vericred_client 0.0.3 → 0.0.4
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- checksums.yaml +4 -4
- data/README.md +30 -20
- data/docs/Applicant.md +2 -2
- data/docs/{InlineResponse2001.md → Base.md} +2 -2
- data/docs/Carrier.md +1 -1
- data/docs/County.md +3 -3
- data/docs/CountyBulk.md +10 -0
- data/docs/Drug.md +2 -1
- data/docs/DrugCoverage.md +4 -4
- data/docs/DrugCoverageResponse.md +9 -0
- data/docs/DrugPackage.md +9 -0
- data/docs/DrugSearchResponse.md +9 -0
- data/docs/DrugsApi.md +59 -0
- data/docs/Meta.md +8 -0
- data/docs/Plan.md +22 -6
- data/docs/PlanCounty.md +1 -1
- data/docs/PlanCountyBulk.md +10 -0
- data/docs/PlanFindResponse.md +9 -0
- data/docs/PlanSearchResult.md +26 -8
- data/docs/PlansApi.md +11 -11
- data/docs/Pricing.md +7 -1
- data/docs/Provider.md +9 -6
- data/docs/ProviderResponse.md +10 -0
- data/docs/ProvidersApi.md +19 -21
- data/docs/RatingArea.md +2 -2
- data/docs/RequestPlanFind.md +15 -0
- data/docs/State.md +4 -4
- data/docs/ZipCountiesApi.md +7 -8
- data/docs/ZipCountyBulk.md +11 -0
- data/docs/ZipCountyResponse.md +10 -0
- data/lib/vericred_client.rb +14 -6
- data/lib/vericred_client/api/{drug_coverage_api.rb → drugs_api.rb} +25 -19
- data/lib/vericred_client/api/plans_api.rb +14 -16
- data/lib/vericred_client/api/providers_api.rb +29 -29
- data/lib/vericred_client/api/zip_counties_api.rb +12 -12
- data/lib/vericred_client/api_client.rb +1 -1
- data/lib/vericred_client/api_error.rb +1 -1
- data/lib/vericred_client/models/applicant.rb +14 -12
- data/lib/vericred_client/models/{inline_response_200_1.rb → base.rb} +10 -9
- data/lib/vericred_client/models/carrier.rb +15 -15
- data/lib/vericred_client/models/carrier_subsidiary.rb +1 -1
- data/lib/vericred_client/models/county.rb +18 -14
- data/lib/vericred_client/models/county_bulk.rb +318 -0
- data/lib/vericred_client/models/drug.rb +27 -15
- data/lib/vericred_client/models/drug_coverage.rb +38 -32
- data/lib/vericred_client/models/drug_coverage_response.rb +310 -0
- data/lib/vericred_client/models/drug_package.rb +308 -0
- data/lib/vericred_client/models/drug_search_response.rb +310 -0
- data/lib/vericred_client/models/meta.rb +298 -0
- data/lib/vericred_client/models/plan.rb +196 -22
- data/lib/vericred_client/models/plan_county.rb +15 -15
- data/lib/vericred_client/models/plan_county_bulk.rb +318 -0
- data/lib/vericred_client/models/{inline_response_200.rb → plan_find_response.rb} +13 -11
- data/lib/vericred_client/models/plan_search_result.rb +236 -42
- data/lib/vericred_client/models/pricing.rb +63 -3
- data/lib/vericred_client/models/provider.rb +51 -9
- data/lib/vericred_client/models/provider_response.rb +322 -0
- data/lib/vericred_client/models/rating_area.rb +5 -5
- data/lib/vericred_client/models/{query.rb → request_plan_find.rb} +14 -6
- data/lib/vericred_client/models/state.rb +29 -25
- data/lib/vericred_client/models/zip_code.rb +1 -1
- data/lib/vericred_client/models/zip_county.rb +1 -1
- data/lib/vericred_client/models/zip_county_bulk.rb +328 -0
- data/lib/vericred_client/models/{inline_response_200_2.rb → zip_county_response.rb} +20 -17
- data/lib/vericred_client/version.rb +2 -2
- data/spec/api/{drug_coverage_api_spec.rb → drugs_api_spec.rb} +14 -17
- data/spec/api/plans_api_spec.rb +7 -69
- data/spec/api/providers_api_spec.rb +12 -28
- data/spec/api/zip_counties_api_spec.rb +6 -13
- metadata +31 -15
- data/docs/DrugCoverageApi.md +0 -54
- data/docs/InlineResponse200.md +0 -9
- data/docs/InlineResponse2002.md +0 -10
- data/docs/Query.md +0 -15
checksums.yaml
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---
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SHA1:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 05544fed1fa1e80914f1283f59af7ad005aad9ad
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data.tar.gz: 8ce3bc0b6c301d0d2845d474ab46590a3b26f477
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SHA512:
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metadata.gz:
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data.tar.gz:
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metadata.gz: f753b4827230f6e7089f2d912cc954490d44bb04a65f08c3de753ce039f46ad1830ce6fda55533d30a661c3bdfe642397fecc65c384a924861cc2bba0e2951bc
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data.tar.gz: ea7e0d40ae597fdb761679e8948a0900511a38e9dc90ad6fba75500b83007983e0134fd4705466e61e3660017d11ddd767a48c827c950513dba6c17d814d8b4e
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data/README.md
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@@ -119,9 +119,9 @@ The response would be
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This SDK is automatically generated by the [Swagger Codegen](https://github.com/swagger-api/swagger-codegen) project:
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- API version:
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- Package version: 0.0.
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- Build date: 2016-05-
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- API version: 1.0.0
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- Package version: 0.0.4
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- Build date: 2016-05-11T18:53:57.936-04:00
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- Build package: class io.swagger.codegen.languages.RubyClientCodegen
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## Installation
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Then either install the gem locally:
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```shell
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gem install ./vericred_client-0.0.
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gem install ./vericred_client-0.0.4.gem
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```
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(for development, run `gem install --dev ./vericred_client-0.0.
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(for development, run `gem install --dev ./vericred_client-0.0.4.gem` to install the development dependencies)
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or publish the gem to a gem hosting service, e.g. [RubyGems](https://rubygems.org/).
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Finally add this to the Gemfile:
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gem 'vericred_client', '~> 0.0.
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gem 'vericred_client', '~> 0.0.4'
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### Install from Git
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@@ -168,17 +168,19 @@ Please follow the [installation](#installation) procedure and then run the follo
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# Load the gem
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require 'vericred_client'
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api_instance = VericredClient::
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api_instance = VericredClient::DrugsApi.new
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-
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ndc_package_code = "ndc_package_code_example" # String | NDC package code
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state_code = "state_code_example" # String | Two-character state code
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begin
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#
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result = api_instance.
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#Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan
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result = api_instance.get_drugs_coverages_ndc(ndc_package_code, state_code)
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p result
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rescue VericredClient::ApiError => e
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puts "Exception when calling
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puts "Exception when calling DrugsApi->get_drugs_coverages_ndc: #{e}"
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end
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```
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@@ -189,34 +191,42 @@ All URIs are relative to *https://api.vericred.com/*
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Class | Method | HTTP request | Description
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------------ | ------------- | ------------- | -------------
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*VericredClient::
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*VericredClient::PlansApi* | [**
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*VericredClient::ProvidersApi* | [**
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*VericredClient::ProvidersApi* | [**
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*VericredClient::ZipCountiesApi* | [**
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*VericredClient::DrugsApi* | [**get_drugs_coverages_ndc**](docs/DrugsApi.md#get_drugs_coverages_ndc) | **GET** /drugs/coverages | Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan
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*VericredClient::PlansApi* | [**post_plans_find**](docs/PlansApi.md#post_plans_find) | **POST** /plans/find |
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*VericredClient::ProvidersApi* | [**get_providers**](docs/ProvidersApi.md#get_providers) | **GET** /providers |
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*VericredClient::ProvidersApi* | [**get_providers_npi**](docs/ProvidersApi.md#get_providers_npi) | **GET** /providers/{npi} |
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*VericredClient::ZipCountiesApi* | [**get_zip_counties**](docs/ZipCountiesApi.md#get_zip_counties) | **GET** /zip_counties |
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200
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## Documentation for Models
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- [VericredClient::Applicant](docs/Applicant.md)
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- [VericredClient::Base](docs/Base.md)
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- [VericredClient::Carrier](docs/Carrier.md)
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- [VericredClient::CarrierSubsidiary](docs/CarrierSubsidiary.md)
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- [VericredClient::County](docs/County.md)
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- [VericredClient::CountyBulk](docs/CountyBulk.md)
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- [VericredClient::Drug](docs/Drug.md)
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- [VericredClient::DrugCoverage](docs/DrugCoverage.md)
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- [VericredClient::
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- [VericredClient::
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- [VericredClient::
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- [VericredClient::DrugCoverageResponse](docs/DrugCoverageResponse.md)
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- [VericredClient::DrugPackage](docs/DrugPackage.md)
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- [VericredClient::DrugSearchResponse](docs/DrugSearchResponse.md)
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- [VericredClient::Meta](docs/Meta.md)
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- [VericredClient::Plan](docs/Plan.md)
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- [VericredClient::PlanCounty](docs/PlanCounty.md)
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- [VericredClient::PlanCountyBulk](docs/PlanCountyBulk.md)
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- [VericredClient::PlanFindResponse](docs/PlanFindResponse.md)
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- [VericredClient::PlanSearchResult](docs/PlanSearchResult.md)
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- [VericredClient::Pricing](docs/Pricing.md)
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- [VericredClient::Provider](docs/Provider.md)
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- [VericredClient::
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- [VericredClient::ProviderResponse](docs/ProviderResponse.md)
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- [VericredClient::RatingArea](docs/RatingArea.md)
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- [VericredClient::RequestPlanFind](docs/RequestPlanFind.md)
