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
@@ -198,340 +208,1069 @@ 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 ACAPlanPre2018SearchResult
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 ACAPlanPre2018SearchResult
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
+ # Expiration date of coverage.
1034
+ attr_accessor :expiration_date
1035
+
1036
+ # Deductible for drugs when a family is on the plan.
1037
+ attr_accessor :family_drug_deductible
1038
+
1039
+ # Maximum out-of-pocket for drugs when a family is on the plan
1040
+ attr_accessor :family_drug_moop
1041
+
1042
+ # Deductible when a family is on the plan
1043
+ attr_accessor :family_medical_deductible
1044
+
1045
+ # Maximum out-of-pocket when a family is on the plan
1046
+ attr_accessor :family_medical_moop
1047
+
1048
+ # True if plan does not cover family planning
1049
+ attr_accessor :fp_rider
452
1050
 
453
1051
  # Does the plan's network require a physician referral?
454
1052
  attr_accessor :gated
455
1053
 
1054
+ # Cost for generic drugs
1055
+ attr_accessor :generic_drugs
1056
+
1057
+ # Habilitation services benefits summary
1058
+ attr_accessor :habilitation_services
1059
+
1060
+ #
1061
+ attr_accessor :hios_issuer_id
1062
+
1063
+ # Home health care benefits summary
1064
+ attr_accessor :home_health_care
1065
+
1066
+ # Hospice service benefits summary
1067
+ attr_accessor :hospice_service
1068
+
1069
+ # Is the plan HSA eligible?
1070
+ attr_accessor :hsa_eligible
1071
+
1072
+ # Government-issued HIOS plan ID
1073
+ attr_accessor :id
1074
+
1075
+ # List of identifiers of this Plan
1076
+ attr_accessor :identifiers
1077
+
1078
+ # Benefits summary for imaging coverage
1079
+ attr_accessor :imaging
1080
+
456
1081
  # Imaging center benefits summary
457
1082
  attr_accessor :imaging_center
458
1083
 
459
1084
  # Imaging physician benefits summary
460
1085
  attr_accessor :imaging_physician
461
1086
 
1087
+ # List of NPI numbers for Providers passed in who accept this Plan
1088
+ attr_accessor :in_network_ids
1089
+
1090
+ # Deductible for drugs when an individual is on the plan
1091
+ attr_accessor :individual_drug_deductible
1092
+
1093
+ # Maximum out-of-pocket for drugs when an individual is on the plan
1094
+ attr_accessor :individual_drug_moop
1095
+
1096
+ # Deductible when an individual is on the plan
1097
+ attr_accessor :individual_medical_deductible
1098
+
1099
+ # Maximum out-of-pocket when an individual is on the plan
1100
+ attr_accessor :individual_medical_moop
1101
+
1102
+ # Inpatient birth benefits summary
1103
+ attr_accessor :inpatient_birth
1104
+
1105
+ # Cost under the plan for an inpatient facility
1106
+ attr_accessor :inpatient_facility
1107
+
1108
+ # Inpatient mental helath benefits summary
1109
+ attr_accessor :inpatient_mental_health
1110
+
1111
+ # Cost under the plan for an inpatient physician
1112
+ attr_accessor :inpatient_physician
1113
+
1114
+ # Inpatient substance abuse benefits summary
1115
+ attr_accessor :inpatient_substance
1116
+
462
1117
  # Lab test benefits summary
463
1118
  attr_accessor :lab_test
464
1119
 
1120
+ # Plan metal grouping (e.g. platinum, gold, silver, etc)
1121
+ attr_accessor :level
1122
+
1123
+ # Link to a copy of the insurance carrier's logo
1124
+ attr_accessor :logo_url
1125
+
465
1126
  # Multiple of the standard Rx cost share for orders filled via mail order
466
1127
  attr_accessor :mail_order_rx
467
1128
 
1129
+ # Percentage of doctors who matched this Plan
1130
+ attr_accessor :match_percentage
1131
+
1132
+ # Marketing name of the plan
1133
+ attr_accessor :name
1134
+
1135
+ # List of Vericred-generated network_ids
1136
+ attr_accessor :network_ids
1137
+
1138
+ # Cost under the plan for non-preferred brand drugs
1139
+ attr_accessor :non_preferred_brand_drugs
1140
+
468
1141
  # Non-preferred generic drugs benefits summary
469
1142
  attr_accessor :nonpreferred_generic_drug_share
470
1143
 
471
1144
  # Non-preferred specialty drugs benefits summary
472
1145
  attr_accessor :nonpreferred_specialty_drug_share
473
1146
 
1147
+ # Is the plan off-market?
1148
+ attr_accessor :off_market
1149
+
1150
+ # Is the plan on-market?
1151
+ attr_accessor :on_market
1152
+
1153
+ # Does this plan provide any out of network coverage?
1154
+ attr_accessor :out_of_network_coverage
1155
+
1156
+ # List of NPI numbers for Providers passed in who do not accept this Plan
1157
+ attr_accessor :out_of_network_ids
1158
+
474
1159
  # Outpatient ambulatory care center benefits summary
475
1160
  attr_accessor :outpatient_ambulatory_care_center
476
1161
 
477
- # Are deductibles and MOOPs reset on Dec-31 (\"calendar year\"), 365 days after enrollment date (\"plan year\"), or are both options available (\"both\")?
1162
+ # Benefits summary for outpatient facility coverage
1163
+ attr_accessor :outpatient_facility
1164
+
1165
+ # Benefits summary for outpatient mental health coverage
1166
+ attr_accessor :outpatient_mental_health
1167
+
1168
+ # Benefits summary for outpatient physician coverage
1169
+ attr_accessor :outpatient_physician
1170
+
1171
+ # Outpatient substance abuse benefits summary
1172
+ attr_accessor :outpatient_substance
1173
+
1174
+ # Percentage of employees with 100% matchedch
1175
+ attr_accessor :perfect_match_percentage
1176
+
1177
+ # 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
1178
  attr_accessor :plan_calendar
479
1179
 
480
- # Prenatal care benefits summary
481
- attr_accessor :prenatal_care
1180
+ # Market in which the plan is offered (on_marketplace, shop, etc)
1181
+ attr_accessor :plan_market
1182
+
1183
+ # Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity, PACE, Medicare-Medicaid, HMO w/POS, Cost, FFS, MSA)
1184
+ attr_accessor :plan_type
482
1185
 
