Skip to content

Instantly share code, notes, and snippets.

@zaeem

zaeem/Medicare json Secret

Created October 5, 2016 14:35
Show Gist options
  • Save zaeem/7ea42a2555b40fea40c7516bec6c3d66 to your computer and use it in GitHub Desktop.
Save zaeem/7ea42a2555b40fea40c7516bec6c3d66 to your computer and use it in GitHub Desktop.
Download ZIP
Raw
Medicare json
{
"last_name": "TEST",
"first_name": "TEST",
"dob": "1952-01-18",
"member_id": "1231231231",
"contacts": [
{
"contact_type": "telephone",
"contact_value": "123123123"
}
],
"address": {
"street_line_1": "123 TEST TEST",
"street_line_2": "TEST",
"city": "TEST",
"state": "TEST",
"zip": "23135165"
},
"payer_name": "CMS",
"payer_id": "00431",
"eligibilty_dates": {
"start": "2016-01-13",
"end": null
},
"plan_details": {
"MA": {
"active": true,
"start_date": "2006-02-01",
"end_date": null,
"deductible": 1288,
"payer_name": "UNITEDHEALTHCARE OF THE MIDWEST, INC.",
"insurance_type_label": "Health Maintenance Organization (HMO) - Medicare Risk",
"mco_bill_option_label": "MCO should process all claims",
"deductible_remaining": 1288,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31",
"effective_date": "2016-01-01",
"termination_date": null,
"policy_number": "TEST64 123",
"contacts": [
{
"contact_type": "telephone",
"contact_value": "12312311123"
}
],
"address": {
"street_line_1": "123123 TEST TEST",
"street_line_2": "TEST",
"city": "TEST TEST",
"state": "TEST",
"zip": "12312"
}
},
"MB": {
"active": true,
"start_date": "2006-02-01",
"end_date": null,
"deductible": 1288,
"payer_name": "UNITEDHEALTHCARE OF THE MIDWEST, INC.",
"insurance_type_label": "Health Maintenance Organization (HMO) - Medicare Risk",
"mco_bill_option_label": "MCO should process all claims",
"deductible_remaining": 1288,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31",
"effective_date": "2016-01-01",
"termination_date": "2016-01-01",
"policy_number": "TEST1 123",
"contacts": [
{
"contact_type": "telephone",
"contact_value": "8778423210"
}
],
"address": {
"street_line_1": "12312 TEST TEST",
"street_line_2": "TEST",
"city": "TEST",
"state": "TEST",
"zip": "123123"
}
},
"MC": {
"active": true,
"start_date": "2006-02-01",
"end_date": null,
"deductible": 1288,
"payer_name": "UNITEDHEALTHCARE OF THE MIDWEST, INC.",
"insurance_type_label": "Health Maintenance Organization (HMO) - Medicare Risk",
"mco_bill_option_label": "MCO should process all claims",
"deductible_remaining": 1288,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31",
"effective_date": "2016-01-01",
"termination_date": null,
"policy_number": "TEST12 123",
"contacts": [
{
"contact_type": "telephone",
"contact_value": "12312312312"
}
],
"address": {
"street_line_1": "123123 TEST TEST",
"street_line_2": "TEST",
"city": "TEST",
"state": "TEST",
"zip": "12312"
}
},
"MD": {
"active": true,
"start_date": "2006-02-01",
"end_date": null,
"deductible": 1288,
"payer_name": "UNITEDHEALTHCARE OF THE MIDWEST, INC.",
"insurance_type_label": "Health Maintenance Organization (HMO) - Medicare Risk",
"mco_bill_option_label": "MCO should process all claims",
"deductible_remaining": 1288,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31",
"effective_date": "2016-01-01",
"termination_date": null,
"policy_number": "TEST12 02",
"contacts": [
{
"contact_type": "telephone",
"contact_value": "123123123"
}
],
"address": {
"street_line_1": "123123 TEST TEST",
"street_line_2": "TEST",
"city": "TEST TEST",
"state": "TEST",
"zip": "123123"
}
},
"PR": [
{
"active": true,
"payer_name": "HARRAH S MARYLAND HEIGHTS, LLC",
"policy_number": null,
"effective_date": "2008-07-15",
"termination_date": null,
"contacts": [
{
"contact_type": "telephone",
"contact_value": "123123123"
}
],
"address": {
"street_line_1": "123 TEST TEST TEST",
"street_line_2": "TEST",
"city": "ST. TESST",
"state": "TEST",
"zip": "123123"
}
}
]
},
"requested_service_types": [
{
"type": "30",
"type_label": "Health Benefit Plan Coverage",
