GET breeze/NE/HealthPlanProviders

Request Information

URI Parameters

None.

Body Parameters

None.

Response Information

Resource Description

Collection of HealthPlanProvider
NameDescriptionTypeAdditional information
AcceptsCurrentPatientsOnly

boolean

None.

AgeLimitHigh

byte

None.

AgeLimitLow

byte

None.

CreatedBy

integer

None.

CreatedDataOriginId

integer

None.

CreatedDate

date

None.

FaxNumber

string

None.

GenderId

integer

None.

HasChildCareServices

boolean

None.

HasCriminalConviction

boolean

None.

HasEveningHours

boolean

None.

HasNewbornServices

boolean

None.

HasOBGYNServices

boolean

None.

HasOwnershipControlInterest

boolean

None.

HasPediatricServices

boolean

None.

HasPhysicianAssistants

boolean

None.

HasWeekendHours

boolean

None.

HealthPlanId

integer

None.

HealthPlanProviderId

integer

None.

IsActive

boolean

None.

IsExcludedIndividual_GSA

boolean

None.

IsExcludedIndividual_OIG

boolean

None.

IsHandicapAccessible

boolean

None.

IsMaxPanelSizeProviderBased

boolean

None.

IsOfficeNearBusRoute

boolean

None.

IsPCP

boolean

None.

MaxPanelSize

integer

None.

ModifiedBy

integer

None.

ModifiedDataOriginId

integer

None.

ModifiedDate

date

None.

OtherLanguages

string

None.

PhoneNumber

string

None.

PMFId

integer

None.

ServiceEndDate

date

None.

ServiceStartDate

date

None.

SpeaksOtherLanguages

boolean

None.

SuspensionEndDate

date

None.

VendorNumber

string

None.

ProviderProfiles

Collection of ProviderProfile

None.

CreatedDataOrigin

DataOrigin

None.

ModifiedDataOrigin

DataOrigin

None.

Gender

Gender

None.

HealthPlan

HealthPlan

None.

PMF

PMF

None.

CreatedByUser

User

None.

ModifiedByUser

User

None.

