
560
1311
|
:'preferred_brand_drugs' => :'preferred_brand_drugs',
|
561
|
-
:'prenatal_postnatal_care' => :'prenatal_postnatal_care',
|
562
|
-
:'preventative_care' => :'preventative_care',
|
563
|
-
:'premium_subsidized' => :'premium_subsidized',
|
564
1312
|
:'premium' => :'premium',
|
565
1313
|
:'premium_source' => :'premium_source',
|
1314
|
+
:'premium_subsidized' => :'premium_subsidized',
|
1315
|
+
:'prenatal_care' => :'prenatal_care',
|
1316
|
+
:'prenatal_postnatal_care' => :'prenatal_postnatal_care',
|
1317
|
+
:'preventative_care' => :'preventative_care',
|
566
1318
|
:'primary_care_physician' => :'primary_care_physician',
|
567
1319
|
:'rehabilitation_services' => :'rehabilitation_services',
|
1320
|
+
:'service_area_id' => :'service_area_id',
|
568
1321
|
:'skilled_nursing' => :'skilled_nursing',
|
1322
|
+
:'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
|
1323
|
+
:'source' => :'source',
|
569
1324
|
:'specialist' => :'specialist',
|
570
1325
|
:'specialty_drugs' => :'specialty_drugs',
|
571
|
-
:'
|
572
|
-
:'
|
573
|
-
:'chiropractic_services' => :'chiropractic_services',
|
574
|
-
:'coinsurance' => :'coinsurance',
|
575
|
-
:'embedded_deductible' => :'embedded_deductible',
|
576
|
-
:'gated' => :'gated',
|
577
|
-
:'imaging_center' => :'imaging_center',
|
578
|
-
:'imaging_physician' => :'imaging_physician',
|
579
|
-
:'lab_test' => :'lab_test',
|
580
|
-
:'mail_order_rx' => :'mail_order_rx',
|
581
|
-
:'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
|
582
|
-
:'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
|
583
|
-
:'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
|
584
|
-
:'plan_calendar' => :'plan_calendar',
|
585
|
-
:'prenatal_care' => :'prenatal_care',
|
586
|
-
:'postnatal_care' => :'postnatal_care',
|
587
|
-
:'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
|
588
|
-
:'essential_health_benefits_percentage' => :'essential_health_benefits_percentage'
|
1326
|
+
:'type' => :'type',
|
1327
|
+
:'urgent_care' => :'urgent_care'
|
589
1328
|
}
|
590
1329
|
end
|
591
1330
|
|
592
1331
|
# Attribute type mapping.
|
593
1332
|
def self.swagger_types
|
594
1333
|
{
|
595
|
-
:'
|
596
|
-
:'display_name' => :'String',
|
597
|
-
:'effective_date' => :'String',
|
598
|
-
:'expiration_date' => :'String',
|
599
|
-
:'identifiers' => :'Array<PlanIdentifier>',
|
600
|
-
:'name' => :'String',
|
601
|
-
:'network_ids' => :'Array<Integer>',
|
602
|
-
:'network_size' => :'Integer',
|
603
|
-
:'plan_type' => :'String',
|
604
|
-
:'service_area_id' => :'String',
|
605
|
-
:'source' => :'String',
|
606
|
-
:'type' => :'String',
|
1334
|
+
:'actuarial_value' => :'Float',
|
607
1335
|
:'adult_dental' => :'BOOLEAN',
|
608
1336
|
:'age29_rider' => :'BOOLEAN',
|
609
1337
|
:'ambulance' => :'String',
|
610
1338
|
:'benefits_summary_url' => :'String',
|
611
1339
|
:'buy_link' => :'String',
|
1340
|
+
:'carrier_name' => :'String',
|
612
1341
|
:'child_dental' => :'BOOLEAN',
|
613
|
-
:'child_eyewear' => :'String',
|
614
1342
|
:'child_eye_exam' => :'String',
|
1343
|
+
:'child_eyewear' => :'String',
|
1344
|
+
:'chiropractic_services' => :'String',
|
1345
|
+
:'coinsurance' => :'Float',
|
615
1346
|
:'customer_service_phone_number' => :'String',
|
616
|
-
:'durable_medical_equipment' => :'String',
|
617
1347
|
:'diagnostic_test' => :'String',
|
1348
|
+
:'display_name' => :'String',
|
618
1349
|
:'dp_rider' => :'BOOLEAN',
|
619
1350
|
:'drug_formulary_url' => :'String',
|
1351
|
+
:'durable_medical_equipment' => :'String',
|
1352
|
+
:'effective_date' => :'String',
|
1353
|
+
:'embedded_deductible' => :'String',
|
620
1354
|
:'emergency_room' => :'String',
|
1355
|
+
:'essential_health_benefits_percentage' => :'Float',
|
1356
|
+
:'expiration_date' => :'String',
|
621
1357
|
:'family_drug_deductible' => :'String',
|
622
1358
|
:'family_drug_moop' => :'String',
|
623
1359
|
:'family_medical_deductible' => :'String',
|
624
1360
|
:'family_medical_moop' => :'String',
|
625
1361
|
:'fp_rider' => :'BOOLEAN',
|
1362
|
+
