vericred_client 0.0.23 → 0.0.25
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- checksums.yaml +4 -4
- data/README.md +826 -28
- data/docs/ACAPlan.md +35 -35
- data/docs/ACAPlan2018.md +36 -36
- data/docs/ACAPlan2018SearchResponse.md +1 -1
- data/docs/ACAPlan2018SearchResult.md +39 -39
- data/docs/ACAPlanPre2018.md +35 -35
- data/docs/ACAPlanPre2018SearchResponse.md +1 -1
- data/docs/ACAPlanPre2018SearchResult.md +38 -38
- data/docs/Address.md +14 -0
- data/docs/AncillaryPlanIdentifier.md +9 -0
- data/docs/BasePlanSearchResponse.md +1 -1
- data/docs/CarrierGroupRequest.md +1 -1
- data/docs/CarrierRequest.md +2 -2
- data/docs/CarrierSubsidiary.md +2 -2
- data/docs/CarrierVerificationDentalPlansApi.md +63 -0
- data/docs/CarrierVerificationMedicalPlansApi.md +63 -0
- data/docs/CarrierVerificationVisionPlansApi.md +63 -0
- data/docs/County.md +1 -1
- data/docs/CountyBulk.md +1 -1
- data/docs/DentalPlan.md +7 -7
- data/docs/DentalPlanBenefits.md +22 -22
- data/docs/DentalPlanSearchRequest.md +1 -2
- data/docs/DentalPlanUpdate.md +5 -5
- data/docs/DentalPlansApi.md +118 -4
- data/docs/DependentCreate.md +12 -0
- data/docs/DependentCreateRequest.md +12 -0
- data/docs/DependentShow.md +12 -0
- data/docs/Drug.md +3 -3
- data/docs/DrugCoverage.md +3 -3
- data/docs/DrugCoverageResponse.md +2 -2
- data/docs/DrugPackage.md +1 -1
- data/docs/DrugSearchResponse.md +2 -2
- data/docs/EmbargoRequest.md +3 -2
- data/docs/FormularyResponse.md +1 -1
- data/docs/GroupCreate.md +14 -0
- data/docs/GroupCreateRequest.md +9 -0
- data/docs/GroupCreateResponse.md +9 -0
- data/docs/GroupShow.md +15 -0
- data/docs/GroupShowResponse.md +9 -0
- data/docs/GroupUpdate.md +14 -0
- data/docs/GroupUpdateRequest.md +9 -0
- data/docs/IssuerRequest.md +7 -7
- data/docs/LocationCreate.md +13 -0
- data/docs/LocationShow.md +14 -0
- data/docs/LocationUpdate.md +14 -0
- data/docs/MajorMedicalPlansApi.md +122 -0
- data/docs/MedicalPlanBenefits.md +35 -35
- data/docs/MedicalPlanUpdate.md +21 -20
- data/docs/MedicalPlansApi.md +0 -114
- data/docs/MedicareAdvantagePlan.md +25 -0
- data/docs/MedicareAdvantagePlanBenefits.md +148 -0
- data/docs/MedicareAdvantagePlanSearchRequest.md +12 -0
- data/docs/MedicareAdvantagePlanSearchResponse.md +9 -0
- data/docs/MedicareAdvantagePlanShowResponse.md +8 -0
- data/docs/MemberCreate.md +17 -0
- data/docs/MemberRateShow.md +13 -0
- data/docs/MemberRateShowRequest.md +10 -0
- data/docs/MemberRatesShowResponse.md +9 -0
- data/docs/MemberShow.md +18 -0
- data/docs/MembersCreateRequest.md +9 -0
- data/docs/MembersCreateResponse.md +8 -0
- data/docs/MembersShowResponse.md +8 -0
- data/docs/MetaPlanSearchResponse.md +1 -1
- data/docs/NetworkComparisonResponse.md +1 -1
- data/docs/NetworkDetails.md +1 -1
- data/docs/NetworkSize.md +1 -1
- data/docs/NetworksApi.md +17 -12
- data/docs/PlanCounty.md +1 -1
- data/docs/PlanCountyBulk.md +1 -1
- data/docs/PlanMedicare.md +1 -1
- data/docs/PlanMedicareBulk.md +2 -2
- data/docs/PlanPricingMedicare.md +3 -3
- data/docs/PlanSearchResponse.md +1 -1
- data/docs/PlansApi.md +0 -169
- data/docs/PlansBulkACA2018.md +8 -0
- data/docs/PlansBulkACAPre2018.md +8 -0
- data/docs/PlansBulkBase.md +7 -0
- data/docs/PlansBulkDental.md +7 -0
- data/docs/PlansBulkVision.md +7 -0
- data/docs/Provider.md +2 -2
- data/docs/ProviderDetails.md +5 -3
- data/docs/ProviderNetworkEventNotification.md +3 -3
- data/docs/ProviderNetworks.md +11 -0
- data/docs/ProviderShowResponse.md +1 -1
- data/docs/ProvidersApi.md +1 -56
- data/docs/QuoteCreate.md +15 -0
- data/docs/QuoteCreateRequest.md +8 -0
- data/docs/QuoteCreateResponse.md +8 -0
- data/docs/QuoteShow.md +17 -0
- data/docs/QuoteShowResponse.md +8 -0
- data/docs/QuotingApi.md +344 -0
- data/docs/RateRequest.md +24 -24
- data/docs/RateSearch.md +23 -18
- data/docs/RateShow.md +12 -0
- data/docs/RateShowRequest.md +10 -0
- data/docs/RatesShowResponse.md +9 -0
- data/docs/RequestPlanFind.md +2 -2
- data/docs/RequestPlanFindCarrierVerification.md +3 -3
- data/docs/RequestProviderNotificationSubscription.md +1 -1
- data/docs/RequestProvidersSearch.md +1 -1
- data/docs/RequestRatesSearch.md +1 -1
- data/docs/RxCuiIdentifier.md +1 -1
- data/docs/RxCuiIdentifierSearchResponse.md +1 -1
- data/docs/State.md +2 -2
- data/docs/SupplementalOptions.md +13 -0
- data/docs/V7Network.md +10 -0
- data/docs/V7NetworkComparisonResponse.md +9 -0
- data/docs/V7NetworkDetails.md +11 -0
- data/docs/V7NetworkDetailsResponse.md +8 -0
- data/docs/V7NetworkSearchResponse.md +9 -0
- data/docs/V7ProviderDetails.md +33 -0
- data/docs/V7ProviderNetworks.md +12 -0
- data/docs/VisionPlan.md +7 -7
- data/docs/VisionPlanBenefits.md +22 -15
- data/docs/VisionPlanSearchRequest.md +1 -2
- data/docs/VisionPlanUpdate.md +5 -5
- data/docs/VisionPlansApi.md +114 -0
- data/docs/ZipCountiesResponse.md +1 -1
- data/docs/ZipCountyBulk.md +1 -1
- data/lib/vericred_client/api/carrier_groups_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_dental_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_medical_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carrier_verification_plans_api.rb +754 -15
- data/lib/vericred_client/api/carrier_verification_vision_plans_api.rb +1026 -0
- data/lib/vericred_client/api/carriers_api.rb +754 -15
- data/lib/vericred_client/api/dental_plans_api.rb +874 -18
- data/lib/vericred_client/api/drug_coverages_api.rb +754 -15
- data/lib/vericred_client/api/drug_packages_api.rb +754 -15
- data/lib/vericred_client/api/drugs_api.rb +754 -15
- data/lib/vericred_client/api/embargoes_api.rb +754 -15
- data/lib/vericred_client/api/formularies_api.rb +754 -15
- data/lib/vericred_client/api/issuers_api.rb +754 -15
- data/lib/vericred_client/api/major_medical_plans_api.rb +1086 -0
- data/lib/vericred_client/api/medical_plans_api.rb +754 -132
- data/lib/vericred_client/api/network_sizes_api.rb +754 -15
- data/lib/vericred_client/api/networks_api.rb +773 -27
- data/lib/vericred_client/api/plans_api.rb +754 -189
- data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +754 -15
- data/lib/vericred_client/api/providers_api.rb +756 -74
- data/lib/vericred_client/api/quoting_api.rb +1316 -0
- data/lib/vericred_client/api/rates_api.rb +754 -15
- data/lib/vericred_client/api/vision_plans_api.rb +871 -15
- data/lib/vericred_client/api/zip_counties_api.rb +754 -15
- data/lib/vericred_client/api_client.rb +754 -15
- data/lib/vericred_client/api_error.rb +754 -15
- data/lib/vericred_client/configuration.rb +754 -15
- data/lib/vericred_client/models/aca_plan.rb +1165 -426
- data/lib/vericred_client/models/aca_plan2018.rb +1174 -435
- data/lib/vericred_client/models/aca_plan2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan2018_search_result.rb +1203 -464
- data/lib/vericred_client/models/aca_plan2018_show_response.rb +754 -15
- data/lib/vericred_client/models/aca_plan_pre2018.rb +1165 -426
- data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +765 -26
- data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +1202 -463
- data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +754 -15
- data/lib/vericred_client/models/address.rb +1195 -0
- data/lib/vericred_client/models/ancillary_plan_identifier.rb +1145 -0
- data/lib/vericred_client/models/base.rb +754 -15
- data/lib/vericred_client/models/base_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/carrier.rb +754 -15
- data/lib/vericred_client/models/carrier_group_request.rb +765 -26
- data/lib/vericred_client/models/carrier_request.rb +769 -30
- data/lib/vericred_client/models/carrier_subsidiary.rb +778 -39
- data/lib/vericred_client/models/county.rb +765 -26
- data/lib/vericred_client/models/county_bulk.rb +768 -29
- data/lib/vericred_client/models/dental_plan.rb +825 -86
- data/lib/vericred_client/models/dental_plan_benefits.rb +927 -188
- data/lib/vericred_client/models/dental_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/dental_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/dental_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/dental_plan_update.rb +804 -65
- data/lib/vericred_client/models/dental_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/dependent_create.rb +1175 -0
- data/lib/vericred_client/models/dependent_create_request.rb +1175 -0
- data/lib/vericred_client/models/dependent_show.rb +1175 -0
- data/lib/vericred_client/models/drug.rb +781 -42
- data/lib/vericred_client/models/drug_coverage.rb +781 -42
- data/lib/vericred_client/models/drug_coverage_response.rb +769 -30
- data/lib/vericred_client/models/drug_package.rb +765 -26
- data/lib/vericred_client/models/drug_search_response.rb +771 -32
- data/lib/vericred_client/models/embargo_request.rb +790 -39
- data/lib/vericred_client/models/formulary.rb +754 -15
- data/lib/vericred_client/models/formulary_drug_package_response.rb +754 -15
- data/lib/vericred_client/models/formulary_response.rb +768 -29
- data/lib/vericred_client/models/group_create.rb +1195 -0
- data/lib/vericred_client/models/group_create_request.rb +1147 -0
- data/lib/vericred_client/models/group_create_response.rb +1147 -0
- data/lib/vericred_client/models/group_show.rb +1205 -0
- data/lib/vericred_client/models/group_show_response.rb +1147 -0
- data/lib/vericred_client/models/group_update.rb +1195 -0
- data/lib/vericred_client/models/group_update_request.rb +1147 -0
- data/lib/vericred_client/models/issuer_request.rb +819 -80
- data/lib/vericred_client/models/location_create.rb +1185 -0
- data/lib/vericred_client/models/location_show.rb +1195 -0
- data/lib/vericred_client/models/location_update.rb +1195 -0
- data/lib/vericred_client/models/medical_plan_benefits.rb +1084 -345
- data/lib/vericred_client/models/medical_plan_update.rb +930 -181
- data/lib/vericred_client/models/medical_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/medicare_advantage_plan.rb +1309 -0
- data/lib/vericred_client/models/medicare_advantage_plan_benefits.rb +2535 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_request.rb +1175 -0
- data/lib/vericred_client/models/medicare_advantage_plan_search_response.rb +1147 -0
- data/lib/vericred_client/models/medicare_advantage_plan_show_response.rb +1135 -0
- data/lib/vericred_client/models/member_create.rb +1227 -0
- data/lib/vericred_client/models/member_rate_show.rb +1185 -0
- data/lib/vericred_client/models/member_rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/member_rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/member_show.rb +1237 -0
- data/lib/vericred_client/models/members_create_request.rb +1147 -0
- data/lib/vericred_client/models/members_create_response.rb +1137 -0