Response Formats

application/json, text/json

Sample:
[
  {
    "$id": "1",
    "$type": "NE.Entities.Server.PROV.HealthPlanProvider, NE.Entities.Server",
    "AcceptsCurrentPatientsOnly": true,
    "AgeLimitHigh": 64,
    "AgeLimitLow": 64,
    "CreatedBy": 2,
    "CreatedDataOriginId": 1,
    "CreatedDate": "2022-08-13T22:06:56.379+00:00",
    "FaxNumber": "sample string 4",
    "GenderId": 1,
    "HasChildCareServices": true,
    "HasCriminalConviction": true,
    "HasEveningHours": true,
    "HasNewbornServices": true,
    "HasOBGYNServices": true,
    "HasOwnershipControlInterest": true,
    "HasPediatricServices": true,
    "HasPhysicianAssistants": true,
    "HasWeekendHours": true,
    "HealthPlanId": 14,
    "HealthPlanProviderId": 15,
    "IsActive": true,
    "IsExcludedIndividual_GSA": true,
    "IsExcludedIndividual_OIG": true,
    "IsHandicapAccessible": true,
    "IsMaxPanelSizeProviderBased": true,
    "IsOfficeNearBusRoute": true,
    "IsPCP": true,
    "MaxPanelSize": 1,
    "ModifiedBy": 1,
    "ModifiedDataOriginId": 1,
    "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
    "OtherLanguages": "sample string 23",
    "PhoneNumber": "sample string 24",
    "PMFId": 1,
    "ServiceEndDate": "2022-08-13T22:06:56.379+00:00",
    "ServiceStartDate": "2022-08-13T22:06:56.379+00:00",
    "SpeaksOtherLanguages": true,
    "SuspensionEndDate": "2022-08-13T22:06:56.379+00:00",
    "VendorNumber": "sample string 26",
    "ProviderProfiles": [
      {
        "$id": "2",
        "$type": "NE.Entities.Server.PROV.ProviderProfile, NE.Entities.Server",
        "HealthPlanProviderId": 1,
        "MedicaidNumber": "sample string 2"
      },
      {
        "$ref": "2"
      }
    ],
    "CreatedDataOrigin": {
      "$id": "3",
      "$type": "NE.Entities.Server.dbo.DataOrigin, NE.Entities.Server",
      "DataOriginId": 1,
      "Description": "sample string 2",
      "ShowOnWeb": true
    },
    "ModifiedDataOrigin": {
      "$ref": "3"
    },
    "Gender": {
      "$id": "4",
      "$type": "NE.Entities.Server.dbo.Gender, NE.Entities.Server",
      "Code": "sample string 1",
      "Description": "sample string 2",
      "GenderId": 3
    },
    "HealthPlan": {
      "$id": "5",
      "$type": "NE.Entities.Server.PROV.HealthPlan, NE.Entities.Server",
      "AAFactor": 64,
      "Abbreviation": "sample string 2",
      "Code": "sample string 3",
      "CreatedBy": 4,
      "CreatedDate": "2022-08-13T22:06:56.379+00:00",
      "EndDate": "2022-08-13T22:06:56.379+00:00",
      "HealthPlanAdministratorId": 64,
      "HealthPlanId": 7,
      "IsAAAllowed": true,
      "IsActive": true,
      "IsReinstatementAllowed": true,
      "IsVoluntaryAllowed": true,
      "ModifiedBy": 1,
      "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
      "Name": "sample string 11",
      "PhoneNumber": "sample string 12",
      "RegionId": 13,
      "StartDate": "2022-08-13T22:06:56.379+00:00",
      "HealthPlanProviders": [
        {
          "$ref": "1"
        },
        {
          "$ref": "1"
        }
      ],
      "RetroEnrollments": [
        {
          "$id": "6",
          "$type": "NE.Entities.Server.ENROLL.RetroEnrollment, NE.Entities.Server",
          "BeginDate": "2022-08-13T22:06:56.379+00:00",
          "CreatedBy": 2,
          "CreatedDate": "2022-08-13T22:06:56.379+00:00",
          "EndDate": "2022-08-13T22:06:56.379+00:00",
          "HealthPlanAdministratorId": 64,
          "HealthPlanId": 6,
          "ModifiedBy": 1,
          "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
          "PersonId": 7,
          "RetroEnrollmentId": 8,
          "HealthPlan": {
            "$ref": "5"
          },
          "HealthPlanAdministrator": {
            "$id": "7",
            "$type": "NE.Entities.Server.PROV.HealthPlanAdministrator, NE.Entities.Server",
            "Code": "sample string 1",
            "FTPFolder": "sample string 2",
            "HealthPlanAdministratorId": 64,
            "IsAvailableInEnrollmentWizard": true,