:'gated' => :'BOOLEAN',
|
626
1363
|
:'generic_drugs' => :'String',
|
627
1364
|
:'habilitation_services' => :'String',
|
628
1365
|
:'hios_issuer_id' => :'String',
|
@@ -630,7 +1367,11 @@ module VericredClient
|
|
630
1367
|
:'hospice_service' => :'String',
|
631
1368
|
:'hsa_eligible' => :'BOOLEAN',
|
632
1369
|
:'id' => :'String',
|
1370
|
+
:'identifiers' => :'Array<PlanIdentifier>',
|
633
1371
|
:'imaging' => :'String',
|
1372
|
+
:'imaging_center' => :'String',
|
1373
|
+
:'imaging_physician' => :'String',
|
1374
|
+
:'in_network_ids' => :'Array<Integer>',
|
634
1375
|
:'individual_drug_deductible' => :'String',
|
635
1376
|
:'individual_drug_moop' => :'String',
|
636
1377
|
:'individual_medical_deductible' => :'String',
|
@@ -640,48 +1381,46 @@ module VericredClient
|
|
640
1381
|
:'inpatient_mental_health' => :'String',
|
641
1382
|
:'inpatient_physician' => :'String',
|
642
1383
|
:'inpatient_substance' => :'String',
|
643
|
-
:'
|
1384
|
+
:'lab_test' => :'String',
|
644
1385
|
:'level' => :'String',
|
645
1386
|
:'logo_url' => :'String',
|
1387
|
+
:'mail_order_rx' => :'Float',
|
1388
|
+
:'name' => :'String',
|
1389
|
+
:'network_ids' => :'Array<Integer>',
|
1390
|
+
:'network_size' => :'Integer',
|
646
1391
|
:'non_preferred_brand_drugs' => :'String',
|
647
|
-
:'
|
1392
|
+
:'nonpreferred_generic_drug_share' => :'String',
|
1393
|
+
:'nonpreferred_specialty_drug_share' => :'String',
|
648
1394
|
:'off_market' => :'BOOLEAN',
|
1395
|
+
:'on_market' => :'BOOLEAN',
|
649
1396
|
:'out_of_network_coverage' => :'BOOLEAN',
|
650
1397
|
:'out_of_network_ids' => :'Array<Integer>',
|
1398
|
+
:'outpatient_ambulatory_care_center' => :'String',
|
651
1399
|
:'outpatient_facility' => :'String',
|
652
1400
|
:'outpatient_mental_health' => :'String',
|
653
1401
|
:'outpatient_physician' => :'String',
|
654
1402
|
:'outpatient_substance' => :'String',
|
1403
|
+
:'plan_calendar' => :'String',
|
655
1404
|
:'plan_market' => :'String',
|
1405
|
+
:'plan_type' => :'String',
|
1406
|
+
:'postnatal_care' => :'String',
|
656
1407
|
:'preferred_brand_drugs' => :'String',
|
657
|
-
:'prenatal_postnatal_care' => :'String',
|
658
|
-
:'preventative_care' => :'String',
|
659
|
-
:'premium_subsidized' => :'Float',
|
660
1408
|
:'premium' => :'Float',
|
661
1409
|
:'premium_source' => :'String',
|
1410
|
+
:'premium_subsidized' => :'Float',
|
1411
|
+
:'prenatal_care' => :'String',
|
1412
|
+
:'prenatal_postnatal_care' => :'String',
|
1413
|
+
:'preventative_care' => :'String',
|
662
1414
|
:'primary_care_physician' => :'String',
|
663
1415
|
:'rehabilitation_services' => :'String',
|
1416
|
+
:'service_area_id' => :'String',
|
664
1417
|
:'skilled_nursing' => :'String',
|
1418
|
+
:'skilled_nursing_facility_365' => :'String',
|
1419
|
+
:'source' => :'String',
|
665
1420
|
:'specialist' => :'String',
|
666
1421
|
:'specialty_drugs' => :'String',
|
667
|
-
:'
|
668
|
-
:'
|
669
|
-
:'chiropractic_services' => :'String',
|
670
|
-
:'coinsurance' => :'Float',
|
671
|
-
:'embedded_deductible' => :'String',
|
672
|
-
:'gated' => :'BOOLEAN',
|
673
|
-
:'imaging_center' => :'String',
|
674
|
-
:'imaging_physician' => :'String',
|
675
|
-
:'lab_test' => :'String',
|
676
|
-
:'mail_order_rx' => :'Float',
|
677
|
-
:'nonpreferred_generic_drug_share' => :'String',
|
678
|
-
:'nonpreferred_specialty_drug_share' => :'String',
|
679
|
-
:'outpatient_ambulatory_care_center' => :'String',
|
680
|
-
:'plan_calendar' => :'String',
|
681
|
-
:'prenatal_care' => :'String',
|
682
|
-
:'postnatal_care' => :'String',
|
683
|
-
:'skilled_nursing_facility_365' => :'String',
|
684
|
-
:'essential_health_benefits_percentage' => :'Float'
|
1422
|
+
:'type' => :'String',
|
1423
|
+
:'urgent_care' => :'String'
|
685
1424
|
}
|
686
1425
|
end
|
687
1426
|
|
@@ -693,56 +1432,8 @@ module VericredClient
|
|
693
1432
|
# convert string to symbol for hash key
|
694
1433
|
attributes = attributes.each_with_object({}){|(k,v), h| h[k.to_sym] = v}
|
695
1434
|
|
696
|
-
if attributes.has_key?(:'
|
697
|
-
self.