- data/lib/vericred_client/models/members_show_response.rb +1137 -0
- data/lib/vericred_client/models/meta.rb +754 -15
- data/lib/vericred_client/models/meta_plan_search_response.rb +768 -29
- data/lib/vericred_client/models/network.rb +754 -15
- data/lib/vericred_client/models/network_comparison.rb +754 -15
- data/lib/vericred_client/models/network_comparison_request.rb +754 -15
- data/lib/vericred_client/models/network_comparison_response.rb +770 -31
- data/lib/vericred_client/models/network_details.rb +770 -31
- data/lib/vericred_client/models/network_details_response.rb +754 -15
- data/lib/vericred_client/models/network_search_response.rb +754 -15
- data/lib/vericred_client/models/network_size.rb +765 -26
- data/lib/vericred_client/models/notification_subscription.rb +754 -15
- data/lib/vericred_client/models/notification_subscription_response.rb +754 -15
- data/lib/vericred_client/models/plan.rb +754 -15
- data/lib/vericred_client/models/plan_county.rb +768 -29
- data/lib/vericred_client/models/plan_county_bulk.rb +768 -29
- data/lib/vericred_client/models/plan_deleted.rb +754 -15
- data/lib/vericred_client/models/plan_identifier.rb +754 -15
- data/lib/vericred_client/models/plan_medicare.rb +768 -29
- data/lib/vericred_client/models/plan_medicare_bulk.rb +775 -36
- data/lib/vericred_client/models/plan_pricing_medicare.rb +782 -43
- data/lib/vericred_client/models/plan_search_response.rb +765 -26
- data/lib/vericred_client/models/plan_show_response.rb +754 -15
- data/lib/vericred_client/models/plans_bulk_aca2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_aca_pre2018.rb +1135 -0
- data/lib/vericred_client/models/plans_bulk_base.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_dental.rb +1125 -0
- data/lib/vericred_client/models/plans_bulk_vision.rb +1125 -0
- data/lib/vericred_client/models/provider.rb +780 -41
- data/lib/vericred_client/models/provider_details.rb +813 -50
- data/lib/vericred_client/models/provider_geocode.rb +754 -15
- data/lib/vericred_client/models/provider_network_event_notification.rb +790 -51
- data/lib/vericred_client/models/provider_networks.rb +1165 -0
- data/lib/vericred_client/models/provider_show_response.rb +755 -16
- data/lib/vericred_client/models/providers_geocode_response.rb +754 -15
- data/lib/vericred_client/models/providers_search_response.rb +754 -15
- data/lib/vericred_client/models/quote_create.rb +1207 -0
- data/lib/vericred_client/models/quote_create_request.rb +1135 -0
- data/lib/vericred_client/models/quote_create_response.rb +1135 -0
- data/lib/vericred_client/models/quote_show.rb +1227 -0
- data/lib/vericred_client/models/quote_show_response.rb +1135 -0
- data/lib/vericred_client/models/rate_request.rb +990 -251
- data/lib/vericred_client/models/rate_search.rb +978 -189
- data/lib/vericred_client/models/rate_show.rb +1175 -0
- data/lib/vericred_client/models/rate_show_request.rb +1155 -0
- data/lib/vericred_client/models/rates_show_response.rb +1147 -0
- data/lib/vericred_client/models/rating_area.rb +754 -15
- data/lib/vericred_client/models/request_plan_find.rb +777 -38
- data/lib/vericred_client/models/request_plan_find_applicant.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +792 -53
- data/lib/vericred_client/models/request_plan_find_drug_package.rb +754 -15
- data/lib/vericred_client/models/request_plan_find_provider.rb +754 -15
- data/lib/vericred_client/models/request_provider_notification_subscription.rb +768 -29
- data/lib/vericred_client/models/request_providers_search.rb +767 -26
- data/lib/vericred_client/models/request_rates_search.rb +768 -29
- data/lib/vericred_client/models/response_rates_search.rb +754 -15
- data/lib/vericred_client/models/rx_cui_identifier.rb +765 -26
- data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +768 -29
- data/lib/vericred_client/models/service_area.rb +754 -15
- data/lib/vericred_client/models/service_area_zip_county.rb +754 -15
- data/lib/vericred_client/models/state.rb +778 -39
- data/lib/vericred_client/models/state_network_size_request.rb +754 -15
- data/lib/vericred_client/models/state_network_size_response.rb +754 -15
- data/lib/vericred_client/models/supplemental_options.rb +1187 -0
- data/lib/vericred_client/models/v7_network.rb +1155 -0
- data/lib/vericred_client/models/v7_network_comparison_response.rb +1149 -0
- data/lib/vericred_client/models/v7_network_details.rb +1167 -0
- data/lib/vericred_client/models/v7_network_details_response.rb +1135 -0
- data/lib/vericred_client/models/v7_network_search_response.rb +1147 -0
- data/lib/vericred_client/models/v7_provider_details.rb +1395 -0
- data/lib/vericred_client/models/v7_provider_networks.rb +1175 -0
- data/lib/vericred_client/models/vision_plan.rb +825 -86
- data/lib/vericred_client/models/vision_plan_benefits.rb +937 -128
- data/lib/vericred_client/models/vision_plan_search_applicant.rb +754 -15
- data/lib/vericred_client/models/vision_plan_search_request.rb +768 -39
- data/lib/vericred_client/models/vision_plan_search_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_show_response.rb +754 -15
- data/lib/vericred_client/models/vision_plan_update.rb +804 -65
- data/lib/vericred_client/models/vision_plan_update_request.rb +754 -15
- data/lib/vericred_client/models/zip_code.rb +754 -15
- data/lib/vericred_client/models/zip_counties_response.rb +770 -31
- data/lib/vericred_client/models/zip_county.rb +754 -15
- data/lib/vericred_client/models/zip_county_bulk.rb +765 -26
- data/lib/vericred_client/models/zip_county_response.rb +754 -15
- data/lib/vericred_client/version.rb +755 -16
- data/lib/vericred_client.rb +809 -15
- data/spec/api/carrier_groups_api_spec.rb +754 -15
- data/spec/api/carrier_verification_dental_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_medical_plans_api_spec.rb +993 -0
- data/spec/api/carrier_verification_plans_api_spec.rb +754 -15
- data/spec/api/carrier_verification_vision_plans_api_spec.rb +993 -0
- data/spec/api/carriers_api_spec.rb +754 -15
- data/spec/api/dental_plans_api_spec.rb +780 -16
- data/spec/api/drug_coverages_api_spec.rb +754 -15
- data/spec/api/drug_packages_api_spec.rb +754 -15
- data/spec/api/drugs_api_spec.rb +754 -15
- data/spec/api/embargoes_api_spec.rb +754 -15
- data/spec/api/formularies_api_spec.rb +754 -15
- data/spec/api/issuers_api_spec.rb +754 -15
- data/spec/api/major_medical_plans_api_spec.rb +1006 -0
- data/spec/api/medical_plans_api_spec.rb +754 -40
- data/spec/api/network_sizes_api_spec.rb +754 -15
- data/spec/api/networks_api_spec.rb +760 -18
- data/spec/api/plans_api_spec.rb +754 -52
- data/spec/api/provider_notification_subscriptions_api_spec.rb +754 -15
- data/spec/api/providers_api_spec.rb +755 -28
- data/spec/api/quoting_api_spec.rb +1055 -0
- data/spec/api/rates_api_spec.rb +754 -15
- data/spec/api/vision_plans_api_spec.rb +779 -15
- data/spec/api/zip_counties_api_spec.rb +754 -15
- data/spec/api_client_spec.rb +754 -15
- data/spec/configuration_spec.rb +754 -15
- data/spec/models/aca_plan2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan2018_spec.rb +843 -104
- data/spec/models/aca_plan_pre2018_search_response_spec.rb +756 -17
- data/spec/models/aca_plan_pre2018_search_result_spec.rb +839 -100
- data/spec/models/aca_plan_pre2018_show_response_spec.rb +754 -15
- data/spec/models/aca_plan_pre2018_spec.rb +837 -98
- data/spec/models/aca_plan_spec.rb +837 -98
- data/spec/models/address_spec.rb +1024 -0
- data/spec/models/ancillary_plan_identifier_spec.rb +994 -0
- data/spec/models/base_plan_search_response_spec.rb +756 -17
- data/spec/models/base_spec.rb +754 -15
- data/spec/models/carrier_group_request_spec.rb +756 -17
- data/spec/models/carrier_request_spec.rb +756 -17
- data/spec/models/carrier_spec.rb +754 -15
- data/spec/models/carrier_subsidiary_spec.rb +758 -19
- data/spec/models/county_bulk_spec.rb +757 -18
- data/spec/models/county_spec.rb +756 -17
- data/spec/models/dental_plan_benefits_spec.rb +782 -43
- data/spec/models/dental_plan_search_applicant_spec.rb +754 -15
- data/spec/models/dental_plan_search_request_spec.rb +758 -25
- data/spec/models/dental_plan_search_response_spec.rb +754 -15
- data/spec/models/dental_plan_show_response_spec.rb +754 -15
- data/spec/models/dental_plan_spec.rb +767 -28
- data/spec/models/dental_plan_update_request_spec.rb +754 -15
- data/spec/models/dental_plan_update_spec.rb +763 -24
- data/spec/models/dependent_create_request_spec.rb +1012 -0
- data/spec/models/dependent_create_spec.rb +1012 -0
- data/spec/models/dependent_show_spec.rb +1012 -0
- data/spec/models/drug_coverage_response_spec.rb +756 -17
- data/spec/models/drug_coverage_spec.rb +758 -19
- data/spec/models/drug_package_spec.rb +756 -17
- data/spec/models/drug_search_response_spec.rb +756 -17
- data/spec/models/drug_spec.rb +758 -19
- data/spec/models/embargo_request_spec.rb +766 -21
- data/spec/models/formulary_drug_package_response_spec.rb +754 -15
- data/spec/models/formulary_response_spec.rb +756 -17
- data/spec/models/formulary_spec.rb +754 -15
- data/spec/models/group_create_request_spec.rb +994 -0
- data/spec/models/group_create_response_spec.rb +994 -0
- data/spec/models/group_create_spec.rb +1024 -0
- data/spec/models/group_show_response_spec.rb +994 -0
- data/spec/models/group_show_spec.rb +1030 -0
- data/spec/models/group_update_request_spec.rb +994 -0
- data/spec/models/group_update_spec.rb +1024 -0
- data/spec/models/issuer_request_spec.rb +765 -26
- data/spec/models/location_create_spec.rb +1018 -0
- data/spec/models/location_show_spec.rb +1024 -0
- data/spec/models/location_update_spec.rb +1024 -0
- data/spec/models/medical_plan_benefits_spec.rb +801 -62
- data/spec/models/medical_plan_update_request_spec.rb +754 -15
- data/spec/models/medical_plan_update_spec.rb +792 -47
- data/spec/models/medicare_advantage_plan_benefits_spec.rb +1828 -0
- data/spec/models/medicare_advantage_plan_search_request_spec.rb +1012 -0
- data/spec/models/medicare_advantage_plan_search_response_spec.rb +994 -0
- data/spec/models/medicare_advantage_plan_show_response_spec.rb +988 -0
- data/spec/models/medicare_advantage_plan_spec.rb +1090 -0
- data/spec/models/member_create_spec.rb +1042 -0
- data/spec/models/member_rate_show_request_spec.rb +1000 -0
- data/spec/models/member_rate_show_spec.rb +1018 -0
- data/spec/models/member_rates_show_response_spec.rb +994 -0
- data/spec/models/member_show_spec.rb +1048 -0
- data/spec/models/members_create_request_spec.rb +994 -0
- data/spec/models/members_create_response_spec.rb +988 -0
- data/spec/models/members_show_response_spec.rb +988 -0
- data/spec/models/meta_plan_search_response_spec.rb +757 -18
- data/spec/models/meta_spec.rb +754 -15
- data/spec/models/network_comparison_request_spec.rb +754 -15
- data/spec/models/network_comparison_response_spec.rb +756 -17
- data/spec/models/network_comparison_spec.rb +754 -15
- data/spec/models/network_details_response_spec.rb +754 -15
- data/spec/models/network_details_spec.rb +757 -18
- data/spec/models/network_search_response_spec.rb +754 -15
- data/spec/models/network_size_spec.rb +756 -17
- data/spec/models/network_spec.rb +754 -15
- data/spec/models/notification_subscription_response_spec.rb +754 -15
- data/spec/models/notification_subscription_spec.rb +754 -15
- data/spec/models/plan_county_bulk_spec.rb +756 -17
- data/spec/models/plan_county_spec.rb +756 -17
- data/spec/models/plan_deleted_spec.rb +754 -15
- data/spec/models/plan_identifier_spec.rb +754 -15
- data/spec/models/plan_medicare_bulk_spec.rb +763 -24
- data/spec/models/plan_medicare_spec.rb +760 -21
- data/spec/models/plan_pricing_medicare_spec.rb +761 -22
- data/spec/models/plan_search_response_spec.rb +756 -17
- data/spec/models/plan_show_response_spec.rb +754 -15
- data/spec/models/plan_spec.rb +754 -15
- data/spec/models/plans_bulk_aca2018_spec.rb +988 -0
- data/spec/models/plans_bulk_aca_pre2018_spec.rb +988 -0
- data/spec/models/plans_bulk_base_spec.rb +982 -0
- data/spec/models/plans_bulk_dental_spec.rb +982 -0
- data/spec/models/plans_bulk_vision_spec.rb +982 -0
- data/spec/models/provider_details_spec.rb +779 -28
- data/spec/models/provider_geocode_spec.rb +754 -15
- data/spec/models/provider_network_event_notification_spec.rb +760 -21
- data/spec/models/provider_networks_spec.rb +1006 -0
- data/spec/models/provider_show_response_spec.rb +754 -15
- data/spec/models/provider_spec.rb +762 -23
- data/spec/models/providers_geocode_response_spec.rb +754 -15
- data/spec/models/providers_search_response_spec.rb +754 -15
- data/spec/models/quote_create_request_spec.rb +988 -0
- data/spec/models/quote_create_response_spec.rb +988 -0
- data/spec/models/quote_create_spec.rb +1030 -0
- data/spec/models/quote_show_response_spec.rb +988 -0
- data/spec/models/quote_show_spec.rb +1042 -0
- data/spec/models/rate_request_spec.rb +884 -145
- data/spec/models/rate_search_spec.rb +886 -117
- data/spec/models/rate_show_request_spec.rb +1000 -0
- data/spec/models/rate_show_spec.rb +1012 -0
- data/spec/models/rates_show_response_spec.rb +994 -0
- data/spec/models/rating_area_spec.rb +754 -15
- data/spec/models/request_plan_find_applicant_spec.rb +754 -15
- data/spec/models/request_plan_find_carrier_verification_spec.rb +761 -22
- data/spec/models/request_plan_find_drug_package_spec.rb +754 -15
- data/spec/models/request_plan_find_provider_spec.rb +754 -15
- data/spec/models/request_plan_find_spec.rb +759 -20
- data/spec/models/request_provider_notification_subscription_spec.rb +757 -18
- data/spec/models/request_providers_search_spec.rb +758 -19
- data/spec/models/request_rates_search_spec.rb +756 -17
- data/spec/models/response_rates_search_spec.rb +754 -15
- data/spec/models/rx_cui_identifier_search_response_spec.rb +756 -17
- data/spec/models/rx_cui_identifier_spec.rb +756 -17
- data/spec/models/service_area_spec.rb +754 -15
- data/spec/models/service_area_zip_county_spec.rb +754 -15
- data/spec/models/state_network_size_request_spec.rb +754 -15
- data/spec/models/state_network_size_response_spec.rb +754 -15
- data/spec/models/state_spec.rb +762 -23
- data/spec/models/supplemental_options_spec.rb +1018 -0
- data/spec/models/v7_network_comparison_response_spec.rb +994 -0
- data/spec/models/v7_network_details_response_spec.rb +988 -0
- data/spec/models/v7_network_details_spec.rb +1006 -0
- data/spec/models/v7_network_search_response_spec.rb +994 -0
- data/spec/models/v7_network_spec.rb +1000 -0
- data/spec/models/v7_provider_details_spec.rb +1138 -0
- data/spec/models/v7_provider_networks_spec.rb +1012 -0
- data/spec/models/vision_plan_benefits_spec.rb +813 -32
- data/spec/models/vision_plan_search_applicant_spec.rb +754 -15
- data/spec/models/vision_plan_search_request_spec.rb +758 -25
- data/spec/models/vision_plan_search_response_spec.rb +754 -15
- data/spec/models/vision_plan_show_response_spec.rb +754 -15
- data/spec/models/vision_plan_spec.rb +767 -28
- data/spec/models/vision_plan_update_request_spec.rb +754 -15
- data/spec/models/vision_plan_update_spec.rb +763 -24
- data/spec/models/zip_code_spec.rb +754 -15
- data/spec/models/zip_counties_response_spec.rb +756 -17
- data/spec/models/zip_county_bulk_spec.rb +757 -18
- data/spec/models/zip_county_response_spec.rb +754 -15
- data/spec/models/zip_county_spec.rb +754 -15
- data/spec/spec_helper.rb +754 -15
- data/vericred_client.gemspec +754 -15
- metadata +315 -95
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=begin
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#Vericred API
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#Vericred's API allows you to search for Health Plans that a specific doctor
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## Getting Started
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## Signing Up
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Visit our [Developer Portal](https://developers.vericred.com) to
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Once you have created an account, you can create one Application for
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Once you have created an account, you can create one Application for your
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Production environment and another for a Sandbox (select the appropriate Plan when you create the Application).
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## SDKs
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The current version is `v4`. We also support `v2` and `v3`
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`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version:
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`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v3' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
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## Pagination
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## Sideloading
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`State`s and a `state_id` for each provider. This is
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payload size since many of the `Provider`s
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When we return multiple levels of an object graph (e.g. `Provider`s and their
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`State`s we typically the associated data. In this example, we would
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provide an Array of `State`s and a `state_id` for each provider. This is
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done primarily to reduce the payload size since many of the `Provider`s
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will share a `State`
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### Simplified Example
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`select` in the query string for a `GET` or the body for a `POST`.
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# Plan and Rate Data
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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))
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## Plans
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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.
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### Benefits Format
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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.
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* Network tiers
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* Compound or conditional cost-share
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### Major Medical
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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
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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/)
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The following are the appropriate Benefit Fields for Major Medical:
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- ambulance
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- child\_eye\_exam
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- child\_eyewear
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- chiropractic\_services
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- diagnostic\_test
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- durable\_medical\_equipment
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- emergency\_room
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- family\_drug\_deductible
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- family\_drug\_moop
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- generic\_drugs
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- habilitation\_services
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- imaging\_center
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- imaging\_physician
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- individual\_drug\_deductible
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- individual\_drug\_moop
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- individual\_medical\_moop
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- inpatient\_birth
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- inpatient\_facility
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- inpatient\_mental\_health
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- inpatient\_physician
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- inpatient\_substance
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- lab\_test
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- non\_preferred\_brand\_drugs
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- outpatient\_ambulatory\_care\_center
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- outpatient\_facility
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- outpatient\_mental\_health
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- outpatient\_physician
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- outpatient\_substance