483
1186
  # Post-natal care benefits summary
484
1187
  attr_accessor :postnatal_care
485
1188
 
1189
+ # Cost under the plan for perferred brand drugs
1190
+ attr_accessor :preferred_brand_drugs
1191
+
1192
+ # Cumulative premium amount
1193
+ attr_accessor :premium
1194
+
1195
+ # Source of the base pricing data
1196
+ attr_accessor :premium_source
1197
+
1198
+ # Cumulative premium amount after subsidy
1199
+ attr_accessor :premium_subsidized
1200
+
1201
+ # Prenatal care benefits summary
1202
+ attr_accessor :prenatal_care
1203
+
1204
+ # Inpatient substance abuse benefits summary
1205
+ attr_accessor :prenatal_postnatal_care
1206
+
1207
+ # Benefits summary for preventative care
1208
+ attr_accessor :preventative_care
1209
+
1210
+ # Cost under the plan to visit a Primary Care Physician
1211
+ attr_accessor :primary_care_physician
1212
+
1213
+ # Benefits summary for rehabilitation services
1214
+ attr_accessor :rehabilitation_services
1215
+
1216
+ # Foreign key for service area
1217
+ attr_accessor :service_area_id
1218
+
1219
+ # Benefits summary for skilled nursing services
1220
+ attr_accessor :skilled_nursing
1221
+
486
1222
  # Does the plan cover full-time, year-round, nursing facilities?
487
1223
  attr_accessor :skilled_nursing_facility_365
488
1224
 
489
- # Percentage of doctors who matched this Plan
490
- attr_accessor :match_percentage
491
-
492
- # Percentage of employees with 100% matchedch
493
- attr_accessor :perfect_match_percentage
1225
+ # Source of the plan benefit data
1226
+ attr_accessor :source
494
1227
 
495
- # Cumulative premium amount for employees
496
- attr_accessor :employee_premium
1228
+ # Cost under the plan to visit a specialist
1229
+ attr_accessor :specialist
497
1230
 
498
- # Cumulative premium amount for dependents
499
- attr_accessor :dependent_premium
1231
+ # Cost under the plan for specialty drugs
1232
+ attr_accessor :specialty_drugs
500
1233
 
1234
+ # The type of the Plan
1235
+ attr_accessor :type
501
1236
 
502
- # Attribute mapping from ruby-style variable name to JSON key.
503
- def self.attribute_map
504
- {
505
- :'carrier_name' => :'carrier_name',
506
- :'display_name' => :'display_name',
507
- :'effective_date' => :'effective_date',
508
- :'expiration_date' => :'expiration_date',
509
- :'identifiers' => :'identifiers',
510
- :'name' => :'name',
511
- :'network_ids' => :'network_ids',
512
- :'plan_type' => :'plan_type',
513
- :'service_area_id' => :'service_area_id',
514
- :'source' => :'source',
515
- :'type' => :'type',
1237
+ # Benefits summary for urgent care
1238
+ attr_accessor :urgent_care
1239
+
1240
+
1241
+ # Attribute mapping from ruby-style variable name to JSON key.
1242
+ def self.attribute_map
1243
+ {
1244
+ :'actuarial_value' => :'actuarial_value',
516
1245
  :'adult_dental' => :'adult_dental',
517
1246
  :'age29_rider' => :'age29_rider',
518
1247
  :'ambulance' => :'ambulance',
519
1248
  :'benefits_summary_url' => :'benefits_summary_url',
520
1249
  :'buy_link' => :'buy_link',
1250
+ :'carrier_name' => :'carrier_name',
521
1251
  :'child_dental' => :'child_dental',
522
- :'child_eyewear' => :'child_eyewear',
523
1252
  :'child_eye_exam' => :'child_eye_exam',
1253
+ :'child_eyewear' => :'child_eyewear',
1254
+ :'chiropractic_services' => :'chiropractic_services',
1255
+ :'coinsurance' => :'coinsurance',
524
1256
  :'customer_service_phone_number' => :'customer_service_phone_number',
525
- :'durable_medical_equipment' => :'durable_medical_equipment',
1257
+ :'dependent_premium' => :'dependent_premium',
526
1258
  :'diagnostic_test' => :'diagnostic_test',
1259
+ :'display_name' => :'display_name',
527
1260
  :'dp_rider' => :'dp_rider',
528
1261
  :'drug_formulary_url' => :'drug_formulary_url',
1262
+ :'durable_medical_equipment' => :'durable_medical_equipment',
1263
+ :'effective_date' => :'effective_date',
1264
+ :'embedded_deductible' => :'embedded_deductible',
529
1265
  :'emergency_room' => :'emergency_room',
1266
+ :'employee_premium' => :'employee_premium',
1267
+ :'expiration_date' => :'expiration_date',
530
1268
  :'family_drug_deductible' => :'family_drug_deductible',
531
1269
  :'family_drug_moop' => :'family_drug_moop',
532
1270
  :'family_medical_deductible' => :'family_medical_deductible',
533
1271
  :'family_medical_moop' => :'family_medical_moop',
534
1272
  :'fp_rider' => :'fp_rider',
1273
+ :'gated' => :'gated',
535
1274
  :'generic_drugs' => :'generic_drugs',
536
1275
  :'habilitation_services' => :'habilitation_services',
537
1276
  :'hios_issuer_id' => :'hios_issuer_id',
@@ -539,7 +1278,11 @@ module VericredClient
539
1278
  :'hospice_service' => :'hospice_service',
540
1279
  :'hsa_eligible' => :'hsa_eligible',
541
1280
  :'id' => :'id',
1281
+ :'identifiers' => :'identifiers',
542
1282
  :'imaging' => :'imaging',
1283
+ :'imaging_center' => :'imaging_center',
1284
+ :'imaging_physician' => :'imaging_physician',
1285
+ :'in_network_ids' => :'in_network_ids',
543
1286
  :'individual_drug_deductible' => :'individual_drug_deductible',
544
1287
  :'individual_drug_moop' => :'individual_drug_moop',
545
1288
  :'individual_medical_deductible' => :'individual_medical_deductible',
@@ -549,87 +1292,83 @@ module VericredClient
549
1292
  :'inpatient_mental_health' => :'inpatient_mental_health',
550
1293
  :'inpatient_physician' => :'inpatient_physician',
551
1294
  :'inpatient_substance' => :'inpatient_substance',
552
- :'in_network_ids' => :'in_network_ids',
1295
+ :'lab_test' => :'lab_test',
553
1296
  :'level' => :'level',
554
1297
  :'logo_url' => :'logo_url',
1298
+ :'mail_order_rx' => :'mail_order_rx',
1299
+ :'match_percentage' => :'match_percentage',
1300
+ :'name' => :'name',
1301
+ :'network_ids' => :'network_ids',
555
1302
  :'non_preferred_brand_drugs' => :'non_preferred_brand_drugs',
556
- :'on_market' => :'on_market',
1303
+ :'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
1304
+ :'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
557
1305
  :'off_market' => :'off_market',
1306
+ :'on_market' => :'on_market',
558
1307
  :'out_of_network_coverage' => :'out_of_network_coverage',
559
1308
  :'out_of_network_ids' => :'out_of_network_ids',
1309
+ :'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
560
1310
  :'outpatient_facility' => :'outpatient_facility',
561
1311
  :'outpatient_mental_health' => :'outpatient_mental_health',
562
1312
  :'outpatient_physician' => :'outpatient_physician',
563
1313
  :'outpatient_substance' => :'outpatient_substance',
1314
+ :'perfect_match_percentage' => :'perfect_match_percentage',
1315
+ :'plan_calendar' => :'plan_calendar',
564
1316
  :'plan_market' => :'plan_market',
1317
+ :'plan_type' => :'plan_type',
1318
+ :'postnatal_care' => :'postnatal_care',
565
1319
  :'preferred_brand_drugs' => :'preferred_brand_drugs',
566
- :'prenatal_postnatal_care' => :'prenatal_postnatal_care',
567
- :'preventative_care' => :'preventative_care',
568
- :'premium_subsidized' => :'premium_subsidized',
569
1320
  :'premium' => :'premium',
570
1321
  :'premium_source' => :'premium_source',
1322
+ :'premium_subsidized' => :'premium_subsidized',
1323
+ :'prenatal_care' => :'prenatal_care',
1324
+ :'prenatal_postnatal_care' => :'prenatal_postnatal_care',
1325
+ :'preventative_care' => :'preventative_care',
571
1326
  :'primary_care_physician' => :'primary_care_physician',
572
1327
  :'rehabilitation_services' => :'rehabilitation_services',
1328
+ :'service_area_id' => :'service_area_id',
573
1329
  :'skilled_nursing' => :'skilled_nursing',
1330
+ :'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
1331
+ :'source' => :'source',
574
1332
  :'specialist' => :'specialist',
575
1333
  :'specialty_drugs' => :'specialty_drugs',
576
- :'urgent_care' => :'urgent_care',
577
- :'actuarial_value' => :'actuarial_value',
578
- :'chiropractic_services' => :'chiropractic_services',
579
- :'coinsurance' => :'coinsurance',
580
- :'embedded_deductible' => :'embedded_deductible',
581
- :'gated' => :'gated',
582
- :'imaging_center' => :'imaging_center',
583
- :'imaging_physician' => :'imaging_physician',
584
- :'lab_test' => :'lab_test',
585
- :'mail_order_rx' => :'mail_order_rx',
586
- :'nonpreferred_generic_drug_share' => :'nonpreferred_generic_drug_share',
587
- :'nonpreferred_specialty_drug_share' => :'nonpreferred_specialty_drug_share',
588
- :'outpatient_ambulatory_care_center' => :'outpatient_ambulatory_care_center',
589
- :'plan_calendar' => :'plan_calendar',
590
- :'prenatal_care' => :'prenatal_care',
591
- :'postnatal_care' => :'postnatal_care',
592
- :'skilled_nursing_facility_365' => :'skilled_nursing_facility_365',
593
- :'match_percentage' => :'match_percentage',
594
- :'perfect_match_percentage' => :'perfect_match_percentage',
595
- :'employee_premium' => :'employee_premium',
596
- :'dependent_premium' => :'dependent_premium'
1334
+ :'type' => :'type',
1335
+ :'urgent_care' => :'urgent_care'
597
1336
  }
598
1337
  end
599
1338
 
600
1339
  # Attribute type mapping.
601
1340
  def self.swagger_types
602
1341
  {
603
- :'carrier_name' => :'String',
604
- :'display_name' => :'String',
605
- :'effective_date' => :'String',
606
- :'expiration_date' => :'String',
607
- :'identifiers' => :'Array<PlanIdentifier>',
608
- :'name' => :'String',
609
- :'network_ids' => :'Array<Integer>',
610
- :'plan_type' => :'String',
611
- :'service_area_id' => :'String',
612
- :'source' => :'String',
613
- :'type' => :'String',
1342
+ :'actuarial_value' => :'Float',
614
1343
  :'adult_dental' => :'BOOLEAN',
615
1344
  :'age29_rider' => :'BOOLEAN',
616
1345
  :'ambulance' => :'String',
617
1346
  :'benefits_summary_url' => :'String',
618
1347
  :'buy_link' => :'String',
1348
+ :'carrier_name' => :'String',
619
1349
  :'child_dental' => :'BOOLEAN',
620
- :'child_eyewear' => :'String',
621
1350
  :'child_eye_exam' => :'String',
1351
+ :'child_eyewear' => :'String',
1352
+ :'chiropractic_services' => :'String',
1353
+ :'coinsurance' => :'Float',
622
1354
  :'customer_service_phone_number' => :'String',
623
- :'durable_medical_equipment' => :'String',
1355
+ :'dependent_premium' => :'Float',
624
1356
  :'diagnostic_test' => :'String',
1357
+ :'display_name' => :'String',
625
1358
  :'dp_rider' => :'BOOLEAN',
626
1359
  :'drug_formulary_url' => :'String',
1360
+ :'durable_medical_equipment' => :'String',
1361
+ :'effective_date' => :'String',
1362
+ :'embedded_deductible' => :'String',
627
1363
  :'emergency_room' => :'String',
1364
+ :'employee_premium' => :'Float',
1365
+ :'expiration_date' => :'String',
628
1366
  :'family_drug_deductible' => :'String',
629
1367
  :'family_drug_moop' => :'String',
630
1368
  :'family_medical_deductible' => :'String',
631
1369
  :'family_medical_moop' => :'String',
632
1370
  :'fp_rider' => :'BOOLEAN',
1371
+ :'gated' => :'BOOLEAN',
633
1372
  :'generic_drugs' => :'String',
634
1373
  :'habilitation_services' => :'String',
635
1374
  :'hios_issuer_id' => :'String',
@@ -637,7 +1376,11 @@ module VericredClient
637
1376
  :'hospice_service' => :'String',
638
1377
  :'hsa_eligible' => :'BOOLEAN',
639
1378
  :'id' => :'String',
1379
+ :'identifiers' => :'Array<PlanIdentifier>',
640
1380
  :'imaging' => :'String',
1381
+ :'imaging_center' => :'String',
1382
+ :'imaging_physician' => :'String',
1383
+ :'in_network_ids' => :'Array<Integer>',
641
1384
  :'individual_drug_deductible' => :'String',
642
1385
  :'individual_drug_moop' => :'String',
643
1386
  :'individual_medical_deductible' => :'String',
@@ -647,51 +1390,47 @@ module VericredClient
647
1390
  :'inpatient_mental_health' => :'String',
648
1391
  :'inpatient_physician' => :'String',
649
1392
  :'inpatient_substance' => :'String',
650
- :'in_network_ids' => :'Array<Integer>',
1393
+ :'lab_test' => :'String',
651
1394
  :'level' => :'String',
652
1395
  :'logo_url' => :'String',
1396
+ :'mail_order_rx' => :'Float',
1397
+ :'match_percentage' => :'Integer',
1398
+ :'name' => :'String',
1399
+ :'network_ids' => :'Array<Integer>',
653
1400
  :'non_preferred_brand_drugs' => :'String',
654
- :'on_market' => :'BOOLEAN',
1401
+ :'nonpreferred_generic_drug_share' => :'String',
1402
+ :'nonpreferred_specialty_drug_share' => :'String',
655
1403
  :'off_market' => :'BOOLEAN',
1404
+ :'on_market' => :'BOOLEAN',
656
1405
  :'out_of_network_coverage' => :'BOOLEAN',
657
1406
  :'out_of_network_ids' => :'Array<Integer>',
1407
+ :'outpatient_ambulatory_care_center' => :'String',
658
1408
  :'outpatient_facility' => :'String',
659
1409
  :'outpatient_mental_health' => :'String',
660
1410
  :'outpatient_physician' => :'String',
661
1411
  :'outpatient_substance' => :'String',
1412
+ :'perfect_match_percentage' => :'Integer',
1413
+ :'plan_calendar' => :'String',
662
1414
  :'plan_market' => :'String',
1415
+ :'plan_type' => :'String',
1416
+ :'postnatal_care' => :'String',
663
1417
  :'preferred_brand_drugs' => :'String',
664
- :'prenatal_postnatal_care' => :'String',
665
- :'preventative_care' => :'String',
666
- :'premium_subsidized' => :'Float',
667
1418
  :'premium' => :'Float',
668
1419
  :'premium_source' => :'String',
1420
+ :'premium_subsidized' => :'Float',
1421
+ :'prenatal_care' => :'String',
1422
+ :'prenatal_postnatal_care' => :'String',
1423
+ :'preventative_care' => :'String',
669
1424
  :'primary_care_physician' => :'String',
670
1425
  :'rehabilitation_services' => :'String',
1426
+ :'service_area_id' => :'String',
671
1427
  :'skilled_nursing' => :'String',
1428
+ :'skilled_nursing_facility_365' => :'String',
1429
+ :'source' => :'String',
672
1430
  :'specialist' => :'String',
673
1431
  :'specialty_drugs' => :'String',
674
- :'urgent_care' => :'String',
675
- :'actuarial_value' => :'Float',
676
- :'chiropractic_services' => :'String',
677
- :'coinsurance' => :'Float',
678
- :'embedded_deductible' => :'String',
679
- :'gated' => :'BOOLEAN',
680
- :'imaging_center' => :'String',
681
- :'imaging_physician' => :'String',
682
- :'lab_test' => :'String',
683
- :'mail_order_rx' => :'Float',
684
- :'nonpreferred_generic_drug_share' => :'String',
685
- :'nonpreferred_specialty_drug_share' => :'String',
686
- :'outpatient_ambulatory_care_center' => :'String',
687
- :'plan_calendar' => :'String',
688
- :'prenatal_care' => :'String',
689
- :'postnatal_care' => :'String',
690
- :'skilled_nursing_facility_365' => :'String',
691
- :'match_percentage' => :'Integer',
692
- :'perfect_match_percentage' => :'Integer',
693
- :'employee_premium' => :'Float',
694
- :'dependent_premium' => :'Float'
1432
+ :'type' => :'String',
1433
+ :'urgent_care' => :'String'
695
1434
  }
696
1435
  end
697
1436
 
@@ -703,52 +1442,8 @@ module VericredClient
703
1442
  # convert string to symbol for hash key
704
1443
  attributes = attributes.each_with_object({}){|(k,v), h| h[k.to_sym] = v}
705
1444
 
706
- if attributes.has_key?(:'carrier_name')
707
- self.carrier_name = attributes[:'carrier_name']
708
- end
709
-
710
- if attributes.has_key?(:'display_name')
711
- self.display_name = attributes[:'display_name']
712
- end
713
-
714
- if attributes.has_key?(:'effective_date')
715
- self.effective_date = attributes[:'effective_date']
716
- end
717
-
718
- if attributes.has_key?(:'expiration_date')
719
- self.expiration_date = attributes[:'expiration_date']
720
- end
721
-
722
- if attributes.has_key?(:'identifiers')
723
- if (value = attributes[:'identifiers']).is_a?(Array)
724
- self.identifiers = value
725
- end
726
- end
727
-
728
- if attributes.has_key?(:'name')
729
- self.name = attributes[:'name']
730
- end
731
-
732
- if attributes.has_key?(:'network_ids')
733
- if (value = attributes[:'network_ids']).is_a?(Array)
734
- self.network_ids = value
735
- end
736
- end
737
-
738
- if attributes.has_key?(:'plan_type')
739
- self.plan_type = attributes[:'plan_type']
740
- end
741
-
742
- if attributes.has_key?(:'service_area_id')
743
- self.service_area_id = attributes[:'service_area_id']
744
- end
745
-
746
- if attributes.has_key?(:'source')
747
- self.source = attributes[:'source']
748
- end
749
-
750
- if attributes.has_key?(:'type')
751
- self.type = attributes[:'type']
1445
+ if attributes.has_key?(:'actuarial_value')
1446
+ self.actuarial_value = attributes[:'actuarial_value']
752
1447
  end
753
1448
 
