GET
/
public
/
v1
/
benefits-checks
/
{benefits_check_id}
curl --request GET \
  --url https://api.silnahealth.com/public/v1/benefits-checks/{benefits_check_id} \
  --header 'Authorization: Bearer <token>'
{
  "id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "status": "REQUESTED",
  "eligibility_status": "ELIGIBLE",
  "reference": "<string>",
  "insurance_type": "COMMERCIAL",
  "note": "<string>",
  "date_verified": "2023-11-07T05:31:56Z",
  "patient_plan_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "provider_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "specialty_specific_data": [
    {
      "specialty": "PHYSICAL_THERAPY",
      "auth_required": true,
      "referral_required": true,
      "referral_info": "<string>",
      "requirement_time": "BEFORE_SERVICES",
      "requirement_quantity": 123,
      "requirement_unit": "VISITS",
      "auth_company": "<string>",
      "has_visit_limit": true,
      "visit_limit_quantity": 123,
      "visits_used": 123,
      "copay_amount": "<string>",
      "coinsurance_percentage": "<string>",
      "individual_deductible_amount": "<string>",
      "individual_deductible_amount_met": "<string>",
      "family_deductible_amount": "<string>",
      "family_deductible_amount_met": "<string>",
      "individual_out_of_pocket_amount": "<string>",
      "individual_out_of_pocket_amount_met": "<string>",
      "family_out_of_pocket_amount": "<string>",
      "family_out_of_pocket_amount_met": "<string>",
      "medicare_dollars_used": "<string>",
      "reimbursement_rate": "<string>",
      "exclusions_and_limitations": "<string>",
      "patient_cost_estimates": [
        {
          "cost_estimate_name": "<string>",
          "cost_of_service": "<string>"
        }
      ]
    }
  ],
  "network_status": "IN_NETWORK",
  "plan_type": "<string>",
  "plan_start_date": "2023-12-25",
  "plan_end_date": "2023-12-25",
  "group_number": "<string>",
  "patient_information": {
    "subscriber_first_name": "<string>",
    "subscriber_last_name": "<string>",
    "subscriber_date_of_birth": "2023-12-25",
    "subscriber_address": "<string>",
    "subscriber_state": "<string>",
    "subscriber_city": "<string>",
    "subscriber_zip_code": "<string>",
    "subscriber_patient_relationship": "<string>"
  },
  "other_payor_information": [
    {
      "payor_name": "<string>",
      "plan_order_number": 123
    }
  ],
  "created_at": "2023-11-07T05:31:56Z"
}
Experimental! We will change the response schema in the next few months! Please be prepared to adapt to the new schema if you choose to integrate with this API.

Authorizations

Authorization
string
header
required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Path Parameters

benefits_check_id
string
required

Response

200
application/json
Benefits Check Response Schema

Benefits Check Response Schema

GET
/
public
/
v1
/
benefits-checks
/
{benefits_check_id}
curl --request GET \
  --url https://api.silnahealth.com/public/v1/benefits-checks/{benefits_check_id} \
  --header 'Authorization: Bearer <token>'
{
  "id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "status": "REQUESTED",
  "eligibility_status": "ELIGIBLE",
  "reference": "<string>",
  "insurance_type": "COMMERCIAL",
  "note": "<string>",
  "date_verified": "2023-11-07T05:31:56Z",
  "patient_plan_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "provider_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "specialty_specific_data": [
    {
      "specialty": "PHYSICAL_THERAPY",
      "auth_required": true,
      "referral_required": true,
      "referral_info": "<string>",
      "requirement_time": "BEFORE_SERVICES",
      "requirement_quantity": 123,
      "requirement_unit": "VISITS",
      "auth_company": "<string>",
      "has_visit_limit": true,
      "visit_limit_quantity": 123,
      "visits_used": 123,
      "copay_amount": "<string>",
      "coinsurance_percentage": "<string>",
      "individual_deductible_amount": "<string>",
      "individual_deductible_amount_met": "<string>",
      "family_deductible_amount": "<string>",
      "family_deductible_amount_met": "<string>",
      "individual_out_of_pocket_amount": "<string>",
      "individual_out_of_pocket_amount_met": "<string>",
      "family_out_of_pocket_amount": "<string>",
      "family_out_of_pocket_amount_met": "<string>",
      "medicare_dollars_used": "<string>",
      "reimbursement_rate": "<string>",
      "exclusions_and_limitations": "<string>",
      "patient_cost_estimates": [
        {
          "cost_estimate_name": "<string>",
          "cost_of_service": "<string>"
        }
      ]
    }
  ],
  "network_status": "IN_NETWORK",
  "plan_type": "<string>",
  "plan_start_date": "2023-12-25",
  "plan_end_date": "2023-12-25",
  "group_number": "<string>",
  "patient_information": {
    "subscriber_first_name": "<string>",
    "subscriber_last_name": "<string>",
    "subscriber_date_of_birth": "2023-12-25",
    "subscriber_address": "<string>",
    "subscriber_state": "<string>",
    "subscriber_city": "<string>",
    "subscriber_zip_code": "<string>",
    "subscriber_patient_relationship": "<string>"
  },
  "other_payor_information": [
    {
      "payor_name": "<string>",
      "plan_order_number": 123
    }
  ],
  "created_at": "2023-11-07T05:31:56Z"
}
Experimental! We will change the response schema in the next few months! Please be prepared to adapt to the new schema if you choose to integrate with this API.

Authorizations

Authorization
string
header
required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Path Parameters

benefits_check_id
string
required

Response

200
application/json
Benefits Check Response Schema

Benefits Check Response Schema