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- postnatal\_care
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- preferred\_brand\_drugs
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- prenatal\_care
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- preventative\_care
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- primary\_care\_physician
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- rehabilitation\_services
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- specialist
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- urgent\_care
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### Dental
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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.
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To view the technical documentation, [click here](#dental-plans).
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The following are the supported Benefit Fields for Dental:
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- bridges
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- crowns
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- denture\_relines\_rebases
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- denture\_repair\_and\_adjustments
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- dentures
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- emergency\_treatment
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- endodontics
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- family\_annual\_max
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- family\_deductible
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- fluoride\_treatment
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- implants
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- individual\_annual\_max
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- individual\_deductible
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- inlays
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- onlays
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- oral\_exam
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- oral\_surgery
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- orthodontics\_adult
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- orthodontics\_child
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- periodontal\_maintenance
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- periodontics
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- prophylaxis\_cleaning
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- radiograph\_bitewings
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- radiograph\_other
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- restoration\_fillings
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- sealant
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- simple\_extraction
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- space\_maintainers
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### Vision
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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.
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To view the technical documentation, [click here](#vision-plans).
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The following are the supported Benefit Fields for Vision:
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- eye\_exam
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- retinal\_imaging
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- frame
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- eyeglass\_lenses\_single\_vision
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- eyeglass\_lenses\_bifocal
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- eyeglass\_lenses\_trifocal
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- eyeglass\_lenses\_lenticular
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- uv\_coating
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- tint
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- standard\_antireflective\_coating
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- premium\_antireflective\_coating
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- standard\_polycarbonate\_lenses\_child
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- standard\_polycarbonate\_lenses\_adult
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- standard\_progressive\_lenses
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- premium\_progressive\_lenses
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- standard\_scratch\_resistance
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- polarized\_lenses
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- photochromatic\_lenses
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- standard\_contact\_lens\_fit\_and\_follow\_up
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- contact\_lenses\_conventional
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- contact\_lenses\_disposable
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- contact\_lenses\_medically\_necessary
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- laser\_vision\_correction
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- additional\_pairs\_of\_eyeglasses
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## Rates
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Rates are returned from the API as a part of [Quoting](#header-quoting). We calculate Rates in one of two ways.
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### Sheet Rates
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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.
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### Rate Factors
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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).
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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)
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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).
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|
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In order to calculate a Rate using [Rate Factors](#header-rate-factors), the following methodology is applied:
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|
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```
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B = Base Rate
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f = Rate Factor Function 1
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f' = Rate Factor Function 2
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B * f(x) * f'(y) [* f''(z)] ... = n
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|
+
```
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|
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|
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|
-
|
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.
|
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362
|
|
210
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-
|
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`.
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|
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distributed under the License is distributed on an "AS IS" BASIS,
|
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|
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WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
|
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|
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See the License for the specific language governing permissions and
|
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|
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limitations under the License.
|
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|
+
*Rating Areas do not apply to products other than [Major Medical](#header-major-medical)*
|
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-
|
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.
|
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369
|
|
220
|
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require
|
370
|
+
Each Plan is available in a single [Service Area](#header-service-areas) and each [Service Area](#header-service-areas) is defined by either County, Zip Code, or both, depending on the Carrier. Because of this variance, all API endpoints that require a [Location](#header-specifying-the-location) require both `zip_code` and `fips_code` (a county code). [Bulk Data](#bulkplanandratedata) for [Rating Areas](#bulkratingareas) and [Service Areas](#bulkserviceareas) also specifies locations using both `zip_code` and `fips_code`.
|
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371
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|
222
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-
|
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).
|
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373
|
|
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|
-
|
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|
-
# Name of the insurance carrier
|
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|
-
attr_accessor :carrier_name
|
374
|
+
# Quoting
|
227
375
|
|
228
|
-
|
229
|
-
attr_accessor :display_name
|
376
|
+
One of the primary use-cases for the Vericred API is to run Quotes to determine the Rate for a given family (in the Individual Market) or group (in the Small Group Market). We support quoting across [Major Medical](#header-major-medical), [Vision](#header-vision), and [Dental](#header-dental). In both cases, the process of generating a Quote is broken out into several steps:
|
230
377
|
|
231
|
-
|
232
|
-
|
378
|
+
1. Find all available [Plans](#header-plans) in the relevent [Service Areas](#header-service-areas) for the family or group.
|
379
|
+
1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine if the family or group is eligible for that [Plan](#header-plans).
|
380
|
+
1. Using [Business Rules](#header-business-rules) for each [Plan](#header-plans), determine which members of the family or which members of each family in the group should be considered for Rating.
|
381
|
+
1. Using the [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) for each [Plan](#header-plans), determine the Rate the family, or for each family in the group.