754
1449
  if attributes.has_key?(:'adult_dental')
@@ -771,30 +1466,46 @@ module VericredClient
771
1466
  self.buy_link = attributes[:'buy_link']
772
1467
  end
773
1468
 
1469
+ if attributes.has_key?(:'carrier_name')
1470
+ self.carrier_name = attributes[:'carrier_name']
1471
+ end
1472
+
774
1473
  if attributes.has_key?(:'child_dental')
775
1474
  self.child_dental = attributes[:'child_dental']
776
1475
  end
777
1476
 
1477
+ if attributes.has_key?(:'child_eye_exam')
1478
+ self.child_eye_exam = attributes[:'child_eye_exam']
1479
+ end
1480
+
778
1481
  if attributes.has_key?(:'child_eyewear')
779
1482
  self.child_eyewear = attributes[:'child_eyewear']
780
1483
  end
781
1484
 
782
- if attributes.has_key?(:'child_eye_exam')
783
- self.child_eye_exam = attributes[:'child_eye_exam']
1485
+ if attributes.has_key?(:'chiropractic_services')
1486
+ self.chiropractic_services = attributes[:'chiropractic_services']
1487
+ end
1488
+
1489
+ if attributes.has_key?(:'coinsurance')
1490
+ self.coinsurance = attributes[:'coinsurance']
784
1491
  end
785
1492
 
786
1493
  if attributes.has_key?(:'customer_service_phone_number')
787
1494
  self.customer_service_phone_number = attributes[:'customer_service_phone_number']
788
1495
  end
789
1496
 
790
- if attributes.has_key?(:'durable_medical_equipment')
791
- self.durable_medical_equipment = attributes[:'durable_medical_equipment']
1497
+ if attributes.has_key?(:'dependent_premium')
1498
+ self.dependent_premium = attributes[:'dependent_premium']
792
1499
  end
793
1500
 
794
1501
  if attributes.has_key?(:'diagnostic_test')
795
1502
  self.diagnostic_test = attributes[:'diagnostic_test']
796
1503
  end
797
1504
 
1505
+ if attributes.has_key?(:'display_name')
1506
+ self.display_name = attributes[:'display_name']
1507
+ end
1508
+
798
1509
  if attributes.has_key?(:'dp_rider')
799
1510
  self.dp_rider = attributes[:'dp_rider']
800
1511
  end
@@ -803,10 +1514,30 @@ module VericredClient
803
1514
  self.drug_formulary_url = attributes[:'drug_formulary_url']
804
1515
  end
805
1516
 
1517
+ if attributes.has_key?(:'durable_medical_equipment')
1518
+ self.durable_medical_equipment = attributes[:'durable_medical_equipment']
1519
+ end
1520
+
1521
+ if attributes.has_key?(:'effective_date')
1522
+ self.effective_date = attributes[:'effective_date']
1523
+ end
1524
+
1525
+ if attributes.has_key?(:'embedded_deductible')
1526
+ self.embedded_deductible = attributes[:'embedded_deductible']
1527
+ end
1528
+
806
1529
  if attributes.has_key?(:'emergency_room')
807
1530
  self.emergency_room = attributes[:'emergency_room']
808
1531
  end
809
1532
 
1533
+ if attributes.has_key?(:'employee_premium')
1534
+ self.employee_premium = attributes[:'employee_premium']
1535
+ end
1536
+
1537
+ if attributes.has_key?(:'expiration_date')
1538
+ self.expiration_date = attributes[:'expiration_date']
1539
+ end
1540
+
810
1541
  if attributes.has_key?(:'family_drug_deductible')
811
1542
  self.family_drug_deductible = attributes[:'family_drug_deductible']
812
1543
  end
@@ -827,6 +1558,10 @@ module VericredClient
827
1558
  self.fp_rider = attributes[:'fp_rider']
828
1559
  end
829
1560
 
1561
+ if attributes.has_key?(:'gated')
1562
+ self.gated = attributes[:'gated']
1563
+ end
1564
+
830
1565
  if attributes.has_key?(:'generic_drugs')
831
1566
  self.generic_drugs = attributes[:'generic_drugs']
832
1567
  end
@@ -847,16 +1582,36 @@ module VericredClient
847
1582
  self.hospice_service = attributes[:'hospice_service']
848
1583
  end
849
1584
 
850
- if attributes.has_key?(:'hsa_eligible')
851
- self.hsa_eligible = attributes[:'hsa_eligible']
1585
+ if attributes.has_key?(:'hsa_eligible')
1586
+ self.hsa_eligible = attributes[:'hsa_eligible']
1587
+ end
1588
+
1589
+ if attributes.has_key?(:'id')
1590
+ self.id = attributes[:'id']
1591
+ end
1592
+
1593
+ if attributes.has_key?(:'identifiers')
1594
+ if (value = attributes[:'identifiers']).is_a?(Array)
1595
+ self.identifiers = value
1596
+ end
1597
+ end
1598
+
1599
+ if attributes.has_key?(:'imaging')
1600
+ self.imaging = attributes[:'imaging']
1601
+ end
1602
+
1603
+ if attributes.has_key?(:'imaging_center')
1604
+ self.imaging_center = attributes[:'imaging_center']
852
1605
  end
853
1606
 
854
- if attributes.has_key?(:'id')
855
- self.id = attributes[:'id']
1607
+ if attributes.has_key?(:'imaging_physician')
1608
+ self.imaging_physician = attributes[:'imaging_physician']
856
1609
  end
857
1610
 
858
- if attributes.has_key?(:'imaging')
859
- self.imaging = attributes[:'imaging']
1611
+ if attributes.has_key?(:'in_network_ids')
1612
+ if (value = attributes[:'in_network_ids']).is_a?(Array)
1613
+ self.in_network_ids = value
1614
+ end
860
1615
  end
861
1616
 
