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GET
/
public
/
v2
/
benefits-checks
/
{benefits_check_id}
Get Benefits Check V2
curl --request GET \
  --url https://api.silnahealth.com/public/v2/benefits-checks/{benefits_check_id} \
  --header 'Authorization: Bearer <token>'
{
  "id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "status": "REQUESTED",
  "eligibility_status": null,
  "ineligibility_reason": 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_fields": [
    {
      "specialty": "PHYSICAL_THERAPY",
      "copay_fields": [
        {
          "value": 123,
          "modifier": null
        }
      ],
      "coinsurance_fields": [
        {
          "value": 123,
          "modifier": null
        }
      ],
      "deductible": null,
      "out_of_pocket": null,
      "visit_limits": [
        {
          "value": 123,
          "modifier": null
        }
      ],
      "dollar_limits": [
        {
          "value": 123,
          "modifier": null
        }
      ],
      "authorization_requirements": [
        {
          "value": false,
          "modifier": null
        }
      ],
      "referral_requirements": [
        {
          "value": false,
          "modifier": null
        }
      ],
      "exclusions": [
        {
          "value": false,
          "modifier": null
        }
      ],
      "reimbursement_rate": null,
      "medicare_dollars_used": null,
      "exclusions_and_limitations": null,
      "patient_cost_estimates": [
        {
          "cost_estimate_name": "<string>",
          "cost_of_service": "<string>"
        }
      ]
    }
  ]
}

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WITHDRAWN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_fields
V2SpecialtyFieldsProvider · object[]
required

Specialty specific benefits data

​
eligibility_status
enum<string>

Eligibility Status

Available options:
ELIGIBLE,
INELIGIBLE
​
ineligibility_reason
enum<string>

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

​
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

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