|
382
|
+
1. If running a [Composite](#compositerates) quote, determine the portion of the total Rate that each family will pay.
|
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383
|
|
234
|
-
|
235
|
-
|
384
|
+
## Individual Quotes
|
385
|
+
An Individual Quote is one for Plans that are available to a particular family, outside the context of their Employer. In the [Major Medical](#header-major-medical) market, many of these Plans are available on [Healthcare.gov](https://www.healthcare.gov) or the State-Based Exchange for non-Healthcare.gov states. The API supports both on-market and off-market Plans.
|
236
386
|
|
237
|
-
|
238
|
-
attr_accessor :identifiers
|
387
|
+
For details on Major Medical Quoting API calls see [below](#medicalplans-medicalplans-post)
|
239
388
|
|
240
|
-
|
241
|
-
|
389
|
+
### Specifying the Location
|
390
|
+
In order to determine which plans are [available](#header-service-areas) and the [rate](#header-rating-areas) for each Plan, you must specify a location. When creating a [Quote](#header-quoting) for the Individual Market, that information is contained in the `POST` body of the request:
|
391
|
+
```
|
392
|
+
POST /plans/medical/search
|
393
|
+
{
|
394
|
+
...
|
395
|
+
"zip_code": "11201",
|
396
|
+
"fips_code": "36047"
|
397
|
+
...
|
398
|
+
}
|
242
399
|
|
243
|
-
|
244
|
-
attr_accessor :network_ids
|
400
|
+
```
|
245
401
|
|
246
|
-
|
247
|
-
|
402
|
+
### Specifying Applicants
|
403
|
+
Applicants are the members of the family being quoted and are specified in the `POST` body of the request.
|
404
|
+
```
|
405
|
+
POST /plans/medical/search
|
406
|
+
{
|
407
|
+
...
|
408
|
+
"applicants": [
|
409
|
+
{
|
410
|
+
"age": 34,
|
411
|
+
"smoker": true,
|
412
|
+
"child": false
|
413
|
+
},
|
414
|
+
{
|
415
|
+
"age": 32,
|
416
|
+
"smoker": false,
|
417
|
+
"child": false
|
418
|
+
},
|
419
|
+
{
|
420
|
+
"age": 4,
|
421
|
+
"smoker": false,
|
422
|
+
"child": true
|
423
|
+
}
|
424
|
+
]
|
425
|
+
...
|
426
|
+
}
|
427
|
+
```
|
248
428
|
|
249
|
-
|
250
|
-
|
429
|
+
### Specifying Enrollment Date
|
430
|
+
The `enrollment_date` determines which [Plans](#header-plans) and [Rates](#header-rates) are returned. Specifying an `enrollment_date` in the past allows you to calculate historical data as far back as 2014.
|
251
431
|
|
252
|
-
|
253
|
-
|
432
|
+
### Plan Benefits
|
433
|
+
Plan Benefits are returned in the response for [Individual Quotes](#individualquotes)
|
434
|
+
```
|
435
|
+
POST /plans/medical/search
|
436
|
+
{
|
437
|
+
...
|
438
|
+
}
|
254
439
|
|
255
|
-
|
256
|
-
|
440
|
+
Response:
|
441
|
+
{
|
442
|
+
"plans": [
|
443
|
+
{
|
444
|
+
...
|
445
|
+
"individual_medical_deductible": "$5,000",
|
446
|
+
"family_medical_deductible": "$10,000"
|
447
|
+
...
|
448
|
+
}
|
449
|
+
|
450
|
+
]
|
451
|
+
}
|
257
452
|
|
258
|
-
|
259
|
-
attr_accessor :adult_dental
|
453
|
+
```
|
260
454
|
|
261
|
-
|
262
|
-
|
455
|
+
### Premiums
|
456
|
+
The value for the family being quoted is returned in the `premium` field. If no [Applicants](#specifyingapplicants) are provided, the `premium` field will be `0`
|
263
457
|
|
264
|
-
|
265
|
-
|
458
|
+
### Major Medical Quotes
|
459
|
+
In order to [Quote](#header-quoting) [Major Medical](#header-major-medical) Plans, send a `POST` to `/plans/medical/search`. In addition, the `age`, `smoker` and `child` attributes of each Applicant must be present.
|
266
460
|
|
267
|
-
|
268
|
-
|
461
|
+
#### Subsidies
|
462
|
+
On-market ([Healthcare.gov](https://www.healthcare.gov) and State-Based Exchange) [Major Medical](#header-major-medical) Plans are eligible for government subsidies. The subsidy calculation is based on the percentage of the family's income that the IRS has designated as "affordable" for that family and the Second Lowest-Cost Silver Plan available to that family.
|
269
463
|
|
270
|
-
|
271
|
-
|
464
|
+
In order to calculate subsidies for a family the following parameters must be supplied:
|
465
|
+
```
|
466
|
+
POST /plans/medical/search
|
467
|
+
{
|
468
|
+
...
|
469
|
+
"household_size": 4,
|
470
|
+
"household_income": 40000
|
471
|
+
...
|
472
|
+
}
|
473
|
+
```
|
272
474
|
|
273
|
-
|
274
|
-
attr_accessor :child_dental
|
475
|
+
The amount that the family will pay after subsidy is returned in the `premium_subsidized` field for each plan.
|
275
476
|
|
276
|
-
|
277
|
-
|
477
|
+
##### Subsidy Calculation
|
478
|
+
Here is how subsidies are calculated. This is fully handled by the Vericred API, but the steps are enumerated below for clarity.
|
278
479
|
|
279
|
-
|
280
|
-
|
480
|
+
1. Determine the percentage of the [Federal Poverty Level](https://aspe.hhs.gov/poverty-guidelines) for the family based on the household size and income.
|
481
|
+
1. Reference the [CMS table](https://www.irs.gov/pub/irs-drop/rp-17-36.pdf) to determine the appropriate percentage of income for the family to spend on healthcare.
|
482
|
+
1. Multiply that value by the family's income. This is the total amount that the family can spend on healthcare for the year, after the subsidy.
|
483
|
+
1. Find the cost of the Second Least-Expensive Silver Plan available to the family, accounting for the percentage of premium that goes to [Essential Health Benefits](https://www.healthcare.gov/glossary/essential-health-benefits/)
|
484
|
+
1. Calculate the difference in price between the amount the family should spend on healthcare and the Second Least-Expensive Silver Plan's premium. This is the subsidy.
|
485
|
+
1. Apply the subsidy to all on-market Plans available to the family. The subsidized premium can never be below $0 (for example, a low-cost Bronze Plan may be less expensive than the subsidy)
|
281
486
|
|
282
|
-
|
283
|
-
|
487
|
+
#### Cost Sharing Reduction Plans
|
488
|
+
[Cost Sharing Reduction (CSR)](https://www.healthcare.gov/glossary/cost-sharing-reduction/) Plans are available to lower income families and offer enhanced benefits for certain Silver Plans at the same cost as the non-CSR Plans available to higher-income families.
|
284
489
|
|
285
|
-
|
286
|
-
attr_accessor :durable_medical_equipment
|
490
|
+
If a family is eligible for CSR Plans, the Vericred API will return the relevant Plan in place of the non-CSR version.
|
287
491
|
|
288
|
-
|
289
|
-
|
492
|
+
In order to include CSR Plans where applicable, the following parameters must be supplied:
|
493
|
+
```
|
494
|
+
POST /plans/medical/search
|
495
|
+
{
|
496
|
+
...
|
497
|
+
"household_size": 4,
|
498
|
+
"household_income": 40000
|
499
|
+
...
|
500
|
+
}
|
501
|
+
```
|
290
502
|
|
291
|
-
|
292
|
-
|
503
|
+
#### The Children's Health Insurance Program (CHIP)
|
504
|
+
[The Children's Health Insurance Program (CHIP)](https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/) provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid.
|
293
505
|
|
294
|
-
|
295
|
-
|
506
|
+
If a family is eligible for CHIP, the Vericred API will include the subsidy in the returned premiums. In order to include CHIP subsidies in premium calculations, the following parameters must be supplied:
|
507
|
+
```
|
508
|
+
POST /plans/medical/search
|
509
|
+
{
|
510
|
+
...
|
511
|
+
"applicants": [
|
512
|
+
{
|
513
|
+
"age": 34,
|
514
|
+
"smoker": true,
|
515
|
+
"child": false
|
516
|
+
},
|
517
|
+
{
|
518
|
+
"age": 32,
|
519
|
+
"smoker": false,
|
520
|
+
"child": false
|
521
|
+
},
|
522
|
+
{
|
523
|
+
"age": 4,
|
524
|
+
"smoker": false,
|
525
|
+
"child": true
|
526
|
+
},
|
527
|
+
{
|
528
|
+
"age": 4,
|
529
|
+
"smoker": false,
|
530
|
+
"child": true
|
531
|
+
}
|
532
|
+
],
|
533
|
+
"household_size": 4,
|
534
|
+
"household_income": 40000
|
535
|
+
...
