vericred_client 0.0.23 → 0.0.25

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Files changed (476) hide show
  1. checksums.yaml +4 -4
  2. data/README.md +826 -28
  3. data/docs/ACAPlan.md +35 -35
  4. data/docs/ACAPlan2018.md +36 -36
  5. data/docs/ACAPlan2018SearchResponse.md +1 -1
  6. data/docs/ACAPlan2018SearchResult.md +39 -39
  7. data/docs/ACAPlanPre2018.md +35 -35
  8. data/docs/ACAPlanPre2018SearchResponse.md +1 -1
  9. data/docs/ACAPlanPre2018SearchResult.md +38 -38
  10. data/docs/Address.md +14 -0
  11. data/docs/AncillaryPlanIdentifier.md +9 -0
  12. data/docs/BasePlanSearchResponse.md +1 -1
  13. data/docs/CarrierGroupRequest.md +1 -1
  14. data/docs/CarrierRequest.md +2 -2
  15. data/docs/CarrierSubsidiary.md +2 -2
  16. data/docs/CarrierVerificationDentalPlansApi.md +63 -0
  17. data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
  18. data/docs/CarrierVerificationVisionPlansApi.md +63 -0
  19. data/docs/County.md +1 -1
  20. data/docs/CountyBulk.md +1 -1
  21. data/docs/DentalPlan.md +7 -7
  22. data/docs/DentalPlanBenefits.md +22 -22
  23. data/docs/DentalPlanSearchRequest.md +1 -2
  24. data/docs/DentalPlanUpdate.md +5 -5
  25. data/docs/DentalPlansApi.md +118 -4
  26. data/docs/DependentCreate.md +12 -0
  27. data/docs/DependentCreateRequest.md +12 -0
  28. data/docs/DependentShow.md +12 -0
  29. data/docs/Drug.md +3 -3
  30. data/docs/DrugCoverage.md +3 -3
  31. data/docs/DrugCoverageResponse.md +2 -2
  32. data/docs/DrugPackage.md +1 -1
  33. data/docs/DrugSearchResponse.md +2 -2
  34. data/docs/EmbargoRequest.md +3 -2
  35. data/docs/FormularyResponse.md +1 -1
  36. data/docs/GroupCreate.md +14 -0
  37. data/docs/GroupCreateRequest.md +9 -0
  38. data/docs/GroupCreateResponse.md +9 -0
  39. data/docs/GroupShow.md +15 -0
  40. data/docs/GroupShowResponse.md +9 -0
  41. data/docs/GroupUpdate.md +14 -0
  42. data/docs/GroupUpdateRequest.md +9 -0
  43. data/docs/IssuerRequest.md +7 -7
  44. data/docs/LocationCreate.md +13 -0
  45. data/docs/LocationShow.md +14 -0
  46. data/docs/LocationUpdate.md +14 -0
  47. data/docs/MajorMedicalPlansApi.md +122 -0
  48. data/docs/MedicalPlanBenefits.md +35 -35
  49. data/docs/MedicalPlanUpdate.md +21 -20
  50. data/docs/MedicalPlansApi.md +0 -114
  51. data/docs/MedicareAdvantagePlan.md +25 -0
  52. data/docs/MedicareAdvantagePlanBenefits.md +148 -0
  53. data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
  54. data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
  55. data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
  56. data/docs/MemberCreate.md +17 -0
  57. data/docs/MemberRateShow.md +13 -0
  58. data/docs/MemberRateShowRequest.md +10 -0
  59. data/docs/MemberRatesShowResponse.md +9 -0
  60. data/docs/MemberShow.md +18 -0
  61. data/docs/MembersCreateRequest.md +9 -0
  62. data/docs/MembersCreateResponse.md +8 -0
  63. data/docs/MembersShowResponse.md +8 -0
  64. data/docs/MetaPlanSearchResponse.md +1 -1
  65. data/docs/NetworkComparisonResponse.md +1 -1
  66. data/docs/NetworkDetails.md +1 -1
  67. data/docs/NetworkSize.md +1 -1
  68. data/docs/NetworksApi.md +17 -12
  69. data/docs/PlanCounty.md +1 -1
  70. data/docs/PlanCountyBulk.md +1 -1
  71. data/docs/PlanMedicare.md +1 -1
  72. data/docs/PlanMedicareBulk.md +2 -2
  73. data/docs/PlanPricingMedicare.md +3 -3
  74. data/docs/PlanSearchResponse.md +1 -1
  75. data/docs/PlansApi.md +0 -169
  76. data/docs/PlansBulkACA2018.md +8 -0
  77. data/docs/PlansBulkACAPre2018.md +8 -0
  78. data/docs/PlansBulkBase.md +7 -0
  79. data/docs/PlansBulkDental.md +7 -0
  80. data/docs/PlansBulkVision.md +7 -0
  81. data/docs/Provider.md +2 -2
  82. data/docs/ProviderDetails.md +5 -3
  83. data/docs/ProviderNetworkEventNotification.md +3 -3
  84. data/docs/ProviderNetworks.md +11 -0
  85. data/docs/ProviderShowResponse.md +1 -1
  86. data/docs/ProvidersApi.md +1 -56
  87. data/docs/QuoteCreate.md +15 -0
  88. data/docs/QuoteCreateRequest.md +8 -0
  89. data/docs/QuoteCreateResponse.md +8 -0
  90. data/docs/QuoteShow.md +17 -0
  91. data/docs/QuoteShowResponse.md +8 -0
  92. data/docs/QuotingApi.md +344 -0
  93. data/docs/RateRequest.md +24 -24
  94. data/docs/RateSearch.md +23 -18
  95. data/docs/RateShow.md +12 -0
  96. data/docs/RateShowRequest.md +10 -0
  97. data/docs/RatesShowResponse.md +9 -0
  98. data/docs/RequestPlanFind.md +2 -2
  99. data/docs/RequestPlanFindCarrierVerification.md +3 -3
  100. data/docs/RequestProviderNotificationSubscription.md +1 -1
  101. data/docs/RequestProvidersSearch.md +1 -1
  102. data/docs/RequestRatesSearch.md +1 -1
  103. data/docs/RxCuiIdentifier.md +1 -1
  104. data/docs/RxCuiIdentifierSearchResponse.md +1 -1
  105. data/docs/State.md +2 -2
  106. data/docs/SupplementalOptions.md +13 -0
  107. data/docs/V7Network.md +10 -0
  108. data/docs/V7NetworkComparisonResponse.md +9 -0
  109. data/docs/V7NetworkDetails.md +11 -0
  110. data/docs/V7NetworkDetailsResponse.md +8 -0
  111. data/docs/V7NetworkSearchResponse.md +9 -0
  112. data/docs/V7ProviderDetails.md +33 -0
  113. data/docs/V7ProviderNetworks.md +12 -0
  114. data/docs/VisionPlan.md +7 -7
  115. data/docs/VisionPlanBenefits.md +22 -15
  116. data/docs/VisionPlanSearchRequest.md +1 -2
  117. data/docs/VisionPlanUpdate.md +5 -5
  118. data/docs/VisionPlansApi.md +114 -0
  119. data/docs/ZipCountiesResponse.md +1 -1
  120. data/docs/ZipCountyBulk.md +1 -1
  121. data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
  122. data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
  123. data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
  124. data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
  125. data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
  126. data/lib/vericred_client/api/carriers_api.rb +754 -15
  127. data/lib/vericred_client/api/dental_plans_api.rb +874 -18
  128. data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
  129. data/lib/vericred_client/api/drug_packages_api.rb +754 -15
  130. data/lib/vericred_client/api/drugs_api.rb +754 -15
  131. data/lib/vericred_client/api/embargoes_api.rb +754 -15
  132. data/lib/vericred_client/api/formularies_api.rb +754 -15
  133. data/lib/vericred_client/api/issuers_api.rb +754 -15
  134. data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
  135. data/lib/vericred_client/api/medical_plans_api.rb +754 -132
  136. data/lib/vericred_client/api/network_sizes_api.rb +754 -15
  137. data/lib/vericred_client/api/networks_api.rb +773 -27
  138. data/lib/vericred_client/api/plans_api.rb +754 -189
  139. data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
  140. data/lib/vericred_client/api/providers_api.rb +756 -74
  141. data/lib/vericred_client/api/quoting_api.rb +1316 -0
  142. data/lib/vericred_client/api/rates_api.rb +754 -15
  143. data/lib/vericred_client/api/vision_plans_api.rb +871 -15
  144. data/lib/vericred_client/api/zip_counties_api.rb +754 -15
