vericred_client 0.0.21 → 0.0.23
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/LICENSE +201 -0
- data/README.md +204 -8
- data/docs/CarrierGroupsApi.md +3 -3
- data/docs/CarrierVerificationPlansApi.md +1 -1
- data/docs/CarriersApi.md +3 -3
- data/docs/DentalPlansApi.md +4 -4
- data/docs/DrugCoveragesApi.md +4 -4
- data/docs/DrugPackagesApi.md +2 -2
- data/docs/DrugsApi.md +2 -2
- data/docs/EmbargoesApi.md +3 -3
- data/docs/FormulariesApi.md +3 -3
- data/docs/IssuersApi.md +3 -3
- data/docs/MedicalPlansApi.md +3 -3
- data/docs/NetworkSizesApi.md +2 -2
- data/docs/NetworksApi.md +1 -1
- data/docs/PlansApi.md +3 -3
- data/docs/ProviderNotificationSubscriptionsApi.md +2 -2
- data/docs/ProvidersApi.md +1 -1
- data/docs/RatesApi.md +3 -3
- data/docs/VisionPlansApi.md +4 -4
- data/docs/ZipCountiesApi.md +2 -2
- data/lib/vericred_client/api/carrier_groups_api.rb +226 -17
- data/lib/vericred_client/api/carrier_verification_plans_api.rb +217 -8
- data/lib/vericred_client/api/carriers_api.rb +226 -17
- data/lib/vericred_client/api/dental_plans_api.rb +234 -23
- data/lib/vericred_client/api/drug_coverages_api.rb +221 -12
- data/lib/vericred_client/api/drug_packages_api.rb +218 -11
- data/lib/vericred_client/api/drugs_api.rb +217 -8
- data/lib/vericred_client/api/embargoes_api.rb +226 -17
- data/lib/vericred_client/api/formularies_api.rb +216 -5
- data/lib/vericred_client/api/issuers_api.rb +226 -17
- data/lib/vericred_client/api/medical_plans_api.rb +236 -21
- data/lib/vericred_client/api/network_sizes_api.rb +225 -14
- data/lib/vericred_client/api/networks_api.rb +234 -23
- data/lib/vericred_client/api/plans_api.rb +244 -27
- data/lib/vericred_client/api/provider_notification_subscriptions_api.rb +233 -12
- data/lib/vericred_client/api/providers_api.rb +246 -25
- data/lib/vericred_client/api/rates_api.rb +226 -17
- data/lib/vericred_client/api/vision_plans_api.rb +234 -23
- data/lib/vericred_client/api/zip_counties_api.rb +229 -10
- data/lib/vericred_client/api_client.rb +257 -69
- data/lib/vericred_client/api_error.rb +214 -9
- data/lib/vericred_client/configuration.rb +209 -8
- data/lib/vericred_client/models/aca_plan.rb +211 -4
- data/lib/vericred_client/models/aca_plan2018.rb +211 -4
- data/lib/vericred_client/models/aca_plan2018_search_response.rb +211 -4
- data/lib/vericred_client/models/aca_plan2018_search_result.rb +211 -4
- data/lib/vericred_client/models/aca_plan2018_show_response.rb +211 -4
- data/lib/vericred_client/models/aca_plan_pre2018.rb +211 -4
- data/lib/vericred_client/models/aca_plan_pre2018_search_response.rb +211 -4
- data/lib/vericred_client/models/aca_plan_pre2018_search_result.rb +211 -4
- data/lib/vericred_client/models/aca_plan_pre2018_show_response.rb +211 -4
- data/lib/vericred_client/models/base.rb +211 -4
- data/lib/vericred_client/models/base_plan_search_response.rb +211 -4
- data/lib/vericred_client/models/carrier.rb +211 -4
- data/lib/vericred_client/models/carrier_group_request.rb +211 -4
- data/lib/vericred_client/models/carrier_request.rb +211 -4
- data/lib/vericred_client/models/carrier_subsidiary.rb +211 -4
- data/lib/vericred_client/models/county.rb +211 -4
- data/lib/vericred_client/models/county_bulk.rb +211 -4
- data/lib/vericred_client/models/dental_plan.rb +211 -4
- data/lib/vericred_client/models/dental_plan_benefits.rb +211 -4
- data/lib/vericred_client/models/dental_plan_search_applicant.rb +211 -4
- data/lib/vericred_client/models/dental_plan_search_request.rb +211 -4
- data/lib/vericred_client/models/dental_plan_search_response.rb +211 -4
- data/lib/vericred_client/models/dental_plan_show_response.rb +211 -4
- data/lib/vericred_client/models/dental_plan_update.rb +211 -4
- data/lib/vericred_client/models/dental_plan_update_request.rb +211 -4