"plan_type": "MA",
"active": true,
"start_date": "2006-02-01",
"end_date": null,
"deductible": 1288,
"deductible_remaining": 1288,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31"
},
{
"type": "30",
"type_label": "Health Benefit Plan Coverage",
"plan_type": "MB",
"active": true,
"start_date": "2006-02-01",
"end_date": null,
"deductible": 166,
"deductible_remaining": 166,
"coinsurance_percent": 20,
"copayment": null,
"info_valid_till": "2016-12-31"
},
{
"type": "30",
"type_label": "Health Benefit Plan Coverage",
"plan_type": "MC",
"active": true,
"start_date": "2016-01-01",
"end_date": null,
"deductible": null,
"deductible_remaining": null,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31"
}
],
"requested_procedure_codes": [
{
"procedure_code": "77057",
"procedure_label": "Screening Mammography (MAMM)",
"plan_type": "MB",
"active": false,
"deductible": 166,
"deductible_remaining": 166,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31",
"next_eligible_date": {
"professional": null,
"technical": null
}
},
{
"procedure_code": "G0202",
"procedure_label": "Screening Mammography (MAMM)",
"plan_type": "MB",
"active": false,
"deductible": 166,
"deductible_remaining": 166,
"coinsurance_percent": null,
"copayment": null,
"info_valid_till": "2016-12-31",
"next_eligible_date": {
"professional": null,
"technical": null
}
},
{
"procedure_code": "G0438",
"procedure_label": "Annual Wellness Visit (AWV)",
"plan_type": "MB",
"active": true,
"deductible": 0,
"deductible_remaining": null,
"coinsurance_percent": 0,
"copayment": null,
"info_valid_till": "2016-12-31",
"next_eligible_date": {
"professional": "2011-01-01",
"technical": "2011-01-01"
}
},
{
"procedure_code": "G0439",
"procedure_label": "Annual Wellness Visit (AWV)",
"plan_type": "MB",
"active": true,
"deductible": 0,
"deductible_remaining": null,
"coinsurance_percent": 0,
"copayment": null,
"info_valid_till": "2016-12-31",
"next_eligible_date": {
"professional": "2011-01-01",
"technical": "2011-01-01"
}
}
],
"AppointmentPatientInsuranceData": {
"Meta": {
"DataModel": "Scheduling",
"EventType": "Reschedule"
},
"Patient": {
"Identifiers": [
{
"ID": "123123",
"IDType": "MR"
}
],
"Demographics": {
"FirstName": "TEST",
"LastName": "TEST",
"DOB": "1988-10-16",
"Sex": "Male",
"MaritalStatus": null,
"PhoneNumber": {
"Home": "+12312312312",
"Office": "+12312312312",
"Mobile": "+12312312312"
},
"EmailAddresses": null,
"Address": {
"StreetAddress": "12312 TEST TEST",
"City": "TEST",
"State": "TEST",
"ZIP": "123123",
"County": null,
"Country": "US"
}
}
},
"Visit": {
"VisitNumber": "1234",
"VisitDateTime": "2016-10-04T08:43:39.420Z",
"Duration": 15,
"Reason": "Check up",
"Balance": "0.00",
"AttendingProvider": {
"ID": 123123212,
"FirstName": "TEST",
"LastName": "TEST"
},
"Location": {
"Department": "Unknown"
},
"Guarantor": {
"Number": "123123",
"FirstName": "TEST",
"LastName": "TEST",
"Spouse": {
"FirstName": "TEST",
"LastName": "TEST"
},
"Address": {
"StreetAddress": "123 TEST TEST",
"City": "TEST",
"State": "TEST",
"ZIP": "12312",
"County": "Green",
"Country": "US"
},
"PhoneNumber": {
"Home": "+123123123",
"Business": "+123123123"
},
"Type": null,
"RelationToPatient": "Father",
"Employer": {
"Name": "Accelerator Labs",
"Address": {
"StreetAddress": "12312 TEST TEST",
"City": "TEST",
"State": "WI",
"ZIP": "123",
"County": "Dane",
"Country": "USA"
},
"PhoneNumber": "+123123123"
}
},
"Insurances": [
{
"Plan": {
"ID": "122122",
"IDType": null,
"Name": "HMO Deductable Plan"
},
"Company": {
"ID": "MOMCR",
"Name": "Medicare of Missouri",
"Address": {
"StreetAddress": "Po Box 5600",
"City": "TEST",
"State": "TEST",
"ZIP": "12312",
"County": "TEST",
"Country": "US"
},
"PhoneNumber": "+1231231232"
},
"GroupNumber": "12312-1223-231",
"EffectiveDate": "2014-12-01",
"ExpirationDate": "2020-12-31",
"PolicyNumber": "12312312"
}
]
}
},
"system":{
"type": "spce100"
}
}
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment