{ "info": { "author": "UNKNOWN", "author_email": "UNKNOWN", "bugtrack_url": null, "classifiers": [], "description": "Vericred's API allows you to search for Health Plans that a specific doctor\naccepts.\n\n## Getting Started\n\nVisit our [Developer Portal](https://developers.vericred.com) to\ncreate an account.\n\nOnce you have created an account, you can create one Application for\nProduction and another for our Sandbox (select the appropriate Plan when\nyou create the Application).\n\n## SDKs\n\nOur API follows standard REST conventions, so you can use any HTTP client\nto integrate with us. You will likely find it easier to use one of our\n[autogenerated SDKs](https://github.com/vericred/?query=vericred-),\nwhich we make available for several common programming languages.\n\n## Authentication\n\nTo authenticate, pass the API Key you created in the Developer Portal as\na `Vericred-Api-Key` header.\n\n`curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`\n\n## Versioning\n\nVericred's API default to the latest version. However, if you need a specific\nversion, you can request it with an `Accept-Version` header.\n\nThe current version is `v3`. Previous versions are `v1` and `v2`.\n\n`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`\n\n## Pagination\n\nEndpoints that accept `page` and `per_page` parameters are paginated. They expose\nfour additional fields that contain data about your position in the response,\nnamely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988).\n\nFor example, to display 5 results per page and view the second page of a\n`GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`.\n\n## Sideloading\n\nWhen we return multiple levels of an object graph (e.g. `Provider`s and their `State`s\nwe sideload the associated data. In this example, we would provide an Array of\n`State`s and a `state_id` for each provider. This is done primarily to reduce the\npayload size since many of the `Provider`s will share a `State`\n\n```\n{\n providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],\n states: [{ id: 1, code: 'NY' }]\n}\n```\n\nIf you need the second level of the object graph, you can just match the\ncorresponding id.\n\n## Selecting specific data\n\nAll endpoints allow you to specify which fields you would like to return.\nThis allows you to limit the response to contain only the data you need.\n\nFor example, let's take a request that returns the following JSON by default\n\n```\n{\n provider: {\n id: 1,\n name: 'John',\n phone: '1234567890',\n field_we_dont_care_about: 'value_we_dont_care_about'\n },\n states: [{\n id: 1,\n name: 'New York',\n code: 'NY',\n field_we_dont_care_about: 'value_we_dont_care_about'\n }]\n}\n```\n\nTo limit our results to only return the fields we care about, we specify the\n`select` query string parameter for the corresponding fields in the JSON\ndocument.\n\nIn this case, we want to select `name` and `phone` from the `provider` key,\nso we would add the parameters `select=provider.name,provider.phone`.\nWe also want the `name` and `code` from the `states` key, so we would\nadd the parameters `select=states.name,staes.code`. The id field of\neach document is always returned whether or not it is requested.\n\nOur final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`\n\nThe response would be\n\n```\n{\n provider: {\n id: 1,\n name: 'John',\n phone: '1234567890'\n },\n states: [{\n id: 1,\n name: 'New York',\n code: 'NY'\n }]\n}\n```\n\n## Benefits summary format\nBenefit cost-share strings are formatted to capture:\n * Network tiers\n * Compound or conditional cost-share\n * Limits on the cost-share\n * Benefit-specific maximum out-of-pocket costs\n\n**Example #1**\nAs an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as:\n\n* **Hospital stay facility fees**:\n - Network Provider: `$400 copay/admit plus 20% coinsurance`\n - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance`\n - 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`\n\n* **Rehabilitation services:**\n - Network Provider: `20% coinsurance`\n - Out-of-Network Provider: `50% coinsurance`\n - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.`\n - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period`\n\n**Example #2**\nIn [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.\n* **Specialty drugs:**\n - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply`\n - Out-of-Network Provider `Not covered`\n - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%`\n\n**BNF**\n\nHere's a description of the benefits summary string, represented as a context-free grammar:\n\n```\nroot ::= coverage\n\ncoverage ::= (simple_coverage | tiered_coverage) (space pipe space coverage_limitation)?\ntiered_coverage ::= tier (space slash space tier)*\ntier ::= tier_name colon space (tier_coverage | not_applicable)\ntier_coverage ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?\nsimple_coverage ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?\ncoverage_limitation ::= "limit" colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted)\nwaived_if_admitted ::= ("copay" space)? "waived if admitted"\nsimple_limitation ::= pre_coverage_limitation space "copay applies"\ntier_name ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"\ntier_limitation ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?\ncoverage_amount ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)\npre_coverage_limitation ::= first space digits space time_unit plural?\npost_coverage_limitation ::= (((then space currency) | "per condition") space)? "per" space (treatment_unit | (integer space time_unit) | time_unit) plural?\ncoverage_condition ::= ("before deductible" | "after deductible" | "penalty" | allowance | "in-state" | "out-of-state") (space allowance)?\nallowance ::= upto_allowance | after_allowance\nupto_allowance ::= "up to" space (currency space)? "allowance"\nafter_allowance ::= "after" space (currency space)? "allowance"\nsee_carrier_documentation ::= "see carrier documentation for more information"\nunknown ::= "unknown"\nunlimited ::= /[uU]nlimited/\nincluded ::= /[iI]ncluded in [mM]edical/\ntime_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/)\ntreatment_unit ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/\ncomma ::= ","\ncolon ::= ":"\nsemicolon ::= ";"\npipe ::= "|"\nslash ::= "/"\nplural ::= "(s)" | "s"\nthen ::= "then" | ("," space) | space\nor ::= "or"\nand ::= "and"\nnot_applicable ::= "Not Applicable" | "N/A" | "NA"\nfirst ::= "first"\ncurrency ::= "$" number\npercentage ::= number "%"\nnumber ::= float | integer\nfloat ::= digits "." digits\ninteger ::= /[0-9]/+ (comma_int | under_int)*\ncomma_int ::= ("," 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