@vbasoftware/vbapi-vbasoftware-typescript-axios 1.20230117.1 → 1.20230130.2

package/models/plan-benefits.ts

@@ -21,409 +21,637 @@
  */
 export interface PlanBenefits {
     /**
-     * 
+     * Unique identifier assigned to the Plan.
      * @type {string}
      * @memberof PlanBenefits
      */
     'plan_ID': string;
     /**
-     * 
+     * Unique identifier assigned to the Benefit.
      * @type {string}
      * @memberof PlanBenefits
      */
     'benefit_Code': string;
     /**
-     * 
+     * Checking this option indicates that the benefit is covered only when services are rendered as the result of an accident. On the Claim Entry screen, there are options to that specify that a claim is the result of an accident. If a claim is processed against this Benefit Code without one of the accident options picked on the claim, the claim will automatically \'Deny\' or \'Pend\' based on the Ex Code defined on the VBA Control Panel.
      * @type {string}
      * @memberof PlanBenefits
      */
     'accident_Only'?: string | null;
     /**
-     * 
+     * When checked, if the PlanBenefit_Override_Network_ID is filled out on companydata and the claim is currently out of network, change the Network ID to the PlanBenefit Override Network ID  value.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'always_Pay_In_Network': boolean;
     /**
-     * 
+     * Total annual amount that the Plan will pay both In Network and Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'annual_Max'?: number | null;
     /**
-     * 
+     * Total annual amount that the Member pays both In Network and Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'annual_Max_Member'?: number | null;
     /**
-     * 
+     * Annual amount that the Plan will pay In Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'annual_Max_Net'?: number | null;
     /**
-     * 
+     * Annual amount that the Member pays In Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'annual_Max_Net_Member'?: number | null;
     /**
-     * 
+     * Annual amount that the Plan will pay Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'annual_Max_OON'?: number | null;
     /**
-     * 
+     * Annual amount that the Member pays Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'annual_Max_OON_Member'?: number | null;
     /**
-     * 
+     * Applies the In-Network Co-Insurance amount toward the satisfaction of the Out-of-Network Co-Insurance maximum.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'coIns_In_To_Out': boolean;
     /**
-     * 
+     * In Network Co-Insurance amount for the Family.
      * @type {number}
      * @memberof PlanBenefits
      */
     'coIns_Max_Mem'?: number | null;
     /**
-     * 
+     * Total Co-Insurance amount for the Member.
      * @type {number}
      * @memberof PlanBenefits
      */
     'coIns_Max_Net_Mem'?: number | null;
     /**
-     * 
+     * Out of Network Co-Insurance amount for the Family.
      * @type {number}
      * @memberof PlanBenefits
      */
     'coIns_Max_Net_Sub'?: number | null;
     /**
-     * 
+     * Out of Network Co-Insurance amount for the Member.
      * @type {number}
      * @memberof PlanBenefits
      */
     'coIns_Max_OON_Mem'?: number | null;
     /**
-     * 
+     * In Network Co-Insurance amount for the Member.
      * @type {number}
      * @memberof PlanBenefits
      */
     'coIns_Max_OON_Sub'?: number | null;
     /**
-     * 
+     * Maximum CoInsurance amount for the Family per plan year.
      * @type {number}
      * @memberof PlanBenefits
      */
     'coIns_Max_Sub'?: number | null;
     /**
-     * 
+     * Applies the Out-of-Network Co-Insurance amount toward the satisfaction of the In-Network Co-Insurance maximum.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'coIns_Out_To_In': boolean;
     /**
-     * 
+     * This option is informational only.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'coverage_24Hour': boolean;
     /**
-     * 
+     * Identifies whether the Benefit Code is covered for this Plan. This can be populated from the \'Plan\' screen.
      * @type {string}
      * @memberof PlanBenefits
      */
     'covered': string;
     /**
-     * 
+     * Checking this option indicates that the Benefit is covered only when services are rendered by an In-Network provider. If a claim is processed against this Benefit Code as Out of Network, the claim will apply the “Covered In-Network Only“ Ex Code defined on the VBA Control Panel.
      * @type {string}
      * @memberof PlanBenefits
      */
     'covered_In_Net_Only'?: string | null;
     /**
-     * 
+     * Applies the In-Network deductible amount toward the satisfaction of the Out-of-Network deductible.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'ded_In_To_Out': boolean;
     /**
-     * 
+     * Applies the Out-of-Network deductible amount toward the satisfaction of the In-Network deductible.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'ded_Out_To_In': boolean;
     /**
-     * 
+     * This flag determines if adjudication calculates the Deductible before the CoPay is calculated.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'deductible_Before_CoPay': boolean;
     /**
-     * 
+     * Date when the Benefit becomes effective on this plan.
      * @type {string}
      * @memberof PlanBenefits
      */
     'effective_Date'?: string | null;
     /**
-     * 
+     * Date when the record was added to the system.
      * @type {string}
      * @memberof PlanBenefits
      */
     'entry_Date'?: string;
     /**
-     * 
+     * User that first added the record to the system.
