stagfe/generatecv/test.json

{
    "created_at": "2020-06-16T13:22:38Z",
    "eligible_id": "9C1NIU5U9T81TQ",
    "known_issues": [],
    "date_of_death": null,
    "last_name": "FRANKLIN",
    "first_name": "BENJAMIN",
    "middle_name": "J",
    "member_id": "111111111A",
    "group_id": null,
    "group_name": null,
    "dob": "1967-09-09",
    "gender": "F",
    "address": {
        "street_line_1": "1842 Union Street",
        "street_line_2": null,
        "city": "San Francisco",
        "state": "NJ",
        "zip": "94123"
    },
    "payer_name": "CMS",
    "payer_id": "00431",
    "plan_number": "",
    "eligibilty_dates": {
        "start": "2019-02-27",
        "end": null
    },
    "eligibility_dates": {
        "start": "2019-02-27",
        "end": null
    },
    "inactivity_dates": {
        "start": null,
        "end": null
    },
    "plan_types": {
        "MA": "Medicare Part A (Hospital)",
        "MB": "Medicare Part B (Professional Services)",
        "MC": "Medicare Part C (Advantage)",
        "MD": "Medicare Part D (Prescription drugs)",
        "PR": "Primary insurance (Medicare Secondary, This Insurance is Primary)"
    },
    "plan_details": {
        "MA": {
            "active": true,
            "start_date": "1994-03-01",
            "end_date": null,
            "deductible": 1288.0,
            "deductible_remaining": 1288.0,
            "insurance_type": "MA",
            "insurance_type_label": "Medicare Part A",
            "coinsurance_percent": null,
            "copayment": null,
            "info_valid_until": "2020-12-31",
            "info_valid_till": "2020-12-31",
            "comments": []
        },
        "MB": {
            "active": true,
            "start_date": "1994-03-01",
            "end_date": null,
            "deductible": 166.0,
            "deductible_remaining": 166.0,
            "insurance_type": "MB",
            "insurance_type_label": "Medicare Part B",
            "coinsurance_percent": 20,
            "copayment": null,
            "info_valid_until": "2020-12-31",
            "info_valid_till": "2020-12-31",
            "comments": []
        },
        "MC": {
            "active": true,
            "payer_name": "FRANKLIN",
            "insurance_type": "PR",
            "insurance_type_label": "Preferred Provider Organization (PPO)",
            "mco_bill_option_code": "C",
            "mco_bill_option_label": "MCO should process all claims",
            "locked": true,
            "policy_number": "123123123",
            "effective_date": "2019-01-01",
            "termination_date": null,
            "contacts": [{
                "contact_type": "telephone",
                "contact_value": "8778423210"
            }, {
                "contact_type": "url",
                "contact_value": "www.UHCMedicareSolutions.com"
            }],
            "address": {
                "street_line_1": "1842 Union Street",
                "street_line_2": null,
                "city": "San Francisco",
                "state": "MN",
                "zip": "94123"
            },
            "comments": ["MCO Bill Option Code - C"]
        },
        "MD": {
            "active": true,
            "payer_name": "FRANKLIN",
            "policy_number": "123123123",
            "effective_date": "2014-01-01",
            "termination_date": null,
            "contacts": [{
                "contact_type": "telephone",
                "contact_value": "8007584574"
            }, {
                "contact_type": "url",
                "contact_value": "www.Express-ScriptsMedicare.com"
            }],
            "address": {
                "street_line_1": "1842 Union Street",
                "street_line_2": null,
                "city": "San Francisco",
                "state": "NJ",
                "zip": "94123"
            },
            "comments": []
        },
        "PR": []
    },
    "requested_service_types": [{
        "type": "30",
        "type_label": "Health Benefit Plan Coverage",
        "plan_type": "MA",
        "active": true,
        "start_date": "1994-03-01",
        "end_date": null,
        "deductible": 1288.0,
        "deductible_remaining": 1288.0,
        "insurance_type": "MA",
        "insurance_type_label": "Medicare Part A",
        "coinsurance_percent": null,
        "copayment": null,
        "info_valid_until": "2020-12-31",
        "info_valid_till": "2020-12-31"
    }, {
        "type": "30",
        "type_label": "Health Benefit Plan Coverage",
        "plan_type": "MB",
        "active": true,
        "start_date": "1994-03-01",
        "end_date": null,
        "deductible": 166.0,
        "deductible_remaining": 166.0,
        "insurance_type": "MB",
        "insurance_type_label": "Medicare Part B",
        "coinsurance_percent": 20,
        "copayment": null,
        "info_valid_until": "2020-12-31",
        "info_valid_till": "2020-12-31"
    }, {
        "type": "30",
        "type_label": "Health Benefit Plan Coverage",
        "plan_type": "MC",
        "active": true,
        "start_date": "2019-01-01",
        "end_date": null,
        "deductible": null,
        "deductible_remaining": null,
        "insurance_type": null,
        "insurance_type_label": null,
        "coinsurance_percent": null,
        "copayment": null,
        "info_valid_until": "2020-12-31",
        "info_valid_till": "2020-12-31"
    }],
    "requested_procedure_codes": [],
    "history": {
        "plan_details": {
            "MA": [],
            "MB": [],
            "MC": [],
            "MD": [],
            "PR": []
        },
        "requested_service_types": []
    }
}