|
@@ -0,0 +1,55 @@
|
|
|
|
+{
|
|
|
|
+ "created_at": "2020-07-31T16:14:00Z",
|
|
|
|
+ "eligible_id": "9CV9QVPUUDCQ8E",
|
|
|
|
+ "known_issues": [],
|
|
|
|
+ "date_of_death": null,
|
|
|
|
+ "last_name": "FRANKLIN",
|
|
|
|
+ "first_name": "BENJAMIN",
|
|
|
|
+ "middle_name": "J",
|
|
|
|
+ "member_id": "333333333A",
|
|
|
|
+ "group_id": null,
|
|
|
|
+ "group_name": null,
|
|
|
|
+ "dob": "1967-09-09",
|
|
|
|
+ "gender": "M",
|
|
|
|
+ "address": {
|
|
|
|
+ "street_line_1": "1842 Union Street",
|
|
|
|
+ "street_line_2": null,
|
|
|
|
+ "city": "San Francisco",
|
|
|
|
+ "state": "OH",
|
|
|
|
+ "zip": "94123"
|
|
|
|
+ },
|
|
|
|
+ "payer_name": "CMS",
|
|
|
|
+ "payer_id": "00431","p
|
|
|
|
+ lan_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":"1994-01-01",
|
|
|
|
+ "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":"1994-01-01","end_date":null,"deductible":166.0,"deductible_remaining":23.93,"insurance_type":"MB","insurance_type_label":"Medicare Part B","coinsurance_percent":20,"copayment":null,"info_val
|
|
|
|
+ id_until":"2020-12-31","info_valid_till":"2020-12-31","comments":[]},"MC":{"active":false,"payer_name":null,"insurance_type":null,"insurance_type_label":null,"mco_bill_option_code":null,"mco_bill_option_label":null,"locked":null,"policy_n
|
|
|
|
+ umber":null,"effective_date":null,"termination_date":null,"contacts":null,"address":{"street_line_1":null,"street_line_2":null,"city":null,"state":null,"zip":null},"comments":[]},"MD":{"active":true,"payer_name":"FRANKLIN","policy_number": "123123123",
|
|
|
|
+ "effective_date": "2019-01-01",
|
|
|
|
+ "termination_date": null,
|
|
|
|
+ "contacts": [
|
|
|
|
+ {
|
|
|
|
+ "contact_type": "telephone",
|
|
|
|
+ "contact_value": "8887116798"
|
|
|
|
+ },
|
|
|
|
+ {
|
|
|
|
+ "contact_type": "url",
|
|
|
|
+ "contact_value": "www.FirstHealthPartD.com"
|
|
|
|
+ }
|
|
|
|
+ ],
|
|
|
|
+ "address": {
|
|
|
|
+ "street_line_1":"1842 U
|
|
|
|
+ nion Street","street_line_2":null,"city":"San Francisco","state":"IL","zip":"94123"},"comments":[]},"PR":[]},"requested_service_types":[{"type":"30","type_label":"Health Benefit Plan Coverage","plan_type":"MA","active":true,"start_date":"
|
|
|
|
+ 1994-01-01","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":"20
|
|
|
|
+ 20-12-31"},{"type":"30","type_label":"Health Benefit Plan Coverage","plan_type":"MB","active":true,"start_date":"1994-01-01","end_date":null,"deductible":166.0,"deductible_remaining":23.93,"insurance_type":"MB","insurance_type_label":"Med
|
|
|
|
+ icare Part B","coinsurance_percent":20,"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":[]}}
|