> For clean Markdown of any page, append .md to the page URL. > For a complete documentation index, see https://docs.taigabilling.com/llms.txt. > For AI client integration (Claude Code, Cursor, etc.), connect to the MCP server at https://docs.taigabilling.com/_mcp/server. # Pre Encounter Eligibility Checks V 1 Poll Batch GET https://api.taigabilling.com/eligibility-checks/v1/batch/{batch_id} Polls the status of a batch eligibility check. Reference: https://docs.taigabilling.com/api-reference/pre-encounter-eligibility-checks-v-1/pre-encounter-eligibility-checks-v-1-poll-batch ## Authentication - `Authorization` header (bearer token, required) — Send your Taiga API key as a Bearer token. Create and manage keys in the Taiga developer portal. ## Servers - `https://api.taigabilling.com` (Production, default) - `https://api-staging.taigabilling.com` (Staging) ## Request ### Path parameters - `batch_id` (string, required) ### Query parameters - `page_token` (string, optional) — A token that can be used to retrieve the next or previous page of results ## Response ### 200 - `items` (list of pre-encountereligibilityChecksv1EligibilityCheck, required) - `total` (integer, required) - `next_page_token` (string, optional, nullable) — A token that can be used to retrieve the next or previous page of results - `prev_page_token` (string, optional, nullable) — A token that can be used to retrieve the next or previous page of results ## Types ### pre-encountereligibilityChecksv1EligibilityCheck - `response` (EligibilityResponseEnvelope, required) — Eligibility vendor metadata plus the parsed clearinghouse response. Read the benefit detail from this envelope's `response.benefitsInformation`, which is `response.response.benefitsInformation` on the eligibility check. - `batch_id` (string, optional, nullable) - `errors` (list of pre-encountereligibilityChecksv1EligibilityCheckError, optional, nullable) - `request` (pre-encountereligibilityChecksv1EligibilityRequest, optional, nullable) — An object representing the data for an eligibility request. - `parsed_response` (pre-encountereligibilityChecksv1ParsedResponse, optional, nullable) - `request_corrections` (list of pre-encountereligibilityChecksv1RequestCorrection, optional, nullable) ### EligibilityResponseEnvelope Eligibility vendor metadata plus the parsed clearinghouse response. Read the benefit detail from this envelope's `response.benefitsInformation`, which is `response.response.benefitsInformation` on the eligibility check. - `response` (EligibilityRawResponse, required) — The clearinghouse response, forwarded rather than reshaped. `benefitsInformation` is the authoritative benefit detail — it is the fully parsed form of the 271 and is strictly richer than `parsed_response`, which omits benefit types it has no slot for (notably `LIMITATION`). Prefer it for anything beyond deductible, out-of-pocket, copay and coinsurance. `x12` carries the raw transaction if you need to go further still. Some values are normalized in transit (e.g. dates are rendered ISO `YYYY-MM-DD` rather than X12 `CCYYMMDD`), so this mirrors the clearinghouse payload in shape and content without being a byte-for-byte copy. - `vendor` (string, optional) - `version` (integer, optional) ### pre-encountereligibilityChecksv1EligibilityCheckError - `source` (enum, required) — enum to represent the source of an error in an eligibility check - Allowed values: `TAIGA`, `STEDI` - `errorDetails` (pre-encountereligibilityChecksv1EligibilityCheckErrorDetails, required) — This object is our fern representation of Stedi's EligbilityCheckError object from their API. ### pre-encountereligibilityChecksv1EligibilityRequest An