vericred_client 0.0.21 → 0.0.23

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Files changed (270) hide show
  1. checksums.yaml +4 -4
  2. data/LICENSE +201 -0
  3. data/README.md +204 -8
  4. data/docs/CarrierGroupsApi.md +3 -3
  5. data/docs/CarrierVerificationPlansApi.md +1 -1
  6. data/docs/CarriersApi.md +3 -3
  7. data/docs/DentalPlansApi.md +4 -4
  8. data/docs/DrugCoveragesApi.md +4 -4
  9. data/docs/DrugPackagesApi.md +2 -2
  10. data/docs/DrugsApi.md +2 -2
  11. data/docs/EmbargoesApi.md +3 -3
  12. data/docs/FormulariesApi.md +3 -3
  13. data/docs/IssuersApi.md +3 -3
  14. data/docs/MedicalPlansApi.md +3 -3
  15. data/docs/NetworkSizesApi.md +2 -2
  16. data/docs/NetworksApi.md +1 -1
  17. data/docs/PlansApi.md +3 -3
  18. data/docs/ProviderNotificationSubscriptionsApi.md +2 -2
  19. data/docs/ProvidersApi.md +1 -1
  20. data/docs/RatesApi.md +3 -3
  21. data/docs/VisionPlansApi.md +4 -4
  22. data/docs/ZipCountiesApi.md +2 -2
  23. data/lib/vericred_client/api/carrier_groups_api.rb +226 -17
  24. data/lib/vericred_client/api/carrier_verification_plans_api.rb +217 -8
  25. data/lib/vericred_client/api/carriers_api.rb +226 -17
  26. data/lib/vericred_client/api/dental_plans_api.rb +234 -23
  27. data/lib/vericred_client/api/drug_coverages_api.rb +221 -12
  28. data/lib/vericred_client/api/drug_packages_api.rb +218 -11
  29. data/lib/vericred_client/api/drugs_api.rb +217 -8
  30. data/lib/vericred_client/api/embargoes_api.rb +226 -17
  31. data/lib/vericred_client/api/formularies_api.rb +216 -5
  32. data/lib/vericred_client/api/issuers_api.rb +226 -17
  33. data/lib/vericred_client/api/medical_plans_api.rb +236 -21
  34. data/lib/vericred_client/api/network_sizes_api.rb +225 -14
  35. data/lib/vericred_client/api/networks_api.rb +234 -23
  36. data/lib/vericred_client/api/plans_api.rb +244 -27
  37. data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +233 -12
  38. data/lib/vericred_client/api/providers_api.rb +246 -25
  39. data/lib/vericred_client/api/rates_api.rb +226 -17
  40. data/lib/vericred_client/api/vision_plans_api.rb +234 -23
  41. data/lib/vericred_client/api/zip_counties_api.rb +229 -10
  42. data/lib/vericred_client/api_client.rb +257 -69
  43. data/lib/vericred_client/api_error.rb +214 -9
  44. data/lib/vericred_client/configuration.rb +209 -8
  45. data/lib/vericred_client/models/aca_plan.rb +211 -4
  46. data/lib/vericred_client/models/aca_plan2018.rb +211 -4
  47. data/lib/vericred_client/models/aca_plan2018_search_response.rb +211 -4
  48. data/lib/vericred_client/models/aca_plan2018_search_result.rb +211 -4
  49. data/lib/vericred_client/models/aca_plan2018_show_response.rb +211 -4
  50. data/lib/vericred_client/models/aca_plan_pre2018.rb +211 -4
  51. data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +211 -4
  52. data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +211 -4
  53. data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +211 -4
  54. data/lib/vericred_client/models/base.rb +211 -4
  55. data/lib/vericred_client/models/base_plan_search_response.rb +211 -4
  56. data/lib/vericred_client/models/carrier.rb +211 -4
  57. data/lib/vericred_client/models/carrier_group_request.rb +211 -4
  58. data/lib/vericred_client/models/carrier_request.rb +211 -4
  59. data/lib/vericred_client/models/carrier_subsidiary.rb +211 -4
  60. data/lib/vericred_client/models/county.rb +211 -4
  61. data/lib/vericred_client/models/county_bulk.rb +211 -4
  62. data/lib/vericred_client/models/dental_plan.rb +211 -4
  63. data/lib/vericred_client/models/dental_plan_benefits.rb +211 -4
  64. data/lib/vericred_client/models/dental_plan_search_applicant.rb +211 -4
  65. data/lib/vericred_client/models/dental_plan_search_request.rb +211 -4
  66. data/lib/vericred_client/models/dental_plan_search_response.rb +211 -4
  67. data/lib/vericred_client/models/dental_plan_show_response.rb +211 -4
  68. data/lib/vericred_client/models/dental_plan_update.rb +211 -4
  69. data/lib/vericred_client/models/dental_plan_update_request.rb +211 -4
  70. data/lib/vericred_client/models/drug.rb +211 -4
  71. data/lib/vericred_client/models/drug_coverage.rb +211 -4
  72. data/lib/vericred_client/models/drug_coverage_response.rb +211 -4
