vericred_client 0.0.23 → 0.0.25
Sign up to get free protection for your applications and to get access to all the features.
- checksums.yaml +4 -4
- data/README.md +826 -28
- data/docs/ACAPlan.md +35 -35
- data/docs/ACAPlan2018.md +36 -36
- data/docs/ACAPlan2018SearchResponse.md +1 -1
- data/docs/ACAPlan2018SearchResult.md +39 -39
- data/docs/ACAPlanPre2018.md +35 -35
- data/docs/ACAPlanPre2018SearchResponse.md +1 -1
- data/docs/ACAPlanPre2018SearchResult.md +38 -38
- data/docs/Address.md +14 -0
- data/docs/AncillaryPlanIdentifier.md +9 -0
- data/docs/BasePlanSearchResponse.md +1 -1
- data/docs/CarrierGroupRequest.md +1 -1
- data/docs/CarrierRequest.md +2 -2
- data/docs/CarrierSubsidiary.md +2 -2
- data/docs/CarrierVerificationDentalPlansApi.md +63 -0
- data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
- data/docs/CarrierVerificationVisionPlansApi.md +63 -0
- data/docs/County.md +1 -1
- data/docs/CountyBulk.md +1 -1
- data/docs/DentalPlan.md +7 -7
- data/docs/DentalPlanBenefits.md +22 -22
- data/docs/DentalPlanSearchRequest.md +1 -2
- data/docs/DentalPlanUpdate.md +5 -5
- data/docs/DentalPlansApi.md +118 -4
- data/docs/DependentCreate.md +12 -0
- data/docs/DependentCreateRequest.md +12 -0
- data/docs/DependentShow.md +12 -0
- data/docs/Drug.md +3 -3
- data/docs/DrugCoverage.md +3 -3
- data/docs/DrugCoverageResponse.md +2 -2
- data/docs/DrugPackage.md +1 -1
- data/docs/DrugSearchResponse.md +2 -2
- data/docs/EmbargoRequest.md +3 -2
- data/docs/FormularyResponse.md +1 -1
- data/docs/GroupCreate.md +14 -0
- data/docs/GroupCreateRequest.md +9 -0
- data/docs/GroupCreateResponse.md +9 -0
- data/docs/GroupShow.md +15 -0
- data/docs/GroupShowResponse.md +9 -0
- data/docs/GroupUpdate.md +14 -0
- data/docs/GroupUpdateRequest.md +9 -0
- data/docs/IssuerRequest.md +7 -7
- data/docs/LocationCreate.md +13 -0
- data/docs/LocationShow.md +14 -0
- data/docs/LocationUpdate.md +14 -0
- data/docs/MajorMedicalPlansApi.md +122 -0
- data/docs/MedicalPlanBenefits.md +35 -35
- data/docs/MedicalPlanUpdate.md +21 -20
- data/docs/MedicalPlansApi.md +0 -114
- data/docs/MedicareAdvantagePlan.md +25 -0
- data/docs/MedicareAdvantagePlanBenefits.md +148 -0
- data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
- data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
- data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
- data/docs/MemberCreate.md +17 -0
- data/docs/MemberRateShow.md +13 -0
- data/docs/MemberRateShowRequest.md +10 -0
- data/docs/MemberRatesShowResponse.md +9 -0
- data/docs/MemberShow.md +18 -0
- data/docs/MembersCreateRequest.md +9 -0
- data/docs/MembersCreateResponse.md +8 -0
- data/docs/MembersShowResponse.md +8 -0
- data/docs/MetaPlanSearchResponse.md +1 -1
- data/docs/NetworkComparisonResponse.md +1 -1
- data/docs/NetworkDetails.md +1 -1
- data/docs/NetworkSize.md +1 -1
- data/docs/NetworksApi.md +17 -12
- data/docs/PlanCounty.md +1 -1
- data/docs/PlanCountyBulk.md +1 -1
- data/docs/PlanMedicare.md +1 -1
- data/docs/PlanMedicareBulk.md +2 -2
- data/docs/PlanPricingMedicare.md +3 -3
- data/docs/PlanSearchResponse.md +1 -1
- data/docs/PlansApi.md +0 -169
- data/docs/PlansBulkACA2018.md +8 -0
- data/docs/PlansBulkACAPre2018.md +8 -0
- data/docs/PlansBulkBase.md +7 -0
- data/docs/PlansBulkDental.md +7 -0
- data/docs/PlansBulkVision.md +7 -0
- data/docs/Provider.md +2 -2
- data/docs/ProviderDetails.md +5 -3
- data/docs/ProviderNetworkEventNotification.md +3 -3
- data/docs/ProviderNetworks.md +11 -0
- data/docs/ProviderShowResponse.md +1 -1
- data/docs/ProvidersApi.md +1 -56
- data/docs/QuoteCreate.md +15 -0
- data/docs/QuoteCreateRequest.md +8 -0
- data/docs/QuoteCreateResponse.md +8 -0
- data/docs/QuoteShow.md +17 -0
- data/docs/QuoteShowResponse.md +8 -0
- data/docs/QuotingApi.md +344 -0
- data/docs/RateRequest.md +24 -24
- data/docs/RateSearch.md +23 -18
- data/docs/RateShow.md +12 -0
- data/docs/RateShowRequest.md +10 -0
- data/docs/RatesShowResponse.md +9 -0
- data/docs/RequestPlanFind.md +2 -2
- data/docs/RequestPlanFindCarrierVerification.md +3 -3
- data/docs/RequestProviderNotificationSubscription.md +1 -1
- data/docs/RequestProvidersSearch.md +1 -1
- data/docs/RequestRatesSearch.md +1 -1
- data/docs/RxCuiIdentifier.md +1 -1
- data/docs/RxCuiIdentifierSearchResponse.md +1 -1
- data/docs/State.md +2 -2
- data/docs/SupplementalOptions.md +13 -0
- data/docs/V7Network.md +10 -0
- data/docs/V7NetworkComparisonResponse.md +9 -0
- data/docs/V7NetworkDetails.md +11 -0
- data/docs/V7NetworkDetailsResponse.md +8 -0
- data/docs/V7NetworkSearchResponse.md +9 -0
- data/docs/V7ProviderDetails.md +33 -0
- data/docs/V7ProviderNetworks.md +12 -0
- data/docs/VisionPlan.md +7 -7
- data/docs/VisionPlanBenefits.md +22 -15
- data/docs/VisionPlanSearchRequest.md +1 -2
- data/docs/VisionPlanUpdate.md +5 -5
- data/docs/VisionPlansApi.md +114 -0
- data/docs/ZipCountiesResponse.md +1 -1
- data/docs/ZipCountyBulk.md +1 -1
- data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carriers_api.rb +754 -15
- data/lib/vericred_client/api/dental_plans_api.rb +874 -18
- data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
- data/lib/vericred_client/api/drug_packages_api.rb +754 -15
- data/lib/vericred_client/api/drugs_api.rb +754 -15
- data/lib/vericred_client/api/embargoes_api.rb +754 -15
- data/lib/vericred_client/api/formularies_api.rb +754 -15
- data/lib/vericred_client/api/issuers_api.rb +754 -15
- data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
- data/lib/vericred_client/api/medical_plans_api.rb +754 -132
- data/lib/vericred_client/api/network_sizes_api.rb +754 -15
- data/lib/vericred_client/api/networks_api.rb +773 -27
- data/lib/vericred_client/api/plans_api.rb +754 -189
- data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
- data/lib/vericred_client/api/providers_api.rb +756 -74
- data/lib/vericred_client/api/quoting_api.rb +1316 -0
- data/lib/vericred_client/api/rates_api.rb +754 -15
- data/lib/vericred_client/api/vision_plans_api.rb +871 -15
- data/lib/vericred_client/api/zip_counties_api.rb +754 -15
- data/lib/vericred_client/api_client.rb +754 -15
- data/lib/vericred_client/api_error.rb +754 -15
- data/lib/vericred_client/configuration.rb +754 -15
- data/lib/vericred_client/models/aca_plan.rb +1165 -426
- data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
- data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
- data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
- data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
- data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
- data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
- data/lib/vericred_client/models/address.rb +1195 -0
- data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
- data/lib/vericred_client/models/base.rb +754 -15
- data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/carrier.rb +754 -15
- data/lib/vericred_client/models/carrier_group_request.rb +765 -26
- data/lib/vericred_client/models/carrier_request.rb +769 -30
- data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
- data/lib/vericred_client/models/county.rb +765 -26
- data/lib/vericred_client/models/county_bulk.rb +768 -29
- data/lib/vericred_client/models/dental_plan.rb +825 -86
- data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
- data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_update.rb +804 -65
- data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/dependent_create.rb +1175 -0
- data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
- data/lib/vericred_client/models/dependent_show.rb +1175 -0
- data/lib/vericred_client/models/drug.rb +781 -42
- data/lib/vericred_client/models/drug_coverage.rb +781 -42
- data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
- data/lib/vericred_client/models/drug_package.rb +765 -26
- data/lib/vericred_client/models/drug_search_response.rb +771 -32
- data/lib/vericred_client/models/embargo_request.rb +790 -39
- data/lib/vericred_client/models/formulary.rb +754 -15
- data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
- data/lib/vericred_client/models/formulary_response.rb +768 -29
- data/lib/vericred_client/models/group_create.rb +1195 -0
- data/lib/vericred_client/models/group_create_request.rb +1147 -0
- data/lib/vericred_client/models/group_create_response.rb +1147 -0
- data/lib/vericred_client/models/group_show.rb +1205 -0
- data/lib/vericred_client/models/group_show_response.rb +1147 -0
- data/lib/vericred_client/models/group_update.rb +1195 -0
- data/lib/vericred_client/models/group_update_request.rb +1147 -0
- data/lib/vericred_client/models/issuer_request.rb +819 -80
- data/lib/vericred_client/models/location_create.rb +1185 -0
- data/lib/vericred_client/models/location_show.rb +1195 -0
- data/lib/vericred_client/models/location_update.rb +1195 -0
- data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
- data/lib/vericred_client/models/medical_plan_update.rb +930 -181
- data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
- data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
- data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
- data/lib/vericred_client/models/member_create.rb +1227 -0
- data/lib/vericred_client/models/member_rate_show.rb +1185 -0
- data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/member_show.rb +1237 -0
- data/lib/vericred_client/models/members_create_request.rb +1147 -0
- data/lib/vericred_client/models/members_create_response.rb +1137 -0
- data/lib/vericred_client/models/members_show_response.rb +1137 -0
- data/lib/vericred_client/models/meta.rb +754 -15
- data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/network.rb +754 -15
- data/lib/vericred_client/models/network_comparison.rb +754 -15
- data/lib/vericred_client/models/network_comparison_request.rb +754 -15
- data/lib/vericred_client/models/network_comparison_response.rb +770 -31
- data/lib/vericred_client/models/network_details.rb +770 -31
- data/lib/vericred_client/models/network_details_response.rb +754 -15
- data/lib/vericred_client/models/network_search_response.rb +754 -15
- data/lib/vericred_client/models/network_size.rb +765 -26
- data/lib/vericred_client/models/notification_subscription.rb +754 -15
- data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
- data/lib/vericred_client/models/plan.rb +754 -15
- data/lib/vericred_client/models/plan_county.rb +768 -29
- data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
- data/lib/vericred_client/models/plan_deleted.rb +754 -15
- data/lib/vericred_client/models/plan_identifier.rb +754 -15
- data/lib/vericred_client/models/plan_medicare.rb +768 -29
- data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
- data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
- data/lib/vericred_client/models/plan_search_response.rb +765 -26
- data/lib/vericred_client/models/plan_show_response.rb +754 -15
- data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
- data/lib/vericred_client/models/provider.rb +780 -41
- data/lib/vericred_client/models/provider_details.rb +813 -50
- data/lib/vericred_client/models/provider_geocode.rb +754 -15
- data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
- data/lib/vericred_client/models/provider_networks.rb +1165 -0
- data/lib/vericred_client/models/provider_show_response.rb +755 -16
- data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
- data/lib/vericred_client/models/providers_search_response.rb +754 -15
- data/lib/vericred_client/models/quote_create.rb +1207 -0
- data/lib/vericred_client/models/quote_create_request.rb +1135 -0
- data/lib/vericred_client/models/quote_create_response.rb +1135 -0
- data/lib/vericred_client/models/quote_show.rb +1227 -0
- data/lib/vericred_client/models/quote_show_response.rb +1135 -0
- data/lib/vericred_client/models/rate_request.rb +990 -251
- data/lib/vericred_client/models/rate_search.rb +978 -189
- data/lib/vericred_client/models/rate_show.rb +1175 -0
- data/lib/vericred_client/models/rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/rating_area.rb +754 -15
- data/lib/vericred_client/models/request_plan_find.rb +777 -38
- data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
- data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
- data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
- data/lib/vericred_client/models/request_providers_search.rb +767 -26
- data/lib/vericred_client/models/request_rates_search.rb +768 -29
- data/lib/vericred_client/models/response_rates_search.rb +754 -15
- data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
- data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
- data/lib/vericred_client/models/service_area.rb +754 -15
- data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
- data/lib/vericred_client/models/state.rb +778 -39
- data/lib/vericred_client/models/state_network_size_request.rb +754 -15
- data/lib/vericred_client/models/state_network_size_response.rb +754 -15
- data/lib/vericred_client/models/supplemental_options.rb +1187 -0
- data/lib/vericred_client/models/v7_network.rb +1155 -0
- data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
- data/lib/vericred_client/models/v7_network_details.rb +1167 -0
- data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
- data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
- data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
- data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
- data/lib/vericred_client/models/vision_plan.rb +825 -86
- data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
- data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_update.rb +804 -65
- data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/zip_code.rb +754 -15
- data/lib/vericred_client/models/zip_counties_response.rb +770 -31
- data/lib/vericred_client/models/zip_county.rb +754 -15
- data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
- data/lib/vericred_client/models/zip_county_response.rb +754 -15
- data/lib/vericred_client/version.rb +755 -16
- data/lib/vericred_client.rb +809 -15
- data/spec/api/carrier_groups_api_spec.rb +754 -15
- data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
- data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
- data/spec/api/carriers_api_spec.rb +754 -15
- data/spec/api/dental_plans_api_spec.rb +780 -16
- data/spec/api/drug_coverages_api_spec.rb +754 -15
- data/spec/api/drug_packages_api_spec.rb +754 -15
- data/spec/api/drugs_api_spec.rb +754 -15
- data/spec/api/embargoes_api_spec.rb +754 -15
- data/spec/api/formularies_api_spec.rb +754 -15
- data/spec/api/issuers_api_spec.rb +754 -15
- data/spec/api/major_medical_plans_api_spec.rb +1006 -0
- data/spec/api/medical_plans_api_spec.rb +754 -40
- data/spec/api/network_sizes_api_spec.rb +754 -15
- data/spec/api/networks_api_spec.rb +760 -18
- data/spec/api/plans_api_spec.rb +754 -52
- data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
- data/spec/api/providers_api_spec.rb +755 -28
- data/spec/api/quoting_api_spec.rb +1055 -0
- data/spec/api/rates_api_spec.rb +754 -15
- data/spec/api/vision_plans_api_spec.rb +779 -15
- data/spec/api/zip_counties_api_spec.rb +754 -15
- data/spec/api_client_spec.rb +754 -15
- data/spec/configuration_spec.rb +754 -15
- data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan2018_spec.rb +843 -104
- data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan_pre2018_spec.rb +837 -98
- data/spec/models/aca_plan_spec.rb +837 -98
- data/spec/models/address_spec.rb +1024 -0
- data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
- data/spec/models/base_plan_search_response_spec.rb +756 -17
- data/spec/models/base_spec.rb +754 -15
- data/spec/models/carrier_group_request_spec.rb +756 -17
- data/spec/models/carrier_request_spec.rb +756 -17