  145. data/lib/vericred_client/api_client.rb +754 -15
  146. data/lib/vericred_client/api_error.rb +754 -15
  147. data/lib/vericred_client/configuration.rb +754 -15
  148. data/lib/vericred_client/models/aca_plan.rb +1165 -426
  149. data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
  150. data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
  151. data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
  152. data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
  153. data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
  154. data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
  155. data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
  156. data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
  157. data/lib/vericred_client/models/address.rb +1195 -0
  158. data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
  159. data/lib/vericred_client/models/base.rb +754 -15
  160. data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
  161. data/lib/vericred_client/models/carrier.rb +754 -15
  162. data/lib/vericred_client/models/carrier_group_request.rb +765 -26
  163. data/lib/vericred_client/models/carrier_request.rb +769 -30
  164. data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
  165. data/lib/vericred_client/models/county.rb +765 -26
  166. data/lib/vericred_client/models/county_bulk.rb +768 -29
  167. data/lib/vericred_client/models/dental_plan.rb +825 -86
  168. data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
  169. data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
  170. data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
  171. data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
  172. data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
  173. data/lib/vericred_client/models/dental_plan_update.rb +804 -65
  174. data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
  175. data/lib/vericred_client/models/dependent_create.rb +1175 -0
  176. data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
  177. data/lib/vericred_client/models/dependent_show.rb +1175 -0
  178. data/lib/vericred_client/models/drug.rb +781 -42
  179. data/lib/vericred_client/models/drug_coverage.rb +781 -42
  180. data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
  181. data/lib/vericred_client/models/drug_package.rb +765 -26
  182. data/lib/vericred_client/models/drug_search_response.rb +771 -32
  183. data/lib/vericred_client/models/embargo_request.rb +790 -39
  184. data/lib/vericred_client/models/formulary.rb +754 -15
  185. data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
  186. data/lib/vericred_client/models/formulary_response.rb +768 -29
  187. data/lib/vericred_client/models/group_create.rb +1195 -0
  188. data/lib/vericred_client/models/group_create_request.rb +1147 -0
  189. data/lib/vericred_client/models/group_create_response.rb +1147 -0
  190. data/lib/vericred_client/models/group_show.rb +1205 -0
  191. data/lib/vericred_client/models/group_show_response.rb +1147 -0
  192. data/lib/vericred_client/models/group_update.rb +1195 -0
  193. data/lib/vericred_client/models/group_update_request.rb +1147 -0
  194. data/lib/vericred_client/models/issuer_request.rb +819 -80
  195. data/lib/vericred_client/models/location_create.rb +1185 -0
  196. data/lib/vericred_client/models/location_show.rb +1195 -0
  197. data/lib/vericred_client/models/location_update.rb +1195 -0
  198. data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
  199. data/lib/vericred_client/models/medical_plan_update.rb +930 -181
  200. data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
  201. data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
  202. data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
  203. data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
  204. data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
  205. data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
  206. data/lib/vericred_client/models/member_create.rb +1227 -0
  207. data/lib/vericred_client/models/member_rate_show.rb +1185 -0
  208. data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
  209. data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
  210. data/lib/vericred_client/models/member_show.rb +1237 -0
  211. data/lib/vericred_client/models/members_create_request.rb +1147 -0
  212. data/lib/vericred_client/models/members_create_response.rb +1137 -0
  213. data/lib/vericred_client/models/members_show_response.rb +1137 -0
  214. data/lib/vericred_client/models/meta.rb +754 -15
  215. data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
  216. data/lib/vericred_client/models/network.rb +754 -15
  217. data/lib/vericred_client/models/network_comparison.rb +754 -15
  218. data/lib/vericred_client/models/network_comparison_request.rb +754 -15
  219. data/lib/vericred_client/models/network_comparison_response.rb +770 -31
  220. data/lib/vericred_client/models/network_details.rb +770 -31
  221. data/lib/vericred_client/models/network_details_response.rb +754 -15
  222. data/lib/vericred_client/models/network_search_response.rb +754 -15
  223. data/lib/vericred_client/models/network_size.rb +765 -26
  224. data/lib/vericred_client/models/notification_subscription.rb +754 -15
  225. data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
  226. data/lib/vericred_client/models/plan.rb +754 -15
  227. data/lib/vericred_client/models/plan_county.rb +768 -29
  228. data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
  229. data/lib/vericred_client/models/plan_deleted.rb +754 -15
  230. data/lib/vericred_client/models/plan_identifier.rb +754 -15
  231. data/lib/vericred_client/models/plan_medicare.rb +768 -29
  232. data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
  233. data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
  234. data/lib/vericred_client/models/plan_search_response.rb +765 -26
  235. data/lib/vericred_client/models/plan_show_response.rb +754 -15
  236. data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
  237. data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
  238. data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
  239. data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
  240. data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
  241. data/lib/vericred_client/models/provider.rb +780 -41
  242. data/lib/vericred_client/models/provider_details.rb +813 -50
  243. data/lib/vericred_client/models/provider_geocode.rb +754 -15
  244. data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
  245. data/lib/vericred_client/models/provider_networks.rb +1165 -0
  246. data/lib/vericred_client/models/provider_show_response.rb +755 -16
  247. data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
  248. data/lib/vericred_client/models/providers_search_response.rb +754 -15
  249. data/lib/vericred_client/models/quote_create.rb +1207 -0