  73. data/lib/vericred_client/models/drug_package.rb +211 -4
  74. data/lib/vericred_client/models/drug_search_response.rb +211 -4
  75. data/lib/vericred_client/models/embargo_request.rb +211 -4
  76. data/lib/vericred_client/models/formulary.rb +211 -4
  77. data/lib/vericred_client/models/formulary_drug_package_response.rb +211 -4
  78. data/lib/vericred_client/models/formulary_response.rb +211 -4
  79. data/lib/vericred_client/models/issuer_request.rb +211 -4
  80. data/lib/vericred_client/models/medical_plan_benefits.rb +211 -4
  81. data/lib/vericred_client/models/medical_plan_update.rb +211 -4
  82. data/lib/vericred_client/models/medical_plan_update_request.rb +211 -4
  83. data/lib/vericred_client/models/meta.rb +211 -4
  84. data/lib/vericred_client/models/meta_plan_search_response.rb +211 -4
  85. data/lib/vericred_client/models/network.rb +211 -4
  86. data/lib/vericred_client/models/network_comparison.rb +211 -4
  87. data/lib/vericred_client/models/network_comparison_request.rb +211 -4
  88. data/lib/vericred_client/models/network_comparison_response.rb +211 -4
  89. data/lib/vericred_client/models/network_details.rb +211 -4
  90. data/lib/vericred_client/models/network_details_response.rb +211 -4
  91. data/lib/vericred_client/models/network_search_response.rb +211 -4
  92. data/lib/vericred_client/models/network_size.rb +211 -4
  93. data/lib/vericred_client/models/notification_subscription.rb +211 -4
  94. data/lib/vericred_client/models/notification_subscription_response.rb +211 -4
  95. data/lib/vericred_client/models/plan.rb +211 -4
  96. data/lib/vericred_client/models/plan_county.rb +211 -4
  97. data/lib/vericred_client/models/plan_county_bulk.rb +211 -4
  98. data/lib/vericred_client/models/plan_deleted.rb +211 -4
  99. data/lib/vericred_client/models/plan_identifier.rb +211 -4
  100. data/lib/vericred_client/models/plan_medicare.rb +211 -4
  101. data/lib/vericred_client/models/plan_medicare_bulk.rb +211 -4
  102. data/lib/vericred_client/models/plan_pricing_medicare.rb +211 -4
  103. data/lib/vericred_client/models/plan_search_response.rb +211 -4
  104. data/lib/vericred_client/models/plan_show_response.rb +211 -4
  105. data/lib/vericred_client/models/provider.rb +211 -4
  106. data/lib/vericred_client/models/provider_details.rb +211 -4
  107. data/lib/vericred_client/models/provider_geocode.rb +211 -4
  108. data/lib/vericred_client/models/provider_network_event_notification.rb +211 -4
  109. data/lib/vericred_client/models/provider_show_response.rb +211 -4
  110. data/lib/vericred_client/models/providers_geocode_response.rb +211 -4
  111. data/lib/vericred_client/models/providers_search_response.rb +211 -4
  112. data/lib/vericred_client/models/rate_request.rb +211 -4
  113. data/lib/vericred_client/models/rate_search.rb +211 -4
  114. data/lib/vericred_client/models/rating_area.rb +211 -4
  115. data/lib/vericred_client/models/request_plan_find.rb +211 -4
  116. data/lib/vericred_client/models/request_plan_find_applicant.rb +211 -4
  117. data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +211 -4
  118. data/lib/vericred_client/models/request_plan_find_drug_package.rb +211 -4
  119. data/lib/vericred_client/models/request_plan_find_provider.rb +211 -4
  120. data/lib/vericred_client/models/request_provider_notification_subscription.rb +211 -4
  121. data/lib/vericred_client/models/request_providers_search.rb +211 -4
  122. data/lib/vericred_client/models/request_rates_search.rb +211 -4
  123. data/lib/vericred_client/models/response_rates_search.rb +211 -4
  124. data/lib/vericred_client/models/rx_cui_identifier.rb +211 -4
  125. data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +211 -4
  126. data/lib/vericred_client/models/service_area.rb +211 -4
  127. data/lib/vericred_client/models/service_area_zip_county.rb +211 -4
  128. data/lib/vericred_client/models/state.rb +211 -4
  129. data/lib/vericred_client/models/state_network_size_request.rb +211 -4
  130. data/lib/vericred_client/models/state_network_size_response.rb +211 -4
  131. data/lib/vericred_client/models/vision_plan.rb +211 -4
  132. data/lib/vericred_client/models/vision_plan_benefits.rb +211 -4