- data/spec/models/carrier_spec.rb +754 -15
- data/spec/models/carrier_subsidiary_spec.rb +758 -19
- data/spec/models/county_bulk_spec.rb +757 -18
- data/spec/models/county_spec.rb +756 -17
- data/spec/models/dental_plan_benefits_spec.rb +782 -43
- data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
- data/spec/models/dental_plan_search_request_spec.rb +758 -25
- data/spec/models/dental_plan_search_response_spec.rb +754 -15
- data/spec/models/dental_plan_show_response_spec.rb +754 -15
- data/spec/models/dental_plan_spec.rb +767 -28
- data/spec/models/dental_plan_update_request_spec.rb +754 -15
- data/spec/models/dental_plan_update_spec.rb +763 -24
- data/spec/models/dependent_create_request_spec.rb +1012 -0
- data/spec/models/dependent_create_spec.rb +1012 -0
- data/spec/models/dependent_show_spec.rb +1012 -0
- data/spec/models/drug_coverage_response_spec.rb +756 -17
- data/spec/models/drug_coverage_spec.rb +758 -19
- data/spec/models/drug_package_spec.rb +756 -17
- data/spec/models/drug_search_response_spec.rb +756 -17
- data/spec/models/drug_spec.rb +758 -19
- data/spec/models/embargo_request_spec.rb +766 -21
- data/spec/models/formulary_drug_package_response_spec.rb +754 -15
- data/spec/models/formulary_response_spec.rb +756 -17
- data/spec/models/formulary_spec.rb +754 -15
- data/spec/models/group_create_request_spec.rb +994 -0
- data/spec/models/group_create_response_spec.rb +994 -0
- data/spec/models/group_create_spec.rb +1024 -0
- data/spec/models/group_show_response_spec.rb +994 -0
- data/spec/models/group_show_spec.rb +1030 -0
- data/spec/models/group_update_request_spec.rb +994 -0
- data/spec/models/group_update_spec.rb +1024 -0
- data/spec/models/issuer_request_spec.rb +765 -26
- data/spec/models/location_create_spec.rb +1018 -0
- data/spec/models/location_show_spec.rb +1024 -0
- data/spec/models/location_update_spec.rb +1024 -0
- data/spec/models/medical_plan_benefits_spec.rb +801 -62
- data/spec/models/medical_plan_update_request_spec.rb +754 -15
- data/spec/models/medical_plan_update_spec.rb +792 -47
- data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
- data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
- data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
- data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
- data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
- data/spec/models/member_create_spec.rb +1042 -0
- data/spec/models/member_rate_show_request_spec.rb +1000 -0
- data/spec/models/member_rate_show_spec.rb +1018 -0
- data/spec/models/member_rates_show_response_spec.rb +994 -0
- data/spec/models/member_show_spec.rb +1048 -0
- data/spec/models/members_create_request_spec.rb +994 -0
- data/spec/models/members_create_response_spec.rb +988 -0
- data/spec/models/members_show_response_spec.rb +988 -0
- data/spec/models/meta_plan_search_response_spec.rb +757 -18
- data/spec/models/meta_spec.rb +754 -15
- data/spec/models/network_comparison_request_spec.rb +754 -15
- data/spec/models/network_comparison_response_spec.rb +756 -17
- data/spec/models/network_comparison_spec.rb +754 -15
- data/spec/models/network_details_response_spec.rb +754 -15
- data/spec/models/network_details_spec.rb +757 -18
- data/spec/models/network_search_response_spec.rb +754 -15
- data/spec/models/network_size_spec.rb +756 -17
- data/spec/models/network_spec.rb +754 -15
- data/spec/models/notification_subscription_response_spec.rb +754 -15
- data/spec/models/notification_subscription_spec.rb +754 -15
- data/spec/models/plan_county_bulk_spec.rb +756 -17
- data/spec/models/plan_county_spec.rb +756 -17
- data/spec/models/plan_deleted_spec.rb +754 -15
- data/spec/models/plan_identifier_spec.rb +754 -15
- data/spec/models/plan_medicare_bulk_spec.rb +763 -24
- data/spec/models/plan_medicare_spec.rb +760 -21
- data/spec/models/plan_pricing_medicare_spec.rb +761 -22
- data/spec/models/plan_search_response_spec.rb +756 -17
- data/spec/models/plan_show_response_spec.rb +754 -15
- data/spec/models/plan_spec.rb +754 -15
- data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
- data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
- data/spec/models/plans_bulk_base_spec.rb +982 -0
- data/spec/models/plans_bulk_dental_spec.rb +982 -0
- data/spec/models/plans_bulk_vision_spec.rb +982 -0
- data/spec/models/provider_details_spec.rb +779 -28
- data/spec/models/provider_geocode_spec.rb +754 -15
- data/spec/models/provider_network_event_notification_spec.rb +760 -21
- data/spec/models/provider_networks_spec.rb +1006 -0
- data/spec/models/provider_show_response_spec.rb +754 -15
- data/spec/models/provider_spec.rb +762 -23
- data/spec/models/providers_geocode_response_spec.rb +754 -15
- data/spec/models/providers_search_response_spec.rb +754 -15
- data/spec/models/quote_create_request_spec.rb +988 -0
- data/spec/models/quote_create_response_spec.rb +988 -0
- data/spec/models/quote_create_spec.rb +1030 -0
- data/spec/models/quote_show_response_spec.rb +988 -0
- data/spec/models/quote_show_spec.rb +1042 -0
- data/spec/models/rate_request_spec.rb +884 -145
- data/spec/models/rate_search_spec.rb +886 -117
- data/spec/models/rate_show_request_spec.rb +1000 -0
- data/spec/models/rate_show_spec.rb +1012 -0
- data/spec/models/rates_show_response_spec.rb +994 -0
- data/spec/models/rating_area_spec.rb +754 -15
- data/spec/models/request_plan_find_applicant_spec.rb +754 -15
- data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
- data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
- data/spec/models/request_plan_find_provider_spec.rb +754 -15
- data/spec/models/request_plan_find_spec.rb +759 -20
- data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
- data/spec/models/request_providers_search_spec.rb +758 -19
- data/spec/models/request_rates_search_spec.rb +756 -17
- data/spec/models/response_rates_search_spec.rb +754 -15
- data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
- data/spec/models/rx_cui_identifier_spec.rb +756 -17
- data/spec/models/service_area_spec.rb +754 -15
- data/spec/models/service_area_zip_county_spec.rb +754 -15
- data/spec/models/state_network_size_request_spec.rb +754 -15
- data/spec/models/state_network_size_response_spec.rb +754 -15
- data/spec/models/state_spec.rb +762 -23
- data/spec/models/supplemental_options_spec.rb +1018 -0
- data/spec/models/v7_network_comparison_response_spec.rb +994 -0
- data/spec/models/v7_network_details_response_spec.rb +988 -0
- data/spec/models/v7_network_details_spec.rb +1006 -0
- data/spec/models/v7_network_search_response_spec.rb +994 -0
- data/spec/models/v7_network_spec.rb +1000 -0
- data/spec/models/v7_provider_details_spec.rb +1138 -0
- data/spec/models/v7_provider_networks_spec.rb +1012 -0
- data/spec/models/vision_plan_benefits_spec.rb +813 -32
- data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
- data/spec/models/vision_plan_search_request_spec.rb +758 -25
- data/spec/models/vision_plan_search_response_spec.rb +754 -15
- data/spec/models/vision_plan_show_response_spec.rb +754 -15
- data/spec/models/vision_plan_spec.rb +767 -28
- data/spec/models/vision_plan_update_request_spec.rb +754 -15
- data/spec/models/vision_plan_update_spec.rb +763 -24
- data/spec/models/zip_code_spec.rb +754 -15
- data/spec/models/zip_counties_response_spec.rb +756 -17
- data/spec/models/zip_county_bulk_spec.rb +757 -18
- data/spec/models/zip_county_response_spec.rb +754 -15
- data/spec/models/zip_county_spec.rb +754 -15
- data/spec/spec_helper.rb +754 -15
- data/vericred_client.gemspec +754 -15
- metadata +315 -95
@@ -1,17 +1,15 @@
|
|
1
1
|
=begin
|
2
2
|
#Vericred API
|
3
3
|
|
4
|
-
#Vericred's API allows you to search for Health Plans that a specific doctor
|
5
|
-
accepts.
|
6
|
-
|
7
4
|
## Getting Started
|
8
5
|
|
6
|
+
## Signing Up
|
7
|
+
|
9
8
|
Visit our [Developer Portal](https://developers.vericred.com) to
|
10
9
|
create an account.
|
11
10
|
|
12
|
-
Once you have created an account, you can create one Application for
|
13
|
-
Production and another for
|
14
|
-
you create the Application).
|
11
|
+
Once you have created an account, you can create one Application for your
|
12
|
+
Production environment and another for a Sandbox (select the appropriate Plan when you create the Application).
|
15
13
|
|
16
14
|
## SDKs
|
17
15
|
|
@@ -32,9 +30,9 @@ a `Vericred-Api-Key` header.
|
|
32
30
|
Vericred's API default to the latest version. However, if you need a specific
|
33
31
|
version, you can request it with an `Accept-Version` header.
|
34
32
|
|
35
|
-
The current version is `
|
33
|
+
The current version is `v4`. We also support `v2` and `v3`
|
36
34
|
|
37
|
-
`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version:
|
35
|
+
`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v3' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
|
38
36
|
|
39
37
|
## Pagination
|
40
38
|
|
@@ -47,11 +45,13 @@ For example, to display 5 results per page and view the second page of a
|
|
47
45
|
|
48
46
|
## Sideloading
|
49
47
|
|
50
|
-
When we return multiple levels of an object graph (e.g. `Provider`s and their
|
51
|
-
we
|
52
|
-
`State`s and a `state_id` for each provider. This is
|
53
|
-
payload size since many of the `Provider`s
|
48
|
+
When we return multiple levels of an object graph (e.g. `Provider`s and their
|
49
|
+
`State`s we typically the associated data. In this example, we would
|
50
|
+
provide an Array of `State`s and a `state_id` for each provider. This is
|
51
|
+
done primarily to reduce the payload size since many of the `Provider`s
|
52
|
+
will share a `State`
|
54
53
|
|
54
|
+
### Simplified Example
|
55
55
|
```
|
56
56
|
{
|
57
57
|
providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
|
@@ -87,8 +87,7 @@ For example, let's take a request that returns the following JSON by default
|
|
87
87
|
```
|
88
88
|
|
89
89
|
To limit our results to only return the fields we care about, we specify the
|
90
|
-
`select` query string
|
91
|
-
document.
|
90
|
+
`select` in the query string for a `GET` or the body for a `POST`.
|
92
91
|
|
93
92
|
In this case, we want to select `name` and `phone` from the `provider` key,
|
94
93
|
so we would add the parameters `select=provider.name,provider.phone`.
|
@@ -115,7 +114,18 @@ The response would be
|
|
115
114
|
}
|
116
115
|
```
|
117
116
|
|
118
|
-
|
117
|
+
# Plan and Rate Data
|
118
|
+
|
119
|
+
Vericred's Plan and Rate Data let you search and quote Major Medical and Ancillary Insurance Plans in a given area for a particular family in the Individual Market or a group of families in the Small Group Market. Vericred provides the relevant data via this API and via our Bulk Format (documented [below](#Bulk Plan and Rate Data))
|
120
|
+
|
121
|
+
## Plans
|
122
|
+
|
123
|
+
A Plan defines a set of Benefits available to its purchaser. For example, a Major Medical Plan would specify cost-share Benefits for services like a Primary Care Provider visit, a Specialist visit or an Emergency Room visit. A Dental Plan might specify Benefits for Periodontics and Fluroride Treatments. The Benefits for each Product type ([Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision)) are documented below.
|
124
|
+
|
125
|
+
### Benefits Format
|
126
|
+
|
127
|
+
Benefits for Plans can be quite complex. With the goals of capturing and standardizing the complexity while retaining a human-readable format, we have developed a [Bakus-Naur Form](https://en.wikipedia.org/wiki/Backus%E2%80%93Naur_form)(BNF) context-free grammar, with which we present Benefits.
|
128
|
+
|
119
129
|
Benefit cost-share strings are formatted to capture:
|
120
130
|
* Network tiers
|
121
131
|
* Compound or conditional cost-share
|
@@ -198,343 +208,1073 @@ space ::= /[ \t]/+
|
|
198
208
|
```
|
199
209
|
|
200
210
|
|
211
|
+
### Major Medical
|
212
|
+
|
213
|
+
Vericred's data covers all Major Medical Plans available in the Individual and Small Groups (2-50 or 2-100) Markets in the US. These Plans are governed by CMS and are ACA-compliant. We do not include certain Plans that fall outside of the ACA, for example, Faith-Based Plans or Short-Term Medical Plans
|
214
|
+
|
215
|
+
We support the following Benefits Fields for Major Medical Plans. These represent the vast majority of fields available on a [Summary of Benefits and Coverage](https://www.healthcare.gov/health-care-law-protections/summary-of-benefits-and-coverage/)
|
216
|
+
|
217
|
+
The following are the appropriate Benefit Fields for Major Medical:
|
218
|
+
|
219
|
+
- ambulance
|
220
|
+
- child\_eye\_exam
|
221
|
+
- child\_eyewear
|
222
|
+
- chiropractic\_services
|
223
|
+
- diagnostic\_test
|
224
|
+
- durable\_medical\_equipment
|
225
|
+
- emergency\_room
|
226
|
+
- family\_drug\_deductible
|
227
|
+
- family\_drug\_moop
|
228
|
+
- family\_medical\_deductible
|
229
|
+
- family\_medical\_moop
|
230
|
+
- generic\_drugs
|
231
|
+
- habilitation\_services
|
232
|
+
- home\_health\_care
|
233
|
+
- hospice\_service
|
234
|
+
- imaging\_center
|
235
|
+
- imaging\_physician
|
236
|
+
- individual\_drug\_deductible
|
237
|
+
- individual\_drug\_moop
|
238
|
+
- individual\_medical\_deductible
|
239
|
+
- individual\_medical\_moop
|
240
|
+
- inpatient\_birth
|
241
|
+
- inpatient\_facility
|
242
|
+
- inpatient\_mental\_health
|
243
|
+
- inpatient\_physician
|
244
|
+
- inpatient\_substance
|
245
|
+
- lab\_test
|
246
|
+
- non\_preferred\_brand\_drugs
|
247
|
+
- nonpreferred\_generic\_drug\_share
|
248
|
+
- nonpreferred\_specialty\_drug\_share
|
249
|
+
- outpatient\_ambulatory\_care\_center
|
250
|
+
- outpatient\_facility
|
251
|
+
- outpatient\_mental\_health
|
252
|
+
- outpatient\_physician
|
253
|
+
- outpatient\_substance
|
254
|
+
- postnatal\_care
|
255
|
+
- preferred\_brand\_drugs
|
256
|
+
- prenatal\_care
|
257
|
+
- preventative\_care
|
258
|
+
- primary\_care\_physician
|
259
|
+
- rehabilitation\_services
|
260
|
+
- skilled\_nursing
|
261
|
+
- specialist
|
262
|
+
- specialty\_drugs
|
263
|
+
- urgent\_care
|
264
|
+
|
265
|
+
### Dental
|
266
|
+
|
267
|
+
Dental benefits are less standardized than [Major Medical](#header-major-medical). Because of this, we have captured benefits for the most commonly specified services and procedures. If a Plan only specifies cost-share for "Major", "Minor", "Elective", etc, we determine the category for each of the benefits that we support and display the appropriate value for its category.
|
268
|
+
|
269
|
+
To view the technical documentation, [click here](#dental-plans).
|
270
|
+
|
271
|
+
The following are the supported Benefit Fields for Dental:
|
272
|
+
|
273
|
+
- bridges
|
274
|
+
- crowns
|
275
|
+
- denture\_relines\_rebases
|
276
|
+
- denture\_repair\_and\_adjustments
|
277
|
+
- dentures
|
278
|
+
- emergency\_treatment
|
279
|
+
- endodontics
|
280
|
+
- family\_annual\_max
|
281
|
+
- family\_deductible
|
282
|
+
- fluoride\_treatment
|
283
|
+
- implants
|
284
|
+
- individual\_annual\_max
|
285
|
+
- individual\_deductible
|
286
|
+
- inlays
|
287
|
+
- onlays
|
288
|
+
- oral\_exam
|
289
|
+
- oral\_surgery
|
290
|
+
- orthodontics\_adult
|
291
|
+
- orthodontics\_child
|
292
|
+
- periodontal\_maintenance
|
293
|
+
- periodontics
|
294
|
+
- prophylaxis\_cleaning
|
295
|
+
- radiograph\_bitewings
|
296
|
+
- radiograph\_other
|
297
|
+
- restoration\_fillings
|
298
|
+
- sealant
|
299
|
+
- simple\_extraction
|
300
|
+
- space\_maintainers
|
301
|
+
|
302
|
+
### Vision
|
303
|
+
|
304
|
+
Vision benefits are similar in structure to [Dental](#header-dental). Again, when benefits are broken out by category, we determine the appropriate category for each service or procedure and display the approprate value for its category.