object representing the data for an eligibility request. - `payer_id` (string, required) — Supported payer ID values can be found [here](https://www.stedi.com/healthcare/network). - `provider` (pre-encountereligibilityChecksv1Provider, required) - `subscriber` (pre-encountercoveragesv1MemberInfo, required) — The primary policyholder for the insurance plan or a dependent with a unique member ID. If a dependent has a unique member ID, include their information here and leave dependent undefined. - `submitter_transaction_identifier` (string, optional, nullable) — A unique identifier for the eligibility check within the batch. Taiga returns this identifier in the response for the /batch/\{batch\_id} polling endpoint so you can correlate benefit responses with the original eligibility check. - `dependent` (pre-encountercoveragesv1MemberInfo, optional, nullable) — If a dependent has a unique member ID, include their information as subscriber and leave this field undefined. - `encounter` (pre-encountereligibilityChecksv1Encounter, optional, nullable) - `get_existing_check_initiated_after` (datetime, optional, nullable) — If not provided, this endpoint will run a fresh eligibility check. If provided, it will return an existing successful eligibility check if one exists that was initiated after provided date with the same parameters (Date of Service, Payer ID, Provider, Subscriber, Dependent, and Encounter). - `source` (string, optional, nullable) - `portal_password` (string, optional, nullable) — The password that the provider uses to log in to the payer's portal. This is not commonly used. - `portal_username` (string, optional, nullable) — The username that the provider uses to log in to the payer's portal. This is not commonly used. ### pre-encountereligibilityChecksv1ParsedResponse - `eligibility_status` (enum, required) — enum to represent the status of a patient's coverage - Allowed values: `ACTIVE`, `INACTIVE`, `UNKNOWN` - `plan_metadata` (pre-encountercoveragesv1PlanMetadata, optional, nullable) - `benefits` (pre-encountercoveragesv1CoverageBenefits, optional, nullable) ### pre-encountereligibilityChecksv1RequestCorrection - `property` (string, required) - `request_value` (string, required) - `corrected_value` (string, required) ### EligibilityRawResponse The clearinghouse response, forwarded rather than reshaped. `benefitsInformation` is the authoritative benefit detail — it is the fully parsed form of the 271 and is strictly richer than `parsed_response`, which omits benefit types it has no slot for (notably `LIMITATION`). Prefer it for anything beyond deductible, out-of-pocket, copay and coinsurance. `x12` carries the raw transaction if you need to go further still. Some values are normalized in transit (e.g. dates are rendered ISO `YYYY-MM-DD` rather than X12 `CCYYMMDD`), so this mirrors the clearinghouse payload in shape and content without being a byte-for-byte copy. - `benefitsInformation` (list of EligibilityBenefitsInformation, optional) — Every benefit fact the payer returned. Empty or absent when the payer returned no benefits. - `controlNumber` (string, optional) - `dependents` (list of map from string to any, optional) - `eligibilitySearchId` (string, optional) - `errors` (list of map from string to any, optional) — Payer-side rejections (e.g. member not found, date of service outside the payer's inquiry window). - `id` (string, optional) - `meta` (map from string to any, optional) - `payer` (map from string to any, optional) - `planDateInformation` (map from string to any, optional) - `planInformation` (map from string to any, optional) - `planStatus` (list of map from string to any, optional) - `provider` (map from string to any, optional) - `reassociationKey` (string, optional) - `subscriber` (map from string to any, optional) - `subscriberTraceNumbers` (list of map from string to any, optional) - `tradingPartnerServiceId` (string, optional) - `x12` (string, optional) — The raw 271 transaction, as received from the payer. ### pre-encountereligibilityChecksv1EligibilityCheckErrorDetails This object is our fern representation of Stedi's EligbilityCheckError object from their API. - `field?