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- [VericredClient::State](docs/State.md)
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- [VericredClient::ZipCode](docs/ZipCode.md)
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- [VericredClient::ZipCounty](docs/ZipCounty.md)
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- [VericredClient::ZipCountyBulk](docs/ZipCountyBulk.md)
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- [VericredClient::ZipCountyResponse](docs/ZipCountyResponse.md)
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## Documentation for Authorization
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data/docs/Applicant.md
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **Integer** | Primary key | [optional]
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**dob** | **Date** | Date of Birth | [optional]
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**id** | **Integer** | Primary key | [optional]
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**member_id** | **String** | Foreign key to members | [optional]
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**name** | **String** | Full name of the Applicant | [optional]
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**relationship** | **String** | Relationship of the Applicant to the Member | [optional]
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**smoker** | **BOOLEAN** | Does the Applicant smoke? | [optional]
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**smoker** | **BOOLEAN** | Does the Applicant smoke? | [optional] [default to false]
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**ssn** | **String** | Applicant's Social Security Number | [optional]
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@@ -1,8 +1,8 @@
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# VericredClient::
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# VericredClient::Base
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**
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**meta** | [**Meta**](Meta.md) | Metadata for query | [optional]
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data/docs/Carrier.md
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **Integer** | Primary key | [optional]
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**name** | **String** | Name of the Carrier | [optional]
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**logo_path** | **String** | URL for the Carrier's logo | [optional]
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**name** | **String** | Name of the Carrier | [optional]
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data/docs/County.md
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **Integer** | Primary key | [optional]
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**fips_code** | **String** | State FIPS code | [optional]
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**id** | **Integer** | Primary key | [optional]
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**name** | **String** | Human-readable name | [optional]
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**state_code** | **String** | Two-character state code | [optional]
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**state_id** | **Integer** | state relationship | [optional]
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**state_live** | **BOOLEAN** | Is the state containing this county active for consumers? | [optional]
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**state_live_for_business** | **BOOLEAN** | Is the state containing this county active for business? | [optional]
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**state_live** | **BOOLEAN** | Is the state containing this county active for consumers?(deprecated in favor of last_date_for_individual) | [optional] [default to false]
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**state_live_for_business** | **BOOLEAN** | Is the state containing this county active for business?(deprecated in favor of last_date_for_shop) | [optional] [default to false]
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data/docs/CountyBulk.md
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# VericredClient::CountyBulk
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**id** | **String** | FIPs code for the county | [optional]
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**name** | **String** | Name of the county | [optional]
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**state_id** | **String** | State code | [optional]
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data/docs/Drug.md
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**ndc** | **String** | National Drug Code ID | [optional]
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**proprietary_name** | **String** | Proprietary name of drug | [optional]
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**non_proprietary_name** | **String** | Non-proprietary name of drug | [optional]
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**packages** | [**Array<DrugPackage>**](DrugPackage.md) | Available retail/prescription packages for this drug | [optional]
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**proprietary_name** | **String** | Proprietary name of drug | [optional]
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data/docs/DrugCoverage.md
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**plan_id** | **String** | Health Insurance Oversight System id | [optional]
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**ndc_package_code** | **String** | NDC package code | [optional]
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**plan_id** | **String** | Health Insurance Oversight System id | [optional]
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**prior_authorization** | **BOOLEAN** | Prior authorization required | [optional] [default to false]
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**quantity_limit** | **BOOLEAN** | Quantity limit exists | [optional] [default to false]
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**step_therapy** | **BOOLEAN** | Step Treatment required | [optional] [default to false]