|
698
|
-
end
|
699
|
-
|
700
|
-
if attributes.has_key?(:'display_name')
|
701
|
-
self.display_name = attributes[:'display_name']
|
702
|
-
end
|
703
|
-
|
704
|
-
if attributes.has_key?(:'effective_date')
|
705
|
-
self.effective_date = attributes[:'effective_date']
|
706
|
-
end
|
707
|
-
|
708
|
-
if attributes.has_key?(:'expiration_date')
|
709
|
-
self.expiration_date = attributes[:'expiration_date']
|
710
|
-
end
|
711
|
-
|
712
|
-
if attributes.has_key?(:'identifiers')
|
713
|
-
if (value = attributes[:'identifiers']).is_a?(Array)
|
714
|
-
self.identifiers = value
|
715
|
-
end
|
716
|
-
end
|
717
|
-
|
718
|
-
if attributes.has_key?(:'name')
|
719
|
-
self.name = attributes[:'name']
|
720
|
-
end
|
721
|
-
|
722
|
-
if attributes.has_key?(:'network_ids')
|
723
|
-
if (value = attributes[:'network_ids']).is_a?(Array)
|
724
|
-
self.network_ids = value
|
725
|
-
end
|
726
|
-
end
|
727
|
-
|
728
|
-
if attributes.has_key?(:'network_size')
|
729
|
-
self.network_size = attributes[:'network_size']
|
730
|
-
end
|
731
|
-
|
732
|
-
if attributes.has_key?(:'plan_type')
|
733
|
-
self.plan_type = attributes[:'plan_type']
|
734
|
-
end
|
735
|
-
|
736
|
-
if attributes.has_key?(:'service_area_id')
|
737
|
-
self.service_area_id = attributes[:'service_area_id']
|
738
|
-
end
|
739
|
-
|
740
|
-
if attributes.has_key?(:'source')
|
741
|
-
self.source = attributes[:'source']
|
742
|
-
end
|
743
|
-
|
744
|
-
if attributes.has_key?(:'type')
|
745
|
-
self.type = attributes[:'type']
|
1435
|
+
if attributes.has_key?(:'actuarial_value')
|
1436
|
+
self.actuarial_value = attributes[:'actuarial_value']
|
746
1437
|
end
|
747
1438
|
|
748
1439
|
if attributes.has_key?(:'adult_dental')
|
@@ -765,30 +1456,42 @@ module VericredClient
|
|
765
1456
|
self.buy_link = attributes[:'buy_link']
|
766
1457
|
end
|
767
1458
|
|
1459
|
+
if attributes.has_key?(:'carrier_name')
|
1460
|
+
self.carrier_name = attributes[:'carrier_name']
|
1461
|
+
end
|
1462
|
+
|
768
1463
|
if attributes.has_key?(:'child_dental')
|
769
1464
|
self.child_dental = attributes[:'child_dental']
|
770
1465
|
end
|
771
1466
|
|
1467
|
+
if attributes.has_key?(:'child_eye_exam')
|
1468
|
+
self.child_eye_exam = attributes[:'child_eye_exam']
|
1469
|
+
end
|
1470
|
+
|
772
1471
|
if attributes.has_key?(:'child_eyewear')
|
773
1472
|
self.child_eyewear = attributes[:'child_eyewear']
|
774
1473
|
end
|
775
1474
|
|
776
|
-
if attributes.has_key?(:'
|
777
|
-
self.
|
1475
|
+
if attributes.has_key?(:'chiropractic_services')
|
1476
|
+
self.chiropractic_services = attributes[:'chiropractic_services']
|
778
1477
|
end
|
779
1478
|
|
780
|
-
if attributes.has_key?(:'
|
781
|
-
self.
|
1479
|
+
if attributes.has_key?(:'coinsurance')
|
1480
|
+
self.coinsurance = attributes[:'coinsurance']
|
782
1481
|
end
|
783
1482
|
|
784
|
-
if attributes.has_key?(:'
|
785
|
-
self.
