vericred_client 0.0.23 → 0.0.25

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Files changed (476) hide show
  1. checksums.yaml +4 -4
  2. data/README.md +826 -28
  3. data/docs/ACAPlan.md +35 -35
  4. data/docs/ACAPlan2018.md +36 -36
  5. data/docs/ACAPlan2018SearchResponse.md +1 -1
  6. data/docs/ACAPlan2018SearchResult.md +39 -39
  7. data/docs/ACAPlanPre2018.md +35 -35
  8. data/docs/ACAPlanPre2018SearchResponse.md +1 -1
  9. data/docs/ACAPlanPre2018SearchResult.md +38 -38
  10. data/docs/Address.md +14 -0
  11. data/docs/AncillaryPlanIdentifier.md +9 -0
  12. data/docs/BasePlanSearchResponse.md +1 -1
  13. data/docs/CarrierGroupRequest.md +1 -1
  14. data/docs/CarrierRequest.md +2 -2
  15. data/docs/CarrierSubsidiary.md +2 -2
  16. data/docs/CarrierVerificationDentalPlansApi.md +63 -0
  17. data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
  18. data/docs/CarrierVerificationVisionPlansApi.md +63 -0
  19. data/docs/County.md +1 -1
  20. data/docs/CountyBulk.md +1 -1
  21. data/docs/DentalPlan.md +7 -7
  22. data/docs/DentalPlanBenefits.md +22 -22
  23. data/docs/DentalPlanSearchRequest.md +1 -2
  24. data/docs/DentalPlanUpdate.md +5 -5
  25. data/docs/DentalPlansApi.md +118 -4
  26. data/docs/DependentCreate.md +12 -0
  27. data/docs/DependentCreateRequest.md +12 -0
  28. data/docs/DependentShow.md +12 -0
  29. data/docs/Drug.md +3 -3
  30. data/docs/DrugCoverage.md +3 -3
  31. data/docs/DrugCoverageResponse.md +2 -2
  32. data/docs/DrugPackage.md +1 -1
  33. data/docs/DrugSearchResponse.md +2 -2
  34. data/docs/EmbargoRequest.md +3 -2
  35. data/docs/FormularyResponse.md +1 -1
  36. data/docs/GroupCreate.md +14 -0
  37. data/docs/GroupCreateRequest.md +9 -0
  38. data/docs/GroupCreateResponse.md +9 -0
  39. data/docs/GroupShow.md +15 -0
  40. data/docs/GroupShowResponse.md +9 -0
  41. data/docs/GroupUpdate.md +14 -0
  42. data/docs/GroupUpdateRequest.md +9 -0
  43. data/docs/IssuerRequest.md +7 -7
  44. data/docs/LocationCreate.md +13 -0
  45. data/docs/LocationShow.md +14 -0
  46. data/docs/LocationUpdate.md +14 -0
  47. data/docs/MajorMedicalPlansApi.md +122 -0
  48. data/docs/MedicalPlanBenefits.md +35 -35
  49. data/docs/MedicalPlanUpdate.md +21 -20
  50. data/docs/MedicalPlansApi.md +0 -114
  51. data/docs/MedicareAdvantagePlan.md +25 -0
  52. data/docs/MedicareAdvantagePlanBenefits.md +148 -0
  53. data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
  54. data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
  55. data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
  56. data/docs/MemberCreate.md +17 -0
  57. data/docs/MemberRateShow.md +13 -0
  58. data/docs/MemberRateShowRequest.md +10 -0
  59. data/docs/MemberRatesShowResponse.md +9 -0
  60. data/docs/MemberShow.md +18 -0
  61. data/docs/MembersCreateRequest.md +9 -0
  62. data/docs/MembersCreateResponse.md +8 -0
  63. data/docs/MembersShowResponse.md +8 -0
  64. data/docs/MetaPlanSearchResponse.md +1 -1
  65. data/docs/NetworkComparisonResponse.md +1 -1
  66. data/docs/NetworkDetails.md +1 -1
  67. data/docs/NetworkSize.md +1 -1
  68. data/docs/NetworksApi.md +17 -12
  69. data/docs/PlanCounty.md +1 -1
  70. data/docs/PlanCountyBulk.md +1 -1
  71. data/docs/PlanMedicare.md +1 -1
  72. data/docs/PlanMedicareBulk.md +2 -2
  73. data/docs/PlanPricingMedicare.md +3 -3
  74. data/docs/PlanSearchResponse.md +1 -1
  75. data/docs/PlansApi.md +0 -169
  76. data/docs/PlansBulkACA2018.md +8 -0
  77. data/docs/PlansBulkACAPre2018.md +8 -0
  78. data/docs/PlansBulkBase.md +7 -0
  79. data/docs/PlansBulkDental.md +7 -0
  80. data/docs/PlansBulkVision.md +7 -0
  81. data/docs/Provider.md +2 -2
  82. data/docs/ProviderDetails.md +5 -3
  83. data/docs/ProviderNetworkEventNotification.md +3 -3
  84. data/docs/ProviderNetworks.md +11 -0
  85. data/docs/ProviderShowResponse.md +1 -1
  86. data/docs/ProvidersApi.md +1 -56
  87. data/docs/QuoteCreate.md +15 -0
  88. data/docs/QuoteCreateRequest.md +8 -0
  89. data/docs/QuoteCreateResponse.md +8 -0
  90. data/docs/QuoteShow.md +17 -0
  91. data/docs/QuoteShowResponse.md +8 -0
  92. data/docs/QuotingApi.md +344 -0
  93. data/docs/RateRequest.md +24 -24
  94. data/docs/RateSearch.md +23 -18
  95. data/docs/RateShow.md +12 -0
  96. data/docs/RateShowRequest.md +10 -0
  97. data/docs/RatesShowResponse.md +9 -0
  98. data/docs/RequestPlanFind.md +2 -2
  99. data/docs/RequestPlanFindCarrierVerification.md +3 -3
  100. data/docs/RequestProviderNotificationSubscription.md +1 -1
  101. data/docs/RequestProvidersSearch.md +1 -1
  102. data/docs/RequestRatesSearch.md +1 -1
  103. data/docs/RxCuiIdentifier.md +1 -1
  104. data/docs/RxCuiIdentifierSearchResponse.md +1 -1
  105. data/docs/State.md +2 -2
  106. data/docs/SupplementalOptions.md +13 -0
  107. data/docs/V7Network.md +10 -0
  108. data/docs/V7NetworkComparisonResponse.md +9 -0
  109. data/docs/V7NetworkDetails.md +11 -0
  110. data/docs/V7NetworkDetailsResponse.md +8 -0
  111. data/docs/V7NetworkSearchResponse.md +9 -0
  112. data/docs/V7ProviderDetails.md +33 -0
  113. data/docs/V7ProviderNetworks.md +12 -0
  114. data/docs/VisionPlan.md +7 -7
  115. data/docs/VisionPlanBenefits.md +22 -15
  116. data/docs/VisionPlanSearchRequest.md +1 -2
  117. data/docs/VisionPlanUpdate.md +5 -5
  118. data/docs/VisionPlansApi.md +114 -0
  119. data/docs/ZipCountiesResponse.md +1 -1
  120. data/docs/ZipCountyBulk.md +1 -1
  121. data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
  122. data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
  123. data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
  124. data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
  125. data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
  126. data/lib/vericred_client/api/carriers_api.rb +754 -15
  127. data/lib/vericred_client/api/dental_plans_api.rb +874 -18
  128. data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
  129. data/lib/vericred_client/api/drug_packages_api.rb +754 -15
  130. data/lib/vericred_client/api/drugs_api.rb +754 -15
  131. data/lib/vericred_client/api/embargoes_api.rb +754 -15
  132. data/lib/vericred_client/api/formularies_api.rb +754 -15
  133. data/lib/vericred_client/api/issuers_api.rb +754 -15
  134. data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
  135. data/lib/vericred_client/api/medical_plans_api.rb +754 -132
  136. data/lib/vericred_client/api/network_sizes_api.rb +754 -15
  137. data/lib/vericred_client/api/networks_api.rb +773 -27
  138. data/lib/vericred_client/api/plans_api.rb +754 -189
  139. data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
  140. data/lib/vericred_client/api/providers_api.rb +756 -74
  141. data/lib/vericred_client/api/quoting_api.rb +1316 -0
  142. data/lib/vericred_client/api/rates_api.rb +754 -15
  143. data/lib/vericred_client/api/vision_plans_api.rb +871 -15
  144. data/lib/vericred_client/api/zip_counties_api.rb +754 -15
  145. data/lib/vericred_client/api_client.rb +754 -15
  146. data/lib/vericred_client/api_error.rb +754 -15
  147. data/lib/vericred_client/configuration.rb +754 -15
  148. data/lib/vericred_client/models/aca_plan.rb +1165 -426
  149. data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
  150. data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
  151. data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
  152. data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
  153. data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
  154. data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
  155. data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
  156. data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
  157. data/lib/vericred_client/models/address.rb +1195 -0
  158. data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
  159. data/lib/vericred_client/models/base.rb +754 -15
  160. data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
  161. data/lib/vericred_client/models/carrier.rb +754 -15
  162. data/lib/vericred_client/models/carrier_group_request.rb +765 -26
  163. data/lib/vericred_client/models/carrier_request.rb +769 -30
  164. data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
  165. data/lib/vericred_client/models/county.rb +765 -26
  166. data/lib/vericred_client/models/county_bulk.rb +768 -29
  167. data/lib/vericred_client/models/dental_plan.rb +825 -86
  168. data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
  169. data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
  170. data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
  171. data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
  172. data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
  173. data/lib/vericred_client/models/dental_plan_update.rb +804 -65
  174. data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
  175. data/lib/vericred_client/models/dependent_create.rb +1175 -0
  176. data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
  177. data/lib/vericred_client/models/dependent_show.rb +1175 -0
  178. data/lib/vericred_client/models/drug.rb +781 -42
  179. data/lib/vericred_client/models/drug_coverage.rb +781 -42
  180. data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
  181. data/lib/vericred_client/models/drug_package.rb +765 -26
