API ReferencePre EncounterPatientsV1
Get coverage snapshot
Gets a patient along with their coverages at a specific point in time. Note that the date passed in is only used to determine what the filing order was for that patient during that time. The actual data returned will always be the latest version of the patient and coverages.
Authorization
BearerAuth AuthorizationBearer <token>
Send your Taiga API key as a Bearer token. Create and manage keys in the Taiga developer portal.
In: header
Path Parameters
id*pre-encounterPatientId
The unique identifier for a Patient
Query Parameters
date?|
Format
date-timeResponse Body
application/json
application/json
curl -X GET "https://example.com/patients/v1/string/snapshot"{ "patient": { "id": "string", "mrn": "string", "organization_id": "string", "deactivated": true, "version": 0, "updated_at": "2019-08-24T14:15:22Z", "updating_user_id": "string", "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "other_names": [ { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" } ], "other_identifiers": [ { "value": "string", "system": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "gender": "MAN", "birth_date": "2019-08-24", "social_security_number": "string", "biological_sex": "FEMALE", "sexual_orientation": "HETEROSEXUAL", "pronouns": [ "string" ], "race": "AMERICAN_INDIAN_OR_ALASKA_NATIVE", "ethnicity": "HISPANIC_OR_LATINO", "disability_status": "DISABLED", "marital_status": "ANNULLED", "deceased": "2019-08-24T14:15:22Z", "multiple_birth": 0, "primary_address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "other_addresses": [ { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "primary_telecom": { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "other_telecoms": [ { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "email": "string", "electronic_communication_opt_in": true, "electronic_communication_consent": { "text_communication_consent": true, "email_communication_consent": true }, "photo": "string", "language": "string", "external_provenance": { "external_id": "string", "system_name": "string" }, "contacts": [ { "relationship": [ "SELF" ], "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "telecoms": [ { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "addresses": [ { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "period": { "start": "2019-08-24", "end": "2019-08-24" }, "hipaa_authorization": true } ], "general_practitioners": [ { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "type": "PRIMARY", "npi": "string", "telecoms": [ { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "addresses": [ { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "period": { "start": "2019-08-24", "end": "2019-08-24" }, "canonical_id": "string", "fax": "string", "other_fax_numbers": [ "string" ], "emails": [ "string" ], "service_facilities": [ { "service_facility_id": "string" } ] } ], "filing_order": { "coverages": [ "197823de-c85f-4581-a119-488b658a39b7" ] }, "coverages_for_related_causes": { "coverages": [ "197823de-c85f-4581-a119-488b658a39b7" ] }, "non_insurance_payers": [ "string" ], "non_insurance_payer_associations": [ { "id": "string", "member_id": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "clinical_trial_info": [ { "id": "string", "clinical_trial_arm": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ] } ], "guarantor": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "telecom": { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "email": "string", "birth_date": "2019-08-24", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } }, "self_pay": true, "authorizations": [ { "payer_id": "string", "payer_name": "string", "additional_payer_information": { "availity_eligibility_id": "string", "availity_payer_id": "string", "availity_payer_name": "string", "availity_remittance_payer_id": "string" }, "authorization_number": "string", "cpt_code": "string", "apply_for_all_cpt_codes": true, "no_prior_authorization_required": true, "units": "VISIT", "quantity": 0, "period": { "start": "2019-08-24", "end": "2019-08-24" }, "notes": "string", "billing_provider_npi": "string", "service_facility": { "service_facility_id": "string" }, "dx_codes": [ "string" ] } ], "referrals": [ { "provider": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "type": "PRIMARY", "npi": "string", "telecoms": [ { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "addresses": [ { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "period": { "start": "2019-08-24", "end": "2019-08-24" }, "canonical_id": "string", "fax": "string", "other_fax_numbers": [ "string" ], "emails": [ "string" ], "service_facilities": [ { "service_facility_id": "string" } ] }, "referral_number": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "notes": "string", "serviceFacility": { "service_facility_id": "string" }, "units": "VISIT", "quantity": 0, "cptCodes": [ "string" ], "applyForAllCptCodes": true } ], "primary_service_facility_id": "string", "service_facilities": [ { "service_facility_id": "string" } ], "do_not_invoice_reason": "BANKRUPTCY", "note_ids": [ "string" ], "tag_ids": [ "string" ], "origination_detail": { "referral_source": "HOSPITAL", "referring_provider": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "type": "PRIMARY", "npi": "string", "telecoms": [ { "value": "string", "use": "HOME", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "addresses": [ { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } } ], "period": { "start": "2019-08-24", "end": "2019-08-24" }, "canonical_id": "string", "fax": "string", "other_fax_numbers": [ "string" ], "emails": [ "string" ], "service_facilities": [ { "service_facility_id": "string" } ] }, "specialization_categories": [ "BEHAVIORAL_HEALTH_THERAPY" ], "referral_type": "DIRECTED" }, "inferred_patient_metadata": { "inferred_encounter_id": "string", "inferred_encounter_latest_date_of_service": "2019-08-24" }, "orcon": true, "advanced_directives": [ "NONE" ], "hipaa_code": "string" }, "primary_coverage": { "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08", "organization_id": "string", "deactivated": true, "version": 0, "updated_at": "2019-08-24T14:15:22Z", "updating_user_id": "string", "status": "ACTIVE", "subscriber": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "date_of_birth": "2019-08-24", "biological_sex": "FEMALE", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "employer_name": "string" }, "relationship": "SELF", "patient": "string", "insurance_plan": { "member_id": "string", "payer_id": "string", "payer_name": "string", "additional_payer_information": { "availity_eligibility_id": "string", "availity_payer_id": "string", "availity_payer_name": "string", "availity_remittance_payer_id": "string" }, "group_number": "string", "name": "string", "plan_type": "09", "type": "01", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "insurance_card_image_locator": "string", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d", "carve_outs": [ { "carve_out": "BEHAVIORAL", "member_id": "string", "payer_id": "string", "payer_name": "string", "group_number": "string", "plan_type": "09", "type": "01", "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d" } ] }, "verified": true, "eligibility_checks": [ { "check_id": "string", "service_code": "1", "status": "COMPLETED", "initiated_by": "string", "initiated_at": "2019-08-24T14:15:22Z" } ], "latest_eligibility_check": { "check_id": "string", "status": "ACTIVE", "initiated_at": "2019-08-24T14:15:22Z", "errors": [ { "field?": "string", "description?": "string", "location?": "string", "possibleResolutions?": "string", "code?": "string", "followupAction?": "string" } ] }, "benefits": { "plan_coverage": { "in_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ] }, "service_specific_coverage": [ { "service_code": "1", "in_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "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": 0.1, "additional_notes": "string", "service_type_codes": [ "1" ] } ], "notes": "string", "autoUpdatedEligibilityCheckId": "string" }, "orcon": true, "auto_update_enabled": true, "previous_appointment_copays": { "property1": 0, "property2": 0 } }, "secondary_coverage": { "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08", "organization_id": "string", "deactivated": true, "version": 0, "updated_at": "2019-08-24T14:15:22Z", "updating_user_id": "string", "status": "ACTIVE", "subscriber": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "date_of_birth": "2019-08-24", "biological_sex": "FEMALE", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "employer_name": "string" }, "relationship": "SELF", "patient": "string", "insurance_plan": { "member_id": "string", "payer_id": "string", "payer_name": "string", "additional_payer_information": { "availity_eligibility_id": "string", "availity_payer_id": "string", "availity_payer_name": "string", "availity_remittance_payer_id": "string" }, "group_number": "string", "name": "string", "plan_type": "09", "type": "01", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "insurance_card_image_locator": "string", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d", "carve_outs": [ { "carve_out": "BEHAVIORAL", "member_id": "string", "payer_id": "string", "payer_name": "string", "group_number": "string", "plan_type": "09", "type": "01", "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d" } ] }, "verified": true, "eligibility_checks": [ { "check_id": "string", "service_code": "1", "status": "COMPLETED", "initiated_by": "string", "initiated_at": "2019-08-24T14:15:22Z" } ], "latest_eligibility_check": { "check_id": "string", "status": "ACTIVE", "initiated_at": "2019-08-24T14:15:22Z", "errors": [ { "field?": "string", "description?": "string", "location?": "string", "possibleResolutions?": "string", "code?": "string", "followupAction?": "string" } ] }, "benefits": { "plan_coverage": { "in_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ] }, "service_specific_coverage": [ { "service_code": "1", "in_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "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": 0.1, "additional_notes": "string", "service_type_codes": [ "1" ] } ], "notes": "string", "autoUpdatedEligibilityCheckId": "string" }, "orcon": true, "auto_update_enabled": true, "previous_appointment_copays": { "property1": 0, "property2": 0 } }, "tertiary_coverage": { "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08", "organization_id": "string", "deactivated": true, "version": 