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**tier** | **String** | Tier Name | [optional]
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**quantity_limit** | **BOOLEAN** | Quantity limit exists | [optional]
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**prior_authorization** | **BOOLEAN** | Prior authorization required | [optional]
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**step_therapy** | **BOOLEAN** | Step Treatment required | [optional]
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# VericredClient::DrugCoverageResponse
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**coverages** | [**Array<DrugCoverage>**](DrugCoverage.md) | DrugCoverage search results | [optional]
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**meta** | [**Meta**](Meta.md) | Metadata for query | [optional]
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data/docs/DrugPackage.md
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# VericredClient::DrugPackage
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## Properties
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Name | Type | Description | Notes
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------------ | ------------- | ------------- | -------------
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**description** | **String** | Package description | [optional]
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**ndc_package_code** | **String** | National Drug Code ID (Package) | [optional]
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# VericredClient::DrugSearchResponse
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## Properties
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Name | Type | Description | Notes
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5
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------------ | ------------- | ------------- | -------------
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**drugs** | [**Array<Drug>**](Drug.md) | Drugs found in query | [optional]
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**meta** | [**Meta**](Meta.md) | Metadata for query | [optional]
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data/docs/DrugsApi.md
ADDED
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# VericredClient::DrugsApi
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All URIs are relative to *https://api.vericred.com/*
|
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|
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Method | HTTP request | Description
|
6
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------------- | ------------- | -------------
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7
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[**get_drugs_coverages_ndc**](DrugsApi.md#get_drugs_coverages_ndc) | **GET** /drugs/coverages | Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan
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# **get_drugs_coverages_ndc**
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> DrugCoverageResponse get_drugs_coverages_ndc(ndc_package_code, state_code)
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Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan
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Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan combination. This endpoint returns all DrugCoverages for a given Drug
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### Example
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```ruby
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# load the gem
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require 'vericred_client'
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api_instance = VericredClient::DrugsApi.new
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ndc_package_code = "ndc_package_code_example" # String | NDC package code
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state_code = "state_code_example" # String | Two-character state code
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begin
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#Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan
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result = api_instance.get_drugs_coverages_ndc(ndc_package_code, state_code)
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p result
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rescue VericredClient::ApiError => e
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puts "Exception when calling DrugsApi->get_drugs_coverages_ndc: #{e}"
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end
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```
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### Parameters
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Name | Type | Description | Notes
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------------- | ------------- | ------------- | -------------
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**ndc_package_code** | **String**| NDC package code |
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43
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**state_code** | **String**| Two-character state code |
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44
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45
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### Return type
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[**DrugCoverageResponse**](DrugCoverageResponse.md)
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### Authorization
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No authorization required
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### HTTP request headers
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- **Content-Type**: Not defined
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- **Accept**: Not defined
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data/docs/Meta.md
ADDED
data/docs/Plan.md
CHANGED
@@ -3,49 +3,65 @@
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3
3
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## Properties
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4
4
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Name | Type | Description | Notes