  182. data/lib/vericred_client/models/drug_search_response.rb +771 -32
  183. data/lib/vericred_client/models/embargo_request.rb +790 -39
  184. data/lib/vericred_client/models/formulary.rb +754 -15
  185. data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
  186. data/lib/vericred_client/models/formulary_response.rb +768 -29
  187. data/lib/vericred_client/models/group_create.rb +1195 -0
  188. data/lib/vericred_client/models/group_create_request.rb +1147 -0
  189. data/lib/vericred_client/models/group_create_response.rb +1147 -0
  190. data/lib/vericred_client/models/group_show.rb +1205 -0
  191. data/lib/vericred_client/models/group_show_response.rb +1147 -0
  192. data/lib/vericred_client/models/group_update.rb +1195 -0
  193. data/lib/vericred_client/models/group_update_request.rb +1147 -0
  194. data/lib/vericred_client/models/issuer_request.rb +819 -80
  195. data/lib/vericred_client/models/location_create.rb +1185 -0
  196. data/lib/vericred_client/models/location_show.rb +1195 -0
  197. data/lib/vericred_client/models/location_update.rb +1195 -0
  198. data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
  199. data/lib/vericred_client/models/medical_plan_update.rb +930 -181
  200. data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
  201. data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
  202. data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
  203. data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
  204. data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
  205. data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
  206. data/lib/vericred_client/models/member_create.rb +1227 -0
  207. data/lib/vericred_client/models/member_rate_show.rb +1185 -0
  208. data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
  209. data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
  210. data/lib/vericred_client/models/member_show.rb +1237 -0
  211. data/lib/vericred_client/models/members_create_request.rb +1147 -0
  212. data/lib/vericred_client/models/members_create_response.rb +1137 -0
  213. data/lib/vericred_client/models/members_show_response.rb +1137 -0
  214. data/lib/vericred_client/models/meta.rb +754 -15
  215. data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
  216. data/lib/vericred_client/models/network.rb +754 -15
  217. data/lib/vericred_client/models/network_comparison.rb +754 -15
  218. data/lib/vericred_client/models/network_comparison_request.rb +754 -15
  219. data/lib/vericred_client/models/network_comparison_response.rb +770 -31
  220. data/lib/vericred_client/models/network_details.rb +770 -31
  221. data/lib/vericred_client/models/network_details_response.rb +754 -15
  222. data/lib/vericred_client/models/network_search_response.rb +754 -15
  223. data/lib/vericred_client/models/network_size.rb +765 -26
  224. data/lib/vericred_client/models/notification_subscription.rb +754 -15
  225. data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
  226. data/lib/vericred_client/models/plan.rb +754 -15
  227. data/lib/vericred_client/models/plan_county.rb +768 -29
  228. data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
  229. data/lib/vericred_client/models/plan_deleted.rb +754 -15
  230. data/lib/vericred_client/models/plan_identifier.rb +754 -15
  231. data/lib/vericred_client/models/plan_medicare.rb +768 -29
  232. data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
  233. data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
  234. data/lib/vericred_client/models/plan_search_response.rb +765 -26
  235. data/lib/vericred_client/models/plan_show_response.rb +754 -15
  236. data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
  237. data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
  238. data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
  239. data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
  240. data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
  241. data/lib/vericred_client/models/provider.rb +780 -41
  242. data/lib/vericred_client/models/provider_details.rb +813 -50
  243. data/lib/vericred_client/models/provider_geocode.rb +754 -15
  244. data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
  245. data/lib/vericred_client/models/provider_networks.rb +1165 -0
  246. data/lib/vericred_client/models/provider_show_response.rb +755 -16
  247. data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
  248. data/lib/vericred_client/models/providers_search_response.rb +754 -15
  249. data/lib/vericred_client/models/quote_create.rb +1207 -0
  250. data/lib/vericred_client/models/quote_create_request.rb +1135 -0
  251. data/lib/vericred_client/models/quote_create_response.rb +1135 -0
  252. data/lib/vericred_client/models/quote_show.rb +1227 -0
  253. data/lib/vericred_client/models/quote_show_response.rb +1135 -0
  254. data/lib/vericred_client/models/rate_request.rb +990 -251
  255. data/lib/vericred_client/models/rate_search.rb +978 -189
  256. data/lib/vericred_client/models/rate_show.rb +1175 -0
  257. data/lib/vericred_client/models/rate_show_request.rb +1155 -0
  258. data/lib/vericred_client/models/rates_show_response.rb +1147 -0
  259. data/lib/vericred_client/models/rating_area.rb +754 -15
  260. data/lib/vericred_client/models/request_plan_find.rb +777 -38
  261. data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
  262. data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
  263. data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
  264. data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
  265. data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
  266. data/lib/vericred_client/models/request_providers_search.rb +767 -26
  267. data/lib/vericred_client/models/request_rates_search.rb +768 -29
  268. data/lib/vericred_client/models/response_rates_search.rb +754 -15
  269. data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
  270. data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
  271. data/lib/vericred_client/models/service_area.rb +754 -15
  272. data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
  273. data/lib/vericred_client/models/state.rb +778 -39
  274. data/lib/vericred_client/models/state_network_size_request.rb +754 -15
  275. data/lib/vericred_client/models/state_network_size_response.rb +754 -15
  276. data/lib/vericred_client/models/supplemental_options.rb +1187 -0
  277. data/lib/vericred_client/models/v7_network.rb +1155 -0
  278. data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
  279. data/lib/vericred_client/models/v7_network_details.rb +1167 -0
  280. data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
  281. data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
  282. data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
  283. data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
  284. data/lib/vericred_client/models/vision_plan.rb +825 -86
  285. data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
  286. data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
  287. data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
  288. data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
  289. data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
  290. data/lib/vericred_client/models/vision_plan_update.rb +804 -65
  291. data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
  292. data/lib/vericred_client/models/zip_code.rb +754 -15
  293. data/lib/vericred_client/models/zip_counties_response.rb +770 -31
  294. data/lib/vericred_client/models/zip_county.rb +754 -15
  295. data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
  296. data/lib/vericred_client/models/zip_county_response.rb +754 -15
  297. data/lib/vericred_client/version.rb +755 -16
  298. data/lib/vericred_client.rb +809 -15
  299. data/spec/api/carrier_groups_api_spec.rb +754 -15
  300. data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
  301. data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
  302. data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
  303. data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
  304. data/spec/api/carriers_api_spec.rb +754 -15
  305. data/spec/api/dental_plans_api_spec.rb +780 -16
  306. data/spec/api/drug_coverages_api_spec.rb +754 -15
  307. data/spec/api/drug_packages_api_spec.rb +754 -15
  308. data/spec/api/drugs_api_spec.rb +754 -15
  309. data/spec/api/embargoes_api_spec.rb +754 -15
  310. data/spec/api/formularies_api_spec.rb +754 -15
  311. data/spec/api/issuers_api_spec.rb +754 -15
  312. data/spec/api/major_medical_plans_api_spec.rb +1006 -0
  313. data/spec/api/medical_plans_api_spec.rb +754 -40
  314. data/spec/api/network_sizes_api_spec.rb +754 -15
  315. data/spec/api/networks_api_spec.rb +760 -18
  316. data/spec/api/plans_api_spec.rb +754 -52
  317. data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
  318. data/spec/api/providers_api_spec.rb +755 -28
  319. data/spec/api/quoting_api_spec.rb +1055 -0
  320. data/spec/api/rates_api_spec.rb +754 -15
  321. data/spec/api/vision_plans_api_spec.rb +779 -15
  322. data/spec/api/zip_counties_api_spec.rb +754 -15
  323. data/spec/api_client_spec.rb +754 -15