  250. data/lib/vericred_client/models/quote_create_request.rb +1135 -0
  251. data/lib/vericred_client/models/quote_create_response.rb +1135 -0
  252. data/lib/vericred_client/models/quote_show.rb +1227 -0
  253. data/lib/vericred_client/models/quote_show_response.rb +1135 -0
  254. data/lib/vericred_client/models/rate_request.rb +990 -251
  255. data/lib/vericred_client/models/rate_search.rb +978 -189
  256. data/lib/vericred_client/models/rate_show.rb +1175 -0
  257. data/lib/vericred_client/models/rate_show_request.rb +1155 -0
  258. data/lib/vericred_client/models/rates_show_response.rb +1147 -0
  259. data/lib/vericred_client/models/rating_area.rb +754 -15
  260. data/lib/vericred_client/models/request_plan_find.rb +777 -38
  261. data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
  262. data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
  263. data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
  264. data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
  265. data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
  266. data/lib/vericred_client/models/request_providers_search.rb +767 -26
  267. data/lib/vericred_client/models/request_rates_search.rb +768 -29
  268. data/lib/vericred_client/models/response_rates_search.rb +754 -15
  269. data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
  270. data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
  271. data/lib/vericred_client/models/service_area.rb +754 -15
  272. data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
  273. data/lib/vericred_client/models/state.rb +778 -39
  274. data/lib/vericred_client/models/state_network_size_request.rb +754 -15
  275. data/lib/vericred_client/models/state_network_size_response.rb +754 -15
  276. data/lib/vericred_client/models/supplemental_options.rb +1187 -0
  277. data/lib/vericred_client/models/v7_network.rb +1155 -0
  278. data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
  279. data/lib/vericred_client/models/v7_network_details.rb +1167 -0
  280. data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
  281. data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
  282. data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
  283. data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
  284. data/lib/vericred_client/models/vision_plan.rb +825 -86
  285. data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
  286. data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
  287. data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
  288. data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
  289. data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
  290. data/lib/vericred_client/models/vision_plan_update.rb +804 -65
  291. data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
  292. data/lib/vericred_client/models/zip_code.rb +754 -15
  293. data/lib/vericred_client/models/zip_counties_response.rb +770 -31
  294. data/lib/vericred_client/models/zip_county.rb +754 -15
  295. data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
  296. data/lib/vericred_client/models/zip_county_response.rb +754 -15
  297. data/lib/vericred_client/version.rb +755 -16
  298. data/lib/vericred_client.rb +809 -15
  299. data/spec/api/carrier_groups_api_spec.rb +754 -15
  300. data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
  301. data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
  302. data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
  303. data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
  304. data/spec/api/carriers_api_spec.rb +754 -15
  305. data/spec/api/dental_plans_api_spec.rb +780 -16
  306. data/spec/api/drug_coverages_api_spec.rb +754 -15
  307. data/spec/api/drug_packages_api_spec.rb +754 -15
  308. data/spec/api/drugs_api_spec.rb +754 -15
  309. data/spec/api/embargoes_api_spec.rb +754 -15
  310. data/spec/api/formularies_api_spec.rb +754 -15
  311. data/spec/api/issuers_api_spec.rb +754 -15
  312. data/spec/api/major_medical_plans_api_spec.rb +1006 -0
  313. data/spec/api/medical_plans_api_spec.rb +754 -40
  314. data/spec/api/network_sizes_api_spec.rb +754 -15
  315. data/spec/api/networks_api_spec.rb +760 -18
  316. data/spec/api/plans_api_spec.rb +754 -52
  317. data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
  318. data/spec/api/providers_api_spec.rb +755 -28
  319. data/spec/api/quoting_api_spec.rb +1055 -0
  320. data/spec/api/rates_api_spec.rb +754 -15
  321. data/spec/api/vision_plans_api_spec.rb +779 -15
  322. data/spec/api/zip_counties_api_spec.rb +754 -15
  323. data/spec/api_client_spec.rb +754 -15
  324. data/spec/configuration_spec.rb +754 -15
  325. data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
  326. data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
  327. data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
  328. data/spec/models/aca_plan2018_spec.rb +843 -104
  329. data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
  330. data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
  331. data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
  332. data/spec/models/aca_plan_pre2018_spec.rb +837 -98
  333. data/spec/models/aca_plan_spec.rb +837 -98
  334. data/spec/models/address_spec.rb +1024 -0
  335. data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
  336. data/spec/models/base_plan_search_response_spec.rb +756 -17
  337. data/spec/models/base_spec.rb +754 -15
  338. data/spec/models/carrier_group_request_spec.rb +756 -17
  339. data/spec/models/carrier_request_spec.rb +756 -17
  340. data/spec/models/carrier_spec.rb +754 -15
  341. data/spec/models/carrier_subsidiary_spec.rb +758 -19
  342. data/spec/models/county_bulk_spec.rb +757 -18
  343. data/spec/models/county_spec.rb +756 -17
  344. data/spec/models/dental_plan_benefits_spec.rb +782 -43
  345. data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
  346. data/spec/models/dental_plan_search_request_spec.rb +758 -25
  347. data/spec/models/dental_plan_search_response_spec.rb +754 -15
  348. data/spec/models/dental_plan_show_response_spec.rb +754 -15
  349. data/spec/models/dental_plan_spec.rb +767 -28
  350. data/spec/models/dental_plan_update_request_spec.rb +754 -15
  351. data/spec/models/dental_plan_update_spec.rb +763 -24
  352. data/spec/models/dependent_create_request_spec.rb +1012 -0
  353. data/spec/models/dependent_create_spec.rb +1012 -0
  354. data/spec/models/dependent_show_spec.rb +1012 -0
  355. data/spec/models/drug_coverage_response_spec.rb +756 -17
  356. data/spec/models/drug_coverage_spec.rb +758 -19
  357. data/spec/models/drug_package_spec.rb +756 -17
  358. data/spec/models/drug_search_response_spec.rb +756 -17
  359. data/spec/models/drug_spec.rb +758 -19
  360. data/spec/models/embargo_request_spec.rb +766 -21
  361. data/spec/models/formulary_drug_package_response_spec.rb +754 -15
  362. data/spec/models/formulary_response_spec.rb +756 -17