862
1617
  if attributes.has_key?(:'individual_drug_deductible')
@@ -895,10 +1650,8 @@ module VericredClient
895
1650
  self.inpatient_substance = attributes[:'inpatient_substance']
896
1651
  end
897
1652
 
898
- if attributes.has_key?(:'in_network_ids')
899
- if (value = attributes[:'in_network_ids']).is_a?(Array)
900
- self.in_network_ids = value
901
- end
1653
+ if attributes.has_key?(:'lab_test')
1654
+ self.lab_test = attributes[:'lab_test']
902
1655
  end
903
1656
 
904
1657
  if attributes.has_key?(:'level')
@@ -909,18 +1662,44 @@ module VericredClient
909
1662
  self.logo_url = attributes[:'logo_url']
910
1663
  end
911
1664
 
1665
+ if attributes.has_key?(:'mail_order_rx')
1666
+ self.mail_order_rx = attributes[:'mail_order_rx']
1667
+ end
1668
+
1669
+ if attributes.has_key?(:'match_percentage')
1670
+ self.match_percentage = attributes[:'match_percentage']
1671
+ end
1672
+
1673
+ if attributes.has_key?(:'name')
1674
+ self.name = attributes[:'name']
1675
+ end
1676
+
1677
+ if attributes.has_key?(:'network_ids')
1678
+ if (value = attributes[:'network_ids']).is_a?(Array)
1679
+ self.network_ids = value
1680
+ end
1681
+ end
1682
+
912
1683
  if attributes.has_key?(:'non_preferred_brand_drugs')
913
1684
  self.non_preferred_brand_drugs = attributes[:'non_preferred_brand_drugs']
914
1685
  end
915
1686
 
916
- if attributes.has_key?(:'on_market')
917
- self.on_market = attributes[:'on_market']
1687
+ if attributes.has_key?(:'nonpreferred_generic_drug_share')
1688
+ self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
1689
+ end
1690
+
1691
+ if attributes.has_key?(:'nonpreferred_specialty_drug_share')
1692
+ self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
918
1693
  end
919
1694
 
920
1695
  if attributes.has_key?(:'off_market')
921
1696
  self.off_market = attributes[:'off_market']
922
1697
  end
923
1698
 
1699
+ if attributes.has_key?(:'on_market')
1700
+ self.on_market = attributes[:'on_market']
1701
+ end
1702
+
924
1703
  if attributes.has_key?(:'out_of_network_coverage')
925
1704
  self.out_of_network_coverage = attributes[:'out_of_network_coverage']
926
1705
  end
@@ -931,6 +1710,10 @@ module VericredClient
931
1710
  end
932
1711
  end
933
1712
 
1713
+ if attributes.has_key?(:'outpatient_ambulatory_care_center')
1714
+ self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
1715
+ end
1716
+
934
1717
  if attributes.has_key?(:'outpatient_facility')
935
1718
  self.outpatient_facility = attributes[:'outpatient_facility']
936
1719
  end
@@ -947,24 +1730,28 @@ module VericredClient
947
1730
  self.outpatient_substance = attributes[:'outpatient_substance']
948
1731
  end
949
1732
 
950
- if attributes.has_key?(:'plan_market')
951
- self.plan_market = attributes[:'plan_market']
1733
+ if attributes.has_key?(:'perfect_match_percentage')
1734
+ self.perfect_match_percentage = attributes[:'perfect_match_percentage']
952
1735
  end
953
1736
 
954
- if attributes.has_key?(:'preferred_brand_drugs')
955
- self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
1737
+ if attributes.has_key?(:'plan_calendar')
1738
+ self.plan_calendar = attributes[:'plan_calendar']
956
1739
  end
957
1740
 
958
- if attributes.has_key?(:'prenatal_postnatal_care')
959
- self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
1741
+ if attributes.has_key?(:'plan_market')
1742
+ self.plan_market = attributes[:'plan_market']
960
1743
  end
961
1744
 
962
- if attributes.has_key?(:'preventative_care')
963
- self.preventative_care = attributes[:'preventative_care']
1745
+ if attributes.has_key?(:'plan_type')
1746
+ self.plan_type = attributes[:'plan_type']
964
1747
  end
965
1748
 
966
- if attributes.has_key?(:'premium_subsidized')
967
- self.premium_subsidized = attributes[:'premium_subsidized']
1749
+ if attributes.has_key?(:'postnatal_care')
1750
+ self.postnatal_care = attributes[:'postnatal_care']
1751
+ end
1752
+
1753
+ if attributes.has_key?(:'preferred_brand_drugs')
1754
+ self.preferred_brand_drugs = attributes[:'preferred_brand_drugs']
968
1755
  end
969
1756
 
970
1757
  if attributes.has_key?(:'premium')
@@ -975,108 +1762,60 @@ module VericredClient
975
1762
  self.premium_source = attributes[:'premium_source']
976
1763
  end
977
1764
 
978
- if attributes.has_key?(:'primary_care_physician')
979
- self.primary_care_physician = attributes[:'primary_care_physician']
980
- end
981
-
982
- if attributes.has_key?(:'rehabilitation_services')
983
- self.rehabilitation_services = attributes[:'rehabilitation_services']
984
- end
985
-
986
- if attributes.has_key?(:'skilled_nursing')
987
- self.skilled_nursing = attributes[:'skilled_nursing']
988
- end
989
-
990
- if attributes.has_key?(:'specialist')
991
- self.specialist = attributes[:'specialist']
992
- end
993
-
994
- if attributes.has_key?(:'specialty_drugs')
995
- self.specialty_drugs = attributes[:'specialty_drugs']
996
- end
997
-
998
- if attributes.has_key?(:'urgent_care')
999
- self.urgent_care = attributes[:'urgent_care']
1000
- end
1001
-
1002
- if attributes.has_key?(:'actuarial_value')
1003
- self.actuarial_value = attributes[:'actuarial_value']
1004
- end
1005
-
1006
- if attributes.has_key?(:'chiropractic_services')
1007
- self.chiropractic_services = attributes[:'chiropractic_services']
1008
- end
1009
-
1010
- if attributes.has_key?(:'coinsurance')
1011
- self.coinsurance = attributes[:'coinsurance']
1012
- end
1013
-
1014
- if attributes.has_key?(:'embedded_deductible')
1015
- self.embedded_deductible = attributes[:'embedded_deductible']
1016
- end
1017
-
1018
- if attributes.has_key?(:'gated')
1019
- self.gated = attributes[:'gated']
1020
- end
1021
-
1022
- if attributes.has_key?(:'imaging_center')
1023
- self.imaging_center = attributes[:'imaging_center']
1024
- end
1025
-
1026
- if attributes.has_key?(:'imaging_physician')
1027
- self.imaging_physician = attributes[:'imaging_physician']
1028
- end
1029
-
1030
- if attributes.has_key?(:'lab_test')
1031
- self.lab_test = attributes[:'lab_test']
1765
+ if attributes.has_key?(:'premium_subsidized')
1766
+ self.premium_subsidized = attributes[:'premium_subsidized']
1032
1767
  end
1033
1768
 