  324. data/spec/configuration_spec.rb +754 -15
  325. data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
  326. data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
  327. data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
  328. data/spec/models/aca_plan2018_spec.rb +843 -104
  329. data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
  330. data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
  331. data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
  332. data/spec/models/aca_plan_pre2018_spec.rb +837 -98
  333. data/spec/models/aca_plan_spec.rb +837 -98
  334. data/spec/models/address_spec.rb +1024 -0
  335. data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
  336. data/spec/models/base_plan_search_response_spec.rb +756 -17
  337. data/spec/models/base_spec.rb +754 -15
  338. data/spec/models/carrier_group_request_spec.rb +756 -17
  339. data/spec/models/carrier_request_spec.rb +756 -17
  340. data/spec/models/carrier_spec.rb +754 -15
  341. data/spec/models/carrier_subsidiary_spec.rb +758 -19
  342. data/spec/models/county_bulk_spec.rb +757 -18
  343. data/spec/models/county_spec.rb +756 -17
  344. data/spec/models/dental_plan_benefits_spec.rb +782 -43
  345. data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
  346. data/spec/models/dental_plan_search_request_spec.rb +758 -25
  347. data/spec/models/dental_plan_search_response_spec.rb +754 -15
  348. data/spec/models/dental_plan_show_response_spec.rb +754 -15
  349. data/spec/models/dental_plan_spec.rb +767 -28
  350. data/spec/models/dental_plan_update_request_spec.rb +754 -15
  351. data/spec/models/dental_plan_update_spec.rb +763 -24
  352. data/spec/models/dependent_create_request_spec.rb +1012 -0
  353. data/spec/models/dependent_create_spec.rb +1012 -0
  354. data/spec/models/dependent_show_spec.rb +1012 -0
  355. data/spec/models/drug_coverage_response_spec.rb +756 -17
  356. data/spec/models/drug_coverage_spec.rb +758 -19
  357. data/spec/models/drug_package_spec.rb +756 -17
  358. data/spec/models/drug_search_response_spec.rb +756 -17
  359. data/spec/models/drug_spec.rb +758 -19
  360. data/spec/models/embargo_request_spec.rb +766 -21
  361. data/spec/models/formulary_drug_package_response_spec.rb +754 -15
  362. data/spec/models/formulary_response_spec.rb +756 -17
  363. data/spec/models/formulary_spec.rb +754 -15
  364. data/spec/models/group_create_request_spec.rb +994 -0
  365. data/spec/models/group_create_response_spec.rb +994 -0
  366. data/spec/models/group_create_spec.rb +1024 -0
  367. data/spec/models/group_show_response_spec.rb +994 -0
  368. data/spec/models/group_show_spec.rb +1030 -0
  369. data/spec/models/group_update_request_spec.rb +994 -0
  370. data/spec/models/group_update_spec.rb +1024 -0
  371. data/spec/models/issuer_request_spec.rb +765 -26
  372. data/spec/models/location_create_spec.rb +1018 -0
  373. data/spec/models/location_show_spec.rb +1024 -0
  374. data/spec/models/location_update_spec.rb +1024 -0
  375. data/spec/models/medical_plan_benefits_spec.rb +801 -62
  376. data/spec/models/medical_plan_update_request_spec.rb +754 -15
  377. data/spec/models/medical_plan_update_spec.rb +792 -47
  378. data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
  379. data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
  380. data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
  381. data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
  382. data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
  383. data/spec/models/member_create_spec.rb +1042 -0
  384. data/spec/models/member_rate_show_request_spec.rb +1000 -0
  385. data/spec/models/member_rate_show_spec.rb +1018 -0
  386. data/spec/models/member_rates_show_response_spec.rb +994 -0
  387. data/spec/models/member_show_spec.rb +1048 -0
  388. data/spec/models/members_create_request_spec.rb +994 -0
  389. data/spec/models/members_create_response_spec.rb +988 -0
  390. data/spec/models/members_show_response_spec.rb +988 -0
  391. data/spec/models/meta_plan_search_response_spec.rb +757 -18
  392. data/spec/models/meta_spec.rb +754 -15
  393. data/spec/models/network_comparison_request_spec.rb +754 -15
  394. data/spec/models/network_comparison_response_spec.rb +756 -17
  395. data/spec/models/network_comparison_spec.rb +754 -15
  396. data/spec/models/network_details_response_spec.rb +754 -15
  397. data/spec/models/network_details_spec.rb +757 -18
  398. data/spec/models/network_search_response_spec.rb +754 -15
  399. data/spec/models/network_size_spec.rb +756 -17
  400. data/spec/models/network_spec.rb +754 -15
  401. data/spec/models/notification_subscription_response_spec.rb +754 -15
  402. data/spec/models/notification_subscription_spec.rb +754 -15
  403. data/spec/models/plan_county_bulk_spec.rb +756 -17
  404. data/spec/models/plan_county_spec.rb +756 -17
  405. data/spec/models/plan_deleted_spec.rb +754 -15
  406. data/spec/models/plan_identifier_spec.rb +754 -15
  407. data/spec/models/plan_medicare_bulk_spec.rb +763 -24
  408. data/spec/models/plan_medicare_spec.rb +760 -21
  409. data/spec/models/plan_pricing_medicare_spec.rb +761 -22
  410. data/spec/models/plan_search_response_spec.rb +756 -17
  411. data/spec/models/plan_show_response_spec.rb +754 -15
  412. data/spec/models/plan_spec.rb +754 -15
  413. data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
  414. data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
  415. data/spec/models/plans_bulk_base_spec.rb +982 -0
  416. data/spec/models/plans_bulk_dental_spec.rb +982 -0
  417. data/spec/models/plans_bulk_vision_spec.rb +982 -0
  418. data/spec/models/provider_details_spec.rb +779 -28
  419. data/spec/models/provider_geocode_spec.rb +754 -15
  420. data/spec/models/provider_network_event_notification_spec.rb +760 -21
  421. data/spec/models/provider_networks_spec.rb +1006 -0
  422. data/spec/models/provider_show_response_spec.rb +754 -15
  423. data/spec/models/provider_spec.rb +762 -23
  424. data/spec/models/providers_geocode_response_spec.rb +754 -15
  425. data/spec/models/providers_search_response_spec.rb +754 -15
  426. data/spec/models/quote_create_request_spec.rb +988 -0
  427. data/spec/models/quote_create_response_spec.rb +988 -0
  428. data/spec/models/quote_create_spec.rb +1030 -0
  429. data/spec/models/quote_show_response_spec.rb +988 -0
  430. data/spec/models/quote_show_spec.rb +1042 -0
  431. data/spec/models/rate_request_spec.rb +884 -145
  432. data/spec/models/rate_search_spec.rb +886 -117
  433. data/spec/models/rate_show_request_spec.rb +1000 -0
  434. data/spec/models/rate_show_spec.rb +1012 -0
  435. data/spec/models/rates_show_response_spec.rb +994 -0
  436. data/spec/models/rating_area_spec.rb +754 -15
  437. data/spec/models/request_plan_find_applicant_spec.rb +754 -15
  438. data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
  439. data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
  440. data/spec/models/request_plan_find_provider_spec.rb +754 -15
  441. data/spec/models/request_plan_find_spec.rb +759 -20
  442. data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
  443. data/spec/models/request_providers_search_spec.rb +758 -19
  444. data/spec/models/request_rates_search_spec.rb +756 -17
  445. data/spec/models/response_rates_search_spec.rb +754 -15
  446. data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
  447. data/spec/models/rx_cui_identifier_spec.rb +756 -17
  448. data/spec/models/service_area_spec.rb +754 -15
  449. data/spec/models/service_area_zip_county_spec.rb +754 -15
  450. data/spec/models/state_network_size_request_spec.rb +754 -15
  451. data/spec/models/state_network_size_response_spec.rb +754 -15
  452. data/spec/models/state_spec.rb +762 -23
  453. data/spec/models/supplemental_options_spec.rb +1018 -0
  454. data/spec/models/v7_network_comparison_response_spec.rb +994 -0
  455. data/spec/models/v7_network_details_response_spec.rb +988 -0
  456. data/spec/models/v7_network_details_spec.rb +1006 -0
  457. data/spec/models/v7_network_search_response_spec.rb +994 -0
  458. data/spec/models/v7_network_spec.rb +1000 -0
  459. data/spec/models/v7_provider_details_spec.rb +1138 -0
  460. data/spec/models/v7_provider_networks_spec.rb +1012 -0
  461. data/spec/models/vision_plan_benefits_spec.rb +813 -32
  462. data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
  463. data/spec/models/vision_plan_search_request_spec.rb +758 -25
  464. data/spec/models/vision_plan_search_response_spec.rb +754 -15
  465. data/spec/models/vision_plan_show_response_spec.rb +754 -15
  466. data/spec/models/vision_plan_spec.rb +767 -28
  467. data/spec/models/vision_plan_update_request_spec.rb +754 -15
  468. data/spec/models/vision_plan_update_spec.rb +763 -24
  469. data/spec/models/zip_code_spec.rb +754 -15
  470. data/spec/models/zip_counties_response_spec.rb +756 -17
  471. data/spec/models/zip_county_bulk_spec.rb +757 -18
  472. data/spec/models/zip_county_response_spec.rb +754 -15
  473. data/spec/models/zip_county_spec.rb +754 -15
  474. data/spec/spec_helper.rb +754 -15
  475. data/vericred_client.gemspec +754 -15
  476. metadata +315 -95
@@ -1,17 +1,15 @@
1
1
  =begin
2
2
  #Vericred API
3
3
 