|
305
|
+
|
306
|
+
To view the technical documentation, [click here](#vision-plans).
|
307
|
+
|
308
|
+
The following are the supported Benefit Fields for Vision:
|
309
|
+
|
310
|
+
- eye\_exam
|
311
|
+
- retinal\_imaging
|
312
|
+
- frame
|
313
|
+
- eyeglass\_lenses\_single\_vision
|
314
|
+
- eyeglass\_lenses\_bifocal
|
315
|
+
- eyeglass\_lenses\_trifocal
|
316
|
+
- eyeglass\_lenses\_lenticular
|
317
|
+
- uv\_coating
|
318
|
+
- tint
|
319
|
+
- standard\_antireflective\_coating
|
320
|
+
- premium\_antireflective\_coating
|
321
|
+
- standard\_polycarbonate\_lenses\_child
|
322
|
+
- standard\_polycarbonate\_lenses\_adult
|
323
|
+
- standard\_progressive\_lenses
|
324
|
+
- premium\_progressive\_lenses
|
325
|
+
- standard\_scratch\_resistance
|
326
|
+
- polarized\_lenses
|
327
|
+
- photochromatic\_lenses
|
328
|
+
- standard\_contact\_lens\_fit\_and\_follow\_up
|
329
|
+
- premium\_contact\_lens\_fit\_and\_follow\_up
|
330
|
+
- contact\_lenses\_conventional
|
331
|
+
- contact\_lenses\_disposable
|
332
|
+
- contact\_lenses\_medically\_necessary
|
333
|
+
- laser\_vision\_correction
|
334
|
+
- additional\_pairs\_of\_eyeglasses
|
335
|
+
|
336
|
+
## Rates
|
337
|
+
|
338
|
+
Rates are returned from the API as a part of [Quoting](#header-quoting). We calculate Rates in one of two ways.
|
339
|
+
|
340
|
+
### Sheet Rates
|
341
|
+
When a Carrier supplies us with Sheet Rates, we display *exactly* the value provided to us. For example, in the Major Medical market, most Carriers provide a single rate for each combination of Applicant age and tobacco status in a given [Rating Area](#header-rating-areas). For example, in Austin, TX, a 21-year-old non-tobacco-user may be $312.41 per month while a 22-year-old tobacco-user may be $401.75 per month. Certain Vision and Dental Carriers supply Sheet Rates as well, though it is less common.
|
342
|
+
|
343
|
+
### Rate Factors
|
344
|
+
Certain [Major Medical](#header-major-medical) Carriers and most [Vision](#header-vision) and [Dental](#header-dental) Carriers supply Rate Factors. The attributes on which the factors are based are the same as [Sheet Rates](#header-sheet-rates) for the [Major Medical](#header-major-medical) market (due to restrictions on what factors may be used in ACA Plans, which limit the possible factors to age and tobacco status).
|
345
|
+
|
346
|
+
In [Dental](#header-dental) and [Vision](#header-vision), the types of [Rate Factors](#header-rate-factors) are more varied. For example, SIC Code and Group size in the Group market and Gender in the Individual Market are commonly used [Rate Factors](#header-rate-factors)
|
347
|
+
|
348
|
+
Other common [Rate Factors](#header-rate-factors) for [Dental](#header-dental) and [Vision](#header-vision) products are Geographic and "Trend" (enrollment date) Factors. In [Major Medical](#header-major-medical), these types of variance are handled by CMS-defined [Rating Areas](#header-rating-areas).
|
349
|
+
|
350
|
+
In order to calculate a Rate using [Rate Factors](#header-rate-factors), the following methodology is applied:
|
201
351
|
|
202
|
-
|
352
|
+
```
|
353
|
+
B = Base Rate
|
354
|
+
f = Rate Factor Function 1
|
355
|
+
f' = Rate Factor Function 2
|
203
356
|
|
204
|
-
|
357
|
+
B * f(x) * f'(y) [* f''(z)] ... = n
|
358
|
+
```
|
205
359
|
|
206
|
-
|
207
|
-
|
208
|
-
You may obtain a copy of the License at
|
360
|
+
## Rating Areas
|
361
|
+
For [Major Medical](#header-major-medical) products, [CMS](https://www.cms.gov/) defines [Rating Areas](https://www.cms.gov/cciio/programs-and-initiatives/health-insurance-market-reforms/state-gra.html). Under the ACA, *all* [Rate Factors](#header-rate-factors) in a Rating Area must be identical for a given time period. E.g. in Arizona, the rate for a 21-year-old non-tobacco user must be identical in all counties contained in Rating Area 1 (Mohave, Coconino, Apache, and Navajo), but *may* be different than the rate for a 21-year-old non-tobacco user in all counties Rating Area 2 (Yavapai county only) for a given year in the Individual Market and a given quartern in the Small Group market.
|
209
362
|
|
210
|
-
|
363
|
+
[Rating Areas](#header-rating-areas) are defined either by County, Zip Code or both, depending on the State. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
|
211
364
|
|
212
|
-
|
213
|
-
distributed under the License is distributed on an "AS IS" BASIS,
|
214
|
-
WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
|
215
|
-
See the License for the specific language governing permissions and
|
216
|
-
limitations under the License.
|
365
|
+
*Rating Areas do not apply to products other than [Major Medical](#header-major-medical)*
|
217
366
|
|
218
|
-
|
367
|
+
## Service Areas
|
368
|
+
CMS mandates that [Major Medical](#header-major-medical) Rates be defined by [Rating Areas](#header-rating-areas), which themselves define a geography in which Plans are offered. Carriers often choose *not* to offer a Plan in and entire [Rating Area](#header-rating-areas) due to network coverage or other factors. Instead, the Carrier would define a [Service Area](#header-service-areas) that specifies where a given Plan is offered.
|
219
369
|
|
220
|
-
require
|
370
|
+
Each Plan is available in a single [Service Area](#header-service-areas) and each [Service Area](#header-service-areas) is defined by either County, Zip Code, or both, depending on the Carrier. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
|
221
371
|
|
222
|
-
|
372
|
+
In [Dental](#header-dental) and [Vision](#header-vision) plans, we use a [Service Area](#header-service-areas) to define availability as well, although it typically mirrors a Geographic [Rate Factor](#header-rate-factors).
|
223
373
|
|
224
|
-
|
225
|
-
# Name of the insurance carrier
|
226
|
-
attr_accessor :carrier_name
|
374
|
+
# Quoting
|
227
375
|
|
228
|
-
|
229
|
-
attr_accessor :display_name
|
376
|
+
One of the primary use-cases for the Vericred API is to run Quotes to determine the Rate for a given family (in the Individual Market) or group (in the Small Group Market). We support quoting across [Major Medical](#header-major-medical), [Vision](#header-vision), and [Dental](#header-dental). In both cases, the process of generating a Quote is broken out into several steps:
|
230
377
|
|
231
|
-
|
232
|
-
|
378
|
+
1. Find all available [Plans](#header-plans) in the relevent [Service Areas](#header-service-areas) for the family or group.
|
379
|
+
1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine if the family or group is eligible for that [Plan](#header-plans).
|
380
|
+
1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine which members of the family or which members of each family in the group should be considered for Rating.
|
381
|
+
1. Using the [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) for each [Plan](#header-plans), determine the Rate the family, or for each family in the group.
|
382
|
+
1. If running a [Composite](#compositerates) quote, determine the portion of the total Rate that each family will pay.
|
233
383
|
|
234
|
-
|
235
|
-
|
384
|
+
## Individual Quotes
|
385
|
+
An Individual Quote is one for Plans that are available to a particular family, outside the context of their Employer. In the [Major Medical](#header-major-medical) market, many of these Plans are available on [Healthcare.gov](https://www.healthcare.gov) or the State-Based Exchange for non-Healthcare.gov states. The API supports both on-market and off-market Plans.
|
236
386
|
|
237
|
-
|
238
|
-
attr_accessor :identifiers
|
387
|
+
For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
|
239
388
|
|
240
|
-
|
241
|
-
|
389
|
+
### Specifying the Location
|
390
|
+
In order to determine which plans are [available](#header-service-areas) and the [rate](#header-rating-areas) for each Plan, you must specify a location. When creating a [Quote](#header-quoting) for the Individual Market, that information is contained in the `POST` body of the request:
|
391
|
+
```
|
392
|
+
POST /plans/medical/search
|
393
|
+
{
|
394
|
+
...
|
395
|
+
"zip_code": "11201",
|
396
|
+
"fips_code": "36047"
|
397
|
+
...
|
398
|
+
}
|
242
399
|
|
243
|
-
|
244
|
-
attr_accessor :network_ids
|
400
|
+
```
|
245
401
|
|
246
|
-
|
247
|
-
|
402
|
+
### Specifying Applicants
|
403
|
+
Applicants are the members of the family being quoted and are specified in the `POST` body of the request.
|
404
|
+
```
|
405
|
+
POST /plans/medical/search
|
406
|
+
{
|
407
|
+
...
|
408
|
+
"applicants": [
|
409
|
+
{
|
410
|
+
"age": 34,
|
411
|
+
"smoker": true,
|
412
|
+
"child": false
|
413
|
+
},
|
414
|
+
{
|
415
|
+
"age": 32,
|
416
|
+
"smoker": false,
|
417
|
+
"child": false
|
418
|
+
},
|
419
|
+
{
|
420
|
+
"age": 4,
|
421
|
+
"smoker": false,
|
422
|
+
"child": true
|
423
|
+
}
|
424
|
+
]
|
425
|
+
...
|
426
|
+
}
|
427
|
+
```
|
248
428
|
|
249
|
-
|
250
|
-
|
429
|
+
### Specifying Enrollment Date
|
430
|
+
The `enrollment_date` determines which [Plans](#header-plans) and [Rates](#header-rates) are returned. Specifying an `enrollment_date` in the past allows you to calculate historical data as far back as 2014.
|
251
431
|
|
252
|
-
|
253
|
-
|
432
|
+
### Plan Benefits
|
433
|
+
Plan Benefits are returned in the response for [Individual Quotes](#individualquotes)
|
434
|
+
```
|
435
|
+
POST /plans/medical/search
|
436
|
+
{
|
437
|
+
...
|
438
|
+
}
|
254
439
|
|
255
|
-
|
256
|
-
|
440
|
+
Response:
|
441
|
+
{
|
442
|
+
"plans": [
|
443
|
+
{
|
444
|
+
...
|
445
|
+
"individual_medical_deductible": "$5,000",
|
446
|
+
"family_medical_deductible": "$10,000"
|
447
|
+
...
|
448
|
+
}
|
449
|
+
|
450
|
+
]
|
451
|
+
}
|
257
452
|
|
258
|
-
|
259
|
-
attr_accessor :adult_dental
|
453
|
+
```
|
260
454
|
|
261
|
-
|
262
|
-
|
455
|
+
### Premiums
|
456
|
+
The value for the family being quoted is returned in the `premium` field. If no [Applicants](#specifyingapplicants) are provided, the `premium` field will be `0`
|
263
457
|
|
264
|
-
|
265
|
-
|
458
|
+
### Major Medical Quotes
|
459
|
+
In order to [Quote](#header-quoting) [Major Medical](#header-major-medical) Plans, send a `POST` to `/plans/medical/search`. In addition, the `age`, `smoker` and `child` attributes of each Applicant must be present.
|
266
460
|
|
267
|
-
|
268
|
-
|
461
|
+
#### Subsidies
|
462
|
+
On-market ([Healthcare.gov](https://www.healthcare.gov) and State-Based Exchange) [Major Medical](#header-major-medical) Plans are eligible for government subsidies. The subsidy calculation is based on the percentage of the family's income that the IRS has designated as "affordable" for that family and the Second Lowest-Cost Silver Plan available to that family.
|
269
463
|
|
270
|
-
|
271
|
-
|
464
|
+
In order to calculate subsidies for a family the following parameters must be supplied:
|
465
|
+
```
|
466
|
+
POST /plans/medical/search
|
467
|
+
{
|
468
|
+
...
|
469
|
+
"household_size": 4,
|
470
|
+
"household_income": 40000
|
471
|
+
...
|
472
|
+
}
|
473
|
+
```
|
272
474
|
|
273
|
-
|
274
|
-
attr_accessor :child_dental
|
475
|
+
The amount that the family will pay after subsidy is returned in the `premium_subsidized` field for each plan.
|
275
476
|
|
276
|
-
|
277
|
-
|
477
|
+
##### Subsidy Calculation
|
478
|
+
Here is how subsidies are calculated. This is fully handled by the Vericred API, but the steps are enumerated below for clarity.
|
278
479
|
|
279
|
-
|
280
|
-
|
480
|
+
1. Determine the percentage of the [Federal Poverty Level](https://aspe.hhs.gov/poverty-guidelines) for the family based on the household size and income.
|
481
|
+
1. Reference the [CMS table](https://www.irs.gov/pub/irs-drop/rp-17-36.pdf) to determine the appropriate percentage of income for the family to spend on healthcare.
|
482
|
+
1. Multiply that value by the family's income. This is the total amount that the family can spend on healthcare for the year, after the subsidy.
|
483
|
+
1. Find the cost of the Second Least-Expensive Silver Plan available to the family, accounting for the percentage of premium that goes to [Essential Health Benefits](https://www.healthcare.gov/glossary/essential-health-benefits/)
|
484
|
+
1. Calculate the difference in price between the amount the family should spend on healthcare and the Second Least-Expensive Silver Plan's premium. This is the subsidy.
|
485
|
+
1. Apply the subsidy to all on-market Plans available to the family. The subsidized premium can never be below $0 (for example, a low-cost Bronze Plan may be less expensive than the subsidy)
|
281
486
|
|
282
|
-
|
283
|
-
|
487
|
+
#### Cost Sharing Reduction Plans
|
488
|
+
[Cost Sharing Reduction (CSR)](https://www.healthcare.gov/glossary/cost-sharing-reduction/) Plans are available to lower income families and offer enhanced benefits for certain Silver Plans at the same cost as the non-CSR Plans available to higher-income families.
|
284
489
|
|
285
|
-
|
286
|
-
attr_accessor :durable_medical_equipment
|
490
|
+
If a family is eligible for CSR Plans, the Vericred API will return the relevant Plan in place of the non-CSR version.
|
287
491
|
|
288
|
-
|
289
|
-
|
492
|
+
In order to include CSR Plans where applicable, the following parameters must be supplied:
|
493
|
+
```
|
494
|
+
POST /plans/medical/search
|
495
|
+
{
|
496
|
+
...
|
497
|
+
"household_size": 4,
|
498
|
+
"household_income": 40000
|
499
|
+
...
|
500
|
+
}
|
501
|
+
```
|
290
502
|
|
291
|
-
|
292
|
-
|
503
|
+
#### The Children's Health Insurance Program (CHIP)
|
504
|
+
[The Children's Health Insurance Program (CHIP)](https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/) provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid.
|
293
505
|
|
294
|
-
|
295
|
-
|
506
|
+
If a family is eligible for CHIP, the Vericred API will include the subsidy in the returned premiums. In order to include CHIP subsidies in premium calculations, the following parameters must be supplied:
|
507
|
+
```
|
508
|
+
POST /plans/medical/search
|
509
|
+
{
|
510
|
+
...
|
511
|
+
"applicants": [
|
512
|
+
{
|
513
|
+
"age": 34,
|
514
|
+
"smoker": true,
|
515
|
+
"child": false
|
516
|
+
},
|
517
|
+
{
|
518
|
+
"age": 32,
|
519
|
+
"smoker": false,
|
520
|
+
"child": false
|
521
|
+
},
|
522
|
+
{
|
523
|
+
"age": 4,
|
524
|
+
"smoker": false,
|
525
|
+
"child": true
|
526
|
+
},
|
527
|
+
{
|
528
|
+
"age": 4,
|
529
|
+
"smoker": false,
|
530
|
+
"child": true
|
531
|
+
}
|
532
|
+
],
|
533
|
+
"household_size": 4,
|
534
|
+
"household_income": 40000
|
535
|
+
...
