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>"
  },
  "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

​
id
string
required

Benefits Check ID

​
status
enum<string>
required

Benefits Check Status

Available options:
REQUESTED,
AWAITING_SILNA,
AWAITING_PROVIDER,
COMPLETE,
WITHDRAWN
​
eligibility_status
enum<string>
required

Eligibility Status

Available options:
ELIGIBLE,
INELIGIBLE
​
reference
string | null
required

Reference number

​
insurance_type
enum<string>
required

Insurance type

Available options:
COMMERCIAL,
MEDICARE,
MEDICAID,
REGIONAL_CENTER,
WORKERS_COMPENSATION,
AUTO_INSURANCE
​
note
string | null
required

Notes

​
date_verified
string | null
required

Date verified

​
patient_plan_id
string
required

Patient Plan ID

​
patient_id
string
required

Patient ID

​
provider_id
string
required

Provider ID

​
specialty_specific_data
object[]
required

Specialty specific benefits data

​
network_status
enum<string>
required

Network status

Available options:
IN_NETWORK,
OUT_OF_NETWORK
​
plan_type
string | null
required

Plan type

​
plan_start_date
string | null
required

Plan start date

​
plan_end_date
string | null
required

Plan end date

​
group_number
string | null
required

Plan group ID

​
patient_information
object
required

Patient information

​
created_at
string
required

Created at timestamp