4
- #Vericred's API allows you to search for Health Plans that a specific doctor
5
- accepts.
6
-
7
4
  ## Getting Started
8
5
 
6
+ ## Signing Up
7
+
9
8
  Visit our [Developer Portal](https://developers.vericred.com) to
10
9
  create an account.
11
10
 
12
- Once you have created an account, you can create one Application for
13
- Production and another for our Sandbox (select the appropriate Plan when
14
- you create the Application).
11
+ Once you have created an account, you can create one Application for your
12
+ Production environment and another for a Sandbox (select the appropriate Plan when you create the Application).
15
13
 
16
14
  ## SDKs
17
15
 
@@ -32,9 +30,9 @@ a `Vericred-Api-Key` header.
32
30
  Vericred's API default to the latest version. However, if you need a specific
33
31
  version, you can request it with an `Accept-Version` header.
34
32
 
35
- The current version is `v3`. Previous versions are `v1` and `v2`.
33
+ The current version is `v4`. We also support `v2` and `v3`
36
34
 
37
- `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
35
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v3' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
38
36
 
39
37
  ## Pagination
40
38
 
@@ -47,11 +45,13 @@ For example, to display 5 results per page and view the second page of a
47
45
 
48
46
  ## Sideloading
49
47
 
50
- When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
51
- we sideload the associated data. In this example, we would provide an Array of
52
- `State`s and a `state_id` for each provider. This is done primarily to reduce the
53
- payload size since many of the `Provider`s will share a `State`
48
+ When we return multiple levels of an object graph (e.g. `Provider`s and their
49
+ `State`s we typically the associated data. In this example, we would
50
+ provide an Array of `State`s and a `state_id` for each provider. This is
51
+ done primarily to reduce the payload size since many of the `Provider`s
52
+ will share a `State`
54
53
 
54
+ ### Simplified Example
55
55
  ```
56
56
  {
57
57
  providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
@@ -87,8 +87,7 @@ For example, let's take a request that returns the following JSON by default
87
87
  ```
88
88
 
89
89
  To limit our results to only return the fields we care about, we specify the
90
- `select` query string parameter for the corresponding fields in the JSON
91
- document.
90
+ `select` in the query string for a `GET` or the body for a `POST`.
92
91
 
93
92
  In this case, we want to select `name` and `phone` from the `provider` key,
94
93
  so we would add the parameters `select=provider.name,provider.phone`.
@@ -115,7 +114,18 @@ The response would be
115
114
  }
116
115
  ```
117
116
 
118
- ## Benefits summary format
117
+ # Plan and Rate Data
118
+
119
+ Vericred's Plan and Rate Data let you search and quote Major Medical and Ancillary Insurance Plans in a given area for a particular family in the Individual Market or a group of families in the Small Group Market. Vericred provides the relevant data via this API and via our Bulk Format (documented [below](#Bulk Plan and Rate Data))
120
+
121
+ ## Plans
122
+
123
+ A Plan defines a set of Benefits available to its purchaser. For example, a Major Medical Plan would specify cost-share Benefits for services like a Primary Care Provider visit, a Specialist visit or an Emergency Room visit. A Dental Plan might specify Benefits for Periodontics and Fluroride Treatments. The Benefits for each Product type ([Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision)) are documented below.
124
+
125
+ ### Benefits Format
126
+
127
+ Benefits for Plans can be quite complex. With the goals of capturing and standardizing the complexity while retaining a human-readable format, we have developed a [Bakus-Naur Form](https://en.wikipedia.org/wiki/Backus%E2%80%93Naur_form)(BNF) context-free grammar, with which we present Benefits.
128
+
119
129
  Benefit cost-share strings are formatted to capture:
120
130
  * Network tiers
121
131
  * Compound or conditional cost-share
@@ -198,335 +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
- OpenAPI spec version: 1.0.0
352
+ ```
353
+ B = Base Rate
354
+ f = Rate Factor Function 1
355
+ f' = Rate Factor Function 2
203
356
 
204
- Generated by: https://github.com/swagger-api/swagger-codegen.git
357
+ B * f(x) * f'(y) [* f''(z)] ... = n
358
+ ```
205
359
 
206
- Licensed under the Apache License, Version 2.0 (the "License");
207
- you may not use this file except in compliance with the License.
208
- You may obtain a copy of the License at
360
+ ## Rating Areas
361
+ For [Major Medical](#header-major-medical) products, [CMS](https://www.cms.gov/) defines [Rating Areas](https://www.cms.gov/cciio/programs-and-initiatives/health-insurance-market-reforms/state-gra.html). Under the ACA, *all* [Rate Factors](#header-rate-factors) in a Rating Area must be identical for a given time period. E.g. in Arizona, the rate for a 21-year-old non-tobacco user must be identical in all counties contained in Rating Area 1 (Mohave, Coconino, Apache, and Navajo), but *may* be different than the rate for a 21-year-old non-tobacco user in all counties Rating Area 2 (Yavapai county only) for a given year in the Individual Market and a given quartern in the Small Group market.
209
362
 
210
- http://www.apache.org/licenses/LICENSE-2.0
363
+ [Rating Areas](#header-rating-areas) are defined either by County, Zip Code or both, depending on the State. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
211
364
 
212
- Unless required by applicable law or agreed to in writing, software
213
- distributed under the License is distributed on an "AS IS" BASIS,
214
- WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
215
- See the License for the specific language governing permissions and
216
- limitations under the License.
365
+ *Rating Areas do not apply to products other than [Major Medical](#header-major-medical)*
217
366
 
218
- =end
367
+ ## Service Areas
368
+ CMS mandates that [Major Medical](#header-major-medical) Rates be defined by [Rating Areas](#header-rating-areas), which themselves define a geography in which Plans are offered. Carriers often choose *not* to offer a Plan in and entire [Rating Area](#header-rating-areas) due to network coverage or other factors. Instead, the Carrier would define a [Service Area](#header-service-areas) that specifies where a given Plan is offered.
219
369
 
220
- require 'date'
370
+ Each Plan is available in a single [Service Area](#header-service-areas) and each [Service Area](#header-service-areas) is defined by either County, Zip Code, or both, depending on the Carrier. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
221
371
 
222
- module VericredClient
372
+ In [Dental](#header-dental) and [Vision](#header-vision) plans, we use a [Service Area](#header-service-areas) to define availability as well, although it typically mirrors a Geographic [Rate Factor](#header-rate-factors).
223
373
 
224
- class ACAPlan2018
225
- # Name of the insurance carrier
226
- attr_accessor :carrier_name
374
+ # Quoting
227
375
 
228
- # Alternate name for the Plan
229
- attr_accessor :display_name
376
+ One of the primary use-cases for the Vericred API is to run Quotes to determine the Rate for a given family (in the Individual Market) or group (in the Small Group Market). We support quoting across [Major Medical](#header-major-medical), [Vision](#header-vision), and [Dental](#header-dental). In both cases, the process of generating a Quote is broken out into several steps:
230
377
 
231
- # Effective date of coverage.
232
- attr_accessor :effective_date
378
+ 1. Find all available [Plans](#header-plans) in the relevent [Service Areas](#header-service-areas) for the family or group.
379
+ 1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine if the family or group is eligible for that [Plan](#header-plans).
380
+ 1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine which members of the family or which members of each family in the group should be considered for Rating.
381
+ 1. Using the [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) for each [Plan](#header-plans), determine the Rate the family, or for each family in the group.
382
+ 1. If running a [Composite](#compositerates) quote, determine the portion of the total Rate that each family will pay.
233
383
 
234
- # Expiration date of coverage.
235
- attr_accessor :expiration_date
384
+ ## Individual Quotes
385
+ An Individual Quote is one for Plans that are available to a particular family, outside the context of their Employer. In the [Major Medical](#header-major-medical) market, many of these Plans are available on [Healthcare.gov](https://www.healthcare.gov) or the State-Based Exchange for non-Healthcare.gov states. The API supports both on-market and off-market Plans.
236
386
 
237
- # List of identifiers of this Plan
238
- attr_accessor :identifiers
387
+ For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
239
388
 
240
- # Marketing name of the plan
241
- attr_accessor :name
389
+ ### Specifying the Location
390
+ In order to determine which plans are [available](#header-service-areas) and the [rate](#header-rating-areas) for each Plan, you must specify a location. When creating a [Quote](#header-quoting) for the Individual Market, that information is contained in the `POST` body of the request:
391
+ ```
392
+ POST /plans/medical/search
393
+ {
394
+ ...
395
+ "zip_code": "11201",
396
+ "fips_code": "36047"
397
+ ...
398
+ }
242
399
 