0, "updated_at": "2019-08-24T14:15:22Z", "updating_user_id": "string", "status": "ACTIVE", "subscriber": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "date_of_birth": "2019-08-24", "biological_sex": "FEMALE", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "employer_name": "string" }, "relationship": "SELF", "patient": "string", "insurance_plan": { "member_id": "string", "payer_id": "string", "payer_name": "string", "additional_payer_information": { "availity_eligibility_id": "string", "availity_payer_id": "string", "availity_payer_name": "string", "availity_remittance_payer_id": "string" }, "group_number": "string", "name": "string", "plan_type": "09", "type": "01", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "insurance_card_image_locator": "string", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d", "carve_outs": [ { "carve_out": "BEHAVIORAL", "member_id": "string", "payer_id": "string", "payer_name": "string", "group_number": "string", "plan_type": "09", "type": "01", "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d" } ] }, "verified": true, "eligibility_checks": [ { "check_id": "string", "service_code": "1", "status": "COMPLETED", "initiated_by": "string", "initiated_at": "2019-08-24T14:15:22Z" } ], "latest_eligibility_check": { "check_id": "string", "status": "ACTIVE", "initiated_at": "2019-08-24T14:15:22Z", "errors": [ { "field?": "string", "description?": "string", "location?": "string", "possibleResolutions?": "string", "code?": "string", "followupAction?": "string" } ] }, "benefits": { "plan_coverage": { "in_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ] }, "service_specific_coverage": [ { "service_code": "1", "in_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "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": 0.1, "additional_notes": "string", "service_type_codes": [ "1" ] } ], "notes": "string", "autoUpdatedEligibilityCheckId": "string" }, "orcon": true, "auto_update_enabled": true, "previous_appointment_copays": { "property1": 0, "property2": 0 } }, "coverages_for_related_causes": [ { "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08", "organization_id": "string", "deactivated": true, "version": 0, "updated_at": "2019-08-24T14:15:22Z", "updating_user_id": "string", "status": "ACTIVE", "subscriber": { "name": { "family": "string", "given": [ "string" ], "use": "USUAL", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "suffix": "string" }, "date_of_birth": "2019-08-24", "biological_sex": "FEMALE", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "employer_name": "string" }, "relationship": "SELF", "patient": "string", "insurance_plan": { "member_id": "string", "payer_id": "string", "payer_name": "string", "additional_payer_information": { "availity_eligibility_id": "string", "availity_payer_id": "string", "availity_payer_name": "string", "availity_remittance_payer_id": "string" }, "group_number": "string", "name": "string", "plan_type": "09", "type": "01", "period": { "start": "2019-08-24", "end": "2019-08-24" }, "insurance_card_image_locator": "string", "address": { "use": "HOME", "line": [ "string" ], "city": "string", "state": "string", "postal_code": "string", "country": "string", "county": "string", "period": { "start": "2019-08-24", "end": "2019-08-24" } }, "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d", "carve_outs": [ { "carve_out": "BEHAVIORAL", "member_id": "string", "payer_id": "string", "payer_name": "string", "group_number": "string", "plan_type": "09", "type": "01", "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d" } ] }, "verified": true, "eligibility_checks": [ { "check_id": "string", "service_code": "1", "status": "COMPLETED", "initiated_by": "string", "initiated_at": "2019-08-24T14:15:22Z" } ], "latest_eligibility_check": { "check_id": "string", "status": "ACTIVE", "initiated_at": "2019-08-24T14:15:22Z", "errors": [ { "field?": "string", "description?": "string", "location?": "string", "possibleResolutions?": "string", "code?": "string", "followupAction?": "string" } ] }, "benefits": { "plan_coverage": { "in_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "deductible": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "deductible_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_contract": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "oop_max_year_to_date": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ] }, "service_specific_coverage": [ { "service_code": "1", "in_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "in_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "additional_notes": "string" } ], "out_of_network": { "copay": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "coinsurance": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "visits_remaining": { "family": 0, "individual": 0, "employeeAndSpouse": 0, "employeeAndChildren": 0 }, "additional_notes": "string" }, "out_of_network_flat": [ { "type": "DEDUCTIBLE", "coverageLevel": "EMPLOYEE_AND_CHILDREN", "unit": "PERCENT", "value": 0.1, "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": 0.1, "additional_notes": "string", "service_type_codes": [ "1" ] } ], "notes": "string", "autoUpdatedEligibilityCheckId": "string" }, "orcon": true, "auto_update_enabled": true, "previous_appointment_copays": { "property1": 0, "property2": 0 } } ]}Get patient history GET
Gets a patient along with it's full history. The return list is ordered by version ascending.
Reactivate patient PATCH
Removes the deactivated flag for a patient. The path must contain the most recent version plus 1 to prevent race conditions. Reactivating historic versions is not supported.