- data/lib/vericred_client/models/drug.rb +211 -4
- data/lib/vericred_client/models/drug_coverage.rb +211 -4
- data/lib/vericred_client/models/drug_coverage_response.rb +211 -4
- data/lib/vericred_client/models/drug_package.rb +211 -4
- data/lib/vericred_client/models/drug_search_response.rb +211 -4
- data/lib/vericred_client/models/embargo_request.rb +211 -4
- data/lib/vericred_client/models/formulary.rb +211 -4
- data/lib/vericred_client/models/formulary_drug_package_response.rb +211 -4
- data/lib/vericred_client/models/formulary_response.rb +211 -4
- data/lib/vericred_client/models/issuer_request.rb +211 -4
- data/lib/vericred_client/models/medical_plan_benefits.rb +211 -4
- data/lib/vericred_client/models/medical_plan_update.rb +211 -4
- data/lib/vericred_client/models/medical_plan_update_request.rb +211 -4
- data/lib/vericred_client/models/meta.rb +211 -4
- data/lib/vericred_client/models/meta_plan_search_response.rb +211 -4
- data/lib/vericred_client/models/network.rb +211 -4
- data/lib/vericred_client/models/network_comparison.rb +211 -4
- data/lib/vericred_client/models/network_comparison_request.rb +211 -4
- data/lib/vericred_client/models/network_comparison_response.rb +211 -4
- data/lib/vericred_client/models/network_details.rb +211 -4
- data/lib/vericred_client/models/network_details_response.rb +211 -4
- data/lib/vericred_client/models/network_search_response.rb +211 -4
- data/lib/vericred_client/models/network_size.rb +211 -4
- data/lib/vericred_client/models/notification_subscription.rb +211 -4
- data/lib/vericred_client/models/notification_subscription_response.rb +211 -4
- data/lib/vericred_client/models/plan.rb +211 -4
- data/lib/vericred_client/models/plan_county.rb +211 -4
- data/lib/vericred_client/models/plan_county_bulk.rb +211 -4
- data/lib/vericred_client/models/plan_deleted.rb +211 -4
- data/lib/vericred_client/models/plan_identifier.rb +211 -4
- data/lib/vericred_client/models/plan_medicare.rb +211 -4
- data/lib/vericred_client/models/plan_medicare_bulk.rb +211 -4
- data/lib/vericred_client/models/plan_pricing_medicare.rb +211 -4
- data/lib/vericred_client/models/plan_search_response.rb +211 -4
- data/lib/vericred_client/models/plan_show_response.rb +211 -4
- data/lib/vericred_client/models/provider.rb +211 -4
- data/lib/vericred_client/models/provider_details.rb +211 -4
- data/lib/vericred_client/models/provider_geocode.rb +211 -4
- data/lib/vericred_client/models/provider_network_event_notification.rb +211 -4
- data/lib/vericred_client/models/provider_show_response.rb +211 -4
- data/lib/vericred_client/models/providers_geocode_response.rb +211 -4
- data/lib/vericred_client/models/providers_search_response.rb +211 -4
- data/lib/vericred_client/models/rate_request.rb +211 -4
- data/lib/vericred_client/models/rate_search.rb +211 -4
- data/lib/vericred_client/models/rating_area.rb +211 -4
- data/lib/vericred_client/models/request_plan_find.rb +211 -4
- data/lib/vericred_client/models/request_plan_find_applicant.rb +211 -4
- data/lib/vericred_client/models/request_plan_find_carrier_verification.rb +211 -4
- data/lib/vericred_client/models/request_plan_find_drug_package.rb +211 -4
- data/lib/vericred_client/models/request_plan_find_provider.rb +211 -4
- data/lib/vericred_client/models/request_provider_notification_subscription.rb +211 -4
- data/lib/vericred_client/models/request_providers_search.rb +211 -4
- data/lib/vericred_client/models/request_rates_search.rb +211 -4
- data/lib/vericred_client/models/response_rates_search.rb +211 -4
- data/lib/vericred_client/models/rx_cui_identifier.rb +211 -4
- data/lib/vericred_client/models/rx_cui_identifier_search_response.rb +211 -4
- data/lib/vericred_client/models/service_area.rb +211 -4
- data/lib/vericred_client/models/service_area_zip_county.rb +211 -4