  363. data/spec/models/formulary_spec.rb +754 -15
  364. data/spec/models/group_create_request_spec.rb +994 -0
  365. data/spec/models/group_create_response_spec.rb +994 -0
  366. data/spec/models/group_create_spec.rb +1024 -0
  367. data/spec/models/group_show_response_spec.rb +994 -0
  368. data/spec/models/group_show_spec.rb +1030 -0
  369. data/spec/models/group_update_request_spec.rb +994 -0
  370. data/spec/models/group_update_spec.rb +1024 -0
  371. data/spec/models/issuer_request_spec.rb +765 -26
  372. data/spec/models/location_create_spec.rb +1018 -0
  373. data/spec/models/location_show_spec.rb +1024 -0
  374. data/spec/models/location_update_spec.rb +1024 -0
  375. data/spec/models/medical_plan_benefits_spec.rb +801 -62
  376. data/spec/models/medical_plan_update_request_spec.rb +754 -15
  377. data/spec/models/medical_plan_update_spec.rb +792 -47
  378. data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
  379. data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
  380. data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
  381. data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
  382. data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
  383. data/spec/models/member_create_spec.rb +1042 -0
  384. data/spec/models/member_rate_show_request_spec.rb +1000 -0
  385. data/spec/models/member_rate_show_spec.rb +1018 -0
  386. data/spec/models/member_rates_show_response_spec.rb +994 -0
  387. data/spec/models/member_show_spec.rb +1048 -0
  388. data/spec/models/members_create_request_spec.rb +994 -0
  389. data/spec/models/members_create_response_spec.rb +988 -0
  390. data/spec/models/members_show_response_spec.rb +988 -0
  391. data/spec/models/meta_plan_search_response_spec.rb +757 -18
  392. data/spec/models/meta_spec.rb +754 -15
  393. data/spec/models/network_comparison_request_spec.rb +754 -15
  394. data/spec/models/network_comparison_response_spec.rb +756 -17
  395. data/spec/models/network_comparison_spec.rb +754 -15
  396. data/spec/models/network_details_response_spec.rb +754 -15
  397. data/spec/models/network_details_spec.rb +757 -18
  398. data/spec/models/network_search_response_spec.rb +754 -15
  399. data/spec/models/network_size_spec.rb +756 -17
  400. data/spec/models/network_spec.rb +754 -15
  401. data/spec/models/notification_subscription_response_spec.rb +754 -15
  402. data/spec/models/notification_subscription_spec.rb +754 -15
  403. data/spec/models/plan_county_bulk_spec.rb +756 -17
  404. data/spec/models/plan_county_spec.rb +756 -17
  405. data/spec/models/plan_deleted_spec.rb +754 -15
  406. data/spec/models/plan_identifier_spec.rb +754 -15
  407. data/spec/models/plan_medicare_bulk_spec.rb +763 -24
  408. data/spec/models/plan_medicare_spec.rb +760 -21
  409. data/spec/models/plan_pricing_medicare_spec.rb +761 -22
  410. data/spec/models/plan_search_response_spec.rb +756 -17
  411. data/spec/models/plan_show_response_spec.rb +754 -15
  412. data/spec/models/plan_spec.rb +754 -15
  413. data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
  414. data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
  415. data/spec/models/plans_bulk_base_spec.rb +982 -0
  416. data/spec/models/plans_bulk_dental_spec.rb +982 -0
  417. data/spec/models/plans_bulk_vision_spec.rb +982 -0
  418. data/spec/models/provider_details_spec.rb +779 -28
  419. data/spec/models/provider_geocode_spec.rb +754 -15
  420. data/spec/models/provider_network_event_notification_spec.rb +760 -21
  421. data/spec/models/provider_networks_spec.rb +1006 -0
  422. data/spec/models/provider_show_response_spec.rb +754 -15
  423. data/spec/models/provider_spec.rb +762 -23
  424. data/spec/models/providers_geocode_response_spec.rb +754 -15
  425. data/spec/models/providers_search_response_spec.rb +754 -15
  426. data/spec/models/quote_create_request_spec.rb +988 -0
  427. data/spec/models/quote_create_response_spec.rb +988 -0
  428. data/spec/models/quote_create_spec.rb +1030 -0
  429. data/spec/models/quote_show_response_spec.rb +988 -0
  430. data/spec/models/quote_show_spec.rb +1042 -0
  431. data/spec/models/rate_request_spec.rb +884 -145
  432. data/spec/models/rate_search_spec.rb +886 -117
  433. data/spec/models/rate_show_request_spec.rb +1000 -0
  434. data/spec/models/rate_show_spec.rb +1012 -0
  435. data/spec/models/rates_show_response_spec.rb +994 -0
  436. data/spec/models/rating_area_spec.rb +754 -15
  437. data/spec/models/request_plan_find_applicant_spec.rb +754 -15
  438. data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
  439. data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
  440. data/spec/models/request_plan_find_provider_spec.rb +754 -15
  441. data/spec/models/request_plan_find_spec.rb +759 -20
  442. data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
  443. data/spec/models/request_providers_search_spec.rb +758 -19
  444. data/spec/models/request_rates_search_spec.rb +756 -17
  445. data/spec/models/response_rates_search_spec.rb +754 -15
  446. data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
  447. data/spec/models/rx_cui_identifier_spec.rb +756 -17
  448. data/spec/models/service_area_spec.rb +754 -15
  449. data/spec/models/service_area_zip_county_spec.rb +754 -15
  450. data/spec/models/state_network_size_request_spec.rb +754 -15
  451. data/spec/models/state_network_size_response_spec.rb +754 -15
  452. data/spec/models/state_spec.rb +762 -23
  453. data/spec/models/supplemental_options_spec.rb +1018 -0
  454. data/spec/models/v7_network_comparison_response_spec.rb +994 -0
  455. data/spec/models/v7_network_details_response_spec.rb +988 -0
  456. data/spec/models/v7_network_details_spec.rb +1006 -0
  457. data/spec/models/v7_network_search_response_spec.rb +994 -0
  458. data/spec/models/v7_network_spec.rb +1000 -0
  459. data/spec/models/v7_provider_details_spec.rb +1138 -0
  460. data/spec/models/v7_provider_networks_spec.rb +1012 -0
  461. data/spec/models/vision_plan_benefits_spec.rb +813 -32
  462. data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
  463. data/spec/models/vision_plan_search_request_spec.rb +758 -25
  464. data/spec/models/vision_plan_search_response_spec.rb +754 -15
  465. data/spec/models/vision_plan_show_response_spec.rb +754 -15
  466. data/spec/models/vision_plan_spec.rb +767 -28
  467. data/spec/models/vision_plan_update_request_spec.rb +754 -15
  468. data/spec/models/vision_plan_update_spec.rb +763 -24
  469. data/spec/models/zip_code_spec.rb +754 -15
  470. data/spec/models/zip_counties_response_spec.rb +756 -17
  471. data/spec/models/zip_county_bulk_spec.rb +757 -18
  472. data/spec/models/zip_county_response_spec.rb +754 -15
  473. data/spec/models/zip_county_spec.rb +754 -15
  474. data/spec/spec_helper.rb +754 -15
  475. data/vericred_client.gemspec +754 -15
  476. metadata +315 -95
@@ -1,17 +1,15 @@
1
1
  =begin
2
2
  #Vericred API
3
3
 