|
536
|
+
}
|
537
|
+
```
|
296
538
|
|
297
|
-
|
298
|
-
|
539
|
+
CHIP eligibility is displayed within the meta-tag in the response as `eligible_for_chip_medicaid`:
|
540
|
+
```
|
541
|
+
{
|
542
|
+
"meta": {
|
543
|
+
"total": 150,
|
544
|
+
"eligible_for_chip_medicaid": true,
|
545
|
+
"premium_tax_credit": 500.20
|
546
|
+
},
|
547
|
+
"coverages": [],
|
548
|
+
"plans": [...]
|
549
|
+
}
|
550
|
+
```
|
299
551
|
|
300
|
-
|
301
|
-
attr_accessor :family_drug_deductible
|
552
|
+
If you do not want CHIP subsidies to be included in the premiums, simply do not include the `household_income` parameter in the request.
|
302
553
|
|
303
|
-
|
304
|
-
|
554
|
+
### Dental Quotes
|
555
|
+
Quoting [Dental](#header-dental) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
|
556
|
+
```
|
557
|
+
POST /plans/dental/search
|
558
|
+
{
|
559
|
+
...
|
560
|
+
"applicants": [
|
561
|
+
{
|
562
|
+
"age": 34,
|
563
|
+
"gender": "M",
|
564
|
+
"child": false
|
565
|
+
},
|
566
|
+
{
|
567
|
+
"age": 32,
|
568
|
+
"gender": "F",
|
569
|
+
"child": false
|
570
|
+
},
|
571
|
+
{
|
572
|
+
"age": 4,
|
573
|
+
"gender": "M",
|
574
|
+
"child": true
|
575
|
+
}
|
576
|
+
]
|
577
|
+
...
|
578
|
+
}
|
579
|
+
```
|
305
580
|
|
306
|
-
|
307
|
-
attr_accessor :family_medical_deductible
|
581
|
+
Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Dental Quotes](#dentalquotes) require `gender`, but *do not* require `smoker`.
|
308
582
|
|
309
|
-
|
310
|
-
attr_accessor :family_medical_moop
|
583
|
+
Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Dental Quotes](#dentalquotes).
|
311
584
|
|
312
|
-
|
313
|
-
attr_accessor :fp_rider
|
585
|
+
### Vision Quotes
|
314
586
|
|
315
|
-
|
316
|
-
|
587
|
+
Quoting [Vision](#header-vision) Plans for a family requires slightly different parameters for [Applicants](#specifyingapplicants), due to the method with which Plans are [rated](#header-rate-factors). The folloiwng example contains the require parameters:
|
588
|
+
```
|
589
|
+
POST /plans/vision/search
|
590
|
+
{
|
591
|
+
...
|
592
|
+
"applicants": [
|
593
|
+
{
|
594
|
+
"age": 34,
|
595
|
+
"gender": "M",
|
596
|
+
"child": false
|
597
|
+
},
|
598
|
+
{
|
599
|
+
"age": 32,
|
600
|
+
"gender": "F",
|
601
|
+
"child": false
|
602
|
+
},
|
603
|
+
{
|
604
|
+
"age": 4,
|
605
|
+
"gender": "M",
|
606
|
+
"child": true
|
607
|
+
}
|
608
|
+
]
|
609
|
+
...
|
610
|
+
}
|
611
|
+
```
|
317
612
|
|
318
|
-
|
319
|
-
attr_accessor :habilitation_services
|
613
|
+
Note that in contrast to [Major Medical Quotes](#majormedicalquotes), [Vision Quotes](#visionquotes) require `gender`, but *do not* require `smoker`.
|
320
614
|
|
321
|
-
|
322
|
-
attr_accessor :hios_issuer_id
|
615
|
+
Also note that [Subsidies](#subsidies) and [Cost Sharing Reduction](#costsharingreductionplans) are *not* relevant for [Vision Quotes](#visionquotes).
|
323
616
|
|
324
|
-
|
325
|
-
|
617
|
+
## Quotes for Groups
|
618
|
+
A Group Quote finds [Plans](#header-plans) and [Rates](#header-rates) for a group of employees for a small business. Different [Plans](#header-plans) are available to small groups than are available in [Individual Quoting](#individualquotes). In addition, [Business Rules](#header-business-rules) that apply across multiple families or based upon employer attributes such as [SIC](https://en.wikipedia.org/wiki/Standard_Industrial_Classification) code factor into rates and availability.
|
326
619
|
|
327
|
-
|
328
|
-
attr_accessor :hospice_service
|
620
|
+
In addition, due to performance requirements and for enhanced auditing, [Group Quotes](#groupquotes) are persisted across requests. This means that a given [Quote](#groupquotes) can be retrieved after it has been created.
|
329
621
|
|
330
|
-
|
331
|
-
|
622
|
+
### Identifiers
|
623
|
+
In order to make it easier to cross-reference local copies of data with [Quotes](#header-creating-a-quote) and other data in the Vericred API, most entities allow for the specification of an `external_id` field. You can use this to store a primary or natural key from your system in order to easily match records returned from the API with records in your system.
|
332
624
|
|
333
|
-
|
334
|
-
|
625
|
+
### Specifying the Group
|
626
|
+
Creating a group is the first step in [Group Quoting](#groupquoting). The API requires that certain information such as `sic_code`, and `chamber_association` be provided and returns a the attributes and `id` for the newly created `Group`
|
335
627
|
|
336
|
-
|
337
|
-
attr_accessor :imaging
|
628
|
+
Full documentation is available [below](#groupscreate)
|
338
629
|
|
339
|
-
|
340
|
-
|
630
|
+
### Specifying the Locations
|
631
|
+
When creating a `Group`, you must also specify one or more `Location`s. Of those `Location`s specified, one must be `primary`. That `Location` is used to calculate Plan eligibility using the relevant [Service Areas](#header-service-areas). Some Carriers use secondary `Location`s to determine eligibility as well, which is why those must be specified as well.
|
341
632
|
|
342
|
-
|
343
|
-
|
633
|
+
```
|
634
|
+
POST /groups
|
635
|
+
{
|
636
|
+
"group": {
|
637
|
+
...
|
638
|
+
},
|
639
|
+
"locations": [
|
640
|
+
{
|
641
|
+
...
|
642
|
+
"zip_code": "11201",
|
643
|
+
"fips_code": "36047",
|
644
|
+
"primary": true
|
645
|
+
...
|
646
|
+
}
|
647
|
+
]
|
648
|
+
}
|
649
|
+
```
|
344
650
|
|
345
|
-
|
346
|
-
|
651
|
+
### Specifying the Census
|
652
|
+
A Census is the collection of `Member`s contained in the `Group`. The attributes of each `Member` and his or her `Dependent`s determine the [Rate](#header-rates) for the `Group` as a whole. Certain attributes of the `Member` are important for calculating [Rates](#header-rates) and applying [Business Rules](#header-business-rules). For example, the `Member`'s home address and in which office he or she works are relevant for certain [Business Rules](#header-business-rules).
|
653
|
+
|
654
|
+
#### Dependent Relationships
|
655
|
+
The `Dependent`s for a given `Member` also factor into the [Rates](#header-rates) and application of [Business Rules](#header-business-rules). For example, certain [Plans](#header-plans) cover only `Dependent`s of particular types and/or only `Dependent`s of a particular type who live in the same household as the primary `Member`
|
656
|
+
|
657
|
+
Valid Dependent Relationships:
|
658
|
+
- `adopted_child`
|
659
|
+
- `child`
|
660
|
+
- `court_appointed_guardian`
|
661
|
+
- `dependent_of_dependent`
|
662
|
+
- `ex_spouse`
|
663
|
+
- `foster_child`
|
664
|
+
- `grand_child`
|
665
|
+
- `guardian`
|
666
|
+
- `life_partner`
|
667
|
+
- `other`
|
668
|
+
- `sibling`
|
669
|
+
- `sponsored_dependent`
|
670
|
+
- `spouse`
|
671
|
+
- `step_child`
|
672
|
+
- `ward`
|
347
673
|
|
348
|
-
|
349
|
-
|
674
|
+
```
|
675
|
+
POST
|
350
676
|
|
351
|
-
|
352
|
-
|
677
|
+
/groups/{id}/members
|
678
|
+
{
|
679
|
+
"members": [
|
680
|
+
...
|
681
|
+
{
|
682
|
+
"cobra": false,
|
683
|
+
"date_of_birth": "1980-01-01",
|
684
|
+
"fips_code": "36047"
|
685
|
+
"gender": "M",
|
686
|
+
"last_used_tobacco": "2017-01-01",
|
687
|
+
"location_id": :location_id
|
688
|
+
"retiree": false,
|
689
|
+
"zip_code": "11201",
|
690
|
+
"dependents": [
|
691
|
+
...
|
692
|
+
{
|
693
|
+
"relationship": "child",
|
694
|
+
"same_household": true
|
695
|
+
}
|
696
|
+
...
|
697
|
+
]
|
698
|
+
}
|
699
|
+
...
|
700
|
+
]
|
701
|
+
}
|
353
702
|
|
354
|
-
|
355
|
-
attr_accessor :inpatient_facility
|
703
|
+
```
|
356
704
|
|
357
|
-
|
358
|
-
|
705
|
+
### Creating a Quote
|
706
|
+
Once the [Census](#header-specifying-the-census) has been created, we can generate a `Quote` for the `Group`.