- data/lib/vericred_client/models/state.rb +211 -4
- data/lib/vericred_client/models/state_network_size_request.rb +211 -4
- data/lib/vericred_client/models/state_network_size_response.rb +211 -4
- data/lib/vericred_client/models/vision_plan.rb +211 -4
- data/lib/vericred_client/models/vision_plan_benefits.rb +211 -4
- data/lib/vericred_client/models/vision_plan_search_applicant.rb +211 -4
- data/lib/vericred_client/models/vision_plan_search_request.rb +211 -4
- data/lib/vericred_client/models/vision_plan_search_response.rb +211 -4
- data/lib/vericred_client/models/vision_plan_show_response.rb +211 -4
- data/lib/vericred_client/models/vision_plan_update.rb +211 -4
- data/lib/vericred_client/models/vision_plan_update_request.rb +211 -4
- data/lib/vericred_client/models/zip_code.rb +211 -4
- data/lib/vericred_client/models/zip_counties_response.rb +211 -4
- data/lib/vericred_client/models/zip_county.rb +211 -4
- data/lib/vericred_client/models/zip_county_bulk.rb +211 -4
- data/lib/vericred_client/models/zip_county_response.rb +211 -4
- data/lib/vericred_client/version.rb +210 -3
- data/lib/vericred_client.rb +209 -2
- data/spec/api/carrier_groups_api_spec.rb +210 -3
- data/spec/api/carrier_verification_plans_api_spec.rb +210 -3
- data/spec/api/carriers_api_spec.rb +210 -3
- data/spec/api/dental_plans_api_spec.rb +210 -3
- data/spec/api/drug_coverages_api_spec.rb +210 -3
- data/spec/api/drug_packages_api_spec.rb +210 -3
- data/spec/api/drugs_api_spec.rb +210 -3
- data/spec/api/embargoes_api_spec.rb +210 -3
- data/spec/api/formularies_api_spec.rb +210 -3
- data/spec/api/issuers_api_spec.rb +210 -3
- data/spec/api/medical_plans_api_spec.rb +210 -3
- data/spec/api/network_sizes_api_spec.rb +210 -3
- data/spec/api/networks_api_spec.rb +210 -3
- data/spec/api/plans_api_spec.rb +210 -3
- data/spec/api/provider_notification_subscriptions_api_spec.rb +210 -3
- data/spec/api/providers_api_spec.rb +210 -3
- data/spec/api/rates_api_spec.rb +210 -3
- data/spec/api/vision_plans_api_spec.rb +210 -3
- data/spec/api/zip_counties_api_spec.rb +210 -3
- data/spec/api_client_spec.rb +212 -26
- data/spec/configuration_spec.rb +212 -5
- data/spec/models/aca_plan2018_search_response_spec.rb +210 -3
- data/spec/models/aca_plan2018_search_result_spec.rb +210 -3
- data/spec/models/aca_plan2018_show_response_spec.rb +210 -3
- data/spec/models/aca_plan2018_spec.rb +210 -3
- data/spec/models/aca_plan_pre2018_search_response_spec.rb +210 -3
- data/spec/models/aca_plan_pre2018_search_result_spec.rb +210 -3
- data/spec/models/aca_plan_pre2018_show_response_spec.rb +210 -3
- data/spec/models/aca_plan_pre2018_spec.rb +210 -3
- data/spec/models/aca_plan_spec.rb +210 -3
- data/spec/models/base_plan_search_response_spec.rb +210 -3
- data/spec/models/base_spec.rb +210 -3
- data/spec/models/carrier_group_request_spec.rb +210 -3
- data/spec/models/carrier_request_spec.rb +210 -3
- data/spec/models/carrier_spec.rb +210 -3
- data/spec/models/carrier_subsidiary_spec.rb +210 -3
- data/spec/models/county_bulk_spec.rb +210 -3
- data/spec/models/county_spec.rb +210 -3
- data/spec/models/dental_plan_benefits_spec.rb +210 -3
- data/spec/models/dental_plan_search_applicant_spec.rb +210 -3
- data/spec/models/dental_plan_search_request_spec.rb +210 -3
- data/spec/models/dental_plan_search_response_spec.rb +210 -3
- data/spec/models/dental_plan_show_response_spec.rb +210 -3
- data/spec/models/dental_plan_spec.rb +210 -3
- data/spec/models/dental_plan_update_request_spec.rb +210 -3
- data/spec/models/dental_plan_update_spec.rb +210 -3
- data/spec/models/drug_coverage_response_spec.rb +210 -3
- data/spec/models/drug_coverage_spec.rb +210 -3
- data/spec/models/drug_package_spec.rb +210 -3
- data/spec/models/drug_search_response_spec.rb +210 -3