1034
- if attributes.has_key?(:'mail_order_rx')
1035
- self.mail_order_rx = attributes[:'mail_order_rx']
1769
+ if attributes.has_key?(:'prenatal_care')
1770
+ self.prenatal_care = attributes[:'prenatal_care']
1036
1771
  end
1037
1772
 
1038
- if attributes.has_key?(:'nonpreferred_generic_drug_share')
1039
- self.nonpreferred_generic_drug_share = attributes[:'nonpreferred_generic_drug_share']
1773
+ if attributes.has_key?(:'prenatal_postnatal_care')
1774
+ self.prenatal_postnatal_care = attributes[:'prenatal_postnatal_care']
1040
1775
  end
1041
1776
 
1042
- if attributes.has_key?(:'nonpreferred_specialty_drug_share')
1043
- self.nonpreferred_specialty_drug_share = attributes[:'nonpreferred_specialty_drug_share']
1777
+ if attributes.has_key?(:'preventative_care')
1778
+ self.preventative_care = attributes[:'preventative_care']
1044
1779
  end
1045
1780
 
1046
- if attributes.has_key?(:'outpatient_ambulatory_care_center')
1047
- self.outpatient_ambulatory_care_center = attributes[:'outpatient_ambulatory_care_center']
1781
+ if attributes.has_key?(:'primary_care_physician')
1782
+ self.primary_care_physician = attributes[:'primary_care_physician']
1048
1783
  end
1049
1784
 
1050
- if attributes.has_key?(:'plan_calendar')
1051
- self.plan_calendar = attributes[:'plan_calendar']
1785
+ if attributes.has_key?(:'rehabilitation_services')
1786
+ self.rehabilitation_services = attributes[:'rehabilitation_services']
1052
1787
  end
1053
1788
 
1054
- if attributes.has_key?(:'prenatal_care')
1055
- self.prenatal_care = attributes[:'prenatal_care']
1789
+ if attributes.has_key?(:'service_area_id')
1790
+ self.service_area_id = attributes[:'service_area_id']
1056
1791
  end
1057
1792
 
1058
- if attributes.has_key?(:'postnatal_care')
1059
- self.postnatal_care = attributes[:'postnatal_care']
1793
+ if attributes.has_key?(:'skilled_nursing')
1794
+ self.skilled_nursing = attributes[:'skilled_nursing']
1060
1795
  end
1061
1796
 
1062
1797
  if attributes.has_key?(:'skilled_nursing_facility_365')
1063
1798
  self.skilled_nursing_facility_365 = attributes[:'skilled_nursing_facility_365']
1064
1799
  end
1065
1800
 
1066
- if attributes.has_key?(:'match_percentage')
1067
- self.match_percentage = attributes[:'match_percentage']
1801
+ if attributes.has_key?(:'source')
1802
+ self.source = attributes[:'source']
1068
1803
  end
1069
1804
 
1070
- if attributes.has_key?(:'perfect_match_percentage')
1071
- self.perfect_match_percentage = attributes[:'perfect_match_percentage']
1805
+ if attributes.has_key?(:'specialist')
1806
+ self.specialist = attributes[:'specialist']
1072
1807
  end
1073
1808
 
1074
- if attributes.has_key?(:'employee_premium')
1075
- self.employee_premium = attributes[:'employee_premium']
1809
+ if attributes.has_key?(:'specialty_drugs')
1810
+ self.specialty_drugs = attributes[:'specialty_drugs']
1076
1811
  end
1077
1812
 
1078
- if attributes.has_key?(:'dependent_premium')
1079
- self.dependent_premium = attributes[:'dependent_premium']
1813
+ if attributes.has_key?(:'type')
1814
+ self.type = attributes[:'type']
1815
+ end
1816
+
1817
+ if attributes.has_key?(:'urgent_care')
1818
+ self.urgent_care = attributes[:'urgent_care']
1080
1819
  end
1081
1820
 