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5
5
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------------ | ------------- | ------------- | -------------
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6
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-
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
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6
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**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional] [default to false]
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7
7
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**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
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8
8
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**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
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9
9
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**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
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10
10
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**carrier_name** | **String** | Name of the insurance carrier | [optional]
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11
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-
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
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11
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+
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional] [default to false]
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12
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+
**child_eye_exam** | **String** | Child eye exam benefits summary | [optional]
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12
13
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**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
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13
14
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**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
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14
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-
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
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15
15
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**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
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16
16
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**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
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17
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**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
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18
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**effective_date** | **String** | Effective date of coverage. | [optional]
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17
19
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**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
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20
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**expiration_date** | **String** | Expiration date of coverage. | [optional]
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21
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**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
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19
22
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**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
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20
23
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**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
21
24
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**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
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22
25
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**generic_drugs** | **String** | Cost for generic drugs | [optional]
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26
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**habilitation_services** | **String** | Habilitation services benefits summary | [optional]
|
23
27
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**hios_issuer_id** | **String** | | [optional]
|
28
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+
**home_health_care** | **String** | Home health care benefits summary | [optional]
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29
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+
**hospice_service** | **String** | Hospice service benefits summary | [optional]
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30
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**id** | **String** | Government-issued HIOS plan ID | [optional]
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31
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**imaging** | **String** | Benefits summary for imaging coverage | [optional]
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32
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+
**in_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who accept this Plan | [optional]
|
26
33
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**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
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27
34
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**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
28
35
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**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
29
36
|
**individual_medical_moop** | **String** | Maximum out-of-pocket when an individual is on the plan | [optional]
|
37
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+
**inpatient_birth** | **String** | Inpatient birth benefits summary | [optional]
|
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38
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**inpatient_facility** | **String** | Cost under the plan for an inpatient facility | [optional]
|
39
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**inpatient_mental_health** | **String** | Inpatient mental helath benefits summary | [optional]
|