- data/spec/models/drug_spec.rb +210 -3
- data/spec/models/embargo_request_spec.rb +210 -3
- data/spec/models/formulary_drug_package_response_spec.rb +210 -3
- data/spec/models/formulary_response_spec.rb +210 -3
- data/spec/models/formulary_spec.rb +210 -3
- data/spec/models/issuer_request_spec.rb +210 -3
- data/spec/models/medical_plan_benefits_spec.rb +210 -3
- data/spec/models/medical_plan_update_request_spec.rb +210 -3
- data/spec/models/medical_plan_update_spec.rb +210 -3
- data/spec/models/meta_plan_search_response_spec.rb +210 -3
- data/spec/models/meta_spec.rb +210 -3
- data/spec/models/network_comparison_request_spec.rb +210 -3
- data/spec/models/network_comparison_response_spec.rb +210 -3
- data/spec/models/network_comparison_spec.rb +210 -3
- data/spec/models/network_details_response_spec.rb +210 -3
- data/spec/models/network_details_spec.rb +210 -3
- data/spec/models/network_search_response_spec.rb +210 -3
- data/spec/models/network_size_spec.rb +210 -3
- data/spec/models/network_spec.rb +210 -3
- data/spec/models/notification_subscription_response_spec.rb +210 -3
- data/spec/models/notification_subscription_spec.rb +210 -3
- data/spec/models/plan_county_bulk_spec.rb +210 -3
- data/spec/models/plan_county_spec.rb +210 -3
- data/spec/models/plan_deleted_spec.rb +210 -3
- data/spec/models/plan_identifier_spec.rb +210 -3
- data/spec/models/plan_medicare_bulk_spec.rb +210 -3
- data/spec/models/plan_medicare_spec.rb +210 -3
- data/spec/models/plan_pricing_medicare_spec.rb +210 -3
- data/spec/models/plan_search_response_spec.rb +210 -3
- data/spec/models/plan_show_response_spec.rb +210 -3
- data/spec/models/plan_spec.rb +210 -3
- data/spec/models/provider_details_spec.rb +210 -3
- data/spec/models/provider_geocode_spec.rb +210 -3
- data/spec/models/provider_network_event_notification_spec.rb +210 -3
- data/spec/models/provider_show_response_spec.rb +210 -3
- data/spec/models/provider_spec.rb +210 -3
- data/spec/models/providers_geocode_response_spec.rb +210 -3
- data/spec/models/providers_search_response_spec.rb +210 -3
- data/spec/models/rate_request_spec.rb +210 -3
- data/spec/models/rate_search_spec.rb +210 -3
- data/spec/models/rating_area_spec.rb +210 -3
- data/spec/models/request_plan_find_applicant_spec.rb +210 -3
- data/spec/models/request_plan_find_carrier_verification_spec.rb +210 -3
- data/spec/models/request_plan_find_drug_package_spec.rb +210 -3
- data/spec/models/request_plan_find_provider_spec.rb +210 -3
- data/spec/models/request_plan_find_spec.rb +210 -3
- data/spec/models/request_provider_notification_subscription_spec.rb +210 -3
- data/spec/models/request_providers_search_spec.rb +210 -3
- data/spec/models/request_rates_search_spec.rb +210 -3
- data/spec/models/response_rates_search_spec.rb +210 -3
- data/spec/models/rx_cui_identifier_search_response_spec.rb +210 -3
- data/spec/models/rx_cui_identifier_spec.rb +210 -3
- data/spec/models/service_area_spec.rb +210 -3
- data/spec/models/service_area_zip_county_spec.rb +210 -3
- data/spec/models/state_network_size_request_spec.rb +210 -3
- data/spec/models/state_network_size_response_spec.rb +210 -3
- data/spec/models/state_spec.rb +210 -3
- data/spec/models/vision_plan_benefits_spec.rb +210 -3
- data/spec/models/vision_plan_search_applicant_spec.rb +210 -3
- data/spec/models/vision_plan_search_request_spec.rb +210 -3
- data/spec/models/vision_plan_search_response_spec.rb +210 -3
- data/spec/models/vision_plan_show_response_spec.rb +210 -3
- data/spec/models/vision_plan_spec.rb +210 -3
- data/spec/models/vision_plan_update_request_spec.rb +210 -3
- data/spec/models/vision_plan_update_spec.rb +210 -3
- data/spec/models/zip_code_spec.rb +210 -3
- data/spec/models/zip_counties_response_spec.rb +210 -3