            "IsAvailableInIVR": true,
            "LastUsedAsFirstIVRChoice": "2022-08-13T22:06:56.379+00:00",
            "Name": "sample string 6",
            "ShortName": "sample string 7",
            "Abbreviation": "sample string 8",
            "HealthPlans": [
              {
                "$ref": "5"
              },
              {
                "$ref": "5"
              }
            ],
            "RetroEnrollments": [
              {
                "$ref": "6"
              },
              {
                "$ref": "6"
              }
            ]
          }
        },
        {
          "$ref": "6"
        }
      ],
      "HealthPlanAdministrator": {
        "$ref": "7"
      },
      "Region": {
        "$id": "8",
        "$type": "AHS.Server.Entities.Region, AHS.Server",
        "RegionId": 1,
        "Name": "sample string 2",
        "Counties": [
          {
            "$id": "9",
            "$type": "AHS.Server.Entities.County, AHS.Server",
            "CountyId": 1,
            "Name": "sample string 2",
            "RegionId": 1,
            "Code": "sample string 3",
            "Region": {
              "$ref": "8"
            }
          },
          {
            "$ref": "9"
          }
        ]
      },
      "CreatedByUser": {
        "$id": "10",
        "$type": "AHS.Server.Entities.User, AHS.Server",
        "UserId": 1,
        "Username": "sample string 2",
        "FirstName": "sample string 3",
        "LastName": "sample string 4",
        "Email": "sample string 5",
        "IsActive": true,
        "IsSystem": true,
        "IsADBased": true,
        "BusinessUnitId": 9,
        "PermissionIds": [
          1,
          2
        ],
        "FullName": "sample string 3 sample string 4",
        "BusinessUnit": {
          "$id": "11",
          "$type": "AHS.Server.Entities.BusinessUnit, AHS.Server",
          "BusinessUnitId": 1,
          "Description": "sample string 2",
          "IsAHS": true
        }
      },
      "ModifiedByUser": {
        "$ref": "10"
      }
    },
    "PMF": {
      "$id": "12",
      "$type": "NE.Entities.Server.PROV.PMF, NE.Entities.Server",
      "AddressLine1": "sample string 1",
      "AddressLine2": "sample string 2",
      "City": "sample string 3",
      "CountyId": 1,
      "CreatedDate": "2022-08-13T22:06:56.379+00:00",
      "DeceasedDate": "2022-08-13T22:06:56.379+00:00",
      "GroupBeginDate": "2022-08-13T22:06:56.379+00:00",
      "GroupEndDate": "2022-08-13T22:06:56.379+00:00",
      "GroupNumber": "sample string 5",
      "HospitalAffiliationTypeId": 64,
      "IsAtypicalProvider": true,
      "IsPOAExempt": true,
      "IsUnderReview": true,
      "LicenseNumber": "sample string 9",
      "LicenseNumberExpanded": "sample string 10",
      "MedicaidNumber": "sample string 11",
      "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
      "Name": "sample string 12",
      "PayeeAddressLine1": "sample string 13",
      "PayeeAddressLine2": "sample string 14",
      "PayeeCity": "sample string 15",
      "PayeeMedicaidNumber": "sample string 16",
      "PayeeName": "sample string 17",
      "PayeeStateId": 1,
      "PayeeZip": "sample string 18",
      "PayeeZip4": "sample string 19",
      "PharmacyDispensingFee": 1.1,
      "PharmacyDispensingFeeBeginDate": "2022-08-13T22:06:56.379+00:00",
      "PharmacyDispensingFeeEndDate": "2022-08-13T22:06:56.379+00:00",
      "PharmacyEncounterRate": 1.1,
      "PharmacyNCPDPBeginDate": "2022-08-13T22:06:56.379+00:00",
      "PharmacyNCPDPEndDate": "2022-08-13T22:06:56.379+00:00",
      "PharmacyNCPDPNumber": "sample string 20",
      "PMFId": 21,
      "PracticeTypeId": 64,
      "ProviderEnrollDate": "2022-08-13T22:06:56.379+00:00",
      "ProviderEnrollStatusId": 64,
      "ProviderTypeId": 64,
      "SSN": "sample string 22",
      "StateId": 1,
      "Title": "sample string 23",
      "Zip": "sample string 24",
      "Zip4": "sample string 25",
      "HealthPlanProviders": [
        {
          "$ref": "1"