` (string, optional, nullable) - `description?` (string, optional, nullable) - `location?` (string, optional, nullable) - `possibleResolutions?` (string, optional, nullable) - `code?` (string, optional, nullable) - `followupAction?` (string, optional, nullable) ### pre-encountereligibilityChecksv1Provider - pre-encountereligibilityChecksv1IndividualProvider: pre-encountereligibilityChecksv1IndividualProvider - pre-encountereligibilityChecksv1OrganizationProvider: pre-encountereligibilityChecksv1OrganizationProvider ### pre-encountercoveragesv1MemberInfo - `first_name` (string, required) - `last_name` (string, required) - `member_id` (string, optional, nullable) — Stedi requires that you supply at least one of these fields in the request: memberId, dateOfBirth, or lastName. However, each payer has different requirements, so you should supply as many of the fields necessary for each payer to identify the subscriber/dependent in their system. - `date_of_birth` (date, optional, nullable) — Stedi requires that you supply at least one of these fields in the request: memberId, dateOfBirth, or lastName. However, each payer has different requirements, so you should supply as many of the fields necessary for each payer to identify the subscriber/dependent in their system. ### pre-encountereligibilityChecksv1Encounter - `date_of_service` (date, optional, nullable) — Defaults to the current date if not provided. - `service_type_codes` (list of string, optional, nullable) — Defaults to HealthBenefitPlanCoverage (30) if not provided. Not all payers support multiple service type codes, so it is recommended to only include a single code per request. ### pre-encountercoveragesv1PlanMetadata - `payer_name` (string, optional, nullable) - `insurance_type` (string, optional, nullable) - `insurance_type_code` (string, optional, nullable) - `plan_name` (string, optional, nullable) - `member_id` (string, optional, nullable) - `group_number` (string, optional, nullable) - `start_date` (date, optional, nullable) - `end_date` (date, optional, nullable) - `plan_dates` (list of pre-encountercoveragesv1PlanDate, optional, nullable) - `subscriber` (pre-encountercoveragesv1ExpandedMemberInfo, optional, nullable) - `dependent` (pre-encountercoveragesv1ExpandedMemberInfo, optional, nullable) - `trading_partner` (string, optional, nullable) — The payer's own identifier as returned on the Stedi eligibility response (271) `tradingPartnerServiceId`. Reflects the payer's internal concept of their ID, which may differ from the ID Stedi routes on. ### pre-encountercoveragesv1CoverageBenefits - `plan_coverage` (pre-encountercoveragesv1PlanCoverage, optional, nullable) - `service_specific_coverage` (list of pre-encountercoveragesv1ServiceCoverage, optional, nullable) - `benefits_related_entities` (list of pre-encountercoveragesv1BenefitsRelatedEntity, optional, nullable) - `non_covered_details` (list of pre-encountercoveragesv1NonCoveredDetail, optional, nullable) - `notes` (string, optional, nullable) - `autoUpdatedEligibilityCheckId` (string, optional, nullable) ### EligibilityBenefitsInformation One benefit fact. Payers return many entries per response — the