243
- # List of Vericred-generated network_ids
244
- attr_accessor :network_ids
400
+ ```
245
401
 
246
- # Total number of Providers in network
247
- attr_accessor :network_size
402
+ ### Specifying Applicants
403
+ Applicants are the members of the family being quoted and are specified in the `POST` body of the request.
404
+ ```
405
+ POST /plans/medical/search
406
+ {
407
+ ...
408
+ "applicants": [
409
+ {
410
+ "age": 34,
411
+ "smoker": true,
412
+ "child": false
413
+ },
414
+ {
415
+ "age": 32,
416
+ "smoker": false,
417
+ "child": false
418
+ },
419
+ {
420
+ "age": 4,
421
+ "smoker": false,
422
+ "child": true
423
+ }
424
+ ]
425
+ ...
426
+ }
427
+ ```
248
428
 
249
- # Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
250
- attr_accessor :plan_type
429
+ ### Specifying Enrollment Date
430
+ The `enrollment_date` determines which [Plans](#header-plans) and [Rates](#header-rates) are returned. Specifying an `enrollment_date` in the past allows you to calculate historical data as far back as 2014.
251
431
 
252
- # Foreign key for service area
253
- attr_accessor :service_area_id
432
+ ### Plan Benefits
433
+ Plan Benefits are returned in the response for [Individual Quotes](#individualquotes)
434
+ ```
435
+ POST /plans/medical/search
436
+ {
437
+ ...
438
+ }
254
439
 
255
- # Source of the plan benefit data
256
- attr_accessor :source
440
+ Response:
441
+ {
442
+ "plans": [
443
+ {
444
+ ...
445
+ "individual_medical_deductible": "$5,000",
446
+ "family_medical_deductible": "$10,000"
447
+ ...
448
+ }
449
+
450
+ ]
451
+ }
257
452
 
258
- # The type of the Plan
259
- attr_accessor :type
453
+ ```
260
454
 
261
- # Does the plan provide dental coverage for adults?
262
- attr_accessor :adult_dental
455
+ ### Premiums
456
+ The value for the family being quoted is returned in the `premium` field. If no [Applicants](#specifyingapplicants) are provided, the `premium` field will be `0`
263
457
 
264
- # True if the plan allows dependents up to age 29
265
- attr_accessor :age29_rider
458
+ ### Major Medical Quotes
459
+ In order to [Quote](#header-quoting) [Major Medical](#header-major-medical) Plans, send a `POST` to `/plans/medical/search`. In addition, the `age`, `smoker` and `child` attributes of each Applicant must be present.
266
460
 
267
- # Benefits string for ambulance coverage
268
- attr_accessor :ambulance
461
+ #### Subsidies
462
+ On-market ([Healthcare.gov](https://www.healthcare.gov) and State-Based Exchange) [Major Medical](#header-major-medical) Plans are eligible for government subsidies. The subsidy calculation is based on the percentage of the family's income that the IRS has designated as "affordable" for that family and the Second Lowest-Cost Silver Plan available to that family.
269
463
 
270
- # Link to the summary of benefits and coverage (SBC) document.
271
- attr_accessor :benefits_summary_url
464
+ In order to calculate subsidies for a family the following parameters must be supplied:
465
+ ```
466
+ POST /plans/medical/search
467
+ {
468
+ ...
469
+ "household_size": 4,
470
+ "household_income": 40000
471
+ ...
472
+ }
473
+ ```
272
474
 
273
- # Link to a location to purchase the plan.
274
- attr_accessor :buy_link
475
+ The amount that the family will pay after subsidy is returned in the `premium_subsidized` field for each plan.
275
476
 
276
- # Does the plan provide dental coverage for children?
277
- attr_accessor :child_dental
477
+ ##### Subsidy Calculation
478
+ Here is how subsidies are calculated. This is fully handled by the Vericred API, but the steps are enumerated below for clarity.
278
479
 
279
- # Child eyewear benefits summary
280
- attr_accessor :child_eyewear
480
+ 1. Determine the percentage of the [Federal Poverty Level](https://aspe.hhs.gov/poverty-guidelines) for the family based on the household size and income.
481
+ 1. Reference the [CMS table](https://www.irs.gov/pub/irs-drop/rp-17-36.pdf) to determine the appropriate percentage of income for the family to spend on healthcare.
482
+ 1. Multiply that value by the family's income. This is the total amount that the family can spend on healthcare for the year, after the subsidy.
483
+ 1. Find the cost of the Second Least-Expensive Silver Plan available to the family, accounting for the percentage of premium that goes to [Essential Health Benefits](https://www.healthcare.gov/glossary/essential-health-benefits/)
484
+ 1. Calculate the difference in price between the amount the family should spend on healthcare and the Second Least-Expensive Silver Plan's premium. This is the subsidy.
485
+ 1. Apply the subsidy to all on-market Plans available to the family. The subsidized premium can never be below $0 (for example, a low-cost Bronze Plan may be less expensive than the subsidy)
281
486
 
282
- # Child eye exam benefits summary
283
- attr_accessor :child_eye_exam
487
+ #### Cost Sharing Reduction Plans
488
+ [Cost Sharing Reduction (CSR)](https://www.healthcare.gov/glossary/cost-sharing-reduction/) Plans are available to lower income families and offer enhanced benefits for certain Silver Plans at the same cost as the non-CSR Plans available to higher-income families.
284
489
 
285
- # Phone number to contact the insurance carrier
286
- attr_accessor :customer_service_phone_number
490
+ If a family is eligible for CSR Plans, the Vericred API will return the relevant Plan in place of the non-CSR version.
287
491
 
288
- # Benefits summary for durable medical equipment
289
- attr_accessor :durable_medical_equipment
492
+ In order to include CSR Plans where applicable, the following parameters must be supplied:
493
+ ```
494
+ POST /plans/medical/search
495
+ {
496
+ ...
497
+ "household_size": 4,
498
+ "household_income": 40000
499
+ ...
500
+ }
501
+ ```
290
502
 
291
- # Diagnostic tests benefit summary
292
- attr_accessor :diagnostic_test
503
+ #### The Children's Health Insurance Program (CHIP)
504
+ [The Children's Health Insurance Program (CHIP)](https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/) provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid.
293
505
 
294
- # True if plan does not cover domestic partners
295
- attr_accessor :dp_rider
506
+ If a family is eligible for CHIP, the Vericred API will include the subsidy in the returned premiums. In order to include CHIP subsidies in premium calculations, the following parameters must be supplied:
507
+ ```
508
+ POST /plans/medical/search
509
+ {
510
+ ...
511
+ "applicants": [
512
+ {
513
+ "age": 34,
514
+ "smoker": true,
515
+ "child": false
516
+ },
517
+ {
518
+ "age": 32,
519
+ "smoker": false,
520
+ "child": false
521
+ },
522
+ {
523
+ "age": 4,
524
+ "smoker": false,
525
+ "child": true
526
+ },
527
+ {
528
+ "age": 4,
529
+ "smoker": false,
530
+ "child": true
531
+ }
532
+ ],
533
+ "household_size": 4,
534
+ "household_income": 40000
535
+ ...
536
+ }
537
+ ```
296
538
 
297
- # Link to the summary of drug benefits for the plan
298
- attr_accessor :drug_formulary_url
539
+ CHIP eligibility is displayed within the meta-tag in the response as `eligible_for_chip_medicaid`:
540
+ ```
541
+ {
542
+ "meta": {
543
+ "total": 150,
544
+ "eligible_for_chip_medicaid": true,
545
+ "premium_tax_credit": 500.20
546
+ },
547
+ "coverages": [],
548
+ "plans": [...]
549
+ }
550
+ ```
299
551
 
300
- # Description of costs when visiting the ER
301
- attr_accessor :emergency_room
552
+ If you do not want CHIP subsidies to be included in the premiums, simply do not include the `household_income` parameter in the request.
302
553
 
303
- # Deductible for drugs when a family is on the plan.
304
- attr_accessor :family_drug_deductible
554
+ ### Dental Quotes
555
+ Quoting [Dental](#header-dental) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
556
+ ```
557
+ POST /plans/dental/search
558
+ {
559
+ ...
560
+ "applicants": [
561
+ {
562
+ "age": 34,
563
+ "gender": "M",
564
+ "child": false
565
+ },
566
+ {
567
+ "age": 32,
568
+ "gender": "F",
569
+ "child": false
570
+ },
571
+ {
572
+ "age": 4,
573
+ "gender": "M",
574
+ "child": true
575
+ }
576
+ ]
577
+ ...
578
+ }
579
+ ```
305
580
 
306
- # Maximum out-of-pocket for drugs when a family is on the plan
307
- attr_accessor :family_drug_moop
581
+ Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Dental Quotes](#dentalquotes) require `gender`, but *do not* require `smoker`.
308
582
 
309
- # Deductible when a family is on the plan
310
- attr_accessor :family_medical_deductible
583
+ Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Dental Quotes](#dentalquotes).
311
584
 
312
- # Maximum out-of-pocket when a family is on the plan
313
- attr_accessor :family_medical_moop
585
+ ### Vision Quotes
314
586
 
315
- # True if plan does not cover family planning
316
- attr_accessor :fp_rider
587
+ Quoting [Vision](#header-vision) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
588
+ ```
589
+ POST /plans/vision/search
590
+ {
591
+ ...
592
+ "applicants": [
593
+ {
594
+ "age": 34,
595
+ "gender": "M",
596
+ "child": false
597
+ },
598
+ {
599
+ "age": 32,
600
+ "gender": "F",
601
+ "child": false
602
+ },
603
+ {
604
+ "age": 4,
605
+ "gender": "M",
606
+ "child": true
607
+ }
608
+ ]
609
+ ...
610
+ }
611
+ ```
317
612
 
318
- # Cost for generic drugs
319
- attr_accessor :generic_drugs
613
+ Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Vision Quotes](#visionquotes) require `gender`, but *do not* require `smoker`.
320
614
 
321
- # Habilitation services benefits summary
322
- attr_accessor :habilitation_services
615
+ Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Vision Quotes](#visionquotes).
323
616
 
324
- #
325
- attr_accessor :hios_issuer_id
617
+ ## Quotes for Groups
618
+ A Group Quote finds [Plans](#header-plans) and [Rates](#header-rates) for a group of employees for a small business. Different [Plans](#header-plans) are available to small groups than are available in [Individual Quoting](#individualquotes). In addition, [Business Rules](#header-business-rules) that apply across multiple families or based upon employer attributes such as [SIC](https://en.wikipedia.org/wiki/Standard_Industrial_Classification) code factor into rates and availability.
326
619
 
327
- # Home health care benefits summary
328
- attr_accessor :home_health_care
620
+ In addition, due to performance requirements and for enhanced auditing, [Group Quotes](#groupquotes) are persisted across requests. This means that a given [Quote](#groupquotes) can be retrieved after it has been created.
329
621
 
330
- # Hospice service benefits summary
331
- attr_accessor :hospice_service
622
+ ### Identifiers
623
+ In order to make it easier to cross-reference local copies of data with [Quotes](#header-creating-a-quote) and other data in the Vericred API, most entities allow for the specification of an `external_id` field. You can use this to store a primary or natural key from your system in order to easily match records returned from the API with records in your system.
332
624
 
333
- # Is the plan HSA eligible?
334
- attr_accessor :hsa_eligible
625
+ ### Specifying the Group
626
+ Creating a group is the first step in [Group Quoting](#groupquoting). The API requires that certain information such as `sic_code`, and `chamber_association` be provided and returns a the attributes and `id` for the newly created `Group`
335
627
 
336
- # Government-issued HIOS plan ID
337
- attr_accessor :id
628
+ Full documentation is available [below](#groupscreate)
338
629
 
339
- # Benefits summary for imaging coverage
340
- attr_accessor :imaging
630
+ ### Specifying the Locations
631
+ When creating a `Group`, you must also specify one or more `Location`s. Of those `Location`s specified, one must be `primary`. That `Location` is used to calculate Plan eligibility using the relevant [Service Areas](#header-service-areas). Some Carriers use secondary `Location`s to determine eligibility as well, which is why those must be specified as well.
341
632
 
342
- # Deductible for drugs when an individual is on the plan
343
- attr_accessor :individual_drug_deductible
633
+ ```
634
+ POST /groups
635
+ {
636
+ "group": {
637
+ ...
638
+ },
639
+ "locations": [
640
+ {
641
+ ...
642
+ "zip_code": "11201",
643
+ "fips_code": "36047",
644
+ "primary": true
645
+ ...
646
+ }
647
+ ]
648
+ }
649
+ ```
344
650
 
345
- # Maximum out-of-pocket for drugs when an individual is on the plan
346
- attr_accessor :individual_drug_moop
651
+ ### Specifying the Census
652
+ A Census is the collection of `Member`s contained in the `Group`. The attributes of each `Member` and his or her `Dependent`s determine the [Rate](#header-rates) for the `Group` as a whole. Certain attributes of the `Member` are important for calculating [Rates](#header-rates) and applying [Business Rules](#header-business-rules). For example, the `Member`'s home address and in which office he or she works are relevant for certain [Business Rules](#header-business-rules).
653
+
654
+ #### Dependent Relationships
655
+ The `Dependent`s for a given `Member` also factor into the [Rates](#header-rates) and application of [Business Rules](#header-business-rules). For example, certain [Plans](#header-plans) cover only `Dependent`s of particular types and/or only `Dependent`s of a particular type who live in the same household as the primary `Member`
656
+
657
+ Valid Dependent Relationships:
658
+ - `adopted_child`
659
+ - `child`
660
+ - `court_appointed_guardian`
661
+ - `dependent_of_dependent`
662
+ - `ex_spouse`
663
+ - `foster_child`
664
+ - `grand_child`
665
+ - `guardian`
666
+ - `life_partner`
667
+ - `other`
668
+ - `sibling`
669
+ - `sponsored_dependent`
670
+ - `spouse`
671
+ - `step_child`
672
+ - `ward`
347
673
 
348
- # Deductible when an individual is on the plan
349
- attr_accessor :individual_medical_deductible
674
+ ```
675
+ POST
350
676
 