4
- #Vericred's API allows you to search for Health Plans that a specific doctor
5
- accepts.
6
-
7
4
  ## Getting Started
8
5
 
6
+ ## Signing Up
7
+
9
8
  Visit our [Developer Portal](https://developers.vericred.com) to
10
9
  create an account.
11
10
 
12
- Once you have created an account, you can create one Application for
13
- Production and another for our Sandbox (select the appropriate Plan when
14
- you create the Application).
11
+ Once you have created an account, you can create one Application for your
12
+ Production environment and another for a Sandbox (select the appropriate Plan when you create the Application).
15
13
 
16
14
  ## SDKs
17
15
 
@@ -32,9 +30,9 @@ a `Vericred-Api-Key` header.
32
30
  Vericred's API default to the latest version. However, if you need a specific
33
31
  version, you can request it with an `Accept-Version` header.
34
32
 
35
- The current version is `v3`. Previous versions are `v1` and `v2`.
33
+ The current version is `v4`. We also support `v2` and `v3`
36
34
 
37
- `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
35
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v3' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
38
36
 
39
37
  ## Pagination
40
38
 
@@ -47,11 +45,13 @@ For example, to display 5 results per page and view the second page of a
47
45
 
48
46
  ## Sideloading
49
47
 
50
- When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
51
- we sideload the associated data. In this example, we would provide an Array of
52
- `State`s and a `state_id` for each provider. This is done primarily to reduce the
53
- payload size since many of the `Provider`s will share a `State`
48
+ When we return multiple levels of an object graph (e.g. `Provider`s and their
49
+ `State`s we typically the associated data. In this example, we would
50
+ provide an Array of `State`s and a `state_id` for each provider. This is
51
+ done primarily to reduce the payload size since many of the `Provider`s
52
+ will share a `State`
54
53
 
54
+ ### Simplified Example
55
55
  ```
56
56
  {
57
57
  providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
@@ -87,8 +87,7 @@ For example, let's take a request that returns the following JSON by default
87
87
  ```
88
88
 
89
89
  To limit our results to only return the fields we care about, we specify the
90
- `select` query string parameter for the corresponding fields in the JSON
91
- document.
90
+ `select` in the query string for a `GET` or the body for a `POST`.
92
91
 
93
92
  In this case, we want to select `name` and `phone` from the `provider` key,
94
93
  so we would add the parameters `select=provider.name,provider.phone`.
@@ -115,7 +114,18 @@ The response would be
115
114
  }
116
115
  ```
117
116
 
118
- ## Benefits summary format
117
+ # Plan and Rate Data
118
+
119
+ Vericred's Plan and Rate Data let you search and quote Major Medical and Ancillary Insurance Plans in a given area for a particular family in the Individual Market or a group of families in the Small Group Market. Vericred provides the relevant data via this API and via our Bulk Format (documented [below](#Bulk Plan and Rate Data))
120
+
121
+ ## Plans
122
+
123
+ A Plan defines a set of Benefits available to its purchaser. For example, a Major Medical Plan would specify cost-share Benefits for services like a Primary Care Provider visit, a Specialist visit or an Emergency Room visit. A Dental Plan might specify Benefits for Periodontics and Fluroride Treatments. The Benefits for each Product type ([Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision)) are documented below.
124
+
125
+ ### Benefits Format
126
+
127
+ Benefits for Plans can be quite complex. With the goals of capturing and standardizing the complexity while retaining a human-readable format, we have developed a [Bakus-Naur Form](https://en.wikipedia.org/wiki/Backus%E2%80%93Naur_form)(BNF) context-free grammar, with which we present Benefits.
128
+
119
129
  Benefit cost-share strings are formatted to capture:
120
130
  * Network tiers
121
131
  * Compound or conditional cost-share
@@ -198,343 +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
- OpenAPI spec version: 1.0.0
352
+ ```
353
+ B = Base Rate
354
+ f = Rate Factor Function 1
355
+ f' = Rate Factor Function 2
203
356
 