|
536
|
+
}
|
537
|
+
```
|
296
538
|
|
297
|
-
|
298
|
-
|
539
|
+
CHIP eligibility is displayed within the meta-tag in the response as `eligible_for_chip_medicaid`:
|
540
|
+
```
|
541
|
+
{
|
542
|
+
"meta": {
|
543
|
+
"total": 150,
|
544
|
+
"eligible_for_chip_medicaid": true,
|
545
|
+
"premium_tax_credit": 500.20
|
546
|
+
},
|
547
|
+
"coverages": [],
|
548
|
+
"plans": [...]
|
549
|
+
}
|
550
|
+
```
|
299
551
|
|
300
|
-
|
301
|
-
attr_accessor :family_drug_deductible
|
552
|
+
If you do not want CHIP subsidies to be included in the premiums, simply do not include the `household_income` parameter in the request.
|
302
553
|
|
303
|
-
|
304
|
-
|
554
|
+
### Dental Quotes
|
555
|
+
Quoting [Dental](#header-dental) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
|
556
|
+
```
|
557
|
+
POST /plans/dental/search
|
558
|
+
{
|
559
|
+
...
|
560
|
+
"applicants": [
|
561
|
+
{
|
562
|
+
"age": 34,
|
563
|
+
"gender": "M",
|
564
|
+
"child": false
|
565
|
+
},
|
566
|
+
{
|
567
|
+
"age": 32,
|
568
|
+
"gender": "F",
|
569
|
+
"child": false
|
570
|
+
},
|
571
|
+
{
|
572
|
+
"age": 4,
|
573
|
+
"gender": "M",
|
574
|
+
"child": true
|
575
|
+
}
|
576
|
+
]
|
577
|
+
...
|
578
|
+
}
|
579
|
+
```
|
305
580
|
|
306
|
-
|
307
|
-
attr_accessor :family_medical_deductible
|
581
|
+
Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Dental Quotes](#dentalquotes) require `gender`, but *do not* require `smoker`.
|
308
582
|
|
309
|
-
|
310
|
-
attr_accessor :family_medical_moop
|
583
|
+
Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Dental Quotes](#dentalquotes).
|
311
584
|
|
312
|
-
|
313
|
-
attr_accessor :fp_rider
|
585
|
+
### Vision Quotes
|
314
586
|
|
315
|
-
|
316
|
-
|
587
|
+
Quoting [Vision](#header-vision) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
|
588
|
+
```
|
589
|
+
POST /plans/vision/search
|
590
|
+
{
|
591
|
+
...
|
592
|
+
"applicants": [
|
593
|
+
{
|
594
|
+
"age": 34,
|
595
|
+
"gender": "M",
|
596
|
+
"child": false
|
597
|
+
},
|
598
|
+
{
|
599
|
+
"age": 32,
|
600
|
+
"gender": "F",
|
601
|
+
"child": false
|
602
|
+
},
|
603
|
+
{
|
604
|
+
"age": 4,
|
605
|
+
"gender": "M",
|
606
|
+
"child": true
|
607
|
+
}
|
608
|
+
]
|
609
|
+
...
|
610
|
+
}
|
611
|
+
```
|
317
612
|
|
318
|
-
|
319
|
-
attr_accessor :habilitation_services
|
613
|
+
Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Vision Quotes](#visionquotes) require `gender`, but *do not* require `smoker`.
|
320
614
|
|
321
|
-
|
322
|
-
attr_accessor :hios_issuer_id
|
615
|
+
Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Vision Quotes](#visionquotes).
|
323
616
|
|
324
|
-
|
325
|
-
|
617
|
+
## Quotes for Groups
|
618
|
+
A Group Quote finds [Plans](#header-plans) and [Rates](#header-rates) for a group of employees for a small business. Different [Plans](#header-plans) are available to small groups than are available in [Individual Quoting](#individualquotes). In addition, [Business Rules](#header-business-rules) that apply across multiple families or based upon employer attributes such as [SIC](https://en.wikipedia.org/wiki/Standard_Industrial_Classification) code factor into rates and availability.
|
326
619
|
|
327
|
-
|
328
|
-
attr_accessor :hospice_service
|
620
|
+
In addition, due to performance requirements and for enhanced auditing, [Group Quotes](#groupquotes) are persisted across requests. This means that a given [Quote](#groupquotes) can be retrieved after it has been created.
|
329
621
|
|
330
|
-
|
331
|
-
|
622
|
+
### Identifiers
|
623
|
+
In order to make it easier to cross-reference local copies of data with [Quotes](#header-creating-a-quote) and other data in the Vericred API, most entities allow for the specification of an `external_id` field. You can use this to store a primary or natural key from your system in order to easily match records returned from the API with records in your system.
|
332
624
|
|
333
|
-
|
334
|
-
|
625
|
+
### Specifying the Group
|
626
|
+
Creating a group is the first step in [Group Quoting](#groupquoting). The API requires that certain information such as `sic_code`, and `chamber_association` be provided and returns a the attributes and `id` for the newly created `Group`
|
335
627
|
|
336
|
-
|
337
|
-
attr_accessor :imaging
|
628
|
+
Full documentation is available [below](#groupscreate)
|
338
629
|
|
339
|
-
|
340
|
-
|
630
|
+
### Specifying the Locations
|
631
|
+
When creating a `Group`, you must also specify one or more `Location`s. Of those `Location`s specified, one must be `primary`. That `Location` is used to calculate Plan eligibility using the relevant [Service Areas](#header-service-areas). Some Carriers use secondary `Location`s to determine eligibility as well, which is why those must be specified as well.
|
341
632
|
|
342
|
-
|
343
|
-
|
633
|
+
```
|
634
|
+
POST /groups
|
635
|
+
{
|
636
|
+
"group": {
|
637
|
+
...
|
638
|
+
},
|
639
|
+
"locations": [
|
640
|
+
{
|
641
|
+
...
|
642
|
+
"zip_code": "11201",
|
643
|
+
"fips_code": "36047",
|
644
|
+
"primary": true
|
645
|
+
...
|
646
|
+
}
|
647
|
+
]
|
648
|
+
}
|
649
|
+
```
|
344
650
|
|
345
|
-
|
346
|
-
|
651
|
+
### Specifying the Census
|
652
|
+
A Census is the collection of `Member`s contained in the `Group`. The attributes of each `Member` and his or her `Dependent`s determine the [Rate](#header-rates) for the `Group` as a whole. Certain attributes of the `Member` are important for calculating [Rates](#header-rates) and applying [Business Rules](#header-business-rules). For example, the `Member`'s home address and in which office he or she works are relevant for certain [Business Rules](#header-business-rules).
|
653
|
+
|
654
|
+
#### Dependent Relationships
|
655
|
+
The `Dependent`s for a given `Member` also factor into the [Rates](#header-rates) and application of [Business Rules](#header-business-rules). For example, certain [Plans](#header-plans) cover only `Dependent`s of particular types and/or only `Dependent`s of a particular type who live in the same household as the primary `Member`
|
656
|
+
|
657
|
+
Valid Dependent Relationships:
|
658
|
+
- `adopted_child`
|
659
|
+
- `child`
|
660
|
+
- `court_appointed_guardian`
|
661
|
+
- `dependent_of_dependent`
|
662
|
+
- `ex_spouse`
|
663
|
+
- `foster_child`
|
664
|
+
- `grand_child`
|
665
|
+
- `guardian`
|
666
|
+
- `life_partner`
|
667
|
+
- `other`
|
668
|
+
- `sibling`
|
669
|
+
- `sponsored_dependent`
|
670
|
+
- `spouse`
|
671
|
+
- `step_child`
|
672
|
+
- `ward`
|
347
673
|
|
348
|
-
|
349
|
-
|
674
|
+
```
|
675
|
+
POST
|
350
676
|
|
351
|
-
|
352
|
-
|
677
|
+
/groups/{id}/members
|
678
|
+
{
|
679
|
+
"members": [
|
680
|
+
...
|
681
|
+
{
|
682
|
+
"cobra": false,
|
683
|
+
"date_of_birth": "1980-01-01",
|
684
|
+
"fips_code": "36047"
|
685
|
+
"gender": "M",
|
686
|
+
"last_used_tobacco": "2017-01-01",
|
687
|
+
"location_id": :location_id
|
688
|
+
"retiree": false,
|
689
|
+
"zip_code": "11201",
|
690
|
+
"dependents": [
|
691
|
+
...
|
692
|
+
{
|
693
|
+
"relationship": "child",
|
694
|
+
"same_household": true
|
695
|
+
}
|
696
|
+
...
|
697
|
+
]
|
698
|
+
}
|
699
|
+
...
|
700
|
+
]
|
701
|
+
}
|
353
702
|
|
354
|
-
|
355
|
-
attr_accessor :inpatient_facility
|
703
|
+
```
|
356
704
|
|
357
|
-
|
358
|
-
|
705
|
+
### Creating a Quote
|
706
|
+
Once the [Census](#header-specifying-the-census) has been created, we can generate a `Quote` for the `Group`.
|
359
707
|
|
360
|
-
|
361
|
-
|
708
|
+
#### Major Medical Quotes
|
709
|
+
To generate a [Major Medical](#header-major-medical) Quote, specify the `product_line` of `Quote` as `medical`
|
362
710
|
|
363
|
-
|
364
|
-
|
711
|
+
```
|
712
|
+
POST /groups/{id}/quotes
|
713
|
+
{
|
714
|
+
...
|
715
|
+
"product_line": "medical"
|
716
|
+
...
|
717
|
+
}
|
718
|
+
```
|
365
719
|
|
366
|
-
|
367
|
-
|
720
|
+
#### Dental Quotes
|
721
|
+
To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
|
368
722
|
|
369
|
-
|
370
|
-
|
723
|
+
```
|
724
|
+
POST /groups/{id}/quotes
|
725
|
+
{
|
726
|
+
...
|
727
|
+
"product_line": "dental"
|
728
|
+
...
|
729
|
+
}
|
730
|
+
```
|
371
731
|
|
372
|
-
|
373
|
-
|
732
|
+
#### Vision Quotes
|
733
|
+
To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
|
374
734
|
|
375
|
-
|
376
|
-
|
735
|
+
```
|
736
|
+
POST /groups/{id}/quotes
|
737
|
+
{
|
738
|
+
...
|
739
|
+
"product_line": "vision"
|
740
|
+
...
|
741
|
+
}
|
742
|
+
```
|
377
743
|
|
378
|
-
|
379
|
-
|
744
|
+
### Retrieving Aggregate Rates
|
745
|
+
Once you have created a [Quote](#header-creating-a-quote), you can retrieve its aggregate [Rates](#header-rates). [Rates](#header-rates) are broken down by `Member` and `Dependent`, so that you can show the final cost in different scenarios where an employer might cover a different percentage of `Member` and `Dependent` costs.
|
380
746
|
|
381
|
-
|
382
|
-
|
747
|
+
```
|
748
|
+
GET /quotes/{id}/rates
|
383
749
|
|
384
|
-
|
385
|
-
|
750
|
+
Response
|
751
|
+
{
|
752
|
+
"rates": [
|
753
|
+
...
|
754
|
+
{
|
755
|
+
"plan_id": "12345NY6789012",
|
756
|
+
"total_premium": 2800.0,
|
757
|
+
"member_premium": 1000.0,
|
758
|
+
"dependent_premium": 1800.0,
|
759
|
+
"id": "123abc"
|
760
|
+
}
|
761
|
+
...
|
762
|
+
]
|
763
|
+
}
|
764
|
+
```
|
386
765
|
|
387
|
-
# List of NPI numbers for Providers passed in who do not accept this Plan
|
388
|
-
attr_accessor :out_of_network_ids
|
389
766
|
|
390
|
-
|
391
|
-
|
767
|
+
#### Loading Plan Data
|
768
|
+
Aggregate [Rates](#header-rates) responses *do not* include [Plan](#header-plans) details in order to keep the payload small. [Plan](#header-plans) data can be retrieved in one of two ways:
|
392
769
|
|
393
|
-
|
394
|
-
|
770
|
+
Loading the [Plan](#header-plans) from the API:
|
771
|
+
```
|
772
|
+
GET /plans/{id}
|
395
773
|
|
396
|
-
|
397
|
-
|
774
|
+
Response:
|
775
|
+
{
|
776
|
+
"plans": [
|
777
|
+
...
|
778
|
+
{
|
779
|
+
...
|
780
|
+
"individual_medical_deductible": "$5,000",
|
781
|
+
"family_medical_deductible": "$10,000",
|
782
|
+
...
|
783
|
+
}
|
784
|
+
...
|
785
|
+
|
786
|
+
]
|
787
|
+
}
|
788
|
+
```
|
789
|
+
Pulling in [Bulk Plan Data](#bulkplans) and matching up [Plans](#header-plans) by their `id`.
|
398
790
|
|
399
|
-
|
400
|
-
|
791
|
+
### Retrieving Member-Level Rates
|
792
|
+
In order to retrieve the exact [Rate](#header-rates) for each `Member` and their `Dependents` for given [Plan](#header-plans), you can load Member-Level `Rates`.
|
401
793
|
|
402
|
-
|
403
|
-
|
794
|
+
```
|
795
|
+
GET /rates/{id}/member_rates
|
404
796
|
|
405
|
-
|
406
|
-
|
797
|
+
Response
|
798
|
+
{
|
799
|
+
"member_rates": [
|
800
|
+
...
|
801
|
+
{
|
802
|
+
"id": "123abc",
|
803
|
+
"member_id": "234def",
|
804
|
+
"member_external_id": "externally-supplied-id",
|
805
|
+
"member_premium": 500.0,
|
806
|
+
"dependent_premium": 600.0,
|
807
|
+
"total_premium": 1100.0,
|
808
|
+
}
|
809
|
+
...
|
810
|
+
]
|
811
|
+
}
|
407
812
|
|
408
|
-
|
409
|
-
attr_accessor :prenatal_postnatal_care
|
813
|
+
```
|
410
814
|
|
411
|
-
|
412
|
-
attr_accessor :preventative_care
|
815
|
+
Note that *all* `MemberRate`s are for one particular [Plan](#header-plans) - the one referenced by the parent [Rate](#header-rates).
|
413
816
|
|
414
|
-
|
415
|
-
|
817
|
+
### Business Rules
|
818
|
+
Vericred works with our Carrier partners to acquire and apply Business Rules that can affect either [Plan](#header-plans) availability or the way in which `Member`s and `Dependent`s are rated. For example, one Carrier's Business Rules might specify that `Member`s and `Dependent`s who have used tobacco in the past 4 months are considered "tobacco-users", while another's may specify that period to be 1 year.
|
416
819
|
|
417
|
-
|
418
|
-
attr_accessor :premium
|
820
|
+
These rules are applied transparently during the [Quoting](#header-quoting) process and *do not* require any additional action or input on your part.
|
419
821
|
|
420
|
-
|
421
|
-
attr_accessor :premium_source
|
822
|
+
For a full accounting of Business Rules and a list of Carriers whose Business Rules are applied, please contact support@vericred.com
|
422
823
|
|
423
|
-
|
424
|
-
|
824
|
+
### Composite Rates
|
825
|
+
Composite Rates are commonly used in [Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision) [Plans](#header-plans) to simplify operations by charging each family the weighted average of the `Group`'s total premium. The most common methodology is as follows:
|
425
826
|
|
426
|
-
|
427
|
-
|
827
|
+
1. Calculate the [Rates](#header-rates) for the entire `Group` using [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) as appropriate
|
828
|
+
1. Categorize each Family within the Group. The categorization differs depending on whether the Composite Rate is 2, 3, or 4-tier
|
829
|
+
1. Multiply the number of Families in each category by the constant for that category. These constants are provided to Vericred by the Carrier. This determines the total number of "Rating Units"
|
830
|
+
1. Divide the total premium calculated in Step 1 by the total number of Rating Units to get the price per Rating Unit
|
831
|
+
1. The [Rate](#header-rates) each Family pays is the constant for that Family's category multiplied by the price per Rating Unit.