  133. data/lib/vericred_client/models/vision_plan_search_applicant.rb +211 -4
  134. data/lib/vericred_client/models/vision_plan_search_request.rb +211 -4
  135. data/lib/vericred_client/models/vision_plan_search_response.rb +211 -4
  136. data/lib/vericred_client/models/vision_plan_show_response.rb +211 -4
  137. data/lib/vericred_client/models/vision_plan_update.rb +211 -4
  138. data/lib/vericred_client/models/vision_plan_update_request.rb +211 -4
  139. data/lib/vericred_client/models/zip_code.rb +211 -4
  140. data/lib/vericred_client/models/zip_counties_response.rb +211 -4
  141. data/lib/vericred_client/models/zip_county.rb +211 -4
  142. data/lib/vericred_client/models/zip_county_bulk.rb +211 -4
  143. data/lib/vericred_client/models/zip_county_response.rb +211 -4
  144. data/lib/vericred_client/version.rb +210 -3
  145. data/lib/vericred_client.rb +209 -2
  146. data/spec/api/carrier_groups_api_spec.rb +210 -3
  147. data/spec/api/carrier_verification_plans_api_spec.rb +210 -3
  148. data/spec/api/carriers_api_spec.rb +210 -3
  149. data/spec/api/dental_plans_api_spec.rb +210 -3
  150. data/spec/api/drug_coverages_api_spec.rb +210 -3
  151. data/spec/api/drug_packages_api_spec.rb +210 -3
  152. data/spec/api/drugs_api_spec.rb +210 -3
  153. data/spec/api/embargoes_api_spec.rb +210 -3
  154. data/spec/api/formularies_api_spec.rb +210 -3
  155. data/spec/api/issuers_api_spec.rb +210 -3
  156. data/spec/api/medical_plans_api_spec.rb +210 -3
  157. data/spec/api/network_sizes_api_spec.rb +210 -3
  158. data/spec/api/networks_api_spec.rb +210 -3
  159. data/spec/api/plans_api_spec.rb +210 -3
  160. data/spec/api/provider_notification_subscriptions_api_spec.rb +210 -3
  161. data/spec/api/providers_api_spec.rb +210 -3
  162. data/spec/api/rates_api_spec.rb +210 -3
  163. data/spec/api/vision_plans_api_spec.rb +210 -3
  164. data/spec/api/zip_counties_api_spec.rb +210 -3
  165. data/spec/api_client_spec.rb +212 -26
  166. data/spec/configuration_spec.rb +212 -5
  167. data/spec/models/aca_plan2018_search_response_spec.rb +210 -3
  168. data/spec/models/aca_plan2018_search_result_spec.rb +210 -3
  169. data/spec/models/aca_plan2018_show_response_spec.rb +210 -3
  170. data/spec/models/aca_plan2018_spec.rb +210 -3
  171. data/spec/models/aca_plan_pre2018_search_response_spec.rb +210 -3
  172. data/spec/models/aca_plan_pre2018_search_result_spec.rb +210 -3
  173. data/spec/models/aca_plan_pre2018_show_response_spec.rb +210 -3
  174. data/spec/models/aca_plan_pre2018_spec.rb +210 -3
  175. data/spec/models/aca_plan_spec.rb +210 -3
  176. data/spec/models/base_plan_search_response_spec.rb +210 -3
  177. data/spec/models/base_spec.rb +210 -3
  178. data/spec/models/carrier_group_request_spec.rb +210 -3
  179. data/spec/models/carrier_request_spec.rb +210 -3
  180. data/spec/models/carrier_spec.rb +210 -3
  181. data/spec/models/carrier_subsidiary_spec.rb +210 -3
  182. data/spec/models/county_bulk_spec.rb +210 -3
  183. data/spec/models/county_spec.rb +210 -3
  184. data/spec/models/dental_plan_benefits_spec.rb +210 -3
  185. data/spec/models/dental_plan_search_applicant_spec.rb +210 -3
  186. data/spec/models/dental_plan_search_request_spec.rb +210 -3
  187. data/spec/models/dental_plan_search_response_spec.rb +210 -3
  188. data/spec/models/dental_plan_show_response_spec.rb +210 -3
  189. data/spec/models/dental_plan_spec.rb +210 -3
  190. data/spec/models/dental_plan_update_request_spec.rb +210 -3
  191. data/spec/models/dental_plan_update_spec.rb +210 -3
  192. data/spec/models/drug_coverage_response_spec.rb +210 -3
  193. data/spec/models/drug_coverage_spec.rb +210 -3
  194. data/spec/models/drug_package_spec.rb +210 -3
  195. data/spec/models/drug_search_response_spec.rb +210 -3
  196. data/spec/models/drug_spec.rb +210 -3
  197. data/spec/models/embargo_request_spec.rb +210 -3
  198. data/spec/models/formulary_drug_package_response_spec.rb +210 -3
  199. data/spec/models/formulary_response_spec.rb +210 -3
  200. data/spec/models/formulary_spec.rb +210 -3
  201. data/spec/models/issuer_request_spec.rb +210 -3
  202. data/spec/models/medical_plan_benefits_spec.rb +210 -3
  203. data/spec/models/medical_plan_update_request_spec.rb +210 -3
