GET api/NE/HealthPlans

Request Information

URI Parameters

None.

Body Parameters

None.

Response Information

Resource Description

Collection of HealthPlan
NameDescriptionTypeAdditional information
AAFactor

byte

None.

Abbreviation

string

None.

Code

string

None.

CreatedBy

integer

None.

CreatedDate

date

None.

EndDate

date

None.

HealthPlanAdministratorId

byte

None.

HealthPlanId

integer

None.

IsAAAllowed

boolean

None.

IsActive

boolean

None.

IsReinstatementAllowed

boolean

None.

IsVoluntaryAllowed

boolean

None.

ModifiedBy

integer

None.

ModifiedDate

date

None.

Name

string

None.

PhoneNumber

string

None.

RegionId

integer

None.

StartDate

date

None.

HealthPlanProviders

Collection of HealthPlanProvider

None.

RetroEnrollments

Collection of RetroEnrollment

None.

HealthPlanAdministrator

HealthPlanAdministrator

None.

Region

Region

None.

CreatedByUser

User

None.

ModifiedByUser

User

None.

Response Formats

application/json, text/json

Sample:
[
  {
    "$id": "1",
    "$type": "NE.Entities.Server.PROV.HealthPlan, NE.Entities.Server",
    "AAFactor": 64,
    "Abbreviation": "sample string 2",
    "Code": "sample string 3",
    "CreatedBy": 4,
    "CreatedDate": "2024-11-21T10:02:46.029+00:00",
    "EndDate": "2024-11-21T10:02:46.029+00:00",
    "HealthPlanAdministratorId": 64,
    "HealthPlanId": 7,
    "IsAAAllowed": true,
    "IsActive": true,
    "IsReinstatementAllowed": true,
    "IsVoluntaryAllowed": true,
    "ModifiedBy": 1,
    "ModifiedDate": "2024-11-21T10:02:46.029+00:00",
    "Name": "sample string 11",
    "PhoneNumber": "sample string 12",
    "RegionId": 13,
    "StartDate": "2024-11-21T10:02:46.029+00:00",
    "HealthPlanProviders": [
      {
        "$id": "2",
        "$type": "NE.Entities.Server.PROV.HealthPlanProvider, NE.Entities.Server",
        "AcceptsCurrentPatientsOnly": true,
        "AgeLimitHigh": 64,
        "AgeLimitLow": 64,
        "CreatedBy": 2,
        "CreatedDataOriginId": 1,
        "CreatedDate": "2024-11-21T10:02:46.029+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": "2024-11-21T10:02:46.029+00:00",
        "OtherLanguages": "sample string 23",
        "PhoneNumber": "sample string 24",
        "PMFId": 1,
        "ServiceEndDate": "2024-11-21T10:02:46.029+00:00",
        "ServiceStartDate": "2024-11-21T10:02:46.029+00:00",
        "SpeaksOtherLanguages": true,
        "SuspensionEndDate": "2024-11-21T10:02:46.029+00:00",
        "VendorNumber": "sample string 26",
        "ProviderProfiles": [
          {
            "$id": "3",
            "$type": "NE.Entities.Server.PROV.ProviderProfile, NE.Entities.Server",
            "HealthPlanProviderId": 1,
            "MedicaidNumber": "sample string 2"
          },
          {
            "$ref": "3"
          }
        ],
        "CreatedDataOrigin": {
          "$id": "4",
          "$type": "NE.Entities.Server.dbo.DataOrigin, NE.Entities.Server",
          "DataOriginId": 1,
          "Description": "sample string 2",
          "ShowOnWeb": true
        },
        "ModifiedDataOrigin": {
          "$ref": "4"
        },
        "Gender": {
          "$id": "5",
          "$type": "NE.Entities.Server.dbo.Gender, NE.Entities.Server",
          "Code": "sample string 1",
          "Description": "sample string 2",
          "GenderId": 3
        },
        "HealthPlan": {
          "$ref": "1"
        },
        "PMF": {
          "$id": "6",
          "$type": "NE.Entities.Server.PROV.PMF, NE.Entities.Server",
          "AddressLine1": "sample string 1",
          "AddressLine2": "sample string 2",
          "City": "sample string 3",
          "CountyId": 1,
          "CreatedDate": "2024-11-21T10:02:46.029+00:00",
          "DeceasedDate": "2024-11-21T10:02:46.029+00:00",
          "GroupBeginDate": "2024-11-21T10:02:46.029+00:00",