|
428
832
|
|
429
|
-
|
430
|
-
|
833
|
+
You can request that a [Quote](#header-quoting) be calculated using Composite Rates when creating it:
|
834
|
+
```
|
835
|
+
POST /quotes
|
836
|
+
{
|
837
|
+
...
|
838
|
+
"rating_method": "4_tier_composite"
|
839
|
+
...
|
840
|
+
}
|
841
|
+
```
|
842
|
+
If no Composite Rates methodology is available, the Vericred API will return standard age-banded Rates.
|
431
843
|
|
432
|
-
|
433
|
-
attr_accessor :specialist
|
844
|
+
# Network and Provider Data
|
434
845
|
|
435
|
-
|
436
|
-
attr_accessor :specialty_drugs
|
846
|
+
A `Provider` is an individual or organization in the medical profession. For example, an individual doctor is a `Provider` as are certain clinics and hospitals.
|
437
847
|
|
438
|
-
|
439
|
-
attr_accessor :urgent_care
|
848
|
+
`Provider`s are related to `Network`s. A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
|
440
849
|
|
441
|
-
|
442
|
-
attr_accessor :actuarial_value
|
850
|
+
Each `Plan` has a `Network`. A consumer who visits a `Provider` typically incurs fewer costs when visiting a `Provider` in the `Network` covered by his or her `Plan`. The `premium` for a `Plan` is often proportional to the size of its `Network`
|
443
851
|
|
444
|
-
|
445
|
-
|
852
|
+
## Finding Providers
|
853
|
+
In order to determine if a particular `Plan` covers a given `Provider`, you must first identify the `Provider`. To do so, use the [Provider Search API endpoint](#providers-providers-post) and specify some search criteria:
|
446
854
|
|
447
|
-
|
448
|
-
|
855
|
+
```
|
856
|
+
POST /providers/search
|
857
|
+
{
|
858
|
+
"search_term": "foo",
|
859
|
+
"zip_code": "11201"
|
860
|
+
}
|
861
|
+
```
|
449
862
|
|
450
|
-
|
451
|
-
|
863
|
+
The API will return an ordered list of `Provider`s who match the query along with their names, addresses, and other demographic data. The `id` field returned refers to the `Provider`'s [NPI number](https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand/). This is the key that is used to identify the `Provider` across different API endpoints.
|
864
|
+
|
865
|
+
## Finding Networks
|
866
|
+
|
867
|
+
A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
|
868
|
+
|
869
|
+
The API supports searching for `Networks` by Carrier, market and state. For more details view the [endpoint documentation](#networks-networks-get)
|
870
|
+
|
871
|
+
## Matching Providers to Networks
|
872
|
+
In order to determine if a `Provider` is covered by a user's `Plan`, you will need to map the `Provider` to a `Network`. There are several methods to do this using the API
|
873
|
+
|
874
|
+
### Using Plan Search
|
875
|
+
You can specify one or more `npi` values in the [`plan` search](#majormedicalplans-majormedicalplans-post). To do so, include a list of `providers` in the request
|
876
|
+
```
|
877
|
+
POST /plans/medical/search
|
878
|
+
{
|
879
|
+
...
|
880
|
+
"providers": [
|
881
|
+
{ "npi": 1234567890 },
|
882
|
+
{ "npi": 2345678901 }
|
883
|
+
]
|
884
|
+
...
|
885
|
+
}
|
886
|
+
|
887
|
+
The response will then return a list of `in_network_ids` and `out_of_network_ids` for each `Plan`
|
888
|
+
|
889
|
+
```
|
890
|
+
{
|
891
|
+
"plans": [
|
892
|
+
...
|
893
|
+
{
|
894
|
+
...
|
895
|
+
"id": "12345NY1234567",
|
896
|
+
"in_network_ids": [1234567890],
|
897
|
+
"out_of_network_ids": [1234567890]
|
898
|
+
...
|
899
|
+
},
|
900
|
+
{
|
901
|
+
...
|
902
|
+
"id": "12345NY2345678",
|
903
|
+
"in_network_ids": [1234567890, 1234567890],
|
904
|
+
"out_of_network_ids": []
|
905
|
+
...
|
906
|
+
}
|
907
|
+
...
|
908
|
+
]
|
909
|
+
}
|
910
|
+
|
911
|
+
Simply reference the `Provider` in question by its `id` for each `Plan` to see if that `Provider` is in-network for the `Plan`.
|
912
|
+
|
913
|
+
### Matching by Plan ID
|
914
|
+
Given a `Provider`'s `id`, you can retrieve all of his or her `hios_ids`
|
915
|
+
|
916
|
+
For more details see the [endpoint documentation](#providers-providers-get)
|
917
|
+
|
918
|
+
```
|
919
|
+
GET /providers/1234567890
|
920
|
+
{
|
921
|
+
"provider": {
|
922
|
+
...
|
923
|
+
"hios_ids": [
|
924
|
+
...
|
925
|
+
"12345NY1234567"
|
926
|
+
...
|
927
|
+
]
|
928
|
+
...
|
929
|
+
}
|
930
|
+
}
|
931
|
+
```
|
932
|
+
|
933
|
+
The returned `hios_ids` can be used to cross-reference a `Plan`
|
934
|
+
|
935
|
+
### Matching by Network
|
936
|
+
Once you have an ID returned from the [`Network` search endpoint](#networks-networks-get), you can cross-reference it with the `network_ids` returned from both the [`Provider` search](#providers-providers-post) and [`Provider` details](#providers-providers-get) endpoints.
|
937
|
+
|
938
|
+
This is useful for large group data or when you are not dealing with `Plan`s directly, but rather at the `Network` level.
|
939
|
+
|
940
|
+
|
941
|
+
OpenAPI spec version: 1.0.0
|
942
|
+
|
943
|
+
Generated by: https://github.com/swagger-api/swagger-codegen.git
|
944
|
+
|
945
|
+
Licensed under the Apache License, Version 2.0 (the "License");
|
946
|
+
you may not use this file except in compliance with the License.
|
947
|
+
You may obtain a copy of the License at
|
948
|
+
|
949
|
+
http://www.apache.org/licenses/LICENSE-2.0
|
950
|
+
|
951
|
+
Unless required by applicable law or agreed to in writing, software
|
952
|
+
distributed under the License is distributed on an "AS IS" BASIS,
|
953
|
+
WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
|
954
|
+
See the License for the specific language governing permissions and
|
955
|
+
limitations under the License.
|
956
|
+
|
957
|
+
=end
|
958
|
+
|
959
|
+
require 'date'
|
960
|
+
|
961
|
+
module VericredClient
|
962
|
+
|
963
|
+
class ACAPlan2018SearchResult
|
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
|
+
# Cumulative premium amount for dependents
|
1004
|
+
attr_accessor :dependent_premium
|
1005
|
+
|
1006
|
+
# Diagnostic tests benefit summary
|
1007
|
+
attr_accessor :diagnostic_test
|
1008
|
+
|
1009
|
+
# Alternate name for the Plan
|
1010
|
+
attr_accessor :display_name
|
1011
|
+
|
1012
|
+
# True if plan does not cover domestic partners
|
1013
|
+
attr_accessor :dp_rider
|
1014
|
+
|
1015
|
+
# Link to the summary of drug benefits for the plan
|
1016
|
+
attr_accessor :drug_formulary_url
|
1017
|
+
|
1018
|
+
# Benefits summary for durable medical equipment
|
1019
|
+
attr_accessor :durable_medical_equipment
|
1020
|
+
|
1021
|
+
# Effective date of coverage.
|
1022
|
+
attr_accessor :effective_date
|
1023
|
+
|
1024
|
+
# Is the individual deductible for each covered person, embedded in the family deductible
|
1025
|
+
attr_accessor :embedded_deductible
|
1026
|
+
|
1027
|
+
# Description of costs when visiting the ER
|
1028
|
+
attr_accessor :emergency_room
|
1029
|
+
|
1030
|
+
# Cumulative premium amount for employees
|
1031
|
+
attr_accessor :employee_premium
|
1032
|
+
|
1033
|
+
# Percentage of essential plan benefits
|
1034
|
+
attr_accessor :essential_health_benefits_percentage
|
1035
|
+
|
1036
|
+
# Expiration date of coverage.
|
1037
|
+
attr_accessor :expiration_date
|
1038
|
+
|
1039
|
+
# Deductible for drugs when a family is on the plan.
|
1040
|
+
attr_accessor :family_drug_deductible
|
1041
|
+
|
1042
|
+
# Maximum out-of-pocket for drugs when a family is on the plan
|
1043
|
+
attr_accessor :family_drug_moop
|
1044
|
+
|
1045
|
+
# Deductible when a family is on the plan
|
1046
|
+
attr_accessor :family_medical_deductible
|
1047
|
+
|
1048
|
+
# Maximum out-of-pocket when a family is on the plan
|
1049
|
+
attr_accessor :family_medical_moop
|
1050
|
+
|
1051
|
+
# True if plan does not cover family planning
|
1052
|
+
attr_accessor :fp_rider
|
452
1053
|
|
453
1054
|
# Does the plan's network require a physician referral?
|
454
1055
|
attr_accessor :gated
|
455
1056
|
|
1057
|
+
# Cost for generic drugs
|
1058
|
+
attr_accessor :generic_drugs
|
1059
|
+
|
1060
|
+
# Habilitation services benefits summary
|
1061
|
+
attr_accessor :habilitation_services
|
1062
|
+
|
1063
|
+
#
|
1064
|
+
attr_accessor :hios_issuer_id
|
1065
|
+
|
1066
|
+
# Home health care benefits summary
|
1067
|
+
attr_accessor :home_health_care
|
1068
|
+
|
1069
|
+
# Hospice service benefits summary
|
1070
|
+
attr_accessor :hospice_service
|
1071
|
+
|
1072
|
+
# Is the plan HSA eligible?
|
1073
|
+
attr_accessor :hsa_eligible
|
1074
|
+
|
1075
|
+
# Government-issued HIOS plan ID
|
1076
|
+
attr_accessor :id
|
1077
|
+
|
1078
|
+
# List of identifiers of this Plan
|
1079
|
+
attr_accessor :identifiers
|
1080
|
+
|
1081
|
+
# Benefits summary for imaging coverage
|
1082
|
+
attr_accessor :imaging
|
1083
|
+
|
456
1084
|
# Imaging center benefits summary
|
457
1085
|
attr_accessor :imaging_center
|
458
1086
|
|
459
1087
|
# Imaging physician benefits summary
|
460
1088
|
attr_accessor :imaging_physician
|
461
1089
|
|
1090
|
+
# List of NPI numbers for Providers passed in who accept this Plan
|
1091
|
+
attr_accessor :in_network_ids
|
1092
|
+
|
1093
|
+
# Deductible for drugs when an individual is on the plan
|
1094
|
+
attr_accessor :individual_drug_deductible
|
1095
|
+
|
1096
|
+
# Maximum out-of-pocket for drugs when an individual is on the plan
|
1097
|
+
attr_accessor :individual_drug_moop
|
1098
|
+
|
1099
|
+
# Deductible when an individual is on the plan
|
1100
|
+
attr_accessor :individual_medical_deductible
|
1101
|
+
|
1102
|
+
# Maximum out-of-pocket when an individual is on the plan
|
1103
|
+
attr_accessor :individual_medical_moop
|
1104
|
+
|
1105
|
+
# Inpatient birth benefits summary
|
1106
|
+
attr_accessor :inpatient_birth
|
1107
|
+
|
1108
|
+
# Cost under the plan for an inpatient facility
|
1109
|
+
attr_accessor :inpatient_facility
|
1110
|
+
|
1111
|
+
# Inpatient mental helath benefits summary
|
1112
|
+
attr_accessor :inpatient_mental_health
|
1113
|
+
|
1114
|
+
# Cost under the plan for an inpatient physician
|
1115
|
+
attr_accessor :inpatient_physician
|
1116
|
+
|
1117
|
+
# Inpatient substance abuse benefits summary
|
1118
|
+
attr_accessor :inpatient_substance
|
1119
|
+
|
462
1120
|
# Lab test benefits summary
|
463
1121
|
attr_accessor :lab_test
|
464
1122
|
|
1123
|
+
# Plan metal grouping (e.g. platinum, gold, silver, etc)
|
1124
|
+
attr_accessor :level
|
1125
|
+
|
1126
|
+
# Link to a copy of the insurance carrier's logo
|
1127
|
+
attr_accessor :logo_url
|
1128
|
+
|
465
1129
|
# Multiple of the standard Rx cost share for orders filled via mail order
|
466
1130
|
attr_accessor :mail_order_rx
|
467
1131
|
|
1132
|
+
# Percentage of doctors who matched this Plan
|
1133
|
+
attr_accessor :match_percentage
|
1134
|
+
|
1135
|
+
# Marketing name of the plan
|
1136
|
+
attr_accessor :name
|
1137
|
+
|
1138
|
+
# List of Vericred-generated network_ids
|
1139
|
+
attr_accessor :network_ids
|
1140
|
+
|
1141
|
+
# Cost under the plan for non-preferred brand drugs
|
1142
|
+
attr_accessor :non_preferred_brand_drugs
|
1143
|
+
|
468
1144
|
# Non-preferred generic drugs benefits summary
|
469
1145
|
attr_accessor :nonpreferred_generic_drug_share
|
470
1146
|
|
471
1147
|
# Non-preferred specialty drugs benefits summary
|
472
1148
|
attr_accessor :nonpreferred_specialty_drug_share
|
473
1149
|
|
1150
|
+
# Is the plan off-market?
|
1151
|
+
attr_accessor :off_market
|
1152
|
+
|
1153
|
+
# Is the plan on-market?
|
1154
|
+
attr_accessor :on_market
|
1155
|
+
|
1156
|
+
# Does this plan provide any out of network coverage?
|
1157
|
+
attr_accessor :out_of_network_coverage
|
1158
|
+
|
1159
|
+
# List of NPI numbers for Providers passed in who do not accept this Plan
|
1160
|
+
attr_accessor :out_of_network_ids
|
1161
|
+
|
474
1162
|
# Outpatient ambulatory care center benefits summary
|
475
1163
|
attr_accessor :outpatient_ambulatory_care_center
|
476
1164
|
|
477
|
-
#
|
1165
|
+
# Benefits summary for outpatient facility coverage
|
1166
|
+
attr_accessor :outpatient_facility
|
1167
|
+
|
1168
|
+
# Benefits summary for outpatient mental health coverage
|
1169
|
+
attr_accessor :outpatient_mental_health
|
1170
|
+
|
1171
|
+
# Benefits summary for outpatient physician coverage
|
1172
|
+
attr_accessor :outpatient_physician
|
1173
|
+
|
1174
|
+
# Outpatient substance abuse benefits summary
|
1175
|
+
attr_accessor :outpatient_substance
|
1176
|
+
|
1177
|
+
# Percentage of employees with 100% matchedch
|
1178
|
+
attr_accessor :perfect_match_percentage
|
1179
|
+
|
1180
|
+
# Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 day(s) after enrollment date (\"plan year\"), or are both options available (\"both\")?