  204. data/spec/models/medical_plan_update_spec.rb +210 -3
  205. data/spec/models/meta_plan_search_response_spec.rb +210 -3
  206. data/spec/models/meta_spec.rb +210 -3
  207. data/spec/models/network_comparison_request_spec.rb +210 -3
  208. data/spec/models/network_comparison_response_spec.rb +210 -3
  209. data/spec/models/network_comparison_spec.rb +210 -3
  210. data/spec/models/network_details_response_spec.rb +210 -3
  211. data/spec/models/network_details_spec.rb +210 -3
  212. data/spec/models/network_search_response_spec.rb +210 -3
  213. data/spec/models/network_size_spec.rb +210 -3
  214. data/spec/models/network_spec.rb +210 -3
  215. data/spec/models/notification_subscription_response_spec.rb +210 -3
  216. data/spec/models/notification_subscription_spec.rb +210 -3
  217. data/spec/models/plan_county_bulk_spec.rb +210 -3
  218. data/spec/models/plan_county_spec.rb +210 -3
  219. data/spec/models/plan_deleted_spec.rb +210 -3
  220. data/spec/models/plan_identifier_spec.rb +210 -3
  221. data/spec/models/plan_medicare_bulk_spec.rb +210 -3
  222. data/spec/models/plan_medicare_spec.rb +210 -3
  223. data/spec/models/plan_pricing_medicare_spec.rb +210 -3
  224. data/spec/models/plan_search_response_spec.rb +210 -3
  225. data/spec/models/plan_show_response_spec.rb +210 -3
  226. data/spec/models/plan_spec.rb +210 -3
  227. data/spec/models/provider_details_spec.rb +210 -3
  228. data/spec/models/provider_geocode_spec.rb +210 -3
  229. data/spec/models/provider_network_event_notification_spec.rb +210 -3
  230. data/spec/models/provider_show_response_spec.rb +210 -3
  231. data/spec/models/provider_spec.rb +210 -3
  232. data/spec/models/providers_geocode_response_spec.rb +210 -3
  233. data/spec/models/providers_search_response_spec.rb +210 -3
  234. data/spec/models/rate_request_spec.rb +210 -3
  235. data/spec/models/rate_search_spec.rb +210 -3
  236. data/spec/models/rating_area_spec.rb +210 -3
  237. data/spec/models/request_plan_find_applicant_spec.rb +210 -3
  238. data/spec/models/request_plan_find_carrier_verification_spec.rb +210 -3
  239. data/spec/models/request_plan_find_drug_package_spec.rb +210 -3
  240. data/spec/models/request_plan_find_provider_spec.rb +210 -3
  241. data/spec/models/request_plan_find_spec.rb +210 -3
  242. data/spec/models/request_provider_notification_subscription_spec.rb +210 -3
  243. data/spec/models/request_providers_search_spec.rb +210 -3
  244. data/spec/models/request_rates_search_spec.rb +210 -3
  245. data/spec/models/response_rates_search_spec.rb +210 -3
  246. data/spec/models/rx_cui_identifier_search_response_spec.rb +210 -3
  247. data/spec/models/rx_cui_identifier_spec.rb +210 -3
  248. data/spec/models/service_area_spec.rb +210 -3
  249. data/spec/models/service_area_zip_county_spec.rb +210 -3
  250. data/spec/models/state_network_size_request_spec.rb +210 -3
  251. data/spec/models/state_network_size_response_spec.rb +210 -3
  252. data/spec/models/state_spec.rb +210 -3
  253. data/spec/models/vision_plan_benefits_spec.rb +210 -3
  254. data/spec/models/vision_plan_search_applicant_spec.rb +210 -3
  255. data/spec/models/vision_plan_search_request_spec.rb +210 -3
  256. data/spec/models/vision_plan_search_response_spec.rb +210 -3
  257. data/spec/models/vision_plan_show_response_spec.rb +210 -3
  258. data/spec/models/vision_plan_spec.rb +210 -3
  259. data/spec/models/vision_plan_update_request_spec.rb +210 -3
  260. data/spec/models/vision_plan_update_spec.rb +210 -3
  261. data/spec/models/zip_code_spec.rb +210 -3
  262. data/spec/models/zip_counties_response_spec.rb +210 -3
  263. data/spec/models/zip_county_bulk_spec.rb +210 -3
  264. data/spec/models/zip_county_response_spec.rb +210 -3
  265. data/spec/models/zip_county_spec.rb +210 -3
  266. data/spec/spec_helper.rb +209 -2
  267. data/vericred_client.gemspec +213 -6
  268. metadata +16 -23
  269. data/Gemfile +0 -7
  270. data/Rakefile +0 -8
checksums.yaml CHANGED
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data/LICENSE ADDED
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+ Apache License
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data/README.md CHANGED
@@ -2,13 +2,209 @@
2
2
 