|
359
707
|
|
360
|
-
|
361
|
-
|
708
|
+
#### Major Medical Quotes
|
709
|
+
To generate a [Major Medical](#header-major-medical) Quote, specify the `product_line` of `Quote` as `medical`
|
362
710
|
|
363
|
-
|
364
|
-
|
711
|
+
```
|
712
|
+
POST /groups/{id}/quotes
|
713
|
+
{
|
714
|
+
...
|
715
|
+
"product_line": "medical"
|
716
|
+
...
|
717
|
+
}
|
718
|
+
```
|
365
719
|
|
366
|
-
|
367
|
-
|
720
|
+
#### Dental Quotes
|
721
|
+
To generate a [Dental](#header-dental) Quote, specify the `product_line` of `Quote` as `dental`
|
368
722
|
|
369
|
-
|
370
|
-
|
723
|
+
```
|
724
|
+
POST /groups/{id}/quotes
|
725
|
+
{
|
726
|
+
...
|
727
|
+
"product_line": "dental"
|
728
|
+
...
|
729
|
+
}
|
730
|
+
```
|
371
731
|
|
372
|
-
|
373
|
-
|
732
|
+
#### Vision Quotes
|
733
|
+
To generate a [Vision](#header-vision) Quote, specify the `product_line` of `Quote` as `vision`
|
374
734
|
|
375
|
-
|
376
|
-
|
735
|
+
```
|
736
|
+
POST /groups/{id}/quotes
|
737
|
+
{
|
738
|
+
...
|
739
|
+
"product_line": "vision"
|
740
|
+
...
|
741
|
+
}
|
742
|
+
```
|
377
743
|
|
378
|
-
|
379
|
-
|
744
|
+
### Retrieving Aggregate Rates
|
745
|
+
Once you have created a [Quote](#header-creating-a-quote), you can retrieve its aggregate [Rates](#header-rates). [Rates](#header-rates) are broken down by `Member` and `Dependent`, so that you can show the final cost in different scenarios where an employer might cover a different percentage of `Member` and `Dependent` costs.
|
380
746
|
|
381
|
-
|
382
|
-
|
747
|
+
```
|
748
|
+
GET /quotes/{id}/rates
|
383
749
|
|
384
|
-
|
385
|
-
|
750
|
+
Response
|
751
|
+
{
|
752
|
+
"rates": [
|
753
|
+
...
|
754
|
+
{
|
755
|
+
"plan_id": "12345NY6789012",
|
756
|
+
"total_premium": 2800.0,
|
757
|
+
"member_premium": 1000.0,
|
758
|
+
"dependent_premium": 1800.0,
|
759
|
+
"id": "123abc"
|
760
|
+
}
|
761
|
+
...
|
762
|
+
]
|
763
|
+
}
|
764
|
+
```
|
386
765
|
|
387
|
-
# List of NPI numbers for Providers passed in who do not accept this Plan
|
388
|
-
attr_accessor :out_of_network_ids
|
389
766
|
|
390
|
-
|
391
|
-
|
767
|
+
#### Loading Plan Data
|
768
|
+
Aggregate [Rates](#header-rates) responses *do not* include [Plan](#header-plans) details in order to keep the payload small. [Plan](#header-plans) data can be retrieved in one of two ways:
|
392
769
|
|
393
|
-
|
394
|
-
|
770
|
+
Loading the [Plan](#header-plans) from the API:
|
771
|
+
```
|
772
|
+
GET /plans/{id}
|
395
773
|
|
396
|
-
|
397
|
-
|
774
|
+
Response:
|
775
|
+
{
|
776
|
+
"plans": [
|
777
|
+
...
|
778
|
+
{
|
779
|
+
...
|
780
|
+
"individual_medical_deductible": "$5,000",
|
781
|
+
"family_medical_deductible": "$10,000",
|
782
|
+
...
|
783
|
+
}
|
784
|
+
...
|
785
|
+
|
786
|
+
]
|
787
|
+
}
|
788
|
+
```
|
789
|
+
Pulling in [Bulk Plan Data](#bulkplans) and matching up [Plans](#header-plans) by their `id`.
|
398
790
|
|
399
|
-
|
400
|
-
|
791
|
+
### Retrieving Member-Level Rates
|
792
|
+
In order to retrieve the exact [Rate](#header-rates) for each `Member` and their `Dependents` for given [Plan](#header-plans), you can load Member-Level `Rates`.
|
401
793
|
|
402
|
-
|
403
|
-
|
794
|
+
```
|
795
|
+
GET /rates/{id}/member_rates
|
404
796
|
|
405
|
-
|
406
|
-
|
797
|
+
Response
|
798
|
+
{
|
799
|
+
"member_rates": [
|
800
|
+
...
|
801
|
+
{
|
802
|
+
"id": "123abc",
|
803
|
+
"member_id": "234def",
|
804
|
+
"member_external_id": "externally-supplied-id",
|
805
|
+
"member_premium": 500.0,
|
806
|
+
"dependent_premium": 600.0,
|
807
|
+
"total_premium": 1100.0,
|
808
|
+
}
|
809
|
+
...
|
810
|
+
]
|
811
|
+
}
|
407
812
|
|
408
|
-
|
409
|
-
attr_accessor :prenatal_postnatal_care
|
813
|
+
```
|
410
814
|
|
411
|
-
|
412
|
-
attr_accessor :preventative_care
|
815
|
+
Note that *all* `MemberRate`s are for one particular [Plan](#header-plans) - the one referenced by the parent [Rate](#header-rates).
|
413
816
|
|
414
|
-
|
415
|
-
|
817
|
+
### Business Rules
|
818
|
+
Vericred works with our Carrier partners to acquire and apply Business Rules that can affect either [Plan](#header-plans) availability or the way in which `Member`s and `Dependent`s are rated. For example, one Carrier's Business Rules might specify that `Member`s and `Dependent`s who have used tobacco in the past 4 months are considered "tobacco-users", while another's may specify that period to be 1 year.
|
416
819
|
|
417
|
-
|
418
|
-
attr_accessor :premium
|
820
|
+
These rules are applied transparently during the [Quoting](#header-quoting) process and *do not* require any additional action or input on your part.
|
419
821
|
|
420
|
-
|
421
|
-
attr_accessor :premium_source
|
822
|
+
For a full accounting of Business Rules and a list of Carriers whose Business Rules are applied, please contact support@vericred.com
|
422
823
|
|
423
|
-
|
424
|
-
|
824
|
+
### Composite Rates
|
825
|
+
Composite Rates are commonly used in [Major Medical](#header-major-medical), [Dental](#header-dental), and [Vision](#header-vision) [Plans](#header-plans) to simplify operations by charging each family the weighted average of the `Group`'s total premium. The most common methodology is as follows:
|
425
826
|
|
426
|
-
|
427
|
-
|
827
|
+
1. Calculate the [Rates](#header-rates) for the entire `Group` using [Sheet Rates](#header-sheet-rates) or [Rate Factors](#header-rate-factors) as appropriate
|
828
|
+
1. Categorize each Family within the Group. The categorization differs depending on whether the Composite Rate is 2, 3, or 4-tier
|
829
|
+
1. Multiply the number of Families in each category by the constant for that category. These constants are provided to Vericred by the Carrier. This determines the total number of "Rating Units"
|
830
|
+
1. Divide the total premium calculated in Step 1 by the total number of Rating Units to get the price per Rating Unit
|
831
|
+
1. The [Rate](#header-rates) each Family pays is the constant for that Family's category multiplied by the price per Rating Unit.
|
428
832
|
|
429
|
-
|
430
|
-
|
833
|
+
You can request that a [Quote](#header-quoting) be calculated using Composite Rates when creating it:
|
834
|
+
```
|
835
|
+
POST /quotes
|
836
|
+
{
|
837
|
+
...
|
838
|
+
"rating_method": "4_tier_composite"
|
839
|
+
...
|
840
|
+
}
|
841
|
+
```
|
842
|
+
If no Composite Rates methodology is available, the Vericred API will return standard age-banded Rates.
|
431
843
|
|
432
|
-
|
433
|
-
attr_accessor :specialist
|
844
|
+
# Network and Provider Data
|
434
845
|
|
435
|
-
|
436
|
-
attr_accessor :specialty_drugs
|
846
|
+
A `Provider` is an individual or organization in the medical profession. For example, an individual doctor is a `Provider` as are certain clinics and hospitals.
|
437
847
|
|
438
|
-
|
439
|
-
attr_accessor :urgent_care
|
848
|
+
`Provider`s are related to `Network`s. A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
|
440
849
|
|
441
|
-
|
442
|
-
attr_accessor :actuarial_value
|
850
|
+
Each `Plan` has a `Network`. A consumer who visits a `Provider` typically incurs fewer costs when visiting a `Provider` in the `Network` covered by his or her `Plan`. The `premium` for a `Plan` is often proportional to the size of its `Network`
|
443
851
|
|
444
|
-
|
445
|
-
|
852
|
+
## Finding Providers
|
853
|
+
In order to determine if a particular `Plan` covers a given `Provider`, you must first identify the `Provider`. To do so, use the [Provider Search API endpoint](#providers-providers-post) and specify some search criteria:
|
446
854
|
|
447
|
-
|
448
|
-
|
855
|
+
```
|
856
|
+
POST /providers/search
|
857
|
+
{
|
858
|
+
"search_term": "foo",
|
859
|
+
"zip_code": "11201"
|
860
|
+
}
|
861
|
+
```
|
449
862
|
|
450
|
-
|
451
|
-
|
863
|
+
The API will return an ordered list of `Provider`s who match the query along with their names, addresses, and other demographic data. The `id` field returned refers to the `Provider`'s [NPI number](https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand/). This is the key that is used to identify the `Provider` across different API endpoints.