- data/spec/models/zip_county_bulk_spec.rb +210 -3
- data/spec/models/zip_county_response_spec.rb +210 -3
- data/spec/models/zip_county_spec.rb +210 -3
- data/spec/spec_helper.rb +209 -2
- data/vericred_client.gemspec +213 -6
- metadata +16 -23
- data/Gemfile +0 -7
- data/Rakefile +0 -8
checksums.yaml
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SHA1:
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metadata.gz:
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metadata.gz: 417cfea375c33eecc4affb17da580006ecc7236f
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data.tar.gz: f5930b6e3ea6e987d776c8479b9cd6a2775df910
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metadata.gz: 0be3b0b42df591b34afefb653550f7dba394d1e203f9c2b41d5fc2f607d69f64cdb8b171ab4555c02b779c74ae4c2ecf10f52e79fd07b6e389e0cd56d7848811
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data.tar.gz: a421767238acbe5f094a564aa2791433239447e47bbbb31c447fb56c3b4c4d1d4846c0fe0fbcc8100fb6122678966599579a3066e893565dd08e112e540886ae
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Apache License
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TERMS AND CONDITIONS FOR USE, REPRODUCTION, AND DISTRIBUTION
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1. Definitions.
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"License" shall mean the terms and conditions for use, reproduction,
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and distribution as defined by Sections 1 through 9 of this document.
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"Licensor" shall mean the copyright owner or entity authorized by
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the copyright owner that is granting the License.
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"Legal Entity" shall mean the union of the acting entity and all
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other entities that control, are controlled by, or are under common
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"control" means (i) the power, direct or indirect, to cause the
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otherwise, or (ii) ownership of fifty percent (50%) or more of the
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outstanding shares, or (iii) beneficial ownership of such entity.
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"You" (or "Your") shall mean an individual or Legal Entity
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source, and configuration files.
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and conversions to other media types.
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"Work" shall mean the work of authorship, whether in Source or
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"Derivative Works" shall mean any work, whether in Source or Object
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represent, as a whole, an original work of authorship. For the purposes
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of this License, Derivative Works shall not include works that remain
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data/README.md
CHANGED
|
@@ -2,13 +2,209 @@
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2
2
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3
3
|
VericredClient - the Ruby gem for the Vericred API
|
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4
4
|
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-
Vericred's API allows you to search for Health Plans that a specific doctor
|
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Vericred's API allows you to search for Health Plans that a specific doctor
|
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accepts.