3
3
  VericredClient - the Ruby gem for the Vericred API
4
4
 
5
- Vericred's API allows you to search for Health Plans that a specific doctor accepts. ## Getting Started Visit our [Developer Portal](https://developers.vericred.com) to create an account. Once you have created an account, you can create one Application for Production and another for our Sandbox (select the appropriate Plan when you create the Application). ## SDKs Our API follows standard REST conventions, so you can use any HTTP client to integrate with us. You will likely find it easier to use one of our [autogenerated SDKs](https://github.com/vericred/?query=vericred-), which we make available for several common programming languages. ## Authentication To authenticate, pass the API Key you created in the Developer Portal as a `Vericred-Api-Key` header. `curl -H 'Vericred-Api-Key: YOUR_KEY' \"https://api.vericred.com/providers?search_term=Foo&zip_code=11215\"` ## Versioning Vericred's API default to the latest version. However, if you need a specific version, you can request it with an `Accept-Version` header. The current version is `v3`. Previous versions are `v1` and `v2`. `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' \"https://api.vericred.com/providers?search_term=Foo&zip_code=11215\"` ## Pagination Endpoints that accept `page` and `per_page` parameters are paginated. They expose four additional fields that contain data about your position in the response, namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988). For example, to display 5 results per page and view the second page of a `GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`. ## Sideloading When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s we sideload the associated data. In this example, we would provide an Array of `State`s and a `state_id` for each provider. This is done primarily to reduce the payload size since many of the `Provider`s will share a `State` ``` { providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }], states: [{ id: 1, code: 'NY' }] } ``` If you need the second level of the object graph, you can just match the corresponding id. ## Selecting specific data All endpoints allow you to specify which fields you would like to return. This allows you to limit the response to contain only the data you need. For example, let's take a request that returns the following JSON by default ``` { provider: { id: 1, name: 'John', phone: '1234567890', field_we_dont_care_about: 'value_we_dont_care_about' }, states: [{ id: 1, name: 'New York', code: 'NY', field_we_dont_care_about: 'value_we_dont_care_about' }] } ``` To limit our results to only return the fields we care about, we specify the `select` query string parameter for the corresponding fields in the JSON document. In this case, we want to select `name` and `phone` from the `provider` key, so we would add the parameters `select=provider.name,provider.phone`. We also want the `name` and `code` from the `states` key, so we would add the parameters `select=states.name,states.code`. The id field of each document is always returned whether or not it is requested. Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code` The response would be ``` { provider: { id: 1, name: 'John', phone: '1234567890' }, states: [{ id: 1, name: 'New York', code: 'NY' }] } ``` ## Benefits summary format Benefit cost-share strings are formatted to capture: * Network tiers * Compound or conditional cost-share * Limits on the cost-share * Benefit-specific maximum out-of-pocket costs **Example #1** As an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as: * **Hospital stay facility fees**: - Network Provider: `$400 copay/admit plus 20% coinsurance` - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance` - Vericred's format for this benefit: `In-Network: $400 before deductible then 20% after deductible / Out-of-Network: $1,500 before deductible then 50% after deductible` * **Rehabilitation services:** - Network Provider: `20% coinsurance` - Out-of-Network Provider: `50% coinsurance` - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.` - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period` **Example #2** In [this other Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/40733CA0110568.pdf), the **specialty_drugs** cost-share has a maximum out-of-pocket for in-network pharmacies. * **Specialty drugs:** - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply` - Out-of-Network Provider `Not covered` - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%` **BNF** Here's a description of the benefits summary string, represented as a context-free grammar: ``` root ::= coverage coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)? tiered_coverage ::= tier (space slash space tier)* tier ::= tier_name colon space (tier_coverage | not_applicable) tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation? simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)? coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers) waived_if_admitted ::= (\"copay\" space)? \"waived if admitted\" simple_limitation ::= pre_coverage_limitation space \"copay applies\" tier_name ::= \"In-Network-Tier-2\" | \"Out-of-Network\" | \"In-Network\" limit_condition ::= \"limit\" | \"condition\" tier_limitation ::= comma space \"up to\" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)? coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?) pre_coverage_limitation ::= first space digits space time_unit plural? post_coverage_limitation ::= (((then space currency) | \"per condition\") space)? \"per\" space (treatment_unit | (integer space time_unit) | time_unit) plural? coverage_condition ::= (\"before deductible\" | \"after deductible\" | \"penalty\" | allowance | \"in-state\" | \"out-of-state\") (space allowance)? allowance ::= upto_allowance | after_allowance upto_allowance ::= \"up to\" space (currency space)? \"allowance\" after_allowance ::= \"after\" space (currency space)? \"allowance\" see_carrier_documentation ::= \"see carrier documentation for more information\" shared_across_tiers ::= \"shared across all tiers\" unknown ::= \"unknown\" unlimited ::= /[uU]nlimited/ included ::= /[iI]ncluded in [mM]edical/ time_unit ::= /[hH]our/ | (((/[cC]alendar/ | /[cC]ontract/) space)? /[yY]ear/) | /[mM]onth/ | /[dD]ay/ | /[wW]eek/ | /[vV]isit/ | /[lL]ifetime/ | ((((/[bB]enefit/ plural?) | /[eE]ligibility/) space)? /[pP]eriod/) treatment_unit ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/ comma ::= \",\" colon ::= \":\" semicolon ::= \";\" pipe ::= \"|\" slash ::= \"/\" plural ::= \"(s)\" | \"s\" then ::= \"then\" | (\",\" space) | space or ::= \"or\" and ::= \"and\" not_applicable ::= \"Not Applicable\" | \"N/A\" | \"NA\" first ::= \"first\" currency ::= \"$\" number percentage ::= number \"%\" number ::= float | integer float ::= digits \".\" digits integer ::= /[0-9]/+ (comma_int | under_int)* comma_int ::= (\",\" /[0-9]/*3) !\"_\" under_int ::= (\"_\" /[0-9]/*3) !\",\" digits ::= /[0-9]/+ (\"_\" /[0-9]/+)* space ::= /[ \\t]/+ ```
5
+ Vericred's API allows you to search for Health Plans that a specific doctor
6
+ accepts.
7
+
8
+ ## Getting Started
9
+
10
+ Visit our [Developer Portal](https://developers.vericred.com) to
11
+ create an account.
12
+
13
+ Once you have created an account, you can create one Application for
14
+ Production and another for our Sandbox (select the appropriate Plan when