351
- # Maximum out-of-pocket when an individual is on the plan
352
- attr_accessor :individual_medical_moop
677
+ /groups/{id}/members
678
+ {
679
+ "members": [
680
+ ...
681
+ {
682
+ "cobra": false,
683
+ "date_of_birth": "1980-01-01",
684
+ "fips_code": "36047"
685
+ "gender": "M",
686
+ "last_used_tobacco": "2017-01-01",
687
+ "location_id": :location_id
688
+ "retiree": false,
689
+ "zip_code": "11201",
690
+ "dependents": [
691
+ ...
692
+ {
693
+ "relationship": "child",
694
+ "same_household": true
695
+ }
696
+ ...
697
+ ]
698
+ }
699
+ ...
700
+ ]
701
+ }
353
702
 
354
- # Inpatient birth benefits summary
355
- attr_accessor :inpatient_birth
703
+ ```
356
704
 
357
- # Cost under the plan for an inpatient facility
358
- attr_accessor :inpatient_facility
705
+ ### Creating a Quote
706
+ Once the [Census](#header-specifying-the-census) has been created, we can generate a `Quote` for the `Group`.
359
707
 
360
- # Inpatient mental helath benefits summary
361
- attr_accessor :inpatient_mental_health
708
+ #### Major Medical Quotes
709
+ To generate a [Major Medical](#header-major-medical) Quote, specify the `product_line` of `Quote` as `medical`
362
710
 
363
- # Cost under the plan for an inpatient physician
364
- attr_accessor :inpatient_physician
711
+ ```
712
+ POST /groups/{id}/quotes
713
+ {
714
+ ...
715
+ "product_line": "medical"
716
+ ...
717
+ }
718
+ ```
365
719
 
366
- # Inpatient substance abuse benefits summary
367
- attr_accessor :inpatient_substance
720
+ #### Dental Quotes
721
+ To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
368
722
 
369
- # List of NPI numbers for Providers passed in who accept this Plan
370
- attr_accessor :in_network_ids
723
+ ```
724
+ POST /groups/{id}/quotes
725
+ {
726
+ ...
727
+ "product_line": "dental"
728
+ ...
729
+ }
730
+ ```
371
731
 
372
- # Plan metal grouping (e.g. platinum, gold, silver, etc)
373
- attr_accessor :level
732
+ #### Vision Quotes
733
+ To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
374
734
 
375
- # Link to a copy of the insurance carrier's logo
376
- attr_accessor :logo_url
735
+ ```
736
+ POST /groups/{id}/quotes
737
+ {
738
+ ...
739
+ "product_line": "vision"
740
+ ...
741
+ }
742
+ ```
377
743
 
378
- # Cost under the plan for non-preferred brand drugs
379
- attr_accessor :non_preferred_brand_drugs
744
+ ### Retrieving Aggregate Rates
745
+ Once you have created a [Quote](#header-creating-a-quote), you can retrieve its aggregate [Rates](#header-rates). [Rates](#header-rates) are broken down by `Member` and `Dependent`, so that you can show the final cost in different scenarios where an employer might cover a different percentage of `Member` and `Dependent` costs.
380
746
 
381
- # Is the plan on-market?
382
- attr_accessor :on_market
747
+ ```
748
+ GET /quotes/{id}/rates
383
749
 