          "GroupEndDate": "2024-11-21T10:02:46.029+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": "2024-11-21T10:02:46.029+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": "2024-11-21T10:02:46.029+00:00",
          "PharmacyDispensingFeeEndDate": "2024-11-21T10:02:46.029+00:00",
          "PharmacyEncounterRate": 1.1,
          "PharmacyNCPDPBeginDate": "2024-11-21T10:02:46.029+00:00",
          "PharmacyNCPDPEndDate": "2024-11-21T10:02:46.029+00:00",
          "PharmacyNCPDPNumber": "sample string 20",
          "PMFId": 21,
          "PracticeTypeId": 64,
          "ProviderEnrollDate": "2024-11-21T10:02:46.029+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": "2"
            },
            {
              "$ref": "2"
            }
          ],
          "PMFEligibilitys": [
            {
              "$id": "7",
              "$type": "NE.Entities.Server.PROV.PMFEligibility, NE.Entities.Server",
              "BeginDate": "2024-11-21T10:02:46.029+00:00",
              "CreatedDate": "2024-11-21T10:02:46.029+00:00",
              "EndDate": "2024-11-21T10:02:46.029+00:00",
              "IsAutoEnded": true,
              "ModifiedDate": "2024-11-21T10:02:46.029+00:00",
              "PMFEligibilityId": 3,
              "PMFId": 4,
              "PMF": {
                "$ref": "6"
              }
            },
            {
              "$ref": "7"
            }
          ],
          "PMFNPIs": [
            {
              "$id": "8",
              "$type": "NE.Entities.Server.PROV.PMFNPI, NE.Entities.Server",
              "BeginDate": "2024-11-21T10:02:46.029+00:00",
              "CreatedDate": "2024-11-21T10:02:46.029+00:00",
              "EndDate": "2024-11-21T10:02:46.029+00:00",
              "IsAutoEnded": true,
              "ModifiedDate": "2024-11-21T10:02:46.029+00:00",
              "NPINumber": "sample string 3",
              "PMFId": 4,
              "PMFNPIId": 5,
              "PMF": {
                "$ref": "6"
              }
            },
            {
              "$ref": "8"
            }
          ],
          "PMFNPIPayees": [
            {
              "$id": "9",
              "$type": "NE.Entities.Server.PROV.PMFNPIPayee, NE.Entities.Server",
              "BeginDate": "2024-11-21T10:02:46.029+00:00",
              "CreatedDate": "2024-11-21T10:02:46.029+00:00",
              "EndDate": "2024-11-21T10:02:46.029+00:00",
              "IsAutoEnded": true,
              "ModifiedDate": "2024-11-21T10:02:46.029+00:00",
              "NPINumber": "sample string 3",
              "PMFId": 4,
              "PMFNPIPayeeId": 5,
              "TaxonomyCode": "sample string 6",
              "PMF": {
                "$ref": "6"
              }
            },
            {
              "$ref": "9"
            }
          ],
          "PMFSpecialties": [
            {
              "$id": "10",
              "$type": "NE.Entities.Server.PROV.PMFSpecialty, NE.Entities.Server",
              "CreatedDate": "2024-11-21T10:02:46.029+00:00",
              "IsPrimary": true,
              "PMFId": 3,
              "PMFSpecialtyId": 4,
              "SpecialtyId": 64,
              "PMF": {
                "$ref": "6"
              },
              "Specialty": {
                "$id": "11",
                "$type": "NE.Entities.Server.PROV.Specialty, NE.Entities.Server",
                "Code": "sample string 1",
                "Description": "sample string 2",
                "SpecialtyId": 64
              }
            },
            {
              "$ref": "10"
            }
          ],
          "County": {
            "$id": "12",
            "$type": "AHS.Server.Entities.County, AHS.Server",
            "CountyId": 1,
            "Name": "sample string 2",
            "RegionId": 1,
            "Code": "sample string 3",
            "Region": {
              "$id": "13",
              "$type": "AHS.Server.Entities.Region, AHS.Server",
              "RegionId": 1,