15
+ you create the Application).
16
+
17
+ ## SDKs
18
+
19
+ Our API follows standard REST conventions, so you can use any HTTP client
20
+ to integrate with us. You will likely find it easier to use one of our
21
+ [autogenerated SDKs](https://github.com/vericred/?query=vericred-),
22
+ which we make available for several common programming languages.
23
+
24
+ ## Authentication
25
+
26
+ To authenticate, pass the API Key you created in the Developer Portal as
27
+ a `Vericred-Api-Key` header.
28
+
29
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
30
+
31
+ ## Versioning
32
+
33
+ Vericred's API default to the latest version. However, if you need a specific
34
+ version, you can request it with an `Accept-Version` header.
35
+
36
+ The current version is `v3`. Previous versions are `v1` and `v2`.
37
+
38
+ `curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
39
+
40
+ ## Pagination
41
+
42
+ Endpoints that accept `page` and `per_page` parameters are paginated. They expose
43
+ four additional fields that contain data about your position in the response,
44
+ namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988).
45
+
46
+ For example, to display 5 results per page and view the second page of a
47
+ `GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`.
48
+
49
+ ## Sideloading
50
+
51
+ When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
52
+ we sideload the associated data. In this example, we would provide an Array of
53
+ `State`s and a `state_id` for each provider. This is done primarily to reduce the
54
+ payload size since many of the `Provider`s will share a `State`
55
+
56
+ ```
57
+ {
58
+ providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
59
+ states: [{ id: 1, code: 'NY' }]
60
+ }
61
+ ```
62
+
63
+ If you need the second level of the object graph, you can just match the
64
+ corresponding id.
65
+
66
+ ## Selecting specific data
67
+
68
+ All endpoints allow you to specify which fields you would like to return.
69
+ This allows you to limit the response to contain only the data you need.
70
+
71
+ For example, let's take a request that returns the following JSON by default
72
+
73
+ ```
74
+ {
75
+ provider: {
76
+ id: 1,
77
+ name: 'John',
78
+ phone: '1234567890',
79
+ field_we_dont_care_about: 'value_we_dont_care_about'
80
+ },
81
+ states: [{
82
+ id: 1,
83
+ name: 'New York',
84
+ code: 'NY',
85
+ field_we_dont_care_about: 'value_we_dont_care_about'
86
+ }]
87
+ }
88
+ ```
89
+
90
+ To limit our results to only return the fields we care about, we specify the
91
+ `select` query string parameter for the corresponding fields in the JSON
92
+ document.
93
+
94
+ In this case, we want to select `name` and `phone` from the `provider` key,
95
+ so we would add the parameters `select=provider.name,provider.phone`.
96
+ We also want the `name` and `code` from the `states` key, so we would
97
+ add the parameters `select=states.name,states.code`. The id field of
98
+ each document is always returned whether or not it is requested.
99
+
100
+ Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
101
+
102
+ The response would be
103
+
104
+ ```
105
+ {
106
+ provider: {
107
+ id: 1,
108
+ name: 'John',
109
+ phone: '1234567890'
110
+ },
111
+ states: [{
112
+ id: 1,
113
+ name: 'New York',
114
+ code: 'NY'
115
+ }]
116
+ }
117
+ ```
118
+
119
+ ## Benefits summary format
120
+ Benefit cost-share strings are formatted to capture:
121
+ * Network tiers
122
+ * Compound or conditional cost-share
123
+ * Limits on the cost-share
124
+ * Benefit-specific maximum out-of-pocket costs
125
+
126
+ **Example #1**
127
+ As an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as:
128
+
129
+ * **Hospital stay facility fees**:
130
+ - Network Provider: `$400 copay/admit plus 20% coinsurance`
131
+ - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance`
132
+ - Vericred's format for this benefit: `In-Network: $400 before deductible then 20% after deductible / Out-of-Network: $1,500 before deductible then 50% after deductible`
133
+
134
+ * **Rehabilitation services:**
135
+ - Network Provider: `20% coinsurance`
136
+ - Out-of-Network Provider: `50% coinsurance`
137
+ - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.`
138
+ - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period`
139
+
140
+ **Example #2**
141
+ In [this other Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/40733CA0110568.pdf), the **specialty_drugs** cost-share has a maximum out-of-pocket for in-network pharmacies.
142
+ * **Specialty drugs:**
143
+ - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply`
144
+ - Out-of-Network Provider `Not covered`
145
+ - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%`
146
+
147
+ **BNF**
148
+
149
+ Here's a description of the benefits summary string, represented as a context-free grammar:
150
+
151
+ ```
152
+ root ::= coverage
153
+
154
+ coverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
155
+ tiered_coverage ::= tier (space slash space tier)*
156
+ tier ::= tier_name colon space (tier_coverage | not_applicable)
157
+ tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
158
+ simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
159
+ coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
160
+ waived_if_admitted ::= ("copay" space)? "waived if admitted"
161
+ simple_limitation ::= pre_coverage_limitation space "copay applies"
162
+ tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
163
+ limit_condition ::= "limit" | "condition"
164
+ tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
165
+ coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
166
+ pre_coverage_limitation ::= first space digits space time_unit plural?
167
+ post_coverage_limitation ::= (((then space currency) | "per condition") space)? "per" space (treatment_unit | (integer space time_unit) | time_unit) plural?
168
+ coverage_condition ::= ("before deductible" | "after deductible" | "penalty" | allowance | "in-state" | "out-of-state") (space allowance)?
169
+ allowance ::= upto_allowance | after_allowance
170
+ upto_allowance ::= "up to" space (currency space)? "allowance"
171
+ after_allowance ::= "after" space (currency space)? "allowance"
172
+ see_carrier_documentation ::= "see carrier documentation for more information"
173
+ shared_across_tiers ::= "shared across all tiers"
174
+ unknown ::= "unknown"
175
+ unlimited ::= /[uU]nlimited/
176
+ included ::= /[iI]ncluded in [mM]edical/
177
+ time_unit ::= /[hH]our/ | (((/[cC]alendar/ | /[cC]ontract/) space)? /[yY]ear/) | /[mM]onth/ | /[dD]ay/ | /[wW]eek/ | /[vV]isit/ | /[lL]ifetime/ | ((((/[bB]enefit/ plural?) | /[eE]ligibility/) space)? /[pP]eriod/)
178
+ treatment_unit ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/
179
+ comma ::= ","
180
+ colon ::= ":"
181
+ semicolon ::= ";"
182
+ pipe ::= "|"
183
+ slash ::= "/"
184
+ plural ::= "(s)" | "s"
185
+ then ::= "then" | ("," space) | space
186
+ or ::= "or"
187
+ and ::= "and"
188
+ not_applicable ::= "Not Applicable" | "N/A" | "NA"
189
+ first ::= "first"
190
+ currency ::= "$" number
191
+ percentage ::= number "%"
192
+ number ::= float | integer
193
+ float ::= digits "." digits
194
+ integer ::= /[0-9]/+ (comma_int | under_int)*
195
+ comma_int ::= ("," /[0-9]/*3) !"_"
196
+ under_int ::= ("_" /[0-9]/*3) !","
197
+ digits ::= /[0-9]/+ ("_" /[0-9]/+)*
198
+ space ::= /[ \t]/+
199
+ ```
200
+
201
+
6
202
 