|
478
1181
|
attr_accessor :plan_calendar
|
479
1182
|
|
480
|
-
#
|
481
|
-
attr_accessor :
|
1183
|
+
# Market in which the plan is offered (on_marketplace, shop, etc)
|
1184
|
+
attr_accessor :plan_market
|
1185
|
+
|
1186
|
+
# Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
|
1187
|
+
attr_accessor :plan_type
|
482
1188
|
|
483
1189
|
# Post-natal care benefits summary
|
484
1190
|
attr_accessor :postnatal_care
|
485
1191
|
|
1192
|
+
# Cost under the plan for perferred brand drugs
|
1193
|
+
attr_accessor :preferred_brand_drugs
|
1194
|
+
|
1195
|
+
# Cumulative premium amount
|
1196
|
+
attr_accessor :premium
|
1197
|
+
|
1198
|
+
# Source of the base pricing data
|
1199
|
+
attr_accessor :premium_source
|
1200
|
+
|
1201
|
+
# Cumulative premium amount after subsidy
|
1202
|
+
attr_accessor :premium_subsidized
|
1203
|
+
|
1204
|
+
# Prenatal care benefits summary
|
1205
|
+
attr_accessor :prenatal_care
|
1206
|
+
|
1207
|
+
# Inpatient substance abuse benefits summary
|
1208
|
+
attr_accessor :prenatal_postnatal_care
|
1209
|
+
|
1210
|
+
# Benefits summary for preventative care
|
1211
|
+
attr_accessor :preventative_care
|
1212
|
+
|
1213
|
+
# Cost under the plan to visit a Primary Care Physician
|
1214
|
+
attr_accessor :primary_care_physician
|
1215
|
+
|
1216
|
+
# Benefits summary for rehabilitation services
|
1217
|
+
attr_accessor :rehabilitation_services
|
1218
|
+
|
1219
|
+
# Foreign key for service area
|
1220
|
+
attr_accessor :service_area_id
|
1221
|
+
|
1222
|
+
# Benefits summary for skilled nursing services
|
1223
|
+
attr_accessor :skilled_nursing
|
1224
|
+
|
486
1225
|
# Does the plan cover full-time, year-round, nursing facilities?
|
487
1226
|
attr_accessor :skilled_nursing_facility_365
|
488
1227
|
|
489
|
-
#
|
490
|
-
attr_accessor :
|
1228
|
+
# Source of the plan benefit data
|
1229
|
+
attr_accessor :source
|
491
1230
|
|
492
|
-
#
|
493
|
-
attr_accessor :
|
1231
|
+
# Cost under the plan to visit a specialist
|
1232
|
+
attr_accessor :specialist
|
494
1233
|
|
495
|
-
#
|
496
|
-
attr_accessor :
|
1234
|
+
# Cost under the plan for specialty drugs
|
1235
|
+
attr_accessor :specialty_drugs
|
497
1236
|
|
498
|
-
#
|
499
|
-
attr_accessor :
|
1237
|
+
# The type of the Plan
|
1238
|
+
attr_accessor :type
|
500
1239
|
|
501
|
-
#
|
502
|
-
attr_accessor :
|
1240
|
+
# Benefits summary for urgent care
|
1241
|
+
attr_accessor :urgent_care
|
503
1242
|
|
504
1243
|
|
505
1244
|
# Attribute mapping from ruby-style variable name to JSON key.
|
506
1245
|
def self.attribute_map
|
507
1246
|
{
|
508
|
-
:'
|
509
|
-
:'display_name' => :'display_name',
|
510
|
-
:'effective_date' => :'effective_date',
|
511
|
-
:'expiration_date' => :'expiration_date',
|
512
|
-
:'identifiers' => :'identifiers',
|
513
|
-
:'name' => :'name',
|
514
|
-
:'network_ids' => :'network_ids',
|
515
|
-
:'plan_type' => :'plan_type',
|
516
|
-
:'service_area_id' => :'service_area_id',
|
517
|
-
:'source' => :'source',
|
518
|
-
:'type' => :'type',
|
1247
|
+
:'actuarial_value' => :'actuarial_value',
|
519
1248
|
:'adult_dental' => :'adult_dental',
|
520
1249
|
:'age29_rider' => :'age29_rider',
|
521
1250
|
:'ambulance' => :'ambulance',
|
522
1251
|
:'benefits_summary_url' => :'benefits_summary_url',
|
523
1252
|
:'buy_link' => :'buy_link',
|
1253
|
+
:'carrier_name' => :'carrier_name',
|
524
1254
|
:'child_dental' => :'child_dental',
|
525
|
-
:'child_eyewear' => :'child_eyewear',
|
526
1255
|
:'child_eye_exam' => :'child_eye_exam',
|
1256
|
+
:'child_eyewear' => :'child_eyewear',
|
1257
|
+
:'chiropractic_services' => :'chiropractic_services',
|
1258
|
+
:'coinsurance' => :'coinsurance',
|
527
1259
|
:'customer_service_phone_number' => :'customer_service_phone_number',
|
528
|
-
:'
|
1260
|
+
:'dependent_premium' => :'dependent_premium',
|
529
1261
|
:'diagnostic_test' => :'diagnostic_test',
|
1262
|
+
:'display_name' => :'display_name',
|
530
1263
|
:'dp_rider' => :'dp_rider',
|
531
1264
|
:'drug_formulary_url' => :'drug_formulary_url',
|
1265
|
+
:'durable_medical_equipment' => :'durable_medical_equipment',
|
1266
|
+
:'effective_date' => :'effective_date',
|
1267
|
+
:'embedded_deductible' => :'embedded_deductible',
|
532
1268
|
:'emergency_room' => :'emergency_room',
|
1269
|
+
:'employee_premium' => :'employee_premium',
|
1270
|
+
:'essential_health_benefits_percentage' => :'essential_health_benefits_percentage',
|
1271
|
+
:'expiration_date' => :'expiration_date',
|
533
1272
|
:'family_drug_deductible' => :'family_drug_deductible',
|
534
1273
|
:'family_drug_moop' => :'family_drug_moop',
|
535
1274
|
:'family_medical_deductible' => :'family_medical_deductible',
|
536
1275
|
:'family_medical_moop' => :'family_medical_moop',
|
537
1276
|
:'fp_rider' => :'fp_rider',
|
1277
|
+
:'gated' => :'gated',
|
538
1278
|
:'generic_drugs' => :'generic_drugs',
|
539
1279
|
:'habilitation_services' => :'habilitation_services',
|
540
1280
|
:'hios_issuer_id' => :'hios_issuer_id',
|
@@ -542,7 +1282,11 @@ module VericredClient
|
|
542
1282
|
:'hospice_service' => :'hospice_service',
|
543
1283
|
:'hsa_eligible' => :'hsa_eligible',
|
544
1284
|
:'id' => :'id',
|
1285
|
+
:'identifiers' => :'identifiers',
|
545
1286
|
:'imaging' => :'imaging',
|
1287
|
+
:'imaging_center' => :'imaging_center',
|
1288
|
+
:'imaging_physician' => :'imaging_physician',
|
1289
|
+
:'in_network_ids' => :'in_network_ids',
|
546
1290
|
:'individual_drug_deductible' => :'individual_drug_deductible',
|
547
1291
|
:'individual_drug_moop' => :'individual_drug_moop',
|
548
1292
|
:'individual_medical_deductible' => :'individual_medical_deductible',
|
@@ -552,88 +1296,84 @@ module VericredClient
|
|
552
1296
|
:'inpatient_mental_health' => :'inpatient_mental_health',
|
553
1297
|
:'inpatient_physician' => :'inpatient_physician',
|
554
1298
|
:'inpatient_substance' => :'inpatient_substance',
|
555
|
-
:'
|
1299
|
+
:'lab_test' => :'lab_test',
|
556
1300
|
:'level' => :'level',
|
557
1301
|
:'logo_url' => :'logo_url',
|
1302
|
+
:'mail_order_rx' => :'mail_order_rx',
|
1303
|
+
:'match_percentage' => :'match_percentage',
|
1304
|
+
:'name' => :'name',
|
1305
|
+
:'network_ids' => :'network_ids',
|
558
1306
|
:'non_preferred_brand_drugs' => :'non_preferred_brand_drugs',
|
559
|
-
:'
|
1307
|
+
:'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
|
1308
|
+
:'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
|
560
1309
|
:'off_market' => :'off_market',
|
1310
|
+
:'on_market' => :'on_market',
|
561
1311
|
:'out_of_network_coverage' => :'out_of_network_coverage',
|
562
1312
|
:'out_of_network_ids' => :'out_of_network_ids',
|
1313
|
+
:'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
|
563
1314
|
:'outpatient_facility' => :'outpatient_facility',
|
564
1315
|
:'outpatient_mental_health' => :'outpatient_mental_health',
|
565
1316
|
:'outpatient_physician' => :'outpatient_physician',
|
566
1317
|
:'outpatient_substance' => :'outpatient_substance',
|
1318
|
+
:'perfect_match_percentage' => :'perfect_match_percentage',
|
1319
|
+
:'plan_calendar' => :'plan_calendar',
|
567
1320
|
:'plan_market' => :'plan_market',
|
1321
|
+
:'plan_type' => :'plan_type',
|
1322
|
+
:'postnatal_care' => :'postnatal_care',
|
568
1323
|
:'preferred_brand_drugs' => :'preferred_brand_drugs',
|
569
|
-
:'prenatal_postnatal_care' => :'prenatal_postnatal_care',
|
570
|
-
:'preventative_care' => :'preventative_care',
|
571
|
-
:'premium_subsidized' => :'premium_subsidized',
|
572
1324
|
:'premium' => :'premium',
|
573
1325
|
:'premium_source' => :'premium_source',
|
1326
|
+
:'premium_subsidized' => :'premium_subsidized',
|
1327
|
+
:'prenatal_care' => :'prenatal_care',
|
1328
|
+
:'prenatal_postnatal_care' => :'prenatal_postnatal_care',
|
1329
|
+
:'preventative_care' => :'preventative_care',
|
574
1330
|
:'primary_care_physician' => :'primary_care_physician',
|
575
1331
|
:'rehabilitation_services' => :'rehabilitation_services',
|
1332
|
+
:'service_area_id' => :'service_area_id',
|
576
1333
|
:'skilled_nursing' => :'skilled_nursing',
|
1334
|
+
:'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
|
1335
|
+
:'source' => :'source',
|
577
1336
|
:'specialist' => :'specialist',
|
578
1337
|
:'specialty_drugs' => :'specialty_drugs',
|
579
|
-
:'
|
580
|
-
:'
|
581
|
-
:'chiropractic_services' => :'chiropractic_services',
|
582
|
-
:'coinsurance' => :'coinsurance',
|
583
|
-
:'embedded_deductible' => :'embedded_deductible',
|
584
|
-
:'gated' => :'gated',
|
585
|
-
:'imaging_center' => :'imaging_center',
|
586
|
-
:'imaging_physician' => :'imaging_physician',
|
587
|
-
:'lab_test' => :'lab_test',
|
588
|
-
:'mail_order_rx' => :'mail_order_rx',
|
589
|
-
:'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
|
590
|
-
:'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
|
591
|
-
:'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
|
592
|
-
:'plan_calendar' => :'plan_calendar',
|
593
|
-
:'prenatal_care' => :'prenatal_care',
|
594
|
-
:'postnatal_care' => :'postnatal_care',
|
595
|
-
:'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
|
596
|
-
:'essential_health_benefits_percentage' => :'essential_health_benefits_percentage',
|
597
|
-
:'match_percentage' => :'match_percentage',
|
598
|
-
:'perfect_match_percentage' => :'perfect_match_percentage',
|
599
|
-
:'employee_premium' => :'employee_premium',
|
600
|
-
:'dependent_premium' => :'dependent_premium'
|
1338
|
+
:'type' => :'type',
|
1339
|
+
:'urgent_care' => :'urgent_care'
|
601
1340
|
}
|
602
1341
|
end
|
603
1342
|
|
604
1343
|
# Attribute type mapping.
|
605
1344
|
def self.swagger_types
|
606
1345
|
{
|
607
|
-
:'
|
608
|
-
:'display_name' => :'String',
|
609
|
-
:'effective_date' => :'String',
|
610
|
-
:'expiration_date' => :'String',
|
611
|
-
:'identifiers' => :'Array<PlanIdentifier>',
|
612
|
-
:'name' => :'String',
|
613
|
-
:'network_ids' => :'Array<Integer>',
|
614
|
-
:'plan_type' => :'String',
|
615
|
-
:'service_area_id' => :'String',
|
616
|
-
:'source' => :'String',
|
617
|
-
:'type' => :'String',
|
1346
|
+
:'actuarial_value' => :'Float',
|
618
1347
|
:'adult_dental' => :'BOOLEAN',
|
619
1348
|
:'age29_rider' => :'BOOLEAN',
|
620
1349
|
:'ambulance' => :'String',
|
621
1350
|
:'benefits_summary_url' => :'String',
|
622
1351
|
:'buy_link' => :'String',
|
1352
|
+
:'carrier_name' => :'String',
|
623
1353
|
:'child_dental' => :'BOOLEAN',
|
624
|
-
:'child_eyewear' => :'String',
|
625
1354
|
:'child_eye_exam' => :'String',
|
1355
|
+
:'child_eyewear' => :'String',
|
1356
|
+
:'chiropractic_services' => :'String',
|
1357
|
+
:'coinsurance' => :'Float',
|
626
1358
|
:'customer_service_phone_number' => :'String',
|
627
|
-
:'
|
1359
|
+
:'dependent_premium' => :'Float',
|
628
1360
|
:'diagnostic_test' => :'String',
|
1361
|
+
:'display_name' => :'String',
|
629
1362
|
:'dp_rider' => :'BOOLEAN',
|
630
1363
|
:'drug_formulary_url' => :'String',
|
1364
|
+
:'durable_medical_equipment' => :'String',
|
1365
|
+
:'effective_date' => :'String',
|
1366
|
+
:'embedded_deductible' => :'String',
|
631
1367
|
:'emergency_room' => :'String',
|
1368
|
+
:'employee_premium' => :'Float',
|
1369
|
+
:'essential_health_benefits_percentage' => :'Float',
|
1370
|
+
:'expiration_date' => :'String',
|
632
1371
|
:'family_drug_deductible' => :'String',
|
633
1372
|
:'family_drug_moop' => :'String',
|
634
1373
|
:'family_medical_deductible' => :'String',
|
635
1374
|
:'family_medical_moop' => :'String',
|
636
1375
|
:'fp_rider' => :'BOOLEAN',
|
1376
|
+
:'gated' => :'BOOLEAN',
|
637
1377
|
:'generic_drugs' => :'String',
|
638
1378
|
:'habilitation_services' => :'String',
|
639
1379
|
:'hios_issuer_id' => :'String',
|
@@ -641,7 +1381,11 @@ module VericredClient
|
|
641
1381
|
:'hospice_service' => :'String',
|
642
1382
|
:'hsa_eligible' => :'BOOLEAN',
|
643
1383
|
:'id' => :'String',
|
1384
|
+
:'identifiers' => :'Array<PlanIdentifier>',
|
644
1385
|
:'imaging' => :'String',
|
1386
|
+
:'imaging_center' => :'String',
|
1387
|
+
:'imaging_physician' => :'String',
|
1388
|
+
:'in_network_ids' => :'Array<Integer>',
|
645
1389
|
:'individual_drug_deductible' => :'String',
|
646
1390
|
:'individual_drug_moop' => :'String',
|
647
1391
|
:'individual_medical_deductible' => :'String',
|
@@ -651,52 +1395,47 @@ module VericredClient
|
|
651
1395
|
:'inpatient_mental_health' => :'String',
|
652
1396
|
:'inpatient_physician' => :'String',
|
653
1397
|
:'inpatient_substance' => :'String',
|
654
|
-
:'
|
1398
|
+
:'lab_test' => :'String',
|
655
1399
|
:'level' => :'String',
|
656
1400
|
:'logo_url' => :'String',
|
1401
|
+
:'mail_order_rx' => :'Float',
|
1402
|
+
:'match_percentage' => :'Integer',
|
1403
|
+
:'name' => :'String',
|
1404
|
+
:'network_ids' => :'Array<Integer>',
|
657
1405
|
:'non_preferred_brand_drugs' => :'String',
|
658
|
-
:'
|
1406
|
+
:'nonpreferred_generic_drug_share' => :'String',
|
1407
|
+
:'nonpreferred_specialty_drug_share' => :'String',
|
659
1408
|
:'off_market' => :'BOOLEAN',
|
1409
|
+
:'on_market' => :'BOOLEAN',
|
660
1410
|
:'out_of_network_coverage' => :'BOOLEAN',
|
661
1411
|
:'out_of_network_ids' => :'Array<Integer>',
|
1412
|
+
:'outpatient_ambulatory_care_center' => :'String',
|
662
1413
|
:'outpatient_facility' => :'String',
|
663
1414
|
:'outpatient_mental_health' => :'String',
|
664
1415
|
:'outpatient_physician' => :'String',
|
665
1416
|
:'outpatient_substance' => :'String',
|
1417
|
+
:'perfect_match_percentage' => :'Integer',
|
1418
|
+
:'plan_calendar' => :'String',
|
666
1419
|
:'plan_market' => :'String',
|
1420
|
+
:'plan_type' => :'String',
|
1421
|
+
:'postnatal_care' => :'String',
|
667
1422
|
:'preferred_brand_drugs' => :'String',
|
668
|
-
:'prenatal_postnatal_care' => :'String',
|
669
|
-
:'preventative_care' => :'String',
|
670
|
-
:'premium_subsidized' => :'Float',
|
671
1423
|
:'premium' => :'Float',
|
672
1424
|
:'premium_source' => :'String',
|
1425
|
+
:'premium_subsidized' => :'Float',
|
1426
|
+
:'prenatal_care' => :'String',
|
1427
|
+
:'prenatal_postnatal_care' => :'String',
|
1428
|
+
:'preventative_care' => :'String',
|
673
1429
|
:'primary_care_physician' => :'String',
|
674
1430
|
:'rehabilitation_services' => :'String',
|
1431
|
+
:'service_area_id' => :'String',
|
675
1432
|
:'skilled_nursing' => :'String',
|
1433
|
+
:'skilled_nursing_facility_365' => :'String',
|
1434
|
+
:'source' => :'String',
|
676
1435
|
:'specialist' => :'String',
|
677
1436
|
:'specialty_drugs' => :'String',
|
678
|
-
:'
|
679
|
-
:'
|
680
|
-
:'chiropractic_services' => :'String',
|
681
|
-
:'coinsurance' => :'Float',
|
682
|
-
:'embedded_deductible' => :'String',
|
683
|
-
:'gated' => :'BOOLEAN',
|
684
|
-
:'imaging_center' => :'String',
|
685
|
-
:'imaging_physician' => :'String',
|
686
|
-
:'lab_test' => :'String',
|
687
|
-
:'mail_order_rx' => :'Float',
|
688
|
-
:'nonpreferred_generic_drug_share' => :'String',
|
689
|
-
:'nonpreferred_specialty_drug_share' => :'String',
|
690
|
-
:'outpatient_ambulatory_care_center' => :'String',
|
691
|
-
:'plan_calendar' => :'String',
|
692
|
-
:'prenatal_care' => :'String',
|
693
|
-
:'postnatal_care' => :'String',
|
694
|
-
:'skilled_nursing_facility_365' => :'String',
|
695
|
-
:'essential_health_benefits_percentage' => :'Float',
|
696
|
-
:'match_percentage' => :'Integer',
|
697
|
-
:'perfect_match_percentage' => :'Integer',
|
698
|
-
:'employee_premium' => :'Float',
|
699
|
-
:'dependent_premium' => :'Float'
|
1437
|
+
:'type' => :'String',
|
1438
|
+
:'urgent_care' => :'String'
|
700
1439
|
}
|
701
1440
|
end
|
702
1441
|
|
@@ -708,52 +1447,8 @@ module VericredClient
|
|
708
1447
|
# convert string to symbol for hash key
|
709
1448
|
attributes = attributes.each_with_object({}){|(k,v), h| h[k.to_sym] = v}
|
710
1449
|
|
711
|
-
if attributes.has_key?(:'
|
712
|
-
self.