same service type code typically repeats across several entries, each stating a different aspect of the benefit (coverage status, copay, deductible, limitation). Filter by `code` and `serviceTypeCodes` rather than assuming position. Which entries appear, and which optional fields each populates, varies by payer and by the service type code sent on the request. - `additionalInformation` (list of EligibilityBenefitsInformationAdditionalInformationItems, optional) — Free-text payer notes. Often carries plan or carve-out detail available nowhere else in the response. - `authOrCertIndicator` (string, optional) - `benefitAmount` (string, optional) — Currency amount, as a string (e.g. `"350"`). Applies to the benefit named by `code`. - `benefitPercent` (string, optional) — Percentage, as a decimal string (e.g. `"0.5"`). Passed through exactly as the payer sent it — some payers report the patient's share and others the plan-paid share, and the response does not say which. Confirm the polarity per payer rather than assuming. - `benefitQuantity` (string, optional) — A quantity limit on the benefit. Read together with `quantityQualifier` (e.g. `Maximum`, `Visits`) and `timeQualifier` (e.g. `Day`, `Calendar Year`, `Lifetime`) — the quantity is meaningless without both. An out-of-network facility per-day maximum, for example, arrives as a `code: "F"` entry with `timeQualifier: "Day"`, `quantityQualifier: "Maximum"`, `benefitQuantity: "350"` and `inPlanNetworkIndicator: "No"`. - `benefitsAdditionalInformation` (map from string to any, optional) - `benefitsDateInformation` (map from string to any, optional) — Dates bounding the benefit, keyed by kind (e.g. `plan`, `benefitBegin`, `benefitEnd`, `eligibilityBegin`). - `benefitsRelatedEntities` (list of map from string to any, optional) - `benefitsRelatedEntity` (map from string to any, optional) - `benefitsServiceDelivery` (list of map from string to any, optional) - `code` (string, optional) — Benefit type discriminator, present on every entry. Common values: `1` Active Coverage, `A` Co-Insurance, `B` Co-Payment, `C` Deductible, `F` Limitations, `G` Out of Pocket (Stop Loss), `I` Non-Covered. `name` carries the same value in prose. - `coverageLevel` (string, optional) — e.g. `Individual`, `Family`, `Employee and Spouse`. - `coverageLevelCode` (string, optional) - `eligibilityAdditionalInformation` (map from string to any, optional) — Place-of-service context for the benefit (e.g. `industry: "Office"`, `industryCode: "11"`). - `eligibilityAdditionalInformationList` (list of map from string to any, optional) - `inPlanNetworkIndicator` (string, optional) — `Yes` in-network, `No` out-of-network, `Not Applicable` when the payer does not distinguish. Absent on some entries. - `inPlanNetworkIndicatorCode` (string, optional) - `insuranceType` (string, optional) - `insuranceTypeCode` (string, optional) - `name` (string, optional) - `planCoverage` (string, optional) - `quantityQualifier` (string, optional) — What `benefitQuantity` counts, e.g. `Maximum`, `Visits`, `Days`, `Services or Procedures`. - `quantityQualifierCode` (string, optional) - `serviceTypeCodes` (list of string, optional) — Service type codes this benefit applies to, e.g. `["47", "50"]`. An entry may cover several at once. - `serviceTypes` (list of string, optional) — Prose form of `serviceTypeCodes`, e.g. `["Hospital", "Hospital - Outpatient"]`. - `timeQualifier` (string, optional) — Period the benefit or limit applies over, e.g. `Day`, `Visit`, `Calendar Year`, `Remaining`, `Lifetime`. - `timeQualifierCode` (string, optional) ### pre-encountereligibilityChecksv1IndividualProvider - `npi` (string, required) - `first_name` (string, optional, nullable) - `last_name` (string, optional, nullable) ### pre-encountereligibilityChecksv1OrganizationProvider - `npi` (string, required) - `organization_name` (string, optional, nullable) ### pre-encountercoveragesv1PlanDate - `start_date` (date, required) - `field_name` (string, required) - `end_date` (date, optional, nullable) ### pre-encountercoveragesv1ExpandedMemberInfo - `member_id` (string, optional, nullable) - `group_number` (string, optional, nullable) - `first_name` (string, optional, nullable) - `middle_name` (string, optional, nullable) - `last_name` (string, optional, nullable) - `date_of_birth` (string, optional, nullable) - `gender` (string, optional, nullable) - `address` (pre-encountercoveragesv1Address, optional, nullable) ### pre-encountercoveragesv1PlanCoverage - `in_network` (pre-encountercoveragesv1PlanCoverageDetails, optional, nullable) - `in_network_flat` (list of pre-encountercoveragesv1CoverageDetails, optional, nullable) - `out_of_network` (pre-encountercoveragesv1PlanCoverageDetails, optional, nullable) - `out_of_network_flat` (list of pre-encountercoveragesv1CoverageDetails, optional, nullable) ### pre-encountercoveragesv1ServiceCoverage - `service_code` (enum, required) — Code identifying the type of service or benefit within a specific insurance policy (X12 008010 Element 1365) - Allowed values: `1`, `2`, `3`, `4`, `5`, `6`, `7`, `8`, `9`, `10`, `11`, `12`, `13`, `14`, `15`, `16`, `17`, `18`, `19`, `20`, `21`, `22`, `23`, `24`, `25`, `26`, `27`, `28`, `30`, `32`, `33`, `34`, `35`, `36`, `37`, `38`, `39`, `40`, `41`, `42`, `43`, `44`, `45`, `46`, `47`, `48`, `49`, `50`, `51`, `52`, `53`, `54`, `55`, `56`, `57`, `58`, `59`, `60`, `61`, `62`, `63`, `64`, `65`, `66`, `67`, `68`, `69`, `70`, `71`, `72`, `73`, `74`, `75`, `76`, `77`, `78`, `79`, `80`, `81`, `82`, `83`, `84`, `85`, `86`, `87`, `88`, `89`, `90`, `91`, `92`, `93`, `94`, `95`, `96`, `97`, `98`, `99`, `A0`, `A1`, `A2`, `A3`, `A4`, `A5`, `A6`, `A7`, `A8`, `A9`, `AA`, `AB`, `AC`, `AD`, `AE`, `AF`, `AG`, `AH`, `AI`, `AJ`, `AK`, `AL`, `AM`, `AN`, `AO`, `AQ`, `AR`, `B1`, `B2`, `B3`, `BA`, `BB`, `BC`, `BD`, `BE`, `BF`, `BG`, `BH`, `BI`, `BJ`, `BK`, `BL`, `BM`, `BN`, `BP`, `BQ`, `BR`, `BS`, `BT`, `BU`, `BV`, `BW`, `BX`, `BY`, `BZ`, `C1`, `CA`, `CB`, `CC`, `CD`, `CE`, `CF`, `CG`, `CH`, `CI`, `CJ`, `CK`, `CL`, `CM`, `CN`, `CO`, `CP`, `CQ`, `DG`, `DM`, `DS`, `GF`, `GN`, `GY`, `IC`, `MH`, `NI`, `ON`, `PT`, `PU`, `RN`, `RT`, `TC`, `TN`, `UC` - `in_network` (pre-encountercoveragesv1ServiceCoverageDetails, optional, nullable) - `in_network_flat` (list of pre-encountercoveragesv1CoverageDetails, optional, nullable) - `out_of_network` (pre-encountercoveragesv1ServiceCoverageDetails, optional, nullable) - `out_of_network_flat` (list of pre-encountercoveragesv1CoverageDetails, optional, nullable) ### pre-encountercoveragesv1BenefitsRelatedEntity - `entityIdentifier` (string, optional, nullable) - `entityType` (string, optional, nullable) - `entityName` (string, optional, nullable) - `contactInformation` (list of pre-encountercoveragesv1RelatedEntityContact, optional, nullable) - `serviceTypeCodes` (list of enum, optional, nullable) - Allowed values: `1`, `2`, `3`, `4`, `5`, `6`, `7`, `8`, `9`, `10`, `11`, `12`, `13`, `14`, `15`, `16`, `17`, `18`, `19`, `20`, `21`, `22`, `23`, `24`, `25`, `26`, `27`, `28`, `30`, `32`, `33`, `34`, `35`, `36`, `37`, `38`, `39`, `40`, `41`, `42`, `43`, `44`, `45`, `46`, `47`, `48`, `49`, `50`, `51`, `52`, `53`, `54`, `55`, `56`, `57`, `58`, `59`, `60`, `61`, `62`, `63`, `64`, `65`, `66`, `67`, `68`, `69`, `70`, `71`, `72`, `73`, `74`, `75`, `76`, `77`, `78`, `79`, `80`, `81`, `82`, `83`, `84`, `85`, `86`, `87`, `88`, `89`, `90`, `91`, `92`, `93`, `94`, `95`, `96`, `97`, `98`, `99`, `A0`, `A1`, `A2`, `A3`, `A4`, `A5`, `A6`, `A7`, `A8`, `A9`, `AA`, `AB`, `AC`, `AD`, `AE`, `AF`, `AG`, `AH`, `AI`, `AJ`, `AK`, `AL`, `AM`, `AN`, `AO`, `AQ`, `AR`, `B1`, `B2`, `B3`, `BA`, `BB`, `BC`, `BD`, `BE`, `BF`, `BG`, `BH`, `BI`, `BJ`, `BK`, `BL`, `BM`, `BN`, `BP`, `BQ`, `BR`, `BS`, `BT`, `BU`, `BV`, `BW`, `BX`, `BY`, `BZ`, `C1`, `CA`, `CB`, `CC`, `CD`, `CE`, `CF`, `CG`, `CH`, `CI`, `CJ`, `CK`, `CL`, `CM`, `CN`, `CO`, `CP`, `CQ`, `DG`, `DM`, `DS`, `GF`, `GN`, `GY`, `IC`, `MH`, `NI`, `ON`, `PT`, `PU`, `RN`, `RT`, `TC`, `TN`, `UC` ### pre-encountercoveragesv1NonCoveredDetail - `type` (enum, required) - Allowed values: `DEDUCTIBLE`, `DEDUCTIBLE_CONTRACT`, `DEDUCTIBLE_REMAINING`, `DEDUCTIBLE_YEAR_TO_DATE`, `OOP_MAX`, `OOP_MAX_CONTRACT`, `OOP_MAX_REMAINING`, `OOP_MAX_YEAR_TO_DATE`, `COPAY`, `COINSURANCE`, `NON_COVERED`, `LIMITATION` - `coverageLevel` (enum, required) - Allowed values: `EMPLOYEE_AND_CHILDREN`, `EMPLOYEE_ONLY`, `EMPLOYEE_AND_SPOUSE`, `FAMILY`, `INDIVIDUAL` - `unit` (enum, required) - Allowed values: `PERCENT`, `CURRENCY`, `COUNT` - `value` (double, required) - `additional_notes` (string, optional, nullable) - `service_type_codes` (list of enum, optional, nullable) - Allowed values: `1`, `2`, `3`, `4`, `5`, `6`, `7`, `8`, `9`, `10`, `11`, `12`, `13`, `14`, `15`, `16`, `17`, `18`, `19`, `20`, `21`, `22`, `23`, `24`, `25`, `26`, `27`, `28`, `30`, `32`, `33`, `34`, `35`, `36`, `37`, `38`, `39`, `40`, `41`, `42`, `43`, `44`, `45`, `46`, `47`, `48`, `49`, `50`, `51`, `52`, `53`, `54`, `55`, `56`, `57`, `58`, `59`, `60`, `61`, `62`, `63`, `64`, `65`, `66`, `67`, `68`, `69`, `70`, `71`, `72`, `73`, `74`, `75`, `76`, `77`, `78`, `79`, `80`, `81`, `82`, `83`, `84`, `85`, `86`, `87`, `88`, `89`, `90`, `91`, `92`, `93`, `94`, `95`, `96`, `97`, `98`, `99`, `A0`, `A1`, `A2`, `A3`, `A4`, `A5`, `A6`, `A7`, `A8`, `A9`, `AA`, `AB`, `AC`, `AD`, `AE`, `AF`, `AG`, `AH`, `AI`, `AJ`, `AK`, `AL`, `AM`, `AN`, `AO`, `AQ`, `AR`, `B1`, `B2`, `B3`, `BA`, `BB`, `BC`, `BD`, `BE`, `BF`, `BG`, `BH`, `BI`, `BJ`, `BK`, `BL`, `BM`, `BN`, `BP`, `BQ`, `BR`, `BS`, `BT`, `BU`, `BV`, `BW`, `BX`, `BY`, `BZ`, `C1`, `CA`, `CB`, `CC`, `CD`, `CE`, `CF`, `CG`, `CH`, `CI`, `CJ`, `CK`, `CL`, `CM`, `CN`, `CO`, `CP`, `CQ`, `DG`, `DM`, `DS`, `GF`, `GN`, `GY`, `IC`, `MH`, `NI`, `ON`, `PT`, `PU`, `RN`, `RT`, `TC`, `TN`, `UC` ### EligibilityBenefitsInformationAdditionalInformationItems - `description` (string, optional) ### pre-encountercoveragesv1Address - `address1` (string, optional, nullable) - `address2` (string, optional, nullable) - `city` (string, optional, nullable) - `state` (string, optional, nullable) - `postal_code` (string, optional, nullable) - `country_code` (string, optional, nullable) - `country_sub_division_code` (string, optional, nullable) ### pre-encountercoveragesv1PlanCoverageDetails - `deductible` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `deductible_contract` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `deductible_remaining` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `deductible_year_to_date` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `oop_max` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `oop_max_contract` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `oop_max_remaining` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `oop_max_year_to_date` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `additional_notes` (string, optional, nullable) ### pre-encountercoveragesv1CoverageDetails - `type` (enum, required) - Allowed values: `DEDUCTIBLE`, `DEDUCTIBLE_CONTRACT`, `DEDUCTIBLE_REMAINING`, `DEDUCTIBLE_YEAR_TO_DATE`, `OOP_MAX`, `OOP_MAX_CONTRACT`, `OOP_MAX_REMAINING`, `OOP_MAX_YEAR_TO_DATE`, `COPAY`, `COINSURANCE`, `NON_COVERED`, `LIMITATION` - `coverageLevel` (enum, required) - Allowed values: `EMPLOYEE_AND_CHILDREN`, `EMPLOYEE_ONLY`, `EMPLOYEE_AND_SPOUSE`, `FAMILY`, `INDIVIDUAL` - `unit` (enum, required) - Allowed values: `PERCENT`, `CURRENCY`, `COUNT` - `value` (double, required) - `additional_notes` (string, optional, nullable) ### pre-encountercoveragesv1ServiceCoverageDetails - `copay` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `coinsurance` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `visits` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `visits_remaining` (pre-encountercoveragesv1CoverageValue, optional, nullable) - `additional_notes` (string, optional, nullable) ### pre-encountercoveragesv1RelatedEntityContact - `mode` (string, optional, nullable) - `value` (string, optional, nullable) ### pre-encountercoveragesv1CoverageValue - `family` (double, optional, nullable) - `individual` (double, optional, nullable) - `employeeAndSpouse` (double, optional, nullable) - `employeeAndChildren` (double, optional, nullable) ## Examples **Response** ```json { "items": [ { "response": { "response": { "benefitsInformation": [ { "additionalInformation": [ { "description": "string" } ], "authOrCertIndicator": "string", "benefitAmount": "string", "benefitPercent": "string", "benefitQuantity": "string", "benefitsAdditionalInformation": {}, "benefitsDateInformation": {}, "benefitsRelatedEntities": [ {} ], "benefitsRelatedEntity": {}, "benefitsServiceDelivery": [ {} ], "code": "string", "coverageLevel": "string", "coverageLevelCode": "string", "eligibilityAdditionalInformation": {}, "eligibilityAdditionalInformationList": [ {} ], "inPlanNetworkIndicator": "string", "inPlanNetworkIndicatorCode": "string", "insuranceType": "string", "insuranceTypeCode": "string", "name": "string", "planCoverage": "string", "quantityQualifier": "string", "quantityQualifierCode": "string", "serviceTypeCodes": [ "string" ], "serviceTypes": [ "string" ], "timeQualifier": "string", "timeQualifierCode": "string" } ], "controlNumber": "string", "dependents": [ {} ], "eligibilitySearchId": "string", "errors": [ {} ], "id": "string", "meta": {}, "payer": {}, "planDateInformation": {}, "planInformation": {}, "planStatus": [ {} ], "provider": {}, "reassociationKey": "string", "subscriber": {}, "subscriberTraceNumbers": [ {} ], "tradingPartnerServiceId": "string", "x12": "string" }, "vendor": "string", "version": 1 }, "batch_id": "string", "errors": [ { "source": "TAIGA", "errorDetails": { "field?": "string", "description?": "string", "location?": "string", "possibleResolutions?": "string", "code?": "string", "followupAction?": "string" } } ], "request": { "payer_id": "string", "provider": { "first_name": "string", "last_name": "string", "npi": "string" }, "subscriber": { "first_name": "string", "last_name": "string", "member_id": "string", "date_of_birth": "2023-01-15" }, "submitter_transaction_identifier": "string", "dependent": { "first_name": "string", "last_name": "string", "member_id": "string", "date_of_birth": "2023-01-15" }, "encounter": { "date_of_service": "2023-01-15", "service_type_codes": [ "string" ] }, "get_existing_check_initiated_after": "2024-01-15T09:30:00Z", "source": "string", "portal_password": "string", "portal_username": "string" }, "parsed_response": { "eligibility_status": "ACTIVE", "plan_metadata": { "payer_name": "string", "insurance_type": "string", "insurance_type_code": "string", "plan_name": "string", "member_id": "string", "group_number": "string", "start_date": "2023-01-15", "end_date": "2023-01-15", "plan_dates": [ { "start_date": "2023-01-15", "field_name": "string", "end_date": "2023-01-15" } ], "subscriber": { "member_id": "string", "group_number": "string", "first_name": "string", "middle_name": "string", "last_name": "string", "date_of_birth": "string", "gender": "string", "address": { "address1": "string", "address2": "string", "city": "string", "state": "string", "postal_code": "string", "country_code": "string", "country_sub_division_code": "string" } }, "dependent": { "member_id": "string", "group_number": "string", "first_name": "string", "middle_name": "string", "last_name": "string", "date_of_birth": "string", "gender": "string", "address": { "address1": "string", "address2": "string", "city": "string", "state": "string", "postal_code": "string", "country_code": "string", "country_sub_division_code": "string" } }, "trading_partner": "string" }, "benefits": { "plan_coverage": { "in_network": { "deductible": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "deductible_contract": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "deductible_remaining": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "deductible_year_to_date": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max_contract": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max_remaining": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max_year_to_date": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 1.1, "additional_notes": "string" } ], "out_of_network": { "deductible": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "deductible_contract": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "deductible_remaining": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "deductible_year_to_date": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max_contract": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max_remaining": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "oop_max_year_to_date": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 1.1, "additional_notes": "string" } ] }, "service_specific_coverage": [ { "service_code": "1", "in_network": { "copay": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "coinsurance": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "visits": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "visits_remaining": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 1.1, "additional_notes": "string" } ], "out_of_network": { "copay": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "coinsurance": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "visits": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "visits_remaining": { "family": 1.1, "individual": 1.1, "employeeAndSpouse": 1.1, "employeeAndChildren": 1.1 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 1.1, "additional_notes": "string" } ] } ], "benefits_related_entities": [ { "entityIdentifier": "string", "entityType": "string", "entityName": "string", "contactInformation": [ { "mode": "string", "value": "string" } ], "serviceTypeCodes": [ "1" ] } ], "non_covered_details": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 1.1, "additional_notes": "string", "service_type_codes": [ "1" ] } ], "notes": "string", "autoUpdatedEligibilityCheckId": "string" } }, "request_corrections": [ { "property": "string", "request_value": "string", "corrected_value": "string" } ] } ], "total": 1, "next_page_token": "string", "prev_page_token": "string" } ``` **SDK Code** ```python import requests url = "https://api.taigabilling.com/eligibility-checks/v1/batch/batch_id" headers = {"Authorization": "Bearer "} response = requests.get(url, headers=headers) print(response.json()) ```