384
- # Is the plan off-market?
385
- attr_accessor :off_market
750
+ Response
751
+ {
752
+ "rates": [
753
+ ...
754
+ {
755
+ "plan_id": "12345NY6789012",
756
+ "total_premium": 2800.0,
757
+ "member_premium": 1000.0,
758
+ "dependent_premium": 1800.0,
759
+ "id": "123abc"
760
+ }
761
+ ...
762
+ ]
763
+ }
764
+ ```
386
765
 
387
- # Does this plan provide any out of network coverage?
388
- attr_accessor :out_of_network_coverage
389
766
 
390
- # List of NPI numbers for Providers passed in who do not accept this Plan
391
- attr_accessor :out_of_network_ids
767
+ #### Loading Plan Data
768
+ Aggregate [Rates](#header-rates) responses *do not* include [Plan](#header-plans) details in order to keep the payload small. [Plan](#header-plans) data can be retrieved in one of two ways:
392
769
 
393
- # Benefits summary for outpatient facility coverage
394
- attr_accessor :outpatient_facility
770
+ Loading the [Plan](#header-plans) from the API:
771
+ ```
772
+ GET /plans/{id}
395
773
 
396
- # Benefits summary for outpatient mental health coverage
397
- attr_accessor :outpatient_mental_health
774
+ Response:
775
+ {
776
+ "plans": [
777
+ ...
778
+ {
779
+ ...
780
+ "individual_medical_deductible": "$5,000",
781
+ "family_medical_deductible": "$10,000",
782
+ ...
783
+ }
784
+ ...
785
+
786
+ ]
787
+ }
788
+ ```
789
+ Pulling in [Bulk Plan Data](#bulkplans) and matching up [Plans](#header-plans) by their `id`.
398
790
 
399
- # Benefits summary for outpatient physician coverage
400
- attr_accessor :outpatient_physician
791
+ ### Retrieving Member-Level Rates
792
+ In order to retrieve the exact [Rate](#header-rates) for each `Member` and their `Dependents` for given [Plan](#header-plans), you can load Member-Level `Rates`.
401
793
 
402
- # Outpatient substance abuse benefits summary
403
- attr_accessor :outpatient_substance
794
+ ```
795
+ GET /rates/{id}/member_rates
404
796
 
405
- # Market in which the plan is offered (on_marketplace, shop, etc)
406
- attr_accessor :plan_market
797
+ Response
798
+ {
799
+ "member_rates": [
800
+ ...
801
+ {
802
+ "id": "123abc",
803
+ "member_id": "234def",
804
+ "member_external_id": "externally-supplied-id",
805
+ "member_premium": 500.0,
806
+ "dependent_premium": 600.0,
807
+ "total_premium": 1100.0,
808
+ }
809
+ ...
810
+ ]
811
+ }
407
812
 