|
1483
|
+
if attributes.has_key?(:'customer_service_phone_number')
|
1484
|
+
self.customer_service_phone_number = attributes[:'customer_service_phone_number']
|
786
1485
|
end
|
787
1486
|
|
788
1487
|
if attributes.has_key?(:'diagnostic_test')
|
789
1488
|
self.diagnostic_test = attributes[:'diagnostic_test']
|
790
1489
|
end
|
791
1490
|
|
1491
|
+
if attributes.has_key?(:'display_name')
|
1492
|
+
self.display_name = attributes[:'display_name']
|
1493
|
+
end
|
1494
|
+
|
792
1495
|
if attributes.has_key?(:'dp_rider')
|
793
1496
|
self.dp_rider = attributes[:'dp_rider']
|
794
1497
|
end
|
@@ -797,10 +1500,30 @@ module VericredClient
|
|
797
1500
|
self.drug_formulary_url = attributes[:'drug_formulary_url']
|
798
1501
|
end
|
799
1502
|
|
1503
|
+
if attributes.has_key?(:'durable_medical_equipment')
|
1504
|
+
self.durable_medical_equipment = attributes[:'durable_medical_equipment']
|
1505
|
+
end
|
1506
|
+
|
1507
|
+
if attributes.has_key?(:'effective_date')
|
1508
|
+
self.effective_date = attributes[:'effective_date']
|
1509
|
+
end
|
1510
|
+
|
1511
|
+
if attributes.has_key?(:'embedded_deductible')
|
1512
|
+
self.embedded_deductible = attributes[:'embedded_deductible']
|
1513
|
+
end
|
1514
|
+
|
800
1515
|
if attributes.has_key?(:'emergency_room')
|
801
1516
|
self.emergency_room = attributes[:'emergency_room']
|
802
1517
|
end
|
803
1518
|
|
1519
|
+
if attributes.has_key?(:'essential_health_benefits_percentage')
|
1520
|
+
self.essential_health_benefits_percentage = attributes[:'essential_health_benefits_percentage']
|
1521
|
+
end
|
1522
|
+
|
1523
|
+
if attributes.has_key?(:'expiration_date')
|
1524
|
+
self.expiration_date = attributes[:'expiration_date']
|
1525
|
+
end
|
1526
|
+
|
804
1527
|
if attributes.has_key?(:'family_drug_deductible')
|
805
1528
|
self.family_drug_deductible = attributes[:'family_drug_deductible']
|
806
1529
|
end
|
@@ -821,6 +1544,10 @@ module VericredClient
|
|
821
1544
|
self.fp_rider = attributes[:'fp_rider']
|
822
1545
|
end
|
823
1546
|
|
1547
|
+
if attributes.has_key?(:'gated')
|
1548
|
+
self.gated = attributes[:'gated']
|
1549
|
+
end
|
1550
|
+
|
824
1551
|
if attributes.has_key?(:'generic_drugs')
|
825
1552
|
self.generic_drugs = attributes[:'generic_drugs']
|
826
1553
|
end
|
@@ -849,10 +1576,30 @@ module VericredClient
|
|
849
1576
|
self.id = attributes[:'id']
|
850
1577
|
end
|
851
1578
|
|
1579
|
+
if attributes.has_key?(:'identifiers')
|
1580
|
+
if (value = attributes[:'identifiers']).is_a?(Array)
|
1581
|
+
self.identifiers = value
|
1582
|
+
end
|
1583
|
+
end
|
1584
|
+
|
852
1585
|
if attributes.has_key?(:'imaging')
|
853
1586
|
self.imaging = attributes[:'imaging']
|
854
1587
|
end
|
855
1588
|
|
1589
|
+
if attributes.has_key?(:'imaging_center')
|
1590
|
+
self.imaging_center = attributes[:'imaging_center']
|
1591
|
+
end
|
1592
|
+
|
1593
|
+
if attributes.has_key?(:'imaging_physician')
|
1594
|
+
self.imaging_physician = attributes[:'imaging_physician']
|
1595
|
+
end
|
1596
|
+
|
1597
|
+
if attributes.has_key?(:'in_network_ids')
|
1598
|
+
if (value = attributes[:'in_network_ids']).is_a?(Array)
|
1599
|
+
self.in_network_ids = value
|
1600
|
+
end
|
1601
|
+
end
|
1602
|
+
|
856
1603
|
if attributes.has_key?(:'individual_drug_deductible')
|
857
1604
|
self.individual_drug_deductible = attributes[:'individual_drug_deductible']
|
858
1605
|
end
|
@@ -889,10 +1636,8 @@ module VericredClient
|
|
889
1636
|
self.inpatient_substance = attributes[:'inpatient_substance']
|
890
1637
|
end
|
891
1638
|
|
892
|
-
if attributes.has_key?(:'
|
893
|
-
|
894
|
-
self.in_network_ids = value
|
895
|
-
end
|
1639
|
+