204
- Generated by: https://github.com/swagger-api/swagger-codegen.git
357
+ B * f(x) * f'(y) [* f''(z)] ... = n
358
+ ```
205
359
 
206
- Licensed under the Apache License, Version 2.0 (the "License");
207
- you may not use this file except in compliance with the License.
208
- You may obtain a copy of the License at
360
+ ## Rating Areas
361
+ For [Major Medical](#header-major-medical) products, [CMS](https://www.cms.gov/) defines [Rating Areas](https://www.cms.gov/cciio/programs-and-initiatives/health-insurance-market-reforms/state-gra.html). Under the ACA, *all* [Rate Factors](#header-rate-factors) in a Rating Area must be identical for a given time period. E.g. in Arizona, the rate for a 21-year-old non-tobacco user must be identical in all counties contained in Rating Area 1 (Mohave, Coconino, Apache, and Navajo), but *may* be different than the rate for a 21-year-old non-tobacco user in all counties Rating Area 2 (Yavapai county only) for a given year in the Individual Market and a given quartern in the Small Group market.
209
362
 
210
- http://www.apache.org/licenses/LICENSE-2.0
363
+ [Rating Areas](#header-rating-areas) are defined either by County, Zip Code or both, depending on the State. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
211
364
 
212
- Unless required by applicable law or agreed to in writing, software
213
- distributed under the License is distributed on an "AS IS" BASIS,
214
- WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
215
- See the License for the specific language governing permissions and
216
- limitations under the License.
365
+ *Rating Areas do not apply to products other than [Major Medical](#header-major-medical)*
217
366
 
218
- =end
367
+ ## Service Areas
368
+ CMS mandates that [Major Medical](#header-major-medical) Rates be defined by [Rating Areas](#header-rating-areas), which themselves define a geography in which Plans are offered. Carriers often choose *not* to offer a Plan in and entire [Rating Area](#header-rating-areas) due to network coverage or other factors. Instead, the Carrier would define a [Service Area](#header-service-areas) that specifies where a given Plan is offered.
219
369
 
220
- require 'date'
370
+ Each Plan is available in a single [Service Area](#header-service-areas) and each [Service Area](#header-service-areas) is defined by either County, Zip Code, or both, depending on the Carrier. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
221
371
 
222
- module VericredClient
372
+ In [Dental](#header-dental) and [Vision](#header-vision) plans, we use a [Service Area](#header-service-areas) to define availability as well, although it typically mirrors a Geographic [Rate Factor](#header-rate-factors).
223
373
 
224
- class ACAPlan2018SearchResult
225
- # Name of the insurance carrier
226
- attr_accessor :carrier_name
374
+ # Quoting
227
375
 
228
- # Alternate name for the Plan
229
- attr_accessor :display_name
376
+ One of the primary use-cases for the Vericred API is to run Quotes to determine the Rate for a given family (in the Individual Market) or group (in the Small Group Market). We support quoting across [Major Medical](#header-major-medical), [Vision](#header-vision), and [Dental](#header-dental). In both cases, the process of generating a Quote is broken out into several steps:
230
377
 
231
- # Effective date of coverage.
232
- attr_accessor :effective_date
378
+ 1. Find all available [Plans](#header-plans) in the relevent [Service Areas](#header-service-areas) for the family or group.
379
+ 1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine if the family or group is eligible for that [Plan](#header-plans).
380
+ 1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine which members of the family or which members of each family in the group should be considered for Rating.
381
+ 1. Using the [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) for each [Plan](#header-plans), determine the Rate the family, or for each family in the group.
382
+ 1. If running a [Composite](#compositerates) quote, determine the portion of the total Rate that each family will pay.
233
383
 
234
- # Expiration date of coverage.
235
- attr_accessor :expiration_date
384
+ ## Individual Quotes
385
+ An Individual Quote is one for Plans that are available to a particular family, outside the context of their Employer. In the [Major Medical](#header-major-medical) market, many of these Plans are available on [Healthcare.gov](https://www.healthcare.gov) or the State-Based Exchange for non-Healthcare.gov states. The API supports both on-market and off-market Plans.
236
386
 
237
- # List of identifiers of this Plan
238
- attr_accessor :identifiers
387
+ For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
239
388
 
240
- # Marketing name of the plan
241
- attr_accessor :name
389
+ ### Specifying the Location
390
+ In order to determine which plans are [available](#header-service-areas) and the [rate](#header-rating-areas) for each Plan, you must specify a location. When creating a [Quote](#header-quoting) for the Individual Market, that information is contained in the `POST` body of the request:
391
+ ```
392
+ POST /plans/medical/search
393
+ {
394
+ ...
395
+ "zip_code": "11201",
396
+ "fips_code": "36047"
397
+ ...
398
+ }
242
399
 
243
- # List of Vericred-generated network_ids
244
- attr_accessor :network_ids
400
+ ```
245
401
 
246
- # Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
247
- attr_accessor :plan_type
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
- # Foreign key for service area
250
- attr_accessor :service_area_id
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
- # Source of the plan benefit data
253
- attr_accessor :source
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
- # The type of the Plan
256
- attr_accessor :type
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
- # Does the plan provide dental coverage for adults?
259
- attr_accessor :adult_dental
453
+ ```
260
454
 
261
- # True if the plan allows dependents up to age 29
262
- attr_accessor :age29_rider
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
- # Benefits string for ambulance coverage
265
- attr_accessor :ambulance
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
- # Link to the summary of benefits and coverage (SBC) document.
268
- attr_accessor :benefits_summary_url
461
+ #### Subsidies
462
+ On-market ([Healthcare.gov](https://www.healthcare.gov) and State-Based Exchange) [Major Medical](#header-major-medical) Plans are eligible for government subsidies. The subsidy calculation is based on the percentage of the family's income that the IRS has designated as "affordable" for that family and the Second Lowest-Cost Silver Plan available to that family.
269
463
 
270
- # Link to a location to purchase the plan.
271
- attr_accessor :buy_link
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
- # Does the plan provide dental coverage for children?
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
- # Child eyewear benefits summary
277
- attr_accessor :child_eyewear
477
+ ##### Subsidy Calculation
478
+ Here is how subsidies are calculated. This is fully handled by the Vericred API, but the steps are enumerated below for clarity.
278
479
 
279
- # Child eye exam benefits summary
280
- attr_accessor :child_eye_exam
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
- # Phone number to contact the insurance carrier
283
- attr_accessor :customer_service_phone_number
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
- # Benefits summary for durable medical equipment
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
- # Diagnostic tests benefit summary
289
- attr_accessor :diagnostic_test
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
- # True if plan does not cover domestic partners
292
- attr_accessor :dp_rider
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
- # Link to the summary of drug benefits for the plan
295
- attr_accessor :drug_formulary_url
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
- # Description of costs when visiting the ER
298
- attr_accessor :emergency_room
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
- # Deductible for drugs when a family is on the plan.
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
- # Maximum out-of-pocket for drugs when a family is on the plan
304
- attr_accessor :family_drug_moop
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
- # Deductible when a family is on the plan
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
- # Maximum out-of-pocket when a family is on the plan
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
- # True if plan does not cover family planning
313
- attr_accessor :fp_rider
585
+ ### Vision Quotes
314
586
 
315
- # Cost for generic drugs
316
- attr_accessor :generic_drugs
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
- # Habilitation services benefits summary
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
- # Home health care benefits summary
325
- attr_accessor :home_health_care
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
- # Hospice service benefits summary
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
- # Is the plan HSA eligible?
331
- attr_accessor :hsa_eligible
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
- # Government-issued HIOS plan ID
334
- attr_accessor :id
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
- # Benefits summary for imaging coverage
337
- attr_accessor :imaging
628
+ Full documentation is available [below](#groupscreate)
338
629
 
339
- # Deductible for drugs when an individual is on the plan
340
- attr_accessor :individual_drug_deductible
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
- # Maximum out-of-pocket for drugs when an individual is on the plan
343
- attr_accessor :individual_drug_moop
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
- # Deductible when an individual is on the plan
346
- attr_accessor :individual_medical_deductible
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
- # Maximum out-of-pocket when an individual is on the plan
349
- attr_accessor :individual_medical_moop
674
+ ```
675
+ POST
350
676
 
351
- # Inpatient birth benefits summary
352
- attr_accessor :inpatient_birth
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
- # Cost under the plan for an inpatient facility
355
- attr_accessor :inpatient_facility
703
+ ```
356
704
 