      * @type {string}
      * @memberof PlanBenefits
      */
     'entry_User'?: string | null;
     /**
-     * 
+     * Identifies whether the Benefit Code is excluded for this Plan. This can be populated from the \'Plan\' screen.
      * @type {string}
      * @memberof PlanBenefits
      */
     'excluded': string;
     /**
-     * 
+     * This option is informational only.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'hospital_1stDay': boolean;
     /**
-     * 
+     * Indicates that the Plan Benefit amount is included in the Plan level Maximum calculations. If this option is not specified, the Benefit is treated as a carve-out and will calculate to its own total.
      * @type {string}
      * @memberof PlanBenefits
      */
     'include_Amt_In_Plan'?: string | null;
     /**
-     * 
+     * Indicates that the Plan Benefit amount is included in the Plan level Co-Insurance calculations. If this option is not specified, the Benefit is treated as a carve-out and will calculate to its own total.
      * @type {string}
      * @memberof PlanBenefits
      */
     'include_CoIns_In_Plan'?: string | null;
     /**
-     * 
+     * Indicates that the Plan Benefit amount is included in the Plan level Deductible calculations. If this option is not specified, the Benefit is treated as a carve-out and will calculate to its own total.
      * @type {string}
      * @memberof PlanBenefits
      */
     'include_Ded_In_Plan'?: string | null;
     /**
-     * 
+     * Indicates that the Plan Benefit amount is included in the Plan level Out of Pocket calculations. If this option is not specified, the Benefit is treated as a carve-out and will calculate to its own total.
      * @type {string}
      * @memberof PlanBenefits
      */
     'include_OOP_In_Plan'?: string | null;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Applies_To_Elimination_Period': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Applies_To_WP': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Apply_Inflation': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Base_Benefit': boolean;
     /**
      * 
      * @type {number}
      * @memberof PlanBenefits
      */
-    'lifetime_Max'?: number | null;
+    'ltC_Daily_Benefit'?: number | null;
     /**
      * 
      * @type {number}
      * @memberof PlanBenefits
      */
-    'lifetime_Max_Member'?: number | null;
+    'ltC_Daily_Benefit_Range_From'?: number | null;
     /**
      * 
      * @type {number}
      * @memberof PlanBenefits
      */
-    'lifetime_Max_Net'?: number | null;
+    'ltC_Daily_Benefit_Range_Increment'?: number | null;
     /**
      * 
      * @type {number}
      * @memberof PlanBenefits
      */
-    'lifetime_Max_Net_Member'?: number | null;
+    'ltC_Daily_Benefit_Range_Thru'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Daily_Benefit_Type'?: string | null;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Benefit': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Compound': boolean;
     /**
      * 
      * @type {number}
      * @memberof PlanBenefits
      */
-    'lifetime_Max_OON'?: number | null;
+    'ltC_Inflation_Frequency'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Frequency_Start'?: string | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Frequency_Type'?: string | null;
     /**
      * 
      * @type {number}
      * @memberof PlanBenefits
      */
-    'lifetime_Max_OON_Member'?: number | null;
+    'ltC_Inflation_Limit'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Limit_Type'?: string | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Pct'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Inflation_Type'?: string | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Days_From'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Days_Thru'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_From'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Increment'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Thru'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Type'?: string | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Years_From'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Lifetime_Max_Years_Thru'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Monthly_Benefit'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Monthly_Benefit_Range_From'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Monthly_Benefit_Range_Increment'?: number | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Monthly_Benefit_Range_Thru'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Monthly_Benefit_Type'?: string | null;
+    /**
+     * 
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'ltC_Pct_Of_Benefit'?: number | null;
+    /**
+     * 
+     * @type {string}
+     * @memberof PlanBenefits
+     */
+    'ltC_Pct_Of_Benefit_Code'?: string | null;
     /**
      * 
      * @type {boolean}
      * @memberof PlanBenefits
      */
-    'maternity': boolean;
+    'ltC_Shared_Benefit': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Use_Benefit_DBA': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Use_Benefit_Lifetime_Max': boolean;
+    /**
+     * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Use_Benefit_MBA': boolean;
     /**
      * 
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'ltC_Use_Pct_Of_Benefit': boolean;
+    /**
+     * Total lifetime amount that the Plan will pay both In Network and Out of Network.
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'lifetime_Max'?: number | null;
+    /**
+     * Total lifetime amount that the Member pays both In Network and Out of Network.
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'lifetime_Max_Member'?: number | null;
+    /**
+     * Lifetime amount that the Plan will pay In Network.
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'lifetime_Max_Net'?: number | null;
+    /**
+     * Lifetime amount that the Member pays In Network.
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'lifetime_Max_Net_Member'?: number | null;
+    /**
+     * Lifetime amount that the Plan will pay Out of Network.
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'lifetime_Max_OON'?: number | null;
+    /**
+     * Lifetime amount that the Member pays Out of Network.