7
203
  This SDK is automatically generated by the [Swagger Codegen](https://github.com/swagger-api/swagger-codegen) project:
8
204
 
9
205
  - API version: 1.0.0
10
- - Package version: 0.0.21
11
- - Build package: io.swagger.codegen.languages.RubyClientCodegen
206
+ - Package version: 0.0.23
207
+ - Build package: class io.swagger.codegen.languages.RubyClientCodegen
12
208
 
13
209
  ## Installation
14
210
 
@@ -23,15 +219,15 @@ gem build vericred_client.gemspec
23
219
  Then either install the gem locally:
24
220
 
25
221
  ```shell
26
- gem install ./vericred_client-0.0.21.gem
222
+ gem install ./vericred_client-0.0.23.gem
27
223
  ```
28
- (for development, run `gem install --dev ./vericred_client-0.0.21.gem` to install the development dependencies)
224
+ (for development, run `gem install --dev ./vericred_client-0.0.23.gem` to install the development dependencies)
29
225
 
30
226
  or publish the gem to a gem hosting service, e.g. [RubyGems](https://rubygems.org/).
31
227
 
32
228
  Finally add this to the Gemfile:
33
229
 
34
- gem 'vericred_client', '~> 0.0.21'
230
+ gem 'vericred_client', '~> 0.0.23'
35
231
 
36
232
  ### Install from Git
37
233
 
@@ -64,7 +260,7 @@ end
64
260
 
65
261
  api_instance = VericredClient::CarrierGroupsApi.new
66
262
 
67
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
263
+ vericred_id = "a234567b90" # String | The unique Vericred id
68
264
 
69
265
 
70
266
  begin
@@ -78,7 +274,7 @@ end
78
274
 
79
275
  ## Documentation for API Endpoints
80
276
 
81
- All URIs are relative to *https://api.vericred.com*
277
+ All URIs are relative to *https://api.vericred.com/*
82
278
 
83
279
  Class | Method | HTTP request | Description
84
280
  ------------ | ------------- | ------------- | -------------
@@ -1,6 +1,6 @@
1
1
  # VericredClient::CarrierGroupsApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -29,7 +29,7 @@ end
29
29
 
30
30
  api_instance = VericredClient::CarrierGroupsApi.new
31
31
 
32
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
32
+ vericred_id = "a234567b90" # String | The unique Vericred id
33
33
 