if attributes.has_key?(:'lab_test')
|
1640
|
+
self.lab_test = attributes[:'lab_test']
|
896
1641
|
end
|
897
1642
|
|
898
1643
|
if attributes.has_key?(:'level')
|
@@ -903,18 +1648,44 @@ module VericredClient
|
|
903
1648
|
self.logo_url = attributes[:'logo_url']
|
904
1649
|
end
|
905
1650
|
|
1651
|
+
if attributes.has_key?(:'mail_order_rx')
|
1652
|
+
self.mail_order_rx = attributes[:'mail_order_rx']
|
1653
|
+
end
|
1654
|
+
|
1655
|
+
if attributes.has_key?(:'name')
|
1656
|
+
self.name = attributes[:'name']
|
1657
|
+
end
|
1658
|
+
|
1659
|
+
if attributes.has_key?(:'network_ids')
|
1660
|
+
if (value = attributes[:'network_ids']).is_a?(Array)
|
1661
|
+
self.network_ids = value
|
1662
|
+
end
|
1663
|
+
end
|
1664
|
+
|
1665
|
+
if attributes.has_key?(:'network_size')
|
1666
|
+
self.network_size = attributes[:'network_size']
|
1667
|
+
end
|
1668
|
+
|
906
1669
|
if attributes.has_key?(:'non_preferred_brand_drugs')
|
907
1670
|
self.non_preferred_brand_drugs = attributes[:'non_preferred_brand_drugs']
|
908
1671
|
end
|
909
1672
|
|
910
|
-
if attributes.has_key?(:'
|
911
|
-
self.
|
1673
|
+
if attributes.has_key?(:'nonpreferred_generic_drug_share')
|
1674
|
+
self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
|
1675
|
+
end
|
1676
|
+
|
1677
|
+
if attributes.has_key?(:'nonpreferred_specialty_drug_share')
|
1678
|
+
self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
|
912
1679
|
end
|
913
1680
|
|
914
1681
|
if attributes.has_key?(:'off_market')
|
915
1682
|
self.off_market = attributes[:'off_market']
|
916
1683
|
end
|
917
1684
|
|
1685
|
+
if attributes.has_key?(:'on_market')
|
1686
|
+
self.on_market = attributes[:'on_market']
|
1687
|
+
end
|
1688
|
+
|
918
1689
|
if attributes.has_key?(:'out_of_network_coverage')
|
919
1690
|
self.out_of_network_coverage = attributes[:'out_of_network_coverage']
|
920
1691
|
end
|
@@ -925,6 +1696,10 @@ module VericredClient
|
|
925
1696
|
end
|
926
1697
|
end
|
927
1698
|
|
1699
|
+
if attributes.has_key?(:'outpatient_ambulatory_care_center')
|
1700
|
+
self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
|
1701
|
+
end
|
1702
|
+
|
928
1703
|
if attributes.has_key?(:'outpatient_facility')
|
929
1704
|
self.outpatient_facility = attributes[:'outpatient_facility']
|
930
1705
|
end
|
@@ -941,24 +1716,24 @@ module VericredClient
|
|
941
1716
|
self.outpatient_substance = attributes[:'outpatient_substance']
|
942
1717
|
end
|
943
1718
|
|
944
|
-
if attributes.has_key?(:'
|
945
|
-
self.
|
1719
|
+
if attributes.has_key?(:'plan_calendar')
|
1720
|
+
self.plan_calendar = attributes[:'plan_calendar']
|
946
1721
|
end
|
947
1722
|
|
948
|
-
if attributes.has_key?(:'
|
949
|
-
self.
|
1723
|
+
if attributes.has_key?(:'plan_market')
|
1724
|
+
self.plan_market = attributes[:'plan_market']
|
950
1725
|
end
|
951
1726
|
|
952
|
-
if attributes.has_key?(:'
|
953
|
-
self.
|
1727
|
+
if attributes.has_key?(:'plan_type')
|
1728
|
+
self.plan_type = attributes[:'plan_type']
|
954
1729
|
end
|
955
1730
|
|
956
|
-
if attributes.has_key?(:'
|
957
|
-
self.
|
1731
|
+
if attributes.has_key?(:'postnatal_care')
|
1732
|
+
self.postnatal_care = attributes[:'postnatal_care']
|
958
1733
|
end
|
959
1734
|
|
960
|
-
if attributes.has_key?(:'
|
961
|
-
self.
|
1735
|
+
if attributes.has_key?(:'preferred_brand_drugs')
|
1736
|
+
self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
|
962
1737
|
end
|
963
1738
|
|
964
1739
|
if attributes.has_key?(:'premium')
|
@@ -969,96 +1744,60 @@ module VericredClient
|
|
969
1744
|
self.premium_source = attributes[:'premium_source']
|
970
1745
|
end
|
971
1746
|
|
972
|
-
if attributes.has_key?(:'
|
973
|
-
self.
