GET api/NE/HealthPlanProviders

Request Information

URI Parameters

None.

Body Parameters

None.

Response Information

Resource Description

Collection of HealthPlanProvider

Name	Type	Additional 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": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+00:00",
    "OtherLanguages": "sample string 23",
    "PhoneNumber": "sample string 24",
    "PMFId": 1,
    "ServiceEndDate": "2024-11-21T09:59:39.429+00:00",
    "ServiceStartDate": "2024-11-21T09:59:39.429+00:00",
    "SpeaksOtherLanguages": true,
    "SuspensionEndDate": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+00:00",
      "EndDate": "2024-11-21T09:59:39.429+00:00",
      "HealthPlanAdministratorId": 64,
      "HealthPlanId": 7,
      "IsAAAllowed": true,
      "IsActive": true,
      "IsReinstatementAllowed": true,
      "IsVoluntaryAllowed": true,
      "ModifiedBy": 1,
      "ModifiedDate": "2024-11-21T09:59:39.429+00:00",
      "Name": "sample string 11",
      "PhoneNumber": "sample string 12",
      "RegionId": 13,
      "StartDate": "2024-11-21T09:59:39.429+00:00",
      "HealthPlanProviders": [
        {
          "$ref": "1"
        },
        {
          "$ref": "1"
        }
      ],
      "RetroEnrollments": [
        {
          "$id": "6",
          "$type": "NE.Entities.Server.ENROLL.RetroEnrollment, NE.Entities.Server",
          "BeginDate": "2024-11-21T09:59:39.429+00:00",
          "CreatedBy": 2,
          "CreatedDate": "2024-11-21T09:59:39.429+00:00",
          "EndDate": "2024-11-21T09:59:39.429+00:00",
          "HealthPlanAdministratorId": 64,
          "HealthPlanId": 6,
          "ModifiedBy": 1,
          "ModifiedDate": "2024-11-21T09:59:39.429+00:00",
          "PersonId": 7,
          "RetroEnrollmentId": 8,
          "HealthPlan": {
            "$ref": "5"
          },
          "HealthPlanAdministrator": {
            "$id": "7",
            "$type": "NE.Entities.Server.PROV.HealthPlanAdministrator, NE.Entities.Server",
            "Code": "sample string 1",
            "FTPFolder": "sample string 2",
            "HealthPlanAdministratorId": 64,
            "IsAvailableInEnrollmentWizard": true,
            "IsAvailableInIVR": true,
            "LastUsedAsFirstIVRChoice": "2024-11-21T09:59:39.429+00:00",
            "Name": "sample string 6",
            "ShortName": "sample string 7",
            "Abbreviation": "sample string 8",
            "RestrictedEnrollmentPeriods": "sample string 9",
            "HealthPlans": [
              {
                "$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": "2024-11-21T09:59:39.429+00:00",
      "DeceasedDate": "2024-11-21T09:59:39.429+00:00",
      "GroupBeginDate": "2024-11-21T09:59:39.429+00:00",
      "GroupEndDate": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+00:00",
      "PharmacyDispensingFeeEndDate": "2024-11-21T09:59:39.429+00:00",
      "PharmacyEncounterRate": 1.1,
      "PharmacyNCPDPBeginDate": "2024-11-21T09:59:39.429+00:00",
      "PharmacyNCPDPEndDate": "2024-11-21T09:59:39.429+00:00",
      "PharmacyNCPDPNumber": "sample string 20",
      "PMFId": 21,
      "PracticeTypeId": 64,
      "ProviderEnrollDate": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+00:00",
          "CreatedDate": "2024-11-21T09:59:39.429+00:00",
          "EndDate": "2024-11-21T09:59:39.429+00:00",
          "IsAutoEnded": true,
          "ModifiedDate": "2024-11-21T09:59:39.429+00:00",
          "PMFEligibilityId": 3,
          "PMFId": 4,
          "PMF": {
            "$ref": "12"
          }
        },
        {
          "$ref": "13"
        }
      ],
      "PMFNPIs": [
        {
          "$id": "14",
          "$type": "NE.Entities.Server.PROV.PMFNPI, NE.Entities.Server",
          "BeginDate": "2024-11-21T09:59:39.429+00:00",
          "CreatedDate": "2024-11-21T09:59:39.429+00:00",
          "EndDate": "2024-11-21T09:59:39.429+00:00",
          "IsAutoEnded": true,
          "ModifiedDate": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+00:00",
          "CreatedDate": "2024-11-21T09:59:39.429+00:00",
          "EndDate": "2024-11-21T09:59:39.429+00:00",
          "IsAutoEnded": true,
          "ModifiedDate": "2024-11-21T09:59:39.429+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": "2024-11-21T09:59:39.429+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",
        "$type": "NE.Entities.Server.PROV.ProviderType, NE.Entities.Server",
        "Code": "sample string 1",
        "Description": "sample string 2",
        "IsPCP": true,
        "ProviderTypeId": 64,
        "Alias": "sample string 5"
      },
      "State": {
        "$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"
  }
]