|
864
|
+
|
865
|
+
## Finding Networks
|
866
|
+
|
867
|
+
A `Network` is a collection of `Provider`s that are under a particular contract with a given `Carrier`. A given `Carrier` will often have multiple `Network`s. For example, there may be a large national `Network` as well as several smaller regional `Network`s.
|
868
|
+
|
869
|
+
The API supports searching for `Networks` by Carrier, market and state. For more details view the [endpoint documentation](#networks-networks-get)
|
870
|
+
|
871
|
+
## Matching Providers to Networks
|
872
|
+
In order to determine if a `Provider` is covered by a user's `Plan`, you will need to map the `Provider` to a `Network`. There are several methods to do this using the API
|
873
|
+
|
874
|
+
### Using Plan Search
|
875
|
+
You can specify one or more `npi` values in the [`plan` search](#majormedicalplans-majormedicalplans-post). To do so, include a list of `providers` in the request
|
876
|
+
```
|
877
|
+
POST /plans/medical/search
|
878
|
+
{
|
879
|
+
...
|
880
|
+
"providers": [
|
881
|
+
{ "npi": 1234567890 },
|
882
|
+
{ "npi": 2345678901 }
|
883
|
+
]
|
884
|
+
...
|
885
|
+
}
|
886
|
+
|
887
|
+
The response will then return a list of `in_network_ids` and `out_of_network_ids` for each `Plan`
|
888
|
+
|
889
|
+
```
|
890
|
+
{
|
891
|
+
"plans": [
|
892
|
+
...
|
893
|
+
{
|
894
|
+
...
|
895
|
+
"id": "12345NY1234567",
|
896
|
+
"in_network_ids": [1234567890],
|
897
|
+
"out_of_network_ids": [1234567890]
|
898
|
+
...
|
899
|
+
},
|
900
|
+
{
|
901
|
+
...
|
902
|
+
"id": "12345NY2345678",
|
903
|
+
"in_network_ids": [1234567890, 1234567890],
|
904
|
+
"out_of_network_ids": []
|
905
|
+
...
|
906
|
+
}
|
907
|
+
...
|
908
|
+
]
|
909
|
+
}
|
910
|
+
|
911
|
+
Simply reference the `Provider` in question by its `id` for each `Plan` to see if that `Provider` is in-network for the `Plan`.
|
912
|
+
|
913
|
+
### Matching by Plan ID
|
914
|
+
Given a `Provider`'s `id`, you can retrieve all of his or her `hios_ids`
|
915
|
+
|
916
|
+
For more details see the [endpoint documentation](#providers-providers-get)
|
917
|
+
|
918
|
+
```
|
919
|
+
GET /providers/1234567890
|
920
|
+
{
|
921
|
+
"provider": {
|
922
|
+
...
|
923
|
+
"hios_ids": [
|
924
|
+
...
|
925
|
+
"12345NY1234567"
|
926
|
+
...
|
927
|
+
]
|
928
|
+
...
|
929
|
+
}
|
930
|
+
}
|
931
|
+
```
|
932
|
+
|
933
|
+
The returned `hios_ids` can be used to cross-reference a `Plan`
|
934
|
+
|
935
|
+
### Matching by Network
|
936
|
+
Once you have an ID returned from the [`Network` search endpoint](#networks-networks-get), you can cross-reference it with the `network_ids` returned from both the [`Provider` search](#providers-providers-post) and [`Provider` details](#providers-providers-get) endpoints.
|
937
|
+
|
938
|
+
This is useful for large group data or when you are not dealing with `Plan`s directly, but rather at the `Network` level.
|
939
|
+
|
940
|
+
|
941
|
+
OpenAPI spec version: 1.0.0
|
942
|
+
|
943
|
+
Generated by: https://github.com/swagger-api/swagger-codegen.git
|
944
|
+
|
945
|
+
Licensed under the Apache License, Version 2.0 (the "License");
|
946
|
+
you may not use this file except in compliance with the License.
|
947
|
+
You may obtain a copy of the License at
|
948
|
+
|
949
|
+
http://www.apache.org/licenses/LICENSE-2.0
|
950
|
+
|
951
|
+
Unless required by applicable law or agreed to in writing, software
|
952
|
+
distributed under the License is distributed on an "AS IS" BASIS,
|
953
|
+
WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
|
954
|
+
See the License for the specific language governing permissions and
|
955
|
+
limitations under the License.
|
956
|
+
|
957
|
+
=end
|
958
|
+
|
959
|
+
require 'date'
|
960
|
+
|
961
|
+
module VericredClient
|
962
|
+
|
963
|
+
class 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
|
-
#
|
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
|
-
#
|
481
|
-
attr_accessor :
|
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
|
-
#
|
490
|
-
attr_accessor :
|
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
|
-
#
|
496
|
-
attr_accessor :
|
1228
|
+
# Cost under the plan to visit a specialist
|
1229
|
+
attr_accessor :specialist
|
497
1230
|
|
498
|
-
#
|
499
|
-
attr_accessor :
|
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
|
-
#
|
503
|
-
|
504
|
-
|
505
|
-
|
506
|
-
|
507
|
-
|
508
|
-
|
509
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
577
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
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
|
-
:'
|
675
|
-
:'
|
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?(:'
|
707
|
-
self.
|
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?(:'
|
783
|
-
self.
|
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?(:'
|
791
|
-
self.
|
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?(:'
|
855
|
-
self.
|
1607
|
+
if attributes.has_key?(:'imaging_physician')
|
1608
|
+
self.imaging_physician = attributes[:'imaging_physician']
|
856
1609
|
end
|
857
1610
|
|
858
|
-
if attributes.has_key?(:'
|
859
|
-
|
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?(:'
|
899
|
-
|
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?(:'
|
917
|
-
self.
|
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?(:'
|
951
|
-
self.
|
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?(:'
|
955
|
-
self.
|
1737
|
+
if attributes.has_key?(:'plan_calendar')
|
1738
|
+
self.plan_calendar = attributes[:'plan_calendar']
|
956
1739
|
end
|
957
1740
|
|
958
|
-
if attributes.has_key?(:'
|
959
|
-
self.
|
1741
|
+
if attributes.has_key?(:'plan_market')
|
1742
|
+
self.plan_market = attributes[:'plan_market']
|
960
1743
|
end
|
961
1744
|
|
962
|
-
if attributes.has_key?(:'
|
963
|
-
self.
|
1745
|
+
if attributes.has_key?(:'plan_type')
|
1746
|
+
self.plan_type = attributes[:'plan_type']
|
964
1747
|
end
|
965
1748
|
|
966
|
-
if attributes.has_key?(:'
|
967
|
-
self.
|
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?(:'
|
979
|
-
self.
|
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?(:'
|
1035
|
-
self.
|
1769
|
+
if attributes.has_key?(:'prenatal_care')
|
1770
|
+
self.prenatal_care = attributes[:'prenatal_care']
|
1036
1771
|
end
|
1037
1772
|
|
1038
|
-
if attributes.has_key?(:'
|
1039
|
-
self.
|
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?(:'
|
1043
|
-
self.
|
1777
|
+
if attributes.has_key?(:'preventative_care')
|
1778
|
+
self.preventative_care = attributes[:'preventative_care']
|
1044
1779
|
end
|
1045
1780
|
|
1046
|
-
if attributes.has_key?(:'
|
1047
|
-
self.
|
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?(:'
|
1051
|
-
self.
|
1785
|
+
if attributes.has_key?(:'rehabilitation_services')
|
1786
|
+
self.rehabilitation_services = attributes[:'rehabilitation_services']
|
1052
1787
|
end
|
1053
1788
|
|
1054
|
-
if attributes.has_key?(:'
|
1055
|
-
self.
|
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?(:'
|
1059
|
-
self.
|
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?(:'
|
1067
|
-
self.
|
1801
|
+
if attributes.has_key?(:'source')
|
1802
|
+
self.source = attributes[:'source']
|
1068
1803
|
end
|
1069
1804
|
|
1070
|
-
if attributes.has_key?(:'
|
1071
|
-
self.
|
1805
|
+
if attributes.has_key?(:'specialist')
|
1806
|
+
self.specialist = attributes[:'specialist']
|
1072
1807
|
end
|
1073
1808
|
|
1074
|
-
if attributes.has_key?(:'
|
1075
|
-
self.
|
1809
|
+
if attributes.has_key?(:'specialty_drugs')
|
1810
|
+
self.specialty_drugs = attributes[:'specialty_drugs']
|
1076
1811
|
end
|
1077
1812
|
|
1078
|
-
if attributes.has_key?(:'
|
1079
|
-
self.
|
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
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
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
|
-
|
1174
|
-
|
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
|
-
[
|
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
|