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40
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**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
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41
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**inpatient_substance** | **String** | Inpatient substance abuse benefits summary | [optional]
|
32
42
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**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
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43
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**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
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44
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**name** | **String** | Marketing name of the plan | [optional]
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45
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**network_size** | **Integer** | Total number of Providers in network | [optional]
|
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**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
37
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-
**
|
38
|
-
**
|
39
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-
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
47
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+
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional] [default to false]
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48
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**on_market** | **BOOLEAN** | Is the plan on-market? | [optional] [default to false]
|
49
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+
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional] [default to false]
|
50
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+
**out_of_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who do not accept this Plan | [optional]
|
40
51
|
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
41
52
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**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
42
53
|
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
54
|
+
**outpatient_substance** | **String** | Outpatient substance abuse benefits summary | [optional]
|
43
55
|
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
44
56
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**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity) | [optional]
|
45
57
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**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
58
|
+
**premium** | **Float** | Cumulative premium amount | [optional]
|
59
|
+
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
60
|
+
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
46
61
|
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
47
62
|
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
48
63
|
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
64
|
+
**skilled_nursing** | **String** | Benefits summary for skilled nursing services | [optional]
|
49
65
|
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
50
66
|
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
51
67
|
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
data/docs/PlanCounty.md
CHANGED
@@ -3,8 +3,8 @@
|
|
3
3
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## Properties
|
4
4
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Name | Type | Description | Notes
|
5
5
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------------ | ------------- | ------------- | -------------
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6
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+
**county_id** | **Integer** | Foreign key to county | [optional]
|
6
7
|
**id** | **Integer** | Primary key | [optional]
|
7
8
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**plan_id** | **Integer** | Foreign key to plan | [optional]
|
8
|
-
**county_id** | **Integer** | Foreign key to county | [optional]
|
9
9
|
|
10
10
|
|
@@ -0,0 +1,10 @@
|
|
1
|
+
# VericredClient::PlanCountyBulk
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2
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+
|
3
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## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**county_id** | **Integer** | Foreign key to county | [optional]
|
7
|
+
**id** | **Integer** | Primary key | [optional]
|
8
|
+
**plan_id** | **Integer** | Foreign key to plan | [optional]
|
9
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10
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|
@@ -0,0 +1,9 @@
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|
1
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# VericredClient::PlanFindResponse
|
2
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+
|
3
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## Properties
|
4
|
+
Name | Type | Description | Notes
|
5
|
+
------------ | ------------- | ------------- | -------------
|
6
|
+
**meta** | [**Meta**](Meta.md) | Metadata for query | [optional]
|
7
|
+
**plans** | [**Array<Plan>**](Plan.md) | Plan search results | [optional]
|
8
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+
|
9
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+
|
data/docs/PlanSearchResult.md
CHANGED
@@ -3,52 +3,70 @@
|
|
3
3
|
## Properties
|
4
4
|
Name | Type | Description | Notes
|
5
5
|
------------ | ------------- | ------------- | -------------
|
6
|
-
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional]
|
6
|
+
**adult_dental** | **BOOLEAN** | Does the plan provide dental coverage for adults? | [optional] [default to false]
|
7
7
|
**ambulance** | **String** | Benefits string for ambulance coverage | [optional]
|
8
8
|
**benefits_summary_url** | **String** | Link to the summary of benefits and coverage (SBC) document. | [optional]
|
9
9
|
**buy_link** | **String** | Link to a location to purchase the plan. | [optional]
|
10
10
|
**carrier_name** | **String** | Name of the insurance carrier | [optional]
|
11
|
-
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional]
|
11
|
+
**child_dental** | **BOOLEAN** | Does the plan provide dental coverage for children? | [optional] [default to false]
|
12
|
+
**child_eye_exam** | **String** | Child eye exam benefits summary | [optional]
|