|
974
|
-
end
|
975
|
-
|
976
|
-
if attributes.has_key?(:'rehabilitation_services')
|
977
|
-
self.rehabilitation_services = attributes[:'rehabilitation_services']
|
978
|
-
end
|
979
|
-
|
980
|
-
if attributes.has_key?(:'skilled_nursing')
|
981
|
-
self.skilled_nursing = attributes[:'skilled_nursing']
|
982
|
-
end
|
983
|
-
|
984
|
-
if attributes.has_key?(:'specialist')
|
985
|
-
self.specialist = attributes[:'specialist']
|
986
|
-
end
|
987
|
-
|
988
|
-
if attributes.has_key?(:'specialty_drugs')
|
989
|
-
self.specialty_drugs = attributes[:'specialty_drugs']
|
990
|
-
end
|
991
|
-
|
992
|
-
if attributes.has_key?(:'urgent_care')
|
993
|
-
self.urgent_care = attributes[:'urgent_care']
|
994
|
-
end
|
995
|
-
|
996
|
-
if attributes.has_key?(:'actuarial_value')
|
997
|
-
self.actuarial_value = attributes[:'actuarial_value']
|
998
|
-
end
|
999
|
-
|
1000
|
-
if attributes.has_key?(:'chiropractic_services')
|
1001
|
-
self.chiropractic_services = attributes[:'chiropractic_services']
|
1002
|
-
end
|
1003
|
-
|
1004
|
-
if attributes.has_key?(:'coinsurance')
|
1005
|
-
self.coinsurance = attributes[:'coinsurance']
|
1006
|
-
end
|
1007
|
-
|
1008
|
-
if attributes.has_key?(:'embedded_deductible')
|
1009
|
-
self.embedded_deductible = attributes[:'embedded_deductible']
|
1747
|
+
if attributes.has_key?(:'premium_subsidized')
|
1748
|
+
self.premium_subsidized = attributes[:'premium_subsidized']
|
1010
1749
|
end
|
1011
1750
|
|
1012
|
-
if attributes.has_key?(:'
|
1013
|
-
self.
|
1751
|
+
if attributes.has_key?(:'prenatal_care')
|
1752
|
+
self.prenatal_care = attributes[:'prenatal_care']
|
1014
1753
|
end
|
1015
1754
|
|
1016
|
-
if attributes.has_key?(:'
|
1017
|
-
self.
|
1755
|
+
if attributes.has_key?(:'prenatal_postnatal_care')
|
1756
|
+
self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
|
1018
1757
|
end
|
1019
1758
|
|
1020
|
-
if attributes.has_key?(:'
|
1021
|
-
self.
|
1759
|
+
if attributes.has_key?(:'preventative_care')
|
1760
|
+
self.preventative_care = attributes[:'preventative_care']
|
1022
1761
|
end
|
1023
1762
|
|
1024
|
-
if attributes.has_key?(:'
|
1025
|
-
self.
|
1763
|
+
if attributes.has_key?(:'primary_care_physician')
|
1764
|
+
self.primary_care_physician = attributes[:'primary_care_physician']
|
1026
1765
|
end
|
1027
1766
|
|
1028
|
-
if attributes.has_key?(:'
|
1029
|
-
self.
|
1767
|
+
if attributes.has_key?(:'rehabilitation_services')
|
1768
|
+
self.rehabilitation_services = attributes[:'rehabilitation_services']
|
1030
1769
|
end
|
1031
1770
|
|
1032
|
-
if attributes.has_key?(:'
|
1033
|
-
self.
|
1771
|
+
if attributes.has_key?(:'service_area_id')
|
1772
|
+
self.service_area_id = attributes[:'service_area_id']
|
1034
1773
|
end
|
1035
1774
|
|
1036
|
-
if attributes.has_key?(:'
|
1037
|
-
self.
|
1775
|
+
if attributes.has_key?(:'skilled_nursing')
|
1776
|
+
self.skilled_nursing = attributes[:'skilled_nursing']
|
1038
1777
|
end
|
1039
1778
|
|
1040
|
-
if attributes.has_key?(:'
|
1041
|
-
self.
|
1779
|
+
if attributes.has_key?(:'skilled_nursing_facility_365')
|
1780
|
+
self.skilled_nursing_facility_365 = attributes[:'skilled_nursing_facility_365']
|
1042
1781
|
end
|
1043
1782
|
|
1044
|
-
if attributes.has_key?(:'
|
1045
|
-
self.
|
1783
|
+
if attributes.has_key?(:'source')
|
1784
|
+
self.source = attributes[:'source']
|
1046
1785
|
end
|
1047
1786
|
|
1048
|
-
if attributes.has_key?(:'
|
1049
|
-
self.