1082
1821
  end
@@ -1099,36 +1838,36 @@ module VericredClient
1099
1838
  def ==(o)
1100
1839
  return true if self.equal?(o)
1101
1840
  self.class == o.class &&
1102
- carrier_name == o.carrier_name &&
1103
- display_name == o.display_name &&
1104
- effective_date == o.effective_date &&
1105
- expiration_date == o.expiration_date &&
1106
- identifiers == o.identifiers &&
1107
- name == o.name &&
1108
- network_ids == o.network_ids &&
1109
- plan_type == o.plan_type &&
1110
- service_area_id == o.service_area_id &&
1111
- source == o.source &&
1112
- type == o.type &&
1841
+ actuarial_value == o.actuarial_value &&
1113
1842
  adult_dental == o.adult_dental &&
1114
1843
  age29_rider == o.age29_rider &&
1115
1844
  ambulance == o.ambulance &&
1116
1845
  benefits_summary_url == o.benefits_summary_url &&
1117
1846
  buy_link == o.buy_link &&
1847
+ carrier_name == o.carrier_name &&
1118
1848
  child_dental == o.child_dental &&
1119
- child_eyewear == o.child_eyewear &&
1120
1849
  child_eye_exam == o.child_eye_exam &&
1850
+ child_eyewear == o.child_eyewear &&
1851
+ chiropractic_services == o.chiropractic_services &&
1852
+ coinsurance == o.coinsurance &&
1121
1853
  customer_service_phone_number == o.customer_service_phone_number &&
1122
- durable_medical_equipment == o.durable_medical_equipment &&
1854
+ dependent_premium == o.dependent_premium &&
1123
1855
  diagnostic_test == o.diagnostic_test &&
1856
+ display_name == o.display_name &&
1124
1857
  dp_rider == o.dp_rider &&
1125
1858
  drug_formulary_url == o.drug_formulary_url &&
1859
+ durable_medical_equipment == o.durable_medical_equipment &&
1860
+ effective_date == o.effective_date &&
1861
+ embedded_deductible == o.embedded_deductible &&
1126
1862
  emergency_room == o.emergency_room &&
1863
+ employee_premium == o.employee_premium &&
1864
+ expiration_date == o.expiration_date &&
1127
1865
  family_drug_deductible == o.family_drug_deductible &&
1128
1866
  family_drug_moop == o.family_drug_moop &&
1129
1867
  family_medical_deductible == o.family_medical_deductible &&
1130
1868
  family_medical_moop == o.family_medical_moop &&
1131
1869
  fp_rider == o.fp_rider &&
1870
+ gated == o.gated &&
1132
1871
  generic_drugs == o.generic_drugs &&
1133
1872
  habilitation_services == o.habilitation_services &&
1134
1873
  hios_issuer_id == o.hios_issuer_id &&
@@ -1136,7 +1875,11 @@ module VericredClient
1136
1875
  hospice_service == o.hospice_service &&
1137
1876
  hsa_eligible == o.hsa_eligible &&
1138
1877
  id == o.id &&
1878
+ identifiers == o.identifiers &&
1139
1879
  imaging == o.imaging &&
1880
+ imaging_center == o.imaging_center &&
1881
+ imaging_physician == o.imaging_physician &&
1882
+ in_network_ids == o.in_network_ids &&
1140
1883
  individual_drug_deductible == o.individual_drug_deductible &&
1141
1884
  individual_drug_moop == o.individual_drug_moop &&
1142
1885
  individual_medical_deductible == o.individual_medical_deductible &&
@@ -1146,51 +1889,47 @@ module VericredClient
1146
1889
  inpatient_mental_health == o.inpatient_mental_health &&
1147
1890
  inpatient_physician == o.inpatient_physician &&
1148
1891
  inpatient_substance == o.inpatient_substance &&
1149
- in_network_ids == o.in_network_ids &&
1892
+ lab_test == o.lab_test &&
1150
1893
  level == o.level &&
1151
1894
  logo_url == o.logo_url &&
1895
+ mail_order_rx == o.mail_order_rx &&
1896
+ match_percentage == o.match_percentage &&
1897
+ name == o.name &&
1898
+ network_ids == o.network_ids &&
1152
1899
  non_preferred_brand_drugs == o.non_preferred_brand_drugs &&
1153
- on_market == o.on_market &&
1900
+ nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
1901
+ nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
1154
1902
  off_market == o.off_market &&
1903
+ on_market == o.on_market &&
1155
1904
  out_of_network_coverage == o.out_of_network_coverage &&
1156
1905
  out_of_network_ids == o.out_of_network_ids &&
1906
+ outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
1157
1907
  outpatient_facility == o.outpatient_facility &&
1158
1908
  outpatient_mental_health == o.outpatient_mental_health &&
1159
1909
  outpatient_physician == o.outpatient_physician &&
1160
1910
  outpatient_substance == o.outpatient_substance &&
1911
+ perfect_match_percentage == o.perfect_match_percentage &&
1912
+ plan_calendar == o.plan_calendar &&
1161
1913
  plan_market == o.plan_market &&
1914
+ plan_type == o.plan_type &&
1915
+ postnatal_care == o.postnatal_care &&
1162
1916
  preferred_brand_drugs == o.preferred_brand_drugs &&
1163
- prenatal_postnatal_care == o.prenatal_postnatal_care &&
1164
- preventative_care == o.preventative_care &&
1165
- premium_subsidized == o.premium_subsidized &&
1166
1917
  premium == o.premium &&
1167
1918
  premium_source == o.premium_source &&
1919
+ premium_subsidized == o.premium_subsidized &&
1920
+ prenatal_care == o.prenatal_care &&
1921
+ prenatal_postnatal_care == o.prenatal_postnatal_care &&
1922
+ preventative_care == o.preventative_care &&
1168
1923
  primary_care_physician == o.primary_care_physician &&
1169
1924
  rehabilitation_services == o.rehabilitation_services &&
1925
+ service_area_id == o.service_area_id &&
1170
1926
  skilled_nursing == o.skilled_nursing &&
1927
+ skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
1928
+ source == o.source &&
1171
1929
  specialist == o.specialist &&
1172
1930
  specialty_drugs == o.specialty_drugs &&
1173
- urgent_care == o.urgent_care &&
1174
- actuarial_value == o.actuarial_value &&
1175
- chiropractic_services == o.chiropractic_services &&
1176
- coinsurance == o.coinsurance &&
1177
- embedded_deductible == o.embedded_deductible &&
1178
- gated == o.gated &&
1179
- imaging_center == o.imaging_center &&
1180
- imaging_physician == o.imaging_physician &&
1181
- lab_test == o.lab_test &&
1182
- mail_order_rx == o.mail_order_rx &&
1183
- nonpreferred_generic_drug_share == o.nonpreferred_generic_drug_share &&
1184
- nonpreferred_specialty_drug_share == o.nonpreferred_specialty_drug_share &&
1185
- outpatient_ambulatory_care_center == o.outpatient_ambulatory_care_center &&
1186
- plan_calendar == o.plan_calendar &&
1187
- prenatal_care == o.prenatal_care &&
1188
- postnatal_care == o.postnatal_care &&
1189
- skilled_nursing_facility_365 == o.skilled_nursing_facility_365 &&
1190
- match_percentage == o.match_percentage &&
1191
- perfect_match_percentage == o.perfect_match_percentage &&
1192
- employee_premium == o.employee_premium &&
1193
- dependent_premium == o.dependent_premium
1931
+ type == o.type &&
1932
+ urgent_care == o.urgent_care
1194
1933
  end
1195
1934
 
1196
1935
  # @see the `==` method
@@ -1202,7 +1941,7 @@ module VericredClient
1202
1941
  # Calculates hash code according to all attributes.
1203
1942
  # @return [Fixnum] Hash code
1204
1943
  def hash
1205
- [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, match_percentage, perfect_match_percentage, employee_premium, dependent_premium].hash
1944
+ [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, 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
1206
1945
  end
1207
1946
 
1208
1947
  # Builds the object from hash