12
13
|
**child_eyewear** | **String** | Child eyewear benefits summary | [optional]
|
13
14
|
**customer_service_phone_number** | **String** | Phone number to contact the insurance carrier | [optional]
|
14
|
-
**
|
15
|
+
**dependent_premium** | **Float** | Cumulative premium amount for dependents | [optional]
|
15
16
|
**diagnostic_test** | **String** | Diagnostic tests benefit summary | [optional]
|
16
17
|
**drug_formulary_url** | **String** | Link to the summary of drug benefits for the plan | [optional]
|
18
|
+
**durable_medical_equipment** | **String** | Benefits summary for durable medical equipment | [optional]
|
19
|
+
**effective_date** | **String** | Effective date of coverage. | [optional]
|
17
20
|
**emergency_room** | **String** | Description of costs when visiting the ER | [optional]
|
21
|
+
**employee_premium** | **Float** | Cumulative premium amount for employees | [optional]
|
22
|
+
**expiration_date** | **String** | Expiration date of coverage. | [optional]
|
18
23
|
**family_drug_deductible** | **String** | Deductible for drugs when a family is on the plan. | [optional]
|
19
24
|
**family_drug_moop** | **String** | Maximum out-of-pocket for drugs when a family is on the plan | [optional]
|
20
25
|
**family_medical_deductible** | **String** | Deductible when a family is on the plan | [optional]
|
21
26
|
**family_medical_moop** | **String** | Maximum out-of-pocket when a family is on the plan | [optional]
|
22
27
|
**generic_drugs** | **String** | Cost for generic drugs | [optional]
|
28
|
+
**habilitation_services** | **String** | Habilitation services benefits summary | [optional]
|
23
29
|
**hios_issuer_id** | **String** | | [optional]
|
30
|
+
**home_health_care** | **String** | Home health care benefits summary | [optional]
|
31
|
+
**hospice_service** | **String** | Hospice service benefits summary | [optional]
|
24
32
|
**id** | **String** | Government-issued HIOS plan ID | [optional]
|
25
33
|
**imaging** | **String** | Benefits summary for imaging coverage | [optional]
|
34
|
+
**in_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who accept this Plan | [optional]
|
26
35
|
**individual_drug_deductible** | **String** | Deductible for drugs when an individual is on the plan | [optional]
|
27
36
|
**individual_drug_moop** | **String** | Maximum out-of-pocket for drugs when an individual is on the plan | [optional]
|
28
37
|
**individual_medical_deductible** | **String** | Deductible when an individual is on the plan | [optional]
|
29
38
|
**individual_medical_moop** | **String** | Maximum out-of-pocket when an individual is on the plan | [optional]
|
39
|
+
**inpatient_birth** | **String** | Inpatient birth benefits summary | [optional]
|
30
40
|
**inpatient_facility** | **String** | Cost under the plan for an inpatient facility | [optional]
|
41
|
+
**inpatient_mental_health** | **String** | Inpatient mental helath benefits summary | [optional]
|
31
42
|
**inpatient_physician** | **String** | Cost under the plan for an inpatient physician | [optional]
|
43
|
+
**inpatient_substance** | **String** | Inpatient substance abuse benefits summary | [optional]
|
32
44
|
**level** | **String** | Plan metal grouping (e.g. platinum, gold, silver, etc) | [optional]
|
33
45
|
**logo_url** | **String** | Link to a copy of the insurance carrier's logo | [optional]
|
46
|
+
**match_percentage** | **Integer** | Percentage of doctors who matched this Plan | [optional]
|
34
47
|
**name** | **String** | Marketing name of the plan | [optional]
|
35
48
|
**non_preferred_brand_drugs** | **String** | Cost under the plan for non-preferred brand drugs | [optional]
|
36
|
-
**
|
37
|
-
**
|
38
|
-
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional]
|
49
|
+
**off_market** | **BOOLEAN** | Is the plan off-market? | [optional] [default to false]
|
50
|
+
**on_market** | **BOOLEAN** | Is the plan on-market? | [optional] [default to false]
|
51
|
+
**out_of_network_coverage** | **BOOLEAN** | Does this plan provide any out of network coverage? | [optional] [default to false]
|
52
|
+
**out_of_network_ids** | **Array<Integer>** | List of NPI numbers for Providers passed in who do not accept this Plan | [optional]
|
39
53
|
**outpatient_facility** | **String** | Benefits summary for outpatient facility coverage | [optional]
|
40
54
|
**outpatient_mental_health** | **String** | Benefits summary for outpatient mental health coverage | [optional]
|
41
55
|
**outpatient_physician** | **String** | Benefits summary for outpatient physician coverage | [optional]
|
56
|
+
**outpatient_substance** | **String** | Outpatient substance abuse benefits summary | [optional]
|
57
|
+
**perfect_match_percentage** | **Integer** | Percentage of employees with 100% match | [optional]
|
42
58
|
**plan_market** | **String** | Market in which the plan is offered (on_marketplace, shop, etc) | [optional]
|
43
59
|
**plan_type** | **String** | Category of the plan (e.g. EPO, HMO, PPO, POS, Indemnity) | [optional]
|
44
60
|
**preferred_brand_drugs** | **String** | Cost under the plan for perferred brand drugs | [optional]
|
61
|
+
**premium** | **Float** | Cumulative premium amount | [optional]
|
62
|
+
**premium_subsidized** | **Float** | Cumulative premium amount after subsidy | [optional]
|
63
|
+
**prenatal_postnatal_care** | **String** | Inpatient substance abuse benefits summary | [optional]
|
45
64
|
**preventative_care** | **String** | Benefits summary for preventative care | [optional]
|
46
65
|
**primary_care_physician** | **String** | Cost under the plan to visit a Primary Care Physician | [optional]
|
47
66
|
**rehabilitation_services** | **String** | Benefits summary for rehabilitation services | [optional]
|
67
|
+
**skilled_nursing** | **String** | Benefits summary for skilled nursing services | [optional]
|
48
68
|
**specialist** | **String** | Cost under the plan to visit a specialist | [optional]
|
49
69
|
**specialty_drugs** | **String** | Cost under the plan for specialty drugs | [optional]
|
50
70
|
**urgent_care** | **String** | Benefits summary for urgent care | [optional]
|
51
|
-
**match_percentage** | **Integer** | Percentage of doctors who matched this Plan | [optional]
|
52
|
-
**perfect_match_percentage** | **Integer** | Percentage of employees with 100% match | [optional]
|
53
71
|
|
54
72
|
|