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+
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+
## Getting Started
|
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|
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Visit our [Developer Portal](https://developers.vericred.com) to
|
|
11
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+
create an account.
|
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|
+
|
|
13
|
+
Once you have created an account, you can create one Application for
|
|
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+
Production and another for our Sandbox (select the appropriate Plan when
|
|
15
|
+
you create the Application).
|
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+
|
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## SDKs
|
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+
|
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Our API follows standard REST conventions, so you can use any HTTP client
|
|
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+
to integrate with us. You will likely find it easier to use one of our
|
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[autogenerated SDKs](https://github.com/vericred/?query=vericred-),
|
|
22
|
+
which we make available for several common programming languages.
|
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|
+
|
|
24
|
+
## Authentication
|
|
25
|
+
|
|
26
|
+
To authenticate, pass the API Key you created in the Developer Portal as
|
|
27
|
+
a `Vericred-Api-Key` header.
|
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+
|
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`curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
|
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|
|
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|
+
## Versioning
|
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+
|
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|
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Vericred's API default to the latest version. However, if you need a specific
|
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version, you can request it with an `Accept-Version` header.
|
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The current version is `v3`. Previous versions are `v1` and `v2`.
|
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|
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|
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`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
|
|
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|
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|
|
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## Pagination
|
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|
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Endpoints that accept `page` and `per_page` parameters are paginated. They expose
|
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four additional fields that contain data about your position in the response,
|
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namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988).
|
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|
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For example, to display 5 results per page and view the second page of a
|
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|
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`GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`.
|
|
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|
+
|
|
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|
+
## Sideloading
|
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|
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When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
|
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we sideload the associated data. In this example, we would provide an Array of
|
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`State`s and a `state_id` for each provider. This is done primarily to reduce the
|
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payload size since many of the `Provider`s will share a `State`
|
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|
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|
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```
|
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{
|
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providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
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states: [{ id: 1, code: 'NY' }]
|
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}
|
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```
|
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|
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If you need the second level of the object graph, you can just match the
|
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|
+
corresponding id.
|
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|
+
|
|
66
|
+
## Selecting specific data
|
|
67
|
+
|
|
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|
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All endpoints allow you to specify which fields you would like to return.
|
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|
+
This allows you to limit the response to contain only the data you need.
|
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+
|
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For example, let's take a request that returns the following JSON by default
|
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|
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```
|
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{
|
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provider: {
|
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id: 1,
|
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name: 'John',
|
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+
phone: '1234567890',
|
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field_we_dont_care_about: 'value_we_dont_care_about'
|
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|
+
},
|
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|
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states: [{
|
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id: 1,
|
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name: 'New York',
|
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|
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code: 'NY',
|
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field_we_dont_care_about: 'value_we_dont_care_about'
|
|
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|
+
}]
|
|
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|
+
}
|
|
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|
+
```
|
|
89
|
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|
|
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To limit our results to only return the fields we care about, we specify the
|
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`select` query string parameter for the corresponding fields in the JSON
|
|
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|
+
document.
|
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|
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|
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In this case, we want to select `name` and `phone` from the `provider` key,
|
|
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|
+
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
|
|
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|
+
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
|
+
|
|
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|
+
Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
|
|
101
|
+
|
|
102
|
+
The response would be
|
|
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|
+
|
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|
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```
|
|
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)
|
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157
|
+
tier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
|
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|
+
simple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
|
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+
coverage_modifier ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
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+
waived_if_admitted ::= ("copay" space)? "waived if admitted"
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|
+
simple_limitation ::= pre_coverage_limitation space "copay applies"
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|
+
tier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
|
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|
+
limit_condition ::= "limit" | "condition"
|
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|
+
tier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
|
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|
+
coverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
|
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166
|
+
pre_coverage_limitation ::= first space digits space time_unit plural?
|
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|
+
post_coverage_limitation ::= (((then space currency) | "per condition") space)? "per" space (treatment_unit | (integer space time_unit) | time_unit) plural?