|
713
|
-
end
|
714
|
-
|
715
|
-
if attributes.has_key?(:'display_name')
|
716
|
-
self.display_name = attributes[:'display_name']
|
717
|
-
end
|
718
|
-
|
719
|
-
if attributes.has_key?(:'effective_date')
|
720
|
-
self.effective_date = attributes[:'effective_date']
|
721
|
-
end
|
722
|
-
|
723
|
-
if attributes.has_key?(:'expiration_date')
|
724
|
-
self.expiration_date = attributes[:'expiration_date']
|
725
|
-
end
|
726
|
-
|
727
|
-
if attributes.has_key?(:'identifiers')
|
728
|
-
if (value = attributes[:'identifiers']).is_a?(Array)
|
729
|
-
self.identifiers = value
|
730
|
-
end
|
731
|
-
end
|
732
|
-
|
733
|
-
if attributes.has_key?(:'name')
|
734
|
-
self.name = attributes[:'name']
|
735
|
-
end
|
736
|
-
|
737
|
-
if attributes.has_key?(:'network_ids')
|
738
|
-
if (value = attributes[:'network_ids']).is_a?(Array)
|
739
|
-
self.network_ids = value
|
740
|
-
end
|
741
|
-
end
|
742
|
-
|
743
|
-
if attributes.has_key?(:'plan_type')
|
744
|
-
self.plan_type = attributes[:'plan_type']
|
745
|
-
end
|
746
|
-
|
747
|
-
if attributes.has_key?(:'service_area_id')
|
748
|
-
self.service_area_id = attributes[:'service_area_id']
|
749
|
-
end
|
750
|
-
|
751
|
-
if attributes.has_key?(:'source')
|
752
|
-
self.source = attributes[:'source']
|
753
|
-
end
|
754
|
-
|
755
|
-
if attributes.has_key?(:'type')
|
756
|
-
self.type = attributes[:'type']
|
1450
|
+
if attributes.has_key?(:'actuarial_value')
|
1451
|
+
self.actuarial_value = attributes[:'actuarial_value']
|
757
1452
|
end
|
758
1453
|
|
759
1454
|
if attributes.has_key?(:'adult_dental')
|
@@ -776,30 +1471,46 @@ module VericredClient
|
|
776
1471
|
self.buy_link = attributes[:'buy_link']
|
777
1472
|
end
|
778
1473
|
|
1474
|
+
if attributes.has_key?(:'carrier_name')
|
1475
|
+
self.carrier_name = attributes[:'carrier_name']
|
1476
|
+
end
|
1477
|
+
|
779
1478
|
if attributes.has_key?(:'child_dental')
|
780
1479
|
self.child_dental = attributes[:'child_dental']
|
781
1480
|
end
|
782
1481
|
|
1482
|
+
if attributes.has_key?(:'child_eye_exam')
|
1483
|
+
self.child_eye_exam = attributes[:'child_eye_exam']
|
1484
|
+
end
|
1485
|
+
|
783
1486
|
if attributes.has_key?(:'child_eyewear')
|
784
1487
|
self.child_eyewear = attributes[:'child_eyewear']
|
785
1488
|
end
|
786
1489
|
|
787
|
-
if attributes.has_key?(:'
|
788
|
-
self.
|
1490
|
+
if attributes.has_key?(:'chiropractic_services')
|
1491
|
+
self.chiropractic_services = attributes[:'chiropractic_services']
|
1492
|
+
end
|
1493
|
+
|
1494
|
+
if attributes.has_key?(:'coinsurance')
|
1495
|
+
self.coinsurance = attributes[:'coinsurance']
|
789
1496
|
end
|
790
1497
|
|
791
1498
|
if attributes.has_key?(:'customer_service_phone_number')
|
792
1499
|
self.customer_service_phone_number = attributes[:'customer_service_phone_number']
|
793
1500
|
end
|
794
1501
|
|
795
|
-
if attributes.has_key?(:'
|
796
|
-
self.
|
1502
|
+
if attributes.has_key?(:'dependent_premium')
|
1503
|
+
self.dependent_premium = attributes[:'dependent_premium']
|
797
1504
|
end
|
798
1505
|
|
799
1506
|
if attributes.has_key?(:'diagnostic_test')
|
800
1507
|
self.diagnostic_test = attributes[:'diagnostic_test']
|
801
1508
|
end
|
802
1509
|
|
1510
|
+
if attributes.has_key?(:'display_name')
|
1511
|
+
self.display_name = attributes[:'display_name']
|
1512
|
+
end
|
1513
|
+
|
803
1514
|
if attributes.has_key?(:'dp_rider')
|
804
1515
|
self.dp_rider = attributes[:'dp_rider']
|
805
1516
|
end
|
@@ -808,10 +1519,34 @@ module VericredClient
|
|
808
1519
|
self.drug_formulary_url = attributes[:'drug_formulary_url']
|
809
1520
|
end
|
810
1521
|
|
1522
|
+
if attributes.has_key?(:'durable_medical_equipment')
|
1523
|
+
self.durable_medical_equipment = attributes[:'durable_medical_equipment']
|
1524
|
+
end
|
1525
|
+
|
1526
|
+
if attributes.has_key?(:'effective_date')
|
1527
|
+
self.effective_date = attributes[:'effective_date']
|
1528
|
+
end
|
1529
|
+
|
1530
|
+
if attributes.has_key?(:'embedded_deductible')
|
1531
|
+
self.embedded_deductible = attributes[:'embedded_deductible']
|
1532
|
+
end
|
1533
|
+
|
811
1534
|
if attributes.has_key?(:'emergency_room')
|
812
1535
|
self.emergency_room = attributes[:'emergency_room']
|
813
1536
|
end
|
814
1537
|
|
1538
|
+
if attributes.has_key?(:'employee_premium')
|
1539
|
+
self.employee_premium = attributes[:'employee_premium']
|
1540
|
+
end
|
1541
|
+
|
1542
|
+
if attributes.has_key?(:'essential_health_benefits_percentage')
|
1543
|
+
self.essential_health_benefits_percentage = attributes[:'essential_health_benefits_percentage']
|
1544
|
+
end
|
1545
|
+
|
1546
|
+
if attributes.has_key?(:'expiration_date')
|
1547
|
+
self.expiration_date = attributes[:'expiration_date']
|
1548
|
+
end
|
1549
|
+
|
815
1550
|
if attributes.has_key?(:'family_drug_deductible')
|
816
1551
|
self.family_drug_deductible = attributes[:'family_drug_deductible']
|
817
1552
|
end
|
@@ -832,6 +1567,10 @@ module VericredClient
|
|
832
1567
|
self.fp_rider = attributes[:'fp_rider']
|
833
1568
|
end
|
834
1569
|
|
1570
|
+
if attributes.has_key?(:'gated')
|
1571
|
+
self.gated = attributes[:'gated']
|
1572
|
+
end
|
1573
|
+
|
835
1574
|
if attributes.has_key?(:'generic_drugs')
|
836
1575
|
self.generic_drugs = attributes[:'generic_drugs']
|
837
1576
|
end
|
@@ -856,12 +1595,32 @@ module VericredClient
|
|
856
1595
|
self.hsa_eligible = attributes[:'hsa_eligible']
|
857
1596
|
end
|
858
1597
|
|
859
|
-
if attributes.has_key?(:'id')
|
860
|
-
self.id = attributes[:'id']
|
1598
|
+
if attributes.has_key?(:'id')
|
1599
|
+
self.id = attributes[:'id']
|
1600
|
+
end
|
1601
|
+
|
1602
|
+
if attributes.has_key?(:'identifiers')
|
1603
|
+
if (value = attributes[:'identifiers']).is_a?(Array)
|
1604
|
+
self.identifiers = value
|
1605
|
+
end
|
1606
|
+
end
|
1607
|
+
|
1608
|
+
if attributes.has_key?(:'imaging')
|
1609
|
+
self.imaging = attributes[:'imaging']
|
1610
|
+
end
|
1611
|
+
|
1612
|
+
if attributes.has_key?(:'imaging_center')
|
1613
|
+
self.imaging_center = attributes[:'imaging_center']
|
1614
|
+
end
|
1615
|
+
|
1616
|
+
if attributes.has_key?(:'imaging_physician')
|
1617
|
+
self.imaging_physician = attributes[:'imaging_physician']
|
861
1618
|
end
|
862
1619
|
|
863
|
-
if attributes.has_key?(:'
|
864
|
-
|
1620
|
+
if attributes.has_key?(:'in_network_ids')
|
1621
|
+
if (value = attributes[:'in_network_ids']).is_a?(Array)
|
1622
|
+
self.in_network_ids = value
|
1623
|
+
end
|
865
1624
|
end
|
866
1625
|
|
867
1626
|
if attributes.has_key?(:'individual_drug_deductible')
|
@@ -900,10 +1659,8 @@ module VericredClient
|
|
900
1659
|
self.inpatient_substance = attributes[:'inpatient_substance']
|
901
1660
|
end
|
902
1661
|
|
903
|
-
if attributes.has_key?(:'
|
904
|
-
|
905
|
-
self.in_network_ids = value
|
906
|
-
end
|
1662
|
+
if attributes.has_key?(:'lab_test')
|
1663
|
+
self.lab_test = attributes[:'lab_test']
|
907
1664
|
end
|
908
1665
|
|
909
1666
|
if attributes.has_key?(:'level')
|
@@ -914,18 +1671,44 @@ module VericredClient
|
|
914
1671
|
self.logo_url = attributes[:'logo_url']
|
915
1672
|
end
|
916
1673
|
|
1674
|
+
if attributes.has_key?(:'mail_order_rx')
|
1675
|
+
self.mail_order_rx = attributes[:'mail_order_rx']
|
1676
|
+
end
|
1677
|
+
|
1678
|
+
if attributes.has_key?(:'match_percentage')
|
1679
|
+
self.match_percentage = attributes[:'match_percentage']
|
1680
|
+
end
|
1681
|
+
|
1682
|
+
if attributes.has_key?(:'name')
|
1683
|
+
self.name = attributes[:'name']
|
1684
|
+
end
|
1685
|
+
|
1686
|
+
if attributes.has_key?(:'network_ids')
|
1687
|
+
if (value = attributes[:'network_ids']).is_a?(Array)
|
1688
|
+
self.network_ids = value
|
1689
|
+
end
|
1690
|
+
end
|
1691
|
+
|
917
1692
|
if attributes.has_key?(:'non_preferred_brand_drugs')
|
918
1693
|
self.non_preferred_brand_drugs = attributes[:'non_preferred_brand_drugs']
|
919
1694
|
end
|
920
1695
|
|
921
|
-
if attributes.has_key?(:'
|
922
|
-
self.
|
1696
|
+
if attributes.has_key?(:'nonpreferred_generic_drug_share')
|
1697
|
+
self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
|
1698
|
+
end
|
1699
|
+
|
1700
|
+
if attributes.has_key?(:'nonpreferred_specialty_drug_share')
|
1701
|
+
self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
|
923
1702
|
end
|
924
1703
|
|
925
1704
|
if attributes.has_key?(:'off_market')
|
926
1705
|
self.off_market = attributes[:'off_market']
|
927
1706
|
end
|
928
1707
|
|
1708
|
+
if attributes.has_key?(:'on_market')
|
1709
|
+
self.on_market = attributes[:'on_market']
|
1710
|
+
end
|
1711
|
+
|
929
1712
|
if attributes.has_key?(:'out_of_network_coverage')
|
930
1713
|
self.out_of_network_coverage = attributes[:'out_of_network_coverage']
|
931
1714
|
end
|
@@ -936,6 +1719,10 @@ module VericredClient
|
|
936
1719
|
end
|
937
1720
|
end
|
938
1721
|
|
1722
|
+
if attributes.has_key?(:'outpatient_ambulatory_care_center')
|
1723
|
+
self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
|
1724
|
+
end
|
1725
|
+
|
939
1726
|
if attributes.has_key?(:'outpatient_facility')
|
940
1727
|
self.outpatient_facility = attributes[:'outpatient_facility']
|
941
1728
|
end
|
@@ -952,24 +1739,28 @@ module VericredClient
|
|
952
1739
|
self.outpatient_substance = attributes[:'outpatient_substance']
|
953
1740
|
end
|
954
1741
|
|
955
|
-
if attributes.has_key?(:'
|
956
|
-
self.
|
1742
|
+
if attributes.has_key?(:'perfect_match_percentage')
|
1743
|
+
self.perfect_match_percentage = attributes[:'perfect_match_percentage']
|
957
1744
|
end
|
958
1745
|
|
959
|
-
if attributes.has_key?(:'
|
960
|
-
self.
|
1746
|
+
if attributes.has_key?(:'plan_calendar')
|
1747
|
+
self.plan_calendar = attributes[:'plan_calendar']
|
961
1748
|
end
|
962
1749
|
|
963
|
-
if attributes.has_key?(:'
|
964
|
-
self.
|
1750
|
+
if attributes.has_key?(:'plan_market')
|
1751
|
+
self.plan_market = attributes[:'plan_market']
|
965
1752
|
end
|
966
1753
|
|
967
|
-
if attributes.has_key?(:'
|
968
|
-
self.