        },
        {
          "$ref": "1"
        }
      ],
      "PMFEligibilitys": [
        {
          "$id": "13",
          "$type": "NE.Entities.Server.PROV.PMFEligibility, NE.Entities.Server",
          "BeginDate": "2022-08-13T22:06:56.379+00:00",
          "CreatedDate": "2022-08-13T22:06:56.379+00:00",
          "EndDate": "2022-08-13T22:06:56.379+00:00",
          "IsAutoEnded": true,
          "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
          "PMFEligibilityId": 3,
          "PMFId": 4,
          "PMF": {
            "$ref": "12"
          }
        },
        {
          "$ref": "13"
        }
      ],
      "PMFNPIs": [
        {
          "$id": "14",
          "$type": "NE.Entities.Server.PROV.PMFNPI, NE.Entities.Server",
          "BeginDate": "2022-08-13T22:06:56.379+00:00",
          "CreatedDate": "2022-08-13T22:06:56.379+00:00",
          "EndDate": "2022-08-13T22:06:56.379+00:00",
          "IsAutoEnded": true,
          "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
          "NPINumber": "sample string 3",
          "PMFId": 4,
          "PMFNPIId": 5,
          "PMF": {
            "$ref": "12"
          }
        },
        {
          "$ref": "14"
        }
      ],
      "PMFNPIPayees": [
        {
          "$id": "15",
          "$type": "NE.Entities.Server.PROV.PMFNPIPayee, NE.Entities.Server",
          "BeginDate": "2022-08-13T22:06:56.379+00:00",
          "CreatedDate": "2022-08-13T22:06:56.379+00:00",
          "EndDate": "2022-08-13T22:06:56.379+00:00",
          "IsAutoEnded": true,
          "ModifiedDate": "2022-08-13T22:06:56.379+00:00",
          "NPINumber": "sample string 3",
          "PMFId": 4,
          "PMFNPIPayeeId": 5,
          "TaxonomyCode": "sample string 6",
          "PMF": {
            "$ref": "12"
          }
        },
        {
          "$ref": "15"
        }
      ],
      "PMFSpecialties": [
        {
          "$id": "16",
          "$type": "NE.Entities.Server.PROV.PMFSpecialty, NE.Entities.Server",
          "CreatedDate": "2022-08-13T22:06:56.379+00:00",
          "IsPrimary": true,
          "PMFId": 3,
          "PMFSpecialtyId": 4,
          "SpecialtyId": 64,
          "PMF": {
            "$ref": "12"
          },
          "Specialty": {
            "$id": "17",
            "$type": "NE.Entities.Server.PROV.Specialty, NE.Entities.Server",
            "Code": "sample string 1",
            "Description": "sample string 2",
            "SpecialtyId": 64
          }
        },
        {
          "$ref": "16"
        }
      ],
      "County": {
        "$ref": "9"
      },
      "HospitalAffiliationType": {
        "$id": "18",
        "$type": "NE.Entities.Server.PROV.HospitalAffiliationType, NE.Entities.Server",
        "Code": "sample string 1",
        "Description": "sample string 2",
        "HospitalAffiliationTypeId": 64
      },
      "PracticeType": {
        "$id": "19",
        "$type": "NE.Entities.Server.PROV.PracticeType, NE.Entities.Server",
        "Code": "sample string 1",
        "Description": "sample string 2",
        "PracticeTypeId": 64
      },
      "ProverEnrollStatus": {
        "$id": "20",
        "$type": "NE.Entities.Server.PROV.ProviderEnrollStatus, NE.Entities.Server",
        "Code": "sample string 1",
        "Description": "sample string 2",
        "ProviderEnrollStatusId": 64
      },
      "ProverType": {
        "$id": "21",
        "$type": "NE.Entities.Server.PROV.ProviderType, NE.Entities.Server",
        "Code": "sample string 1",
        "Description": "sample string 2",
        "IsPCP": true,
        "ProviderTypeId": 64
      },
      "State": {
        "$id": "22",
        "$type": "AHS.Server.Entities.State, AHS.Server",
        "StateId": 1,
        "Name": "sample string 2",
        "Abbreviation": "sample string 3"
      },
      "PayeeState": {
        "$ref": "22"
      }
    },
    "CreatedByUser": {
      "$ref": "10"
    },
    "ModifiedByUser": {
      "$ref": "10"
    }
  },
  {
    "$ref": "1"
  }
]