357
- # Inpatient mental helath benefits summary
358
- attr_accessor :inpatient_mental_health
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
- # Cost under the plan for an inpatient physician
361
- attr_accessor :inpatient_physician
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
- # Inpatient substance abuse benefits summary
364
- attr_accessor :inpatient_substance
711
+ ```
712
+ POST /groups/{id}/quotes
713
+ {
714
+ ...
715
+ "product_line": "medical"
716
+ ...
717
+ }
718
+ ```
365
719
 
366
- # List of NPI numbers for Providers passed in who accept this Plan
367
- attr_accessor :in_network_ids
720
+ #### Dental Quotes
721
+ To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
368
722
 
369
- # Plan metal grouping (e.g. platinum, gold, silver, etc)
370
- attr_accessor :level
723
+ ```
724
+ POST /groups/{id}/quotes
725
+ {
726
+ ...
727
+ "product_line": "dental"
728
+ ...
729
+ }
730
+ ```
371
731
 
372
- # Link to a copy of the insurance carrier's logo
373
- attr_accessor :logo_url
732
+ #### Vision Quotes
733
+ To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
374
734
 
375
- # Cost under the plan for non-preferred brand drugs
376
- attr_accessor :non_preferred_brand_drugs
735
+ ```
736
+ POST /groups/{id}/quotes
737
+ {
738
+ ...
739
+ "product_line": "vision"
740
+ ...
741
+ }
742
+ ```
377
743
 
378
- # Is the plan on-market?
379
- attr_accessor :on_market
744
+ ### Retrieving Aggregate Rates
745
+ Once you have created a [Quote](#header-creating-a-quote), you can retrieve its aggregate [Rates](#header-rates). [Rates](#header-rates) are broken down by `Member` and `Dependent`, so that you can show the final cost in different scenarios where an employer might cover a different percentage of `Member` and `Dependent` costs.
380
746
 
381
- # Is the plan off-market?
382
- attr_accessor :off_market
747
+ ```
748
+ GET /quotes/{id}/rates
383
749
 
384
- # Does this plan provide any out of network coverage?
385
- attr_accessor :out_of_network_coverage
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
- # Benefits summary for outpatient facility coverage
391
- attr_accessor :outpatient_facility
767
+ #### Loading Plan Data
768
+ Aggregate [Rates](#header-rates) responses *do not* include [Plan](#header-plans) details in order to keep the payload small. [Plan](#header-plans) data can be retrieved in one of two ways:
392
769
 
393
- # Benefits summary for outpatient mental health coverage
394
- attr_accessor :outpatient_mental_health
770
+ Loading the [Plan](#header-plans) from the API:
771
+ ```
772
+ GET /plans/{id}
395
773
 
396
- # Benefits summary for outpatient physician coverage
397
- attr_accessor :outpatient_physician
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
- # Outpatient substance abuse benefits summary
400
- attr_accessor :outpatient_substance
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
- # Market in which the plan is offered (on_marketplace, shop, etc)
403
- attr_accessor :plan_market
794
+ ```
795
+ GET /rates/{id}/member_rates
404
796
 
405
- # Cost under the plan for perferred brand drugs
406
- attr_accessor :preferred_brand_drugs
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
- # Inpatient substance abuse benefits summary
409
- attr_accessor :prenatal_postnatal_care
813
+ ```
410
814
 
411
- # Benefits summary for preventative care
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
- # Cumulative premium amount after subsidy
415
- attr_accessor :premium_subsidized
817
+ ### Business Rules
818
+ Vericred works with our Carrier partners to acquire and apply Business Rules that can affect either [Plan](#header-plans) availability or the way in which `Member`s and `Dependent`s are rated. For example, one Carrier's Business Rules might specify that `Member`s and `Dependent`s who have used tobacco in the past 4 months are considered "tobacco-users", while another's may specify that period to be 1 year.
416
819
 
417
- # Cumulative premium amount
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
- # Source of the base pricing data
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
- # Cost under the plan to visit a Primary Care Physician
424
- attr_accessor :primary_care_physician
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
- # Benefits summary for rehabilitation services
427
- attr_accessor :rehabilitation_services
827
+ 1. Calculate the [Rates](#header-rates) for the entire `Group` using [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) as appropriate
828
+ 1. Categorize each Family within the Group. The categorization differs depending on whether the Composite Rate is 2, 3, or 4-tier
829
+ 1. Multiply the number of Families in each category by the constant for that category. These constants are provided to Vericred by the Carrier. This determines the total number of "Rating Units"
830
+ 1. Divide the total premium calculated in Step 1 by the total number of Rating Units to get the price per Rating Unit
831
+ 1. The [Rate](#header-rates) each Family pays is the constant for that Family's category multiplied by the price per Rating Unit.
428
832
 
429
- # Benefits summary for skilled nursing services
430
- attr_accessor :skilled_nursing
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
- # Cost under the plan to visit a specialist
433
- attr_accessor :specialist
844
+ # Network and Provider Data
434
845
 
435
- # Cost under the plan for specialty drugs
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
- # Benefits summary for urgent care
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
- # Percentage of total average costs for covered benefits that a plan will cover.
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
- # Chiropractic services benefits summary
445
- attr_accessor :chiropractic_services
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
- # Standard cost share for most benefits
448
- attr_accessor :coinsurance
855
+ ```
856
+ POST /providers/search
857
+ {
858
+ "search_term": "foo",
859
+ "zip_code": "11201"
860
+ }
861
+ ```
449
862
 
450
- # Is the individual deductible for each covered person, embedded in the family deductible
451
- attr_accessor :embedded_deductible
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
- # Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")?
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
- # Prenatal care benefits summary
481
- attr_accessor :prenatal_care
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
- # Percentage of essential plan benefits
490
- attr_accessor :essential_health_benefits_percentage
1228
+ # Source of the plan benefit data
1229
+ attr_accessor :source
491
1230
 
492
- # Percentage of doctors who matched this Plan
493
- attr_accessor :match_percentage
1231
+ # Cost under the plan to visit a specialist
1232
+ attr_accessor :specialist
494
1233
 
495
- # Percentage of employees with 100% matchedch
496
- attr_accessor :perfect_match_percentage
1234
+ # Cost under the plan for specialty drugs
1235
+ attr_accessor :specialty_drugs
497
1236
 
498
- # Cumulative premium amount for employees
499
- attr_accessor :employee_premium
1237
+ # The type of the Plan
1238
+ attr_accessor :type
500
1239
 