|
1787
|
+
if attributes.has_key?(:'specialist')
|
1788
|
+
self.specialist = attributes[:'specialist']
|
1050
1789
|
end
|
1051
1790
|
|
1052
|
-
if attributes.has_key?(:'
|
1053
|
-
self.
|
1791
|
+
if attributes.has_key?(:'specialty_drugs')
|
1792
|
+
self.specialty_drugs = attributes[:'specialty_drugs']
|
1054
1793
|
end
|
1055
1794
|
|
1056
|
-
if attributes.has_key?(:'
|
1057
|
-
self.
|
1795
|
+
if attributes.has_key?(:'type')
|
1796
|
+
self.type = attributes[:'type']
|
1058
1797
|
end
|
1059
1798
|
|
1060
|
-
if attributes.has_key?(:'
|
1061
|
-
self.
|
1799
|
+
if attributes.has_key?(:'urgent_care')
|
1800
|
+
self.urgent_care = attributes[:'urgent_care']
|
1062
1801
|
end
|
1063
1802
|
|
1064
1803
|
end
|
@@ -1081,37 +1820,35 @@ module VericredClient
|
|
1081
1820
|
def ==(o)
|
1082
1821
|
return true if self.equal?(o)
|
1083
1822
|
self.class == o.class &&
|
1084
|
-
|
1085
|
-
display_name == o.display_name &&
|
1086
|
-
effective_date == o.effective_date &&
|
1087
|
-
expiration_date == o.expiration_date &&
|
1088
|
-
identifiers == o.identifiers &&
|
1089
|
-
name == o.name &&
|
1090
|
-
network_ids == o.network_ids &&
|
1091
|
-
network_size == o.network_size &&
|
1092
|
-
plan_type == o.plan_type &&
|
1093
|
-
service_area_id == o.service_area_id &&
|
1094
|
-
source == o.source &&
|
1095
|
-
type == o.type &&
|
1823
|
+
actuarial_value == o.actuarial_value &&
|
1096
1824
|
adult_dental == o.adult_dental &&
|
1097
1825
|
age29_rider == o.age29_rider &&
|
1098
1826
|
ambulance == o.ambulance &&
|
1099
1827
|
benefits_summary_url == o.benefits_summary_url &&
|
1100
1828
|
buy_link == o.buy_link &&
|
1829
|
+
carrier_name == o.carrier_name &&
|
1101
1830
|
child_dental == o.child_dental &&
|
1102
|
-
child_eyewear == o.child_eyewear &&
|
1103
1831
|
child_eye_exam == o.child_eye_exam &&
|
1832
|
+
child_eyewear == o.child_eyewear &&
|
1833
|
+
chiropractic_services == o.chiropractic_services &&
|
1834
|
+
coinsurance == o.coinsurance &&
|
1104
1835
|
customer_service_phone_number == o.customer_service_phone_number &&
|
1105
|
-
durable_medical_equipment == o.durable_medical_equipment &&
|
1106
1836
|
diagnostic_test == o.diagnostic_test &&
|
1837
|
+
display_name == o.display_name &&
|
1107
1838
|
dp_rider == o.dp_rider &&
|
1108
1839
|
drug_formulary_url == o.drug_formulary_url &&
|
1840
|
+
durable_medical_equipment == o.durable_medical_equipment &&
|
1841
|
+
effective_date == o.effective_date &&
|
1842
|
+
embedded_deductible == o.embedded_deductible &&
|
1109
1843
|
emergency_room == o.emergency_room &&
|
1844
|
+
essential_health_benefits_percentage == o.essential_health_benefits_percentage &&
|
1845
|
+
expiration_date == o.expiration_date &&
|
1110
1846
|
family_drug_deductible == o.family_drug_deductible &&
|
1111
1847
|
family_drug_moop == o.family_drug_moop &&
|
1112
1848
|
family_medical_deductible == o.family_medical_deductible &&
|
1113
1849
|
family_medical_moop == o.family_medical_moop &&
|
1114
1850
|
fp_rider == o.fp_rider &&
|
1851
|
+
gated == o.gated &&
|
1115
1852
|
generic_drugs == o.generic_drugs &&
|
1116
1853
|
habilitation_services == o.habilitation_services &&
|
1117
1854
|
hios_issuer_id == o.hios_issuer_id &&
|
@@ -1119,7 +1856,11 @@ module VericredClient
|
|
1119
1856
|
hospice_service == o.hospice_service &&
|
1120
1857
|
hsa_eligible == o.hsa_eligible &&
|
1121
1858
|
id == o.id &&
|
1859
|
+
identifiers == o.identifiers &&
|
1122
1860
|
imaging == o.imaging &&
|
1861
|
+
imaging_center == o.imaging_center &&
|
1862
|
+
imaging_physician == o.imaging_physician &&
|
1863
|
+
in_network_ids == o.in_network_ids &&
|
1123
1864
|
individual_drug_deductible == o.individual_drug_deductible &&
|
1124
1865
|
individual_drug_moop == o.individual_drug_moop &&
|
1125
1866
|
individual_medical_deductible == o.individual_medical_deductible &&
|
@@ -1129,48 +1870,46 @@ module VericredClient
|