408
- # Cost under the plan for perferred brand drugs
409
- attr_accessor :preferred_brand_drugs
813
+ ```
410
814
 
411
- # Inpatient substance abuse benefits summary
412
- attr_accessor :prenatal_postnatal_care
815
+ Note that *all* `MemberRate`s are for one particular [Plan](#header-plans) - the one referenced by the parent [Rate](#header-rates).
413
816
 
414
- # Benefits summary for preventative care
415
- attr_accessor :preventative_care
817
+ ### Business Rules
818
+ Vericred works with our Carrier partners to acquire and apply Business Rules that can affect either [Plan](#header-plans) availability or the way in which `Member`s and `Dependent`s are rated. For example, one Carrier's Business Rules might specify that `Member`s and `Dependent`s who have used tobacco in the past 4 months are considered "tobacco-users", while another's may specify that period to be 1 year.
416
819
 
417
- # Cumulative premium amount after subsidy
418
- attr_accessor :premium_subsidized
820
+ These rules are applied transparently during the [Quoting](#header-quoting) process and *do not* require any additional action or input on your part.
419
821
 
420
- # Cumulative premium amount
421
- attr_accessor :premium
822
+ For a full accounting of Business Rules and a list of Carriers whose Business Rules are applied, please contact support@vericred.com
422
823
 
423
- # Source of the base pricing data
424
- attr_accessor :premium_source
824
+ ### Composite Rates
825
+ Composite Rates are commonly used in [Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision) [Plans](#header-plans) to simplify operations by charging each family the weighted average of the `Group`'s total premium. The most common methodology is as follows:
425
826
 
426
- # Cost under the plan to visit a Primary Care Physician
427
- attr_accessor :primary_care_physician
827
+ 1. Calculate the [Rates](#header-rates) for the entire `Group` using [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) as appropriate
828
+ 1. Categorize each Family within the Group. The categorization differs depending on whether the Composite Rate is 2, 3, or 4-tier
829
+ 1. Multiply the number of Families in each category by the constant for that category. These constants are provided to Vericred by the Carrier. This determines the total number of "Rating Units"
830
+ 1. Divide the total premium calculated in Step 1 by the total number of Rating Units to get the price per Rating Unit
831
+ 1. The [Rate](#header-rates) each Family pays is the constant for that Family's category multiplied by the price per Rating Unit.
428
832
 
429
- # Benefits summary for rehabilitation services
430
- attr_accessor :rehabilitation_services
833
+ You can request that a [Quote](#header-quoting) be calculated using Composite Rates when creating it:
834
+ ```
835
+ POST /quotes
836
+ {
837
+ ...
838
+ "rating_method": "4_tier_composite"
839
+ ...
840
+ }
841
+ ```
842
+ If no Composite Rates methodology is available, the Vericred API will return standard age-banded Rates.
431
843
 
432
- # Benefits summary for skilled nursing services
433
- attr_accessor :skilled_nursing
844
+ # Network and Provider Data
434
845
 
435
- # Cost under the plan to visit a specialist
436
- attr_accessor :specialist
846
+ A `Provider` is an individual or organization in the medical profession. For example, an individual doctor is a `Provider` as are certain clinics and hospitals.
437
847
 
438
- # Cost under the plan for specialty drugs
439
- attr_accessor :specialty_drugs
848
+ `Provider`s are related to `Network`s. A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
440
849
 
441
- # Benefits summary for urgent care
442
- attr_accessor :urgent_care
850
+ Each `Plan` has a `Network`. A consumer who visits a `Provider` typically incurs fewer costs when visiting a `Provider` in the `Network` covered by his or her `Plan`. The `premium` for a `Plan` is often proportional to the size of its `Network`
443
851
 
444
- # Percentage of total average costs for covered benefits that a plan will cover.
445
- attr_accessor :actuarial_value
852
+ ## Finding Providers
853
+ In order to determine if a particular `Plan` covers a given `Provider`, you must first identify the `Provider`. To do so, use the [Provider Search API endpoint](#providers-providers-post) and specify some search criteria:
446
854
 
447
- # Chiropractic services benefits summary
448
- attr_accessor :chiropractic_services
855
+ ```
856
+ POST /providers/search
857
+ {
858
+ "search_term": "foo",
859
+ "zip_code": "11201"
860
+ }
861
+ ```
449
862
 
450
- # Standard cost share for most benefits
451
- attr_accessor :coinsurance
863
+ The API will return an ordered list of `Provider`s who match the query along with their names, addresses, and other demographic data. The `id` field returned refers to the `Provider`'s [NPI number](https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand/). This is the key that is used to identify the `Provider` across different API endpoints.
864
+
865
+ ## Finding Networks
866
+
867
+ A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
868
+
869
+ The API supports searching for `Networks` by Carrier, market and state. For more details view the [endpoint documentation](#networks-networks-get)
870
+
871
+ ## Matching Providers to Networks
872
+ In order to determine if a `Provider` is covered by a user's `Plan`, you will need to map the `Provider` to a `Network`. There are several methods to do this using the API
873
+
874
+ ### Using Plan Search
875
+ You can specify one or more `npi` values in the [`plan` search](#majormedicalplans-majormedicalplans-post). To do so, include a list of `providers` in the request
876
+ ```
877
+ POST /plans/medical/search
878
+ {
879
+ ...
880
+ "providers": [
881
+ { "npi": 1234567890 },
882
+ { "npi": 2345678901 }
883
+ ]
884
+ ...
885
+ }
886
+
887
+ The response will then return a list of `in_network_ids` and `out_of_network_ids` for each `Plan`
888
+
889
+ ```
890
+ {
891
+ "plans": [
892
+ ...
893
+ {
894
+ ...
895
+ "id": "12345NY1234567",
896
+ "in_network_ids": [1234567890],
897
+ "out_of_network_ids": [1234567890]
898
+ ...
899
+ },
900
+ {
901
+ ...
902
+ "id": "12345NY2345678",
903
+ "in_network_ids": [1234567890, 1234567890],
904
+ "out_of_network_ids": []
905
+ ...
906
+ }
907
+ ...
908
+ ]
909
+ }
910
+
911
+ Simply reference the `Provider` in question by its `id` for each `Plan` to see if that `Provider` is in-network for the `Plan`.
912
+
913
+ ### Matching by Plan ID
914
+ Given a `Provider`'s `id`, you can retrieve all of his or her `hios_ids`
915
+
916
+ For more details see the [endpoint documentation](#providers-providers-get)
917
+
918
+ ```
919
+ GET /providers/1234567890
920
+ {
921
+ "provider": {
922
+ ...
923
+ "hios_ids": [
924
+ ...
925
+ "12345NY1234567"
926
+ ...
927
+ ]
928
+ ...
929
+ }
930
+ }
931
+ ```
932
+
933
+ The returned `hios_ids` can be used to cross-reference a `Plan`
934
+
935
+ ### Matching by Network
936
+ Once you have an ID returned from the [`Network` search endpoint](#networks-networks-get), you can cross-reference it with the `network_ids` returned from both the [`Provider` search](#providers-providers-post) and [`Provider` details](#providers-providers-get) endpoints.
937
+
938
+ This is useful for large group data or when you are not dealing with `Plan`s directly, but rather at the `Network` level.
939
+
940
+
941
+ OpenAPI spec version: 1.0.0
942
+
943
+ Generated by: https://github.com/swagger-api/swagger-codegen.git
944
+
945
+ Licensed under the Apache License, Version 2.0 (the "License");
946
+ you may not use this file except in compliance with the License.
947
+ You may obtain a copy of the License at
948
+
949
+ http://www.apache.org/licenses/LICENSE-2.0
950
+
951
+ Unless required by applicable law or agreed to in writing, software
952
+ distributed under the License is distributed on an "AS IS" BASIS,
953
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
954
+ See the License for the specific language governing permissions and
955
+ limitations under the License.
956
+
957
+ =end
958
+
959
+ require 'date'
960
+
961
+ module VericredClient
962
+
963
+ class 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
- # Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")?
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
- # Prenatal care benefits summary
484
- attr_accessor :prenatal_care
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
- # Percentage of essential plan benefits
493
- attr_accessor :essential_health_benefits_percentage
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
- :'carrier_name' => :'carrier_name',
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
- :'in_network_ids' => :'in_network_ids',
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
- :'on_market' => :'on_market',
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
- :'urgent_care' => :'urgent_care',
572
- :'actuarial_value' => :'actuarial_value',
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
- :'carrier_name' => :'String',
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
- :'in_network_ids' => :'Array<Integer>',
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
- :'on_market' => :'BOOLEAN',
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
- :'urgent_care' => :'String',
668
- :'actuarial_value' => :'Float',
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?(:'carrier_name')
697
- self.carrier_name = attributes[:'carrier_name']
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?(:'child_eye_exam')
777
- self.child_eye_exam = attributes[:'child_eye_exam']
1475
+ if attributes.has_key?(:'chiropractic_services')
1476
+ self.chiropractic_services = attributes[:'chiropractic_services']
778
1477
  end
779
1478
 
780
- if attributes.has_key?(:'customer_service_phone_number')
781
- self.customer_service_phone_number = attributes[:'customer_service_phone_number']
1479
+ if attributes.has_key?(:'coinsurance')
1480
+ self.coinsurance = attributes[:'coinsurance']
782
1481
  end
783
1482
 
784
- if attributes.has_key?(:'durable_medical_equipment')
785
- self.durable_medical_equipment = attributes[:'durable_medical_equipment']
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?(:'in_network_ids')
893
- if (value = attributes[:'in_network_ids']).is_a?(Array)
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?(:'on_market')
911
- self.on_market = attributes[:'on_market']
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?(:'plan_market')
945
- self.plan_market = attributes[:'plan_market']
1719
+ if attributes.has_key?(:'plan_calendar')
1720
+ self.plan_calendar = attributes[:'plan_calendar']
946
1721
  end
947
1722
 
948
- if attributes.has_key?(:'preferred_brand_drugs')
949
- self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
1723
+ if attributes.has_key?(:'plan_market')
1724
+ self.plan_market = attributes[:'plan_market']
950
1725
  end
951
1726
 
952
- if attributes.has_key?(:'prenatal_postnatal_care')
953
- self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
1727
+ if attributes.has_key?(:'plan_type')
1728
+ self.plan_type = attributes[:'plan_type']
954
1729
  end
955
1730
 
956
- if attributes.has_key?(:'preventative_care')
957
- self.preventative_care = attributes[:'preventative_care']
1731
+ if attributes.has_key?(:'postnatal_care')
1732
+ self.postnatal_care = attributes[:'postnatal_care']
958
1733
  end
959
1734
 
960
- if attributes.has_key?(:'premium_subsidized')
961
- self.premium_subsidized = attributes[:'premium_subsidized']
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?(:'primary_care_physician')
973
- self.primary_care_physician = attributes[:'primary_care_physician']
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?(:'gated')
1013
- self.gated = attributes[:'gated']
1751
+ if attributes.has_key?(:'prenatal_care')
1752
+ self.prenatal_care = attributes[:'prenatal_care']
1014
1753
  end
1015
1754
 
1016
- if attributes.has_key?(:'imaging_center')
1017
- self.imaging_center = attributes[:'imaging_center']
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?(:'imaging_physician')
1021
- self.imaging_physician = attributes[:'imaging_physician']
1759
+ if attributes.has_key?(:'preventative_care')
1760
+ self.preventative_care = attributes[:'preventative_care']
1022
1761
  end
1023
1762
 
1024
- if attributes.has_key?(:'lab_test')
1025
- self.lab_test = attributes[:'lab_test']
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?(:'mail_order_rx')
1029
- self.mail_order_rx = attributes[:'mail_order_rx']
1767
+ if attributes.has_key?(:'rehabilitation_services')
1768
+ self.rehabilitation_services = attributes[:'rehabilitation_services']
1030
1769
  end
1031
1770
 
1032
- if attributes.has_key?(:'nonpreferred_generic_drug_share')
1033
- self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
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?(:'nonpreferred_specialty_drug_share')
1037
- self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
1775
+ if attributes.has_key?(:'skilled_nursing')
1776
+ self.skilled_nursing = attributes[:'skilled_nursing']
1038
1777
  end
1039
1778
 
1040
- if attributes.has_key?(:'outpatient_ambulatory_care_center')
1041
- self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
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?(:'plan_calendar')
1045
- self.plan_calendar = attributes[:'plan_calendar']
1783
+ if attributes.has_key?(:'source')
1784
+ self.source = attributes[:'source']
1046
1785
  end
1047
1786
 
1048
- if attributes.has_key?(:'prenatal_care')
1049
- self.prenatal_care = attributes[:'prenatal_care']
1787
+ if attributes.has_key?(:'specialist')
1788
+ self.specialist = attributes[:'specialist']
1050
1789
  end
1051
1790
 
1052
- if attributes.has_key?(:'postnatal_care')
1053
- self.postnatal_care = attributes[:'postnatal_care']
1791
+ if attributes.has_key?(:'specialty_drugs')
1792
+ self.specialty_drugs = attributes[:'specialty_drugs']
1054
1793
  end
1055
1794
 
1056
- if attributes.has_key?(:'skilled_nursing_facility_365')
1057
- self.skilled_nursing_facility_365 = attributes[:'skilled_nursing_facility_365']
1795
+ if attributes.has_key?(:'type')
1796
+ self.type = attributes[:'type']
1058
1797
  end
1059
1798
 
1060
- if attributes.has_key?(:'essential_health_benefits_percentage')
1061
- self.essential_health_benefits_percentage = attributes[:'essential_health_benefits_percentage']
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
- carrier_name == o.carrier_name &&
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
- in_network_ids == o.in_network_ids &&
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
- on_market == o.on_market &&
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
- urgent_care == o.urgent_care &&
1157
- actuarial_value == o.actuarial_value &&
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
- [carrier_name, display_name, effective_date, expiration_date, identifiers, name, network_ids, network_size, plan_type, service_area_id, source, type, adult_dental, age29_rider, ambulance, benefits_summary_url, buy_link, child_dental, child_eyewear, child_eye_exam, customer_service_phone_number, durable_medical_equipment, diagnostic_test, dp_rider, drug_formulary_url, emergency_room, family_drug_deductible, family_drug_moop, family_medical_deductible, family_medical_moop, fp_rider, generic_drugs, habilitation_services, hios_issuer_id, home_health_care, hospice_service, hsa_eligible, id, imaging, individual_drug_deductible, individual_drug_moop, individual_medical_deductible, individual_medical_moop, inpatient_birth, inpatient_facility, inpatient_mental_health, inpatient_physician, inpatient_substance, in_network_ids, level, logo_url, non_preferred_brand_drugs, on_market, off_market, out_of_network_coverage, out_of_network_ids, outpatient_facility, outpatient_mental_health, outpatient_physician, outpatient_substance, plan_market, preferred_brand_drugs, prenatal_postnatal_care, preventative_care, premium_subsidized, premium, premium_source, primary_care_physician, rehabilitation_services, skilled_nursing, specialist, specialty_drugs, urgent_care, actuarial_value, chiropractic_services, coinsurance, embedded_deductible, gated, imaging_center, imaging_physician, lab_test, mail_order_rx, nonpreferred_generic_drug_share, nonpreferred_specialty_drug_share, outpatient_ambulatory_care_center, plan_calendar, prenatal_care, postnatal_care, skilled_nursing_facility_365, essential_health_benefits_percentage].hash
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