501
- # Cumulative premium amount for dependents
502
- attr_accessor :dependent_premium
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
- :'carrier_name' => :'carrier_name',
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
- :'durable_medical_equipment' => :'durable_medical_equipment',
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
- :'in_network_ids' => :'in_network_ids',
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
- :'on_market' => :'on_market',
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
- :'urgent_care' => :'urgent_care',
580
- :'actuarial_value' => :'actuarial_value',
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
- :'carrier_name' => :'String',
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
- :'durable_medical_equipment' => :'String',
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
- :'in_network_ids' => :'Array<Integer>',
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
- :'on_market' => :'BOOLEAN',
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
- :'urgent_care' => :'String',
679
- :'actuarial_value' => :'Float',
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?(:'carrier_name')
712
- self.carrier_name = attributes[:'carrier_name']
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?(:'child_eye_exam')
788
- self.child_eye_exam = attributes[:'child_eye_exam']
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?(:'durable_medical_equipment')
796
- self.durable_medical_equipment = attributes[:'durable_medical_equipment']
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?(:'imaging')
864
- self.imaging = attributes[:'imaging']
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?(:'in_network_ids')
904
- if (value = attributes[:'in_network_ids']).is_a?(Array)
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?(:'on_market')
922
- self.on_market = attributes[:'on_market']
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?(:'plan_market')
956
- self.plan_market = attributes[:'plan_market']
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?(:'preferred_brand_drugs')
960
- self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
1746
+ if attributes.has_key?(:'plan_calendar')
1747
+ self.plan_calendar = attributes[:'plan_calendar']
961
1748
  end
962
1749
 
963
- if attributes.has_key?(:'prenatal_postnatal_care')
964
- self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
1750
+ if attributes.has_key?(:'plan_market')
1751
+ self.plan_market = attributes[:'plan_market']
965
1752
  end
966
1753
 
967
- if attributes.has_key?(:'preventative_care')
968
- self.preventative_care = attributes[:'preventative_care']
1754
+ if attributes.has_key?(:'plan_type')
1755
+ self.plan_type = attributes[:'plan_type']
969
1756
  end
970
1757
 
971
- if attributes.has_key?(:'premium_subsidized')
972
- self.premium_subsidized = attributes[:'premium_subsidized']
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?(:'primary_care_physician')
984
- self.primary_care_physician = attributes[:'primary_care_physician']
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?(:'mail_order_rx')
1040
- self.mail_order_rx = attributes[:'mail_order_rx']
1778
+ if attributes.has_key?(:'prenatal_care')
1779
+ self.prenatal_care = attributes[:'prenatal_care']
1041
1780
  end
1042
1781
 
1043
- if attributes.has_key?(:'nonpreferred_generic_drug_share')
1044
- self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
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?(:'nonpreferred_specialty_drug_share')
1048
- self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
1786
+ if attributes.has_key?(:'preventative_care')
1787
+ self.preventative_care = attributes[:'preventative_care']
1049
1788
  end
1050
1789
 
1051
- if attributes.has_key?(:'outpatient_ambulatory_care_center')
1052
- self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
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?(:'plan_calendar')
1056
- self.plan_calendar = attributes[:'plan_calendar']
1794
+ if attributes.has_key?(:'rehabilitation_services')
1795
+ self.rehabilitation_services = attributes[:'rehabilitation_services']
1057
1796
  end
1058
1797
 
1059
- if attributes.has_key?(:'prenatal_care')
1060
- self.prenatal_care = attributes[:'prenatal_care']
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?(:'postnatal_care')
1064
- self.postnatal_care = attributes[:'postnatal_care']
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?(:'essential_health_benefits_percentage')
1072
- self.essential_health_benefits_percentage = attributes[:'essential_health_benefits_percentage']
1810
+ if attributes.has_key?(:'source')
1811
+ self.source = attributes[:'source']
1073
1812
  end
1074
1813
 
1075
- if attributes.has_key?(:'match_percentage')
1076
- self.match_percentage = attributes[:'match_percentage']
1814
+ if attributes.has_key?(:'specialist')
1815
+ self.specialist = attributes[:'specialist']
1077
1816
  end
1078
1817
 
1079
- if attributes.has_key?(:'perfect_match_percentage')
1080
- self.perfect_match_percentage = attributes[:'perfect_match_percentage']
1818
+ if attributes.has_key?(:'specialty_drugs')
1819
+ self.specialty_drugs = attributes[:'specialty_drugs']
1081
1820
  end
1082
1821
 
1083
- if attributes.has_key?(:'employee_premium')
1084
- self.employee_premium = attributes[:'employee_premium']
1822
+ if attributes.has_key?(:'type')
1823
+ self.type = attributes[:'type']
1085
1824
  end
1086
1825
 
1087
- if attributes.has_key?(:'dependent_premium')
1088
- self.dependent_premium = attributes[:'dependent_premium']
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
- carrier_name == o.carrier_name &&
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
- durable_medical_equipment == o.durable_medical_equipment &&
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
- in_network_ids == o.in_network_ids &&
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
- on_market == o.on_market &&
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
- urgent_care == o.urgent_care &&
1183
- actuarial_value == o.actuarial_value &&
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
- [carrier_name, display_name, effective_date, expiration_date, identifiers, name, network_ids, plan_type, service_area_id, source, type, adult_dental, age29_rider, ambulance, benefits_summary_url, buy_link, child_dental, child_eyewear, child_eye_exam, customer_service_phone_number, durable_medical_equipment, diagnostic_test, dp_rider, drug_formulary_url, emergency_room, family_drug_deductible, family_drug_moop, family_medical_deductible, family_medical_moop, fp_rider, generic_drugs, habilitation_services, hios_issuer_id, home_health_care, hospice_service, hsa_eligible, id, imaging, individual_drug_deductible, individual_drug_moop, individual_medical_deductible, individual_medical_moop, inpatient_birth, inpatient_facility, inpatient_mental_health, inpatient_physician, inpatient_substance, in_network_ids, level, logo_url, non_preferred_brand_drugs, on_market, off_market, out_of_network_coverage, out_of_network_ids, outpatient_facility, outpatient_mental_health, outpatient_physician, outpatient_substance, plan_market, preferred_brand_drugs, prenatal_postnatal_care, preventative_care, premium_subsidized, premium, premium_source, primary_care_physician, rehabilitation_services, skilled_nursing, specialist, specialty_drugs, urgent_care, actuarial_value, chiropractic_services, coinsurance, embedded_deductible, gated, imaging_center, imaging_physician, lab_test, mail_order_rx, nonpreferred_generic_drug_share, nonpreferred_specialty_drug_share, outpatient_ambulatory_care_center, plan_calendar, prenatal_care, postnatal_care, skilled_nursing_facility_365, essential_health_benefits_percentage, match_percentage, perfect_match_percentage, employee_premium, dependent_premium].hash
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