|
1754
|
+
if attributes.has_key?(:'plan_type')
|
1755
|
+
self.plan_type = attributes[:'plan_type']
|
969
1756
|
end
|
970
1757
|
|
971
|
-
if attributes.has_key?(:'
|
972
|
-
self.
|
1758
|
+
if attributes.has_key?(:'postnatal_care')
|
1759
|
+
self.postnatal_care = attributes[:'postnatal_care']
|
1760
|
+
end
|
1761
|
+
|
1762
|
+
if attributes.has_key?(:'preferred_brand_drugs')
|
1763
|
+
self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
|
973
1764
|
end
|
974
1765
|
|
975
1766
|
if attributes.has_key?(:'premium')
|
@@ -980,112 +1771,60 @@ module VericredClient
|
|
980
1771
|
self.premium_source = attributes[:'premium_source']
|
981
1772
|
end
|
982
1773
|
|
983
|
-
if attributes.has_key?(:'
|
984
|
-
self.
|
985
|
-
end
|
986
|
-
|
987
|
-
if attributes.has_key?(:'rehabilitation_services')
|
988
|
-
self.rehabilitation_services = attributes[:'rehabilitation_services']
|
989
|
-
end
|
990
|
-
|
991
|
-
if attributes.has_key?(:'skilled_nursing')
|
992
|
-
self.skilled_nursing = attributes[:'skilled_nursing']
|
993
|
-
end
|
994
|
-
|
995
|
-
if attributes.has_key?(:'specialist')
|
996
|
-
self.specialist = attributes[:'specialist']
|
997
|
-
end
|
998
|
-
|
999
|
-
if attributes.has_key?(:'specialty_drugs')
|
1000
|
-
self.specialty_drugs = attributes[:'specialty_drugs']
|
1001
|
-
end
|
1002
|
-
|
1003
|
-
if attributes.has_key?(:'urgent_care')
|
1004
|
-
self.urgent_care = attributes[:'urgent_care']
|
1005
|
-
end
|
1006
|
-
|
1007
|
-
if attributes.has_key?(:'actuarial_value')
|
1008
|
-
self.actuarial_value = attributes[:'actuarial_value']
|
1009
|
-
end
|
1010
|
-
|
1011
|
-
if attributes.has_key?(:'chiropractic_services')
|
1012
|
-
self.chiropractic_services = attributes[:'chiropractic_services']
|
1013
|
-
end
|
1014
|
-
|
1015
|
-
if attributes.has_key?(:'coinsurance')
|
1016
|
-
self.coinsurance = attributes[:'coinsurance']
|
1017
|
-
end
|
1018
|
-
|
1019
|
-
if attributes.has_key?(:'embedded_deductible')
|
1020
|
-
self.embedded_deductible = attributes[:'embedded_deductible']
|
1021
|
-
end
|
1022
|
-
|
1023
|
-
if attributes.has_key?(:'gated')
|
1024
|
-
self.gated = attributes[:'gated']
|
1025
|
-
end
|
1026
|
-
|
1027
|
-
if attributes.has_key?(:'imaging_center')
|
1028
|
-
self.imaging_center = attributes[:'imaging_center']
|
1029
|
-
end
|
1030
|
-
|
1031
|
-
if attributes.has_key?(:'imaging_physician')
|
1032
|
-
self.imaging_physician = attributes[:'imaging_physician']
|
1033
|
-
end
|
1034
|
-
|
1035
|
-
if attributes.has_key?(:'lab_test')
|
1036
|
-
self.lab_test = attributes[:'lab_test']
|
1774
|
+
if attributes.has_key?(:'premium_subsidized')
|
1775
|
+
self.premium_subsidized = attributes[:'premium_subsidized']
|
1037
1776
|
end
|
1038
1777
|
|
1039
|
-
if attributes.has_key?(:'
|
1040
|
-
self.
|
1778
|
+
if attributes.has_key?(:'prenatal_care')
|
1779
|
+
self.prenatal_care = attributes[:'prenatal_care']
|
1041
1780
|
end
|
1042
1781
|
|
1043
|
-
if attributes.has_key?(:'
|
1044
|
-
self.
|
1782
|
+
if attributes.has_key?(:'prenatal_postnatal_care')
|
1783
|
+
self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
|
1045
1784
|
end
|
1046
1785
|
|
1047
|
-
if attributes.has_key?(:'
|
1048
|
-
self.
|
1786
|
+
if attributes.has_key?(:'preventative_care')
|
1787
|
+
self.preventative_care = attributes[:'preventative_care']
|
1049
1788
|
end
|
1050
1789
|
|
1051
|
-
if attributes.has_key?(:'
|
1052
|
-
self.
|
1790
|
+
if attributes.has_key?(:'primary_care_physician')
|
1791
|
+
self.primary_care_physician = attributes[:'primary_care_physician']
|
1053
1792
|
end
|
1054
1793
|
|
1055
|
-
if attributes.has_key?(:'
|
1056
|
-
self.
|
1794
|
+
if attributes.has_key?(:'rehabilitation_services')
|
1795
|
+
self.rehabilitation_services = attributes[:'rehabilitation_services']
|
1057
1796
|
end
|
1058
1797
|
|
1059
|
-
if attributes.has_key?(:'
|
1060
|
-
self.
|
1798
|
+
if attributes.has_key?(:'service_area_id')
|
1799
|
+
self.service_area_id = attributes[:'service_area_id']
|
1061
1800
|
end
|
1062
1801
|
|
1063
|
-
if attributes.has_key?(:'
|
1064
|
-
self.
|
1802
|
+
if attributes.has_key?(:'skilled_nursing')
|
1803
|
+
self.skilled_nursing = attributes[:'skilled_nursing']
|
1065
1804
|
end
|
1066
1805
|
|
1067
1806
|
if attributes.has_key?(:'skilled_nursing_facility_365')
|
1068
1807
|
self.skilled_nursing_facility_365 = attributes[:'skilled_nursing_facility_365']
|
1069
1808
|
end
|
1070
1809
|
|
1071
|
-
if attributes.has_key?(:'
|
1072
|
-
self.
|
1810
|
+
if attributes.has_key?(:'source')
|
1811
|
+
self.source = attributes[:'source']
|
1073
1812
|
end
|
1074
1813
|
|
1075
|
-
if attributes.has_key?(:'
|
1076
|
-
self.
|
1814
|
+
if attributes.has_key?(:'specialist')
|
1815
|
+
self.specialist = attributes[:'specialist']
|
1077
1816
|
end
|
1078
1817
|
|
1079
|
-
if attributes.has_key?(:'
|
1080
|
-
self.
|
1818
|
+
if attributes.has_key?(:'specialty_drugs')
|
1819
|
+
self.specialty_drugs = attributes[:'specialty_drugs']
|
1081
1820
|
end
|
1082
1821
|
|
1083
|
-
if attributes.has_key?(:'
|
1084
|
-
self.
|
1822
|
+
if attributes.has_key?(:'type')
|
1823
|
+
self.type = attributes[:'type']
|
1085
1824
|
end
|
1086
1825
|
|
1087
|
-
if attributes.has_key?(:'
|
1088
|
-
self.
|
1826
|
+
if attributes.has_key?(:'urgent_care')
|
1827
|
+
self.urgent_care = attributes[:'urgent_care']
|
1089
1828
|
end
|
1090
1829
|
|
1091
1830
|
end
|
@@ -1108,36 +1847,37 @@ module VericredClient
|
|
1108
1847
|
def ==(o)
|
1109
1848
|
return true if self.equal?(o)
|
1110
1849
|
self.class == o.class &&
|
1111
|
-
|
1112
|
-
display_name == o.display_name &&
|
1113
|
-
effective_date == o.effective_date &&
|
1114
|
-
expiration_date == o.expiration_date &&
|
1115
|
-
identifiers == o.identifiers &&
|
1116
|
-
name == o.name &&
|
1117
|
-
network_ids == o.network_ids &&
|
1118
|
-
plan_type == o.plan_type &&
|
1119
|
-
service_area_id == o.service_area_id &&
|
1120
|
-
source == o.source &&
|
1121
|
-
type == o.type &&
|
1850
|
+
actuarial_value == o.actuarial_value &&
|
1122
1851
|
adult_dental == o.adult_dental &&
|
1123
1852
|
age29_rider == o.age29_rider &&
|
1124
1853
|
ambulance == o.ambulance &&
|
1125
1854
|
benefits_summary_url == o.benefits_summary_url &&
|
1126
1855
|
buy_link == o.buy_link &&
|
1856
|
+
carrier_name == o.carrier_name &&
|
1127
1857
|
child_dental == o.child_dental &&
|
1128
|
-
child_eyewear == o.child_eyewear &&
|
1129
1858
|
child_eye_exam == o.child_eye_exam &&
|
1859
|
+
child_eyewear == o.child_eyewear &&
|
1860
|
+
chiropractic_services == o.chiropractic_services &&
|
1861
|
+
coinsurance == o.coinsurance &&
|
1130
1862
|
customer_service_phone_number == o.customer_service_phone_number &&
|
1131
|
-
|
1863
|
+
dependent_premium == o.dependent_premium &&
|
1132
1864
|
diagnostic_test == o.diagnostic_test &&
|
1865
|
+
display_name == o.display_name &&
|
1133
1866
|
dp_rider == o.dp_rider &&
|
1134
1867
|
drug_formulary_url == o.drug_formulary_url &&
|
1868
|
+
durable_medical_equipment == o.durable_medical_equipment &&
|
1869
|
+
effective_date == o.effective_date &&
|
1870
|
+
embedded_deductible == o.embedded_deductible &&
|
1135
1871
|
emergency_room == o.emergency_room &&
|
1872
|
+
employee_premium == o.employee_premium &&
|
1873
|
+
essential_health_benefits_percentage == o.essential_health_benefits_percentage &&
|
1874
|
+
expiration_date == o.expiration_date &&
|
1136
1875
|
family_drug_deductible == o.family_drug_deductible &&
|
1137
1876
|
family_drug_moop == o.family_drug_moop &&
|
1138
1877
|
family_medical_deductible == o.family_medical_deductible &&
|
1139
1878
|
family_medical_moop == o.family_medical_moop &&
|
1140
1879
|
fp_rider == o.fp_rider &&
|
1880
|
+
gated == o.gated &&
|
1141
1881
|
generic_drugs == o.generic_drugs &&
|
1142
1882
|
habilitation_services == o.habilitation_services &&
|
1143
1883
|
hios_issuer_id == o.hios_issuer_id &&
|
@@ -1145,7 +1885,11 @@ module VericredClient
|
|
1145
1885
|
hospice_service == o.hospice_service &&
|
1146
1886
|
hsa_eligible == o.hsa_eligible &&
|
1147
1887
|
id == o.id &&
|
1888
|
+
identifiers == o.identifiers &&
|
1148
1889
|
imaging == o.imaging &&
|
1890
|
+
imaging_center == o.imaging_center &&
|
1891
|
+
imaging_physician == o.imaging_physician &&
|
1892
|
+
in_network_ids == o.in_network_ids &&
|
1149
1893
|
individual_drug_deductible == o.individual_drug_deductible &&
|
1150
1894
|
individual_drug_moop == o.individual_drug_moop &&
|
1151
1895
|
individual_medical_deductible == o.individual_medical_deductible &&
|
@@ -1155,52 +1899,47 @@ module VericredClient
|
|
1155
1899
|
inpatient_mental_health == o.inpatient_mental_health &&
|
1156
1900
|
inpatient_physician == o.inpatient_physician &&
|
1157
1901
|
inpatient_substance == o.inpatient_substance &&
|
1158
|
-
|
1902
|
+
lab_test == o.lab_test &&
|
1159
1903
|
level == o.level &&
|
1160
1904
|
logo_url == o.logo_url &&
|
1905
|
+
mail_order_rx == o.mail_order_rx &&
|
1906
|
+
match_percentage == o.match_percentage &&
|
1907
|
+
name == o.name &&
|
1908
|
+
network_ids == o.network_ids &&
|
1161
1909
|
non_preferred_brand_drugs == o.non_preferred_brand_drugs &&
|
1162
|
-
|
1910
|
+
nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
|
1911
|
+
nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
|
1163
1912
|
off_market == o.off_market &&
|
1913
|
+
on_market == o.on_market &&
|
1164
1914
|
out_of_network_coverage == o.out_of_network_coverage &&
|
1165
1915
|
out_of_network_ids == o.out_of_network_ids &&
|
1916
|
+
outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
|
1166
1917
|
outpatient_facility == o.outpatient_facility &&
|
1167
1918
|
outpatient_mental_health == o.outpatient_mental_health &&
|
1168
1919
|
outpatient_physician == o.outpatient_physician &&
|
1169
1920
|
outpatient_substance == o.outpatient_substance &&
|
1921
|
+
perfect_match_percentage == o.perfect_match_percentage &&
|
1922
|
+
plan_calendar == o.plan_calendar &&
|
1170
1923
|
plan_market == o.plan_market &&
|
1924
|
+
plan_type == o.plan_type &&
|
1925
|
+
postnatal_care == o.postnatal_care &&
|
1171
1926
|
preferred_brand_drugs == o.preferred_brand_drugs &&
|
1172
|
-
prenatal_postnatal_care == o.prenatal_postnatal_care &&
|
1173
|
-
preventative_care == o.preventative_care &&
|
1174
|
-
premium_subsidized == o.premium_subsidized &&
|
1175
1927
|
premium == o.premium &&
|
1176
1928
|
premium_source == o.premium_source &&
|
1929
|
+
premium_subsidized == o.premium_subsidized &&
|
1930
|
+
prenatal_care == o.prenatal_care &&
|
1931
|
+
prenatal_postnatal_care == o.prenatal_postnatal_care &&
|
1932
|
+
preventative_care == o.preventative_care &&
|
1177
1933
|
primary_care_physician == o.primary_care_physician &&
|
1178
1934
|
rehabilitation_services == o.rehabilitation_services &&
|
1935
|
+
service_area_id == o.service_area_id &&
|
1179
1936
|
skilled_nursing == o.skilled_nursing &&
|
1937
|
+
skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
|
1938
|
+
source == o.source &&
|
1180
1939
|
specialist == o.specialist &&
|
1181
1940
|
specialty_drugs == o.specialty_drugs &&
|
1182
|
-
|
1183
|
-
|
1184
|
-
chiropractic_services == o.chiropractic_services &&
|
1185
|
-
coinsurance == o.coinsurance &&
|
1186
|
-
embedded_deductible == o.embedded_deductible &&
|
1187
|
-
gated == o.gated &&
|
1188
|
-
imaging_center == o.imaging_center &&
|
1189
|
-
imaging_physician == o.imaging_physician &&
|
1190
|
-
lab_test == o.lab_test &&
|
1191
|
-
mail_order_rx == o.mail_order_rx &&
|
1192
|
-
nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
|
1193
|
-
nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
|
1194
|
-
outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
|
1195
|
-
plan_calendar == o.plan_calendar &&
|
1196
|
-
prenatal_care == o.prenatal_care &&
|
1197
|
-
postnatal_care == o.postnatal_care &&
|
1198
|
-
skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
|
1199
|
-
essential_health_benefits_percentage == o.essential_health_benefits_percentage &&
|
1200
|
-
match_percentage == o.match_percentage &&
|
1201
|
-
perfect_match_percentage == o.perfect_match_percentage &&
|
1202
|
-
employee_premium == o.employee_premium &&
|
1203
|
-
dependent_premium == o.dependent_premium
|
1941
|
+
type == o.type &&
|
1942
|
+
urgent_care == o.urgent_care
|
1204
1943
|
end
|
1205
1944
|
|
1206
1945
|
# @see the `==` method
|
@@ -1212,7 +1951,7 @@ module VericredClient
|
|
1212
1951
|
# Calculates hash code according to all attributes.
|
1213
1952
|
# @return [Fixnum] Hash code
|
1214
1953
|
def hash
|
1215
|
-
[
|
1954
|
+
[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, dependent_premium, diagnostic_test, display_name, dp_rider, drug_formulary_url, durable_medical_equipment, effective_date, embedded_deductible, emergency_room, employee_premium, 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, match_percentage, name, network_ids, 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, perfect_match_percentage, 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
|
1216
1955
|
end
|
1217
1956
|
|
1218
1957
|
# Builds the object from hash
|