Get Coverage

GET {{baseUrl}}/api/v2/Coverage?patient=<integer>&departmentId=<integer>&_count=<integer>&_offset=<integer>&include=<string>&ignore-restrictions=<boolean>

Overview:

Retrieves detailed information on insurance coverage, allowing healthcare developers to access and display real-time data regarding patients' insurance plans for streamlined verification and validation within clinical workflows.

Use Cases:

  • : Member Eligibility Checks

  • : Claims Adjudication

  • : Referral Insurance Discovery

  • : Clinical Trial Prequalification

  • : Care Gap Identification

Request Params

KeyDatatypeRequiredDescription
patientstring(Required) The patient identifier associated with the coverage.
departmentIdstring(Required) The department identifier
_countstringThe maximum number of results to return
_offsetstringThe number of results to skip
includestringFields to include in the response
ignore-restrictionsstringIgnore restrictions

HEADERS

KeyDatatypeRequiredDescription
x-source-idstring(Required) The source id provided for connecting to the data source
Authorizationstring

RESPONSES

status: OK

[{&quot;context&quot;:{&quot;requestId&quot;:&quot;\u003cstring\u003e&quot;,&quot;source&quot;:&quot;\u003cstring\u003e&quot;,&quot;quorum&quot;:&quot;\u003cboolean\u003e&quot;},&quot;data&quot;:{&quot;resourceType&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:&quot;\u003cstring\u003e&quot;,&quot;total&quot;:&quot;\u003cinteger\u003e&quot;,&quot;entry&quot;:[{&quot;resource&quot;:{&quot;resourceType&quot;:&quot;\u003cstring\u003e&quot;,&quot;beneficiary&quot;:{&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;id&quot;:&quot;\u003cstring\u003e&quot;},&quot;id&quot;:&quot;\u003cstring\u003e&quot;,&quot;status&quot;:&quot;\u003cstring\u003e&quot;,&quot;identifier&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;policyHolder&quot;:{&quot;display&quot;:&quot;\u003cstring\u003e&quot;,&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}}],&quot;identifier&quot;:{}},&quot;period&quot;:{&quot;start&quot;:&quot;\u003cdateTime\u003e&quot;,&quot;end&quot;:&quot;\u003cdateTime\u003e&quot;},&quot;relationship&quot;:{&quot;id&quot;:&quot;\u003cinteger\u003e&quot;,&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;class&quot;:[{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;}],&quot;type&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;}]}}},{&quot;resource&quot;:{&quot;resourceType&quot;:&quot;\u003cstring\u003e&quot;,&quot;beneficiary&quot;:{&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;id&quot;:&quot;\u003cstring\u003e&quot;},&quot;id&quot;:&quot;\u003cstring\u003e&quot;,&quot;status&quot;:&quot;\u003cstring\u003e&quot;,&quot;identifier&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;policyHolder&quot;:{&quot;display&quot;:&quot;\u003cstring\u003e&quot;,&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}}],&quot;identifier&quot;:{}},&quot;period&quot;:{&quot;start&quot;:&quot;\u003cdateTime\u003e&quot;,&quot;end&quot;:&quot;\u003cdateTime\u003e&quot;},&quot;relationship&quot;:{&quot;id&quot;:&quot;\u003cinteger\u003e&quot;,&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;class&quot;:[{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;}],&quot;type&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;}]}}}]}},{&quot;context&quot;:{&quot;requestId&quot;:&quot;\u003cstring\u003e&quot;,&quot;source&quot;:&quot;\u003cstring\u003e&quot;,&quot;quorum&quot;:&quot;\u003cboolean\u003e&quot;},&quot;data&quot;:{&quot;resourceType&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:&quot;\u003cstring\u003e&quot;,&quot;total&quot;:&quot;\u003cinteger\u003e&quot;,&quot;entry&quot;:[{&quot;resource&quot;:{&quot;resourceType&quot;:&quot;\u003cstring\u003e&quot;,&quot;beneficiary&quot;:{&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;id&quot;:&quot;\u003cstring\u003e&quot;},&quot;id&quot;:&quot;\u003cstring\u003e&quot;,&quot;status&quot;:&quot;\u003cstring\u003e&quot;,&quot;identifier&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;policyHolder&quot;:{&quot;display&quot;:&quot;\u003cstring\u003e&quot;,&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}}],&quot;identifier&quot;:{}},&quot;period&quot;:{&quot;start&quot;:&quot;\u003cdateTime\u003e&quot;,&quot;end&quot;:&quot;\u003cdateTime\u003e&quot;},&quot;relationship&quot;:{&quot;id&quot;:&quot;\u003cinteger\u003e&quot;,&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;class&quot;:[{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;}],&quot;type&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;}]}}},{&quot;resource&quot;:{&quot;resourceType&quot;:&quot;\u003cstring\u003e&quot;,&quot;beneficiary&quot;:{&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;id&quot;:&quot;\u003cstring\u003e&quot;},&quot;id&quot;:&quot;\u003cstring\u003e&quot;,&quot;status&quot;:&quot;\u003cstring\u003e&quot;,&quot;identifier&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;policyHolder&quot;:{&quot;display&quot;:&quot;\u003cstring\u003e&quot;,&quot;reference&quot;:&quot;\u003cstring\u003e&quot;,&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;,&quot;valueHumanName&quot;:{&quot;given&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;],&quot;family&quot;:&quot;\u003cstring\u003e&quot;},&quot;valueAddress&quot;:{&quot;state&quot;:&quot;\u003cstring\u003e&quot;,&quot;postalCode&quot;:&quot;\u003cstring\u003e&quot;,&quot;country&quot;:&quot;\u003cstring\u003e&quot;,&quot;line&quot;:[&quot;\u003cstring\u003e&quot;,&quot;\u003cstring\u003e&quot;]}}],&quot;identifier&quot;:{}},&quot;period&quot;:{&quot;start&quot;:&quot;\u003cdateTime\u003e&quot;,&quot;end&quot;:&quot;\u003cdateTime\u003e&quot;},&quot;relationship&quot;:{&quot;id&quot;:&quot;\u003cinteger\u003e&quot;,&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;class&quot;:[{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;},{&quot;name&quot;:&quot;\u003cstring\u003e&quot;,&quot;type&quot;:{&quot;text&quot;:&quot;\u003cstring\u003e&quot;},&quot;value&quot;:&quot;\u003cstring\u003e&quot;}],&quot;extension&quot;:[{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;},{&quot;url&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueString&quot;:&quot;\u003cstring\u003e&quot;,&quot;valueInteger&quot;:&quot;\u003cinteger\u003e&quot;,&quot;valueDate&quot;:&quot;\u003cdate\u003e&quot;}],&quot;type&quot;:{&quot;coding&quot;:[{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;},{&quot;system&quot;:&quot;\u003cstring\u003e&quot;,&quot;display&quot;:&quot;\u003cstring\u003e&quot;}]}}}]}}]