34
34
 
35
35
  begin
@@ -82,7 +82,7 @@ end
82
82
 
83
83
  api_instance = VericredClient::CarrierGroupsApi.new
84
84
 
85
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
85
+ vericred_id = "a234567b90" # String | The unique Vericred id
86
86
 
87
87
  body = VericredClient::CarrierGroupRequest.new # CarrierGroupRequest | CarrierGroup Record
88
88
 
@@ -1,6 +1,6 @@
1
1
  # VericredClient::CarrierVerificationPlansApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
data/docs/CarriersApi.md CHANGED
@@ -1,6 +1,6 @@
1
1
  # VericredClient::CarriersApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -29,7 +29,7 @@ end
29
29
 
30
30
  api_instance = VericredClient::CarriersApi.new
31
31
 
32
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
32
+ vericred_id = "a234567b90" # String | The unique Vericred id
33
33
 
34
34
 
35
35
  begin
@@ -82,7 +82,7 @@ end
82
82
 
83
83
  api_instance = VericredClient::CarriersApi.new
84
84
 
85
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
85
+ vericred_id = "a234567b90" # String | The unique Vericred id
86
86
 
87
87
  body = VericredClient::CarrierRequest.new # CarrierRequest | Carrier Record
88
88
 
@@ -1,6 +1,6 @@
1
1
  # VericredClient::DentalPlansApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -30,7 +30,7 @@ end
30
30
 
31
31
  api_instance = VericredClient::DentalPlansApi.new
32
32
 
33
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
33
+ vericred_id = "a234567b90" # String | The unique Vericred id
34
34
 
35
35
 
36
36
  begin
@@ -83,7 +83,7 @@ end
83
83
 
84
84
  api_instance = VericredClient::DentalPlansApi.new
85
85
 
86
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
86
+ vericred_id = "a234567b90" # String | The unique Vericred id
87
87
 
88
88
  body = VericredClient::DentalPlanUpdateRequest.new # DentalPlanUpdateRequest | Dental Plan Record
89
89
 
@@ -139,7 +139,7 @@ end
139
139
 
140
140
  api_instance = VericredClient::DentalPlansApi.new
141
141
 
142
- id = "\"88582NY0230001\"" # String | ID of the Plan
142
+ id = "88582NY0230001" # String | ID of the Plan
143
143
 
144
144
 
145
145
  begin
@@ -1,6 +1,6 @@
1
1
  # VericredClient::DrugCoveragesApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -28,11 +28,11 @@ end
28
28
 
29
29
  api_instance = VericredClient::DrugCoveragesApi.new
30
30
 
31
- ndc_package_code = "\"07777-3105-01\"" # String | NDC package code
31
+ ndc_package_code = "07777-3105-01" # String | NDC package code
32
32
 
33
- audience = "\"individual\"" # String | Plan Audience (individual or small_group)
33
+ audience = "individual" # String | Plan Audience (individual or small_group)
34
34
 
35
- state_code = "\"CA\"" # String | Two-character state code
35
+ state_code = "CA" # String | Two-character state code
36
36
 
37
37
 
38
38
  begin
@@ -1,6 +1,6 @@
1
1
  # VericredClient::DrugPackagesApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -30,7 +30,7 @@ api_instance = VericredClient::DrugPackagesApi.new
30
30
 
31
31
  formulary_id = "123" # String | ID of the Formulary in question
32
32
 
33
- ndc_package_code = "\"07777-3105-01\"" # String | ID of the DrugPackage in question
33
+ ndc_package_code = "07777-3105-01" # String | ID of the DrugPackage in question
34
34
 
35
35
 
36
36
  begin
data/docs/DrugsApi.md CHANGED
@@ -1,6 +1,6 @@
1
1
  # VericredClient::DrugsApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -28,7 +28,7 @@ end
28
28
 
29
29
  api_instance = VericredClient::DrugsApi.new
30
30
 
31
- search_term = "\"Zyrtec\"" # String | Full or partial proprietary name of drug
31
+ search_term = "Zyrtec" # String | Full or partial proprietary name of drug
32
32
 
33
33
 
34
34
  begin
data/docs/EmbargoesApi.md CHANGED
@@ -1,6 +1,6 @@
1
1
  # VericredClient::EmbargoesApi
2
2
 
3
- All URIs are relative to *https://api.vericred.com*
3
+ All URIs are relative to *https://api.vericred.com/*
4
4
 
5
5
  Method | HTTP request | Description
6
6
  ------------- | ------------- | -------------
@@ -29,7 +29,7 @@ end
29
29
 
30
30
  api_instance = VericredClient::EmbargoesApi.new
31
31
 
32
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
32
+ vericred_id = "a234567b90" # String | The unique Vericred id
33
33
 
34
34
 
35
35
  begin
@@ -82,7 +82,7 @@ end
82
82
 
83
83
  api_instance = VericredClient::EmbargoesApi.new
84
84
 
85
- vericred_id = "\"a234567b90\"" # String | The unique Vericred id
85
+ vericred_id = "a234567b90" # String | The unique Vericred id
86
86
 
87
87
  body = VericredClient::EmbargoRequest.new # EmbargoRequest | Embargo Record
88
88