|
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|
+
coverage_condition ::= ("before deductible" | "after deductible" | "penalty" | allowance | "in-state" | "out-of-state") (space allowance)?
|
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|
+
allowance ::= upto_allowance | after_allowance
|
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|
+
upto_allowance ::= "up to" space (currency space)? "allowance"
|
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|
+
after_allowance ::= "after" space (currency space)? "allowance"
|
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|
+
see_carrier_documentation ::= "see carrier documentation for more information"
|
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|
+
shared_across_tiers ::= "shared across all tiers"
|
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|
+
unknown ::= "unknown"
|
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+
unlimited ::= /[uU]nlimited/
|
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|
+
included ::= /[iI]ncluded in [mM]edical/
|
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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/)
|
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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/
|
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|
+
comma ::= ","
|
|
180
|
+
colon ::= ":"
|
|
181
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+
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]/+
|
|
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|
+
```
|
|
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|
+
|
|
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|
+
|
|
6
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|
|
|
7
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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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|
|
|
9
205
|
- API version: 1.0.0
|
|
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|
-
- Package version: 0.0.
|
|
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|
-
- Build package: io.swagger.codegen.languages.RubyClientCodegen
|
|
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|
+
- Package version: 0.0.23
|
|
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|
+
- Build package: class io.swagger.codegen.languages.RubyClientCodegen
|
|
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|
|
|
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|
## 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.
|
|
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|
+
gem install ./vericred_client-0.0.23.gem
|
|
27
223
|
```
|
|
28
|
-
(for development, run `gem install --dev ./vericred_client-0.0.
|
|
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|
+
(for development, run `gem install --dev ./vericred_client-0.0.23.gem` to install the development dependencies)
|
|
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225
|
|
|
30
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|
or publish the gem to a gem hosting service, e.g. [RubyGems](https://rubygems.org/).
|
|
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|
|
|
32
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|
Finally add this to the Gemfile:
|
|
33
229
|
|
|
34
|
-
gem 'vericred_client', '~> 0.0.
|
|
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 = "
|
|
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|
+
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
|
------------ | ------------- | ------------- | -------------
|
data/docs/CarrierGroupsApi.md
CHANGED
|
@@ -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 = "
|
|
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 = "
|
|
85
|
+
vericred_id = "a234567b90" # String | The unique Vericred id
|
|
86
86
|
|
|
87
87
|
body = VericredClient::CarrierGroupRequest.new # CarrierGroupRequest | CarrierGroup Record
|
|
88
88
|
|
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 = "
|
|
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 = "
|
|
85
|
+
vericred_id = "a234567b90" # String | The unique Vericred id
|
|
86
86
|
|
|
87
87
|
body = VericredClient::CarrierRequest.new # CarrierRequest | Carrier Record
|
|
88
88
|
|
data/docs/DentalPlansApi.md
CHANGED
|
@@ -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 = "
|
|
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 = "
|
|
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 = "
|
|
142
|
+
id = "88582NY0230001" # String | ID of the Plan
|
|
143
143
|
|
|
144
144
|
|
|
145
145
|
begin
|
data/docs/DrugCoveragesApi.md
CHANGED
|
@@ -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 = "
|
|
31
|
+
ndc_package_code = "07777-3105-01" # String | NDC package code
|
|
32
32
|
|
|
33
|
-
audience = "
|
|
33
|
+
audience = "individual" # String | Plan Audience (individual or small_group)
|
|
34
34
|
|
|
35
|
-
state_code = "
|
|
35
|
+
state_code = "CA" # String | Two-character state code
|
|
36
36
|
|
|
37
37
|
|
|
38
38
|
begin
|
data/docs/DrugPackagesApi.md
CHANGED
|
@@ -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 = "
|
|
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 = "
|
|
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 = "
|
|
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 = "
|
|
85
|
+
vericred_id = "a234567b90" # String | The unique Vericred id
|
|
86
86
|
|
|
87
87
|
body = VericredClient::EmbargoRequest.new # EmbargoRequest | Embargo Record
|
|
88
88
|
|