GET
/
public
/
v1
/
benefits-checks
/
{benefits_check_id}
Get Benefits Check V1
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": null,
  "reference": null,
  "insurance_type": null,
  "date_verified": null,
  "patient_plan_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "provider_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "network_status": null,
  "plan_type": null,
  "plan_start_date": null,
  "plan_end_date": null,
  "group_number": null,
  "patient_information": null,
  "other_payor_information": null,
  "created_at": "2023-11-07T05:31:56Z",
  "silna_url": null,
  "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>"
        }
      ]
    }
  ],
  "note": null
}

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

id
string<uuid>
required

Benefits Check ID

status
enum<string>
required

Benefits Check Status

Available options:
REQUESTED,
AWAITING_SILNA,
AWAITING_PROVIDER,
COMPLETE,
WITHDRAWN
patient_plan_id
string<uuid>
required

Patient Plan ID

patient_id
string<uuid>
required

Patient ID

provider_id
string<uuid>
required

Provider ID

created_at
string<date-time>
required

Created at timestamp

specialty_specific_data
V1BenefitsCheckSpecialtyData · object[]
required

Specialty specific benefits data

eligibility_status
enum<string>

Eligibility Status

Available options:
ELIGIBLE,
INELIGIBLE
reference
string | null

Reference number

insurance_type
enum<string>

Insurance type

Available options:
COMMERCIAL,
MEDICARE,
MEDICAID,
REGIONAL_CENTER,
WORKERS_COMPENSATION,
AUTO_INSURANCE
date_verified
string<date-time> | null

Date verified

network_status
enum<string>

Network status

Available options:
IN_NETWORK,
OUT_OF_NETWORK
plan_type
string | null

Plan type

plan_start_date
string<date> | null

Plan start date

plan_end_date
string<date> | null

Plan end date

group_number
string | null

Plan group ID

patient_information
object

Patient information

other_payor_information
BenefitsCheckOtherPayorInformation · object[] | null

Other payor information

silna_url
string | null

Silna benefits check URL

note
string | null

Notes