|
1129
1870
|
inpatient_mental_health == o.inpatient_mental_health &&
|
1130
1871
|
inpatient_physician == o.inpatient_physician &&
|
1131
1872
|
inpatient_substance == o.inpatient_substance &&
|
1132
|
-
|
1873
|
+
lab_test == o.lab_test &&
|
1133
1874
|
level == o.level &&
|
1134
1875
|
logo_url == o.logo_url &&
|
1876
|
+
mail_order_rx == o.mail_order_rx &&
|
1877
|
+
name == o.name &&
|
1878
|
+
network_ids == o.network_ids &&
|
1879
|
+
network_size == o.network_size &&
|
1135
1880
|
non_preferred_brand_drugs == o.non_preferred_brand_drugs &&
|
1136
|
-
|
1881
|
+
nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
|
1882
|
+
nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
|
1137
1883
|
off_market == o.off_market &&
|
1884
|
+
on_market == o.on_market &&
|
1138
1885
|
out_of_network_coverage == o.out_of_network_coverage &&
|
1139
1886
|
out_of_network_ids == o.out_of_network_ids &&
|
1887
|
+
outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
|
1140
1888
|
outpatient_facility == o.outpatient_facility &&
|
1141
1889
|
outpatient_mental_health == o.outpatient_mental_health &&
|
1142
1890
|
outpatient_physician == o.outpatient_physician &&
|
1143
1891
|
outpatient_substance == o.outpatient_substance &&
|
1892
|
+
plan_calendar == o.plan_calendar &&
|
1144
1893
|
plan_market == o.plan_market &&
|
1894
|
+
plan_type == o.plan_type &&
|
1895
|
+
postnatal_care == o.postnatal_care &&
|
1145
1896
|
preferred_brand_drugs == o.preferred_brand_drugs &&
|
1146
|
-
prenatal_postnatal_care == o.prenatal_postnatal_care &&
|
1147
|
-
preventative_care == o.preventative_care &&
|
1148
|
-
premium_subsidized == o.premium_subsidized &&
|
1149
1897
|
premium == o.premium &&
|
1150
1898
|
premium_source == o.premium_source &&
|
1899
|
+
premium_subsidized == o.premium_subsidized &&
|
1900
|
+
prenatal_care == o.prenatal_care &&
|
1901
|
+
prenatal_postnatal_care == o.prenatal_postnatal_care &&
|
1902
|
+
preventative_care == o.preventative_care &&
|
1151
1903
|
primary_care_physician == o.primary_care_physician &&
|
1152
1904
|
rehabilitation_services == o.rehabilitation_services &&
|
1905
|
+
service_area_id == o.service_area_id &&
|
1153
1906
|
skilled_nursing == o.skilled_nursing &&
|
1907
|
+
skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
|
1908
|
+
source == o.source &&
|
1154
1909
|
specialist == o.specialist &&
|
1155
1910
|
specialty_drugs == o.specialty_drugs &&
|
1156
|
-
|
1157
|
-
|
1158
|
-
chiropractic_services == o.chiropractic_services &&
|
1159
|
-
coinsurance == o.coinsurance &&
|
1160
|
-
embedded_deductible == o.embedded_deductible &&
|
1161
|
-
gated == o.gated &&
|
1162
|
-
imaging_center == o.imaging_center &&
|
1163
|
-
imaging_physician == o.imaging_physician &&
|
1164
|
-
lab_test == o.lab_test &&
|
1165
|
-
mail_order_rx == o.mail_order_rx &&
|
1166
|
-
nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
|
1167
|
-
nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
|
1168
|
-
outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
|
1169
|
-
plan_calendar == o.plan_calendar &&
|
1170
|
-
prenatal_care == o.prenatal_care &&
|
1171
|
-
postnatal_care == o.postnatal_care &&
|
1172
|
-
skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
|
1173
|
-
essential_health_benefits_percentage == o.essential_health_benefits_percentage
|
1911
|
+
type == o.type &&
|
1912
|
+
urgent_care == o.urgent_care
|
1174
1913
|
end
|
1175
1914
|
|
1176
1915
|
# @see the `==` method
|
@@ -1182,7 +1921,7 @@ module VericredClient
|
|
1182
1921
|
# Calculates hash code according to all attributes.
|
1183
1922
|
# @return [Fixnum] Hash code
|
1184
1923
|
def hash
|
1185
|
-
[
|
1924
|
+
[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, essential_health_benefits_percentage, 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
|
1186
1925
|
end
|
1187
1926
|
|
1188
1927
|
# Builds the object from hash
|