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GET
Get Benefits Check V1

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WITHDRAWN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> | null

Eligibility Status

Available options:
ELIGIBLE,
INELIGIBLE
ineligibility_reason
enum<string> | null

Reason for ineligibility

Available options:
PLAN_INACTIVE,
PATIENT_HAS_OUT_OF_NETWORK_IPA,
PLAN_HAS_TERMINATED,
MBI_TERMINATED,
NO_MEDICARE_PART_B_COVERAGE,
MEMBER_NUMBER_MISMATCH,
SPECIALTY_NOT_COVERED,
PATIENT_HAS_OTHER_INSURANCE,
NO_OUT_OF_NETWORK_BENEFITS,
HAS_ACTIVE_HOME_PLAN,
ENROLLED_IN_HOSPICE,
PROVIDER_PLACE_OF_SERVICE_NOT_COVERED,
PATIENT_DECEASED
reference
string | null

Reference number

note
string | null

Notes

insurance_type
enum<string> | null

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> | null

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
BenefitsCheckPatientInformation · object | null

Patient information

other_payor_information
BenefitsCheckOtherPayorInformation · object[] | null

Other payor information

other_payor_entity_name
string | null

Name of the other insurance payor entity when ineligibility reason is patient has other insurance

independent_physician_association_name
string | null

Name of the Independent Physician Association (IPA) managing the provider network for the patient's plan

silna_url
string | null

Silna benefits check URL