+     * @type {number}
+     * @memberof PlanBenefits
+     */
+    'lifetime_Max_OON_Member'?: number | null;
+    /**
+     * This option is informational only.
+     * @type {boolean}
+     * @memberof PlanBenefits
+     */
+    'maternity': boolean;
+    /**
+     * Deductible amount for the Member Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'member_Ded_OON'?: number | null;
     /**
-     * 
+     * Deductible amount for the Member In Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'member_Ded_PPO'?: number | null;
     /**
-     * 
+     * Total deductible amount for the Member both In Network and Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'member_Deductible'?: number | null;
     /**
-     * 
+     * Formula used to calculate the Out-of-Pocket amounts.
      * @type {string}
      * @memberof PlanBenefits
      */
     'ooP_Calc_Option'?: string | null;
     /**
-     * 
+     * Applies the In-Network Out-of-Pocket amount toward the satisfaction of the Out-of-Network Out-of-Pocket maximum.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'ooP_In_To_Out': boolean;
     /**
-     * 
+     * Total Out-of-Pocket amount for the Member.
      * @type {number}
      * @memberof PlanBenefits
      */
     'ooP_Max_Mem'?: number | null;
     /**
-     * 
+     * Total Out-of-Pocket amount for the Member In Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'ooP_Max_Net_Mem'?: number | null;
     /**
-     * 
+     * Total Out-of-Pocket amount for the Family In Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'ooP_Max_Net_Sub'?: number | null;
     /**
-     * 
+     * Out-of-Pocket amount for the Member Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'ooP_Max_OON_Mem'?: number | null;
     /**
-     * 
+     * Out-of-Pocket amount for the Family Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'ooP_Max_OON_Sub'?: number | null;
     /**
-     * 
+     * Total Out-of-Pocket amount for the Family.
      * @type {number}
      * @memberof PlanBenefits
      */
     'ooP_Max_Sub'?: number | null;
     /**
-     * 
+     * Applies the Out-of-Network Out-of-Pocket amount toward the satisfaction of the In-Network Out-of-Pocket maximum.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'ooP_Out_To_In': boolean;
     /**
-     * 
+     * This option is informational only.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'occupational': boolean;
     /**
-     * 
+     * Indicates that the selected Benefit applies to Primary Care Physician only. If a claim is processed against this Benefit Code without a PCP, the claim will apply the “PCP Only“ Ex Code defined on the VBA Control Panel.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'pcP_Only': boolean;
     /**
-     * 
+     * Identifies if this Benefit is a parent benefit for purposes of cascading benefits.
      * @type {boolean}
      * @memberof PlanBenefits
      */
     'parent_Benefit': boolean;
     /**
-     * 
+     * Assigns an Ex Code that can be applied to adjudicated Subscriber claims.
      * @type {string}
      * @memberof PlanBenefits
      */
     'pend_Ex_Code'?: string | null;
     /**
-     * 
+     * While active, the assigned Ex Code will be applied to any adjudicated Subscriber claims.
      * @type {string}
      * @memberof PlanBenefits
      */
     'pend_Flag'?: string | null;
     /**
-     * 
+     * Identifies whether the Benefit Code is a rider for this Plan. This can be populated from the \'Plan\' screen.
      * @type {string}
      * @memberof PlanBenefits
      */
     'rider': string;
     /**
-     * 
+     * Deductible amount for the Family Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'subscriber_Ded_OON'?: number | null;
     /**
-     * 
+     * Deductible amount for the Family In Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'subscriber_Ded_PPO'?: number | null;
     /**
-     * 
+     * Total deductible amount for the Family both In Network and Out of Network.
      * @type {number}
      * @memberof PlanBenefits
      */
     'subscriber_Deductible'?: number | null;
     /**
-     * 
+     * Date when the Benefit expires for this plan.
      * @type {string}
      * @memberof PlanBenefits
      */
     'term_Date'?: string | null;
     /**
-     * 
+     * Date when the record was last updated in the system.
      * @type {string}
      * @memberof PlanBenefits
      */
     'update_Date'?: string;
     /**
-     * 
+     * User that last updated the record in the system.
      * @type {string}
      * @memberof PlanBenefits
      */
     'update_User'?: string | null;
     /**
-     * 
+     * Indicates that the Plan Benefit Co-Insurance amounts will abide by the Plan level amounts.
      * @type {string}
      * @memberof PlanBenefits
      */
     'use_Plan_CoIns': string;
     /**
-     * 
+     * Indicates that the Plan Benefit Deductible amounts will abide by the Plan level amounts.
      * @type {string}
      * @memberof PlanBenefits
      */
     'use_Plan_Ded': string;
     /**
-     * 
+     * Indicates that the Plan Benefit Maximums will abide by the Plan level amounts.
      * @type {string}
      * @memberof PlanBenefits
      */
     'use_Plan_Max': string;
     /**
-     * 
+     * Indicates that the Plan Benefit Out of Pocket amounts will abide by the Plan level amounts.
      * @type {string}
      * @memberof PlanBenefits
      */