              "Name": "sample string 2",
              "Counties": [
                {
                  "$ref": "12"
                },
                {
                  "$ref": "12"
                }
              ]
            }
          },
          "HospitalAffiliationType": {
            "$id": "14",
            "$type": "NE.Entities.Server.PROV.HospitalAffiliationType, NE.Entities.Server",
            "Code": "sample string 1",
            "Description": "sample string 2",
            "HospitalAffiliationTypeId": 64
          },
          "PracticeType": {
            "$id": "15",
            "$type": "NE.Entities.Server.PROV.PracticeType, NE.Entities.Server",
            "Code": "sample string 1",
            "Description": "sample string 2",
            "PracticeTypeId": 64
          },
          "ProverEnrollStatus": {
            "$id": "16",
            "$type": "NE.Entities.Server.PROV.ProviderEnrollStatus, NE.Entities.Server",
            "Code": "sample string 1",
            "Description": "sample string 2",
            "ProviderEnrollStatusId": 64
          },
          "ProverType": {
            "$id": "17",
            "$type": "NE.Entities.Server.PROV.ProviderType, NE.Entities.Server",
            "Code": "sample string 1",
            "Description": "sample string 2",
            "IsPCP": true,
            "ProviderTypeId": 64,
            "Alias": "sample string 5"
          },
          "State": {
            "$id": "18",
            "$type": "AHS.Server.Entities.State, AHS.Server",
            "StateId": 1,
            "Name": "sample string 2",
            "Abbreviation": "sample string 3"
          },
          "PayeeState": {
            "$ref": "18"
          }
        },
        "CreatedByUser": {
          "$id": "19",
          "$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": {
            "$id": "20",
            "$type": "AHS.Server.Entities.BusinessUnit, AHS.Server",
            "BusinessUnitId": 1,
            "Description": "sample string 2",
            "IsAHS": true
          }
        },
        "ModifiedByUser": {
          "$ref": "19"
        }
      },
      {
        "$ref": "2"
      }
    ],
    "RetroEnrollments": [
      {
        "$id": "21",
        "$type": "NE.Entities.Server.ENROLL.RetroEnrollment, NE.Entities.Server",
        "BeginDate": "2024-11-21T10:02:46.029+00:00",
        "CreatedBy": 2,
        "CreatedDate": "2024-11-21T10:02:46.029+00:00",
        "EndDate": "2024-11-21T10:02:46.029+00:00",
        "HealthPlanAdministratorId": 64,
        "HealthPlanId": 6,
        "ModifiedBy": 1,
        "ModifiedDate": "2024-11-21T10:02:46.029+00:00",
        "PersonId": 7,
        "RetroEnrollmentId": 8,
        "HealthPlan": {
          "$ref": "1"
        },
        "HealthPlanAdministrator": {
          "$id": "22",
          "$type": "NE.Entities.Server.PROV.HealthPlanAdministrator, NE.Entities.Server",
          "Code": "sample string 1",
          "FTPFolder": "sample string 2",
          "HealthPlanAdministratorId": 64,
          "IsAvailableInEnrollmentWizard": true,
          "IsAvailableInIVR": true,
          "LastUsedAsFirstIVRChoice": "2024-11-21T10:02:46.029+00:00",
          "Name": "sample string 6",
          "ShortName": "sample string 7",
          "Abbreviation": "sample string 8",
          "RestrictedEnrollmentPeriods": "sample string 9",
          "HealthPlans": [
            {
              "$ref": "1"
            },
            {
              "$ref": "1"
            }
          ],
          "RetroEnrollments": [
            {
              "$ref": "21"
            },
            {
              "$ref": "21"
            }
          ]
        }
      },
      {
        "$ref": "21"
      }
    ],
    "HealthPlanAdministrator": {
      "$ref": "22"
    },
    "Region": {
      "$ref": "13"
    },
    "CreatedByUser": {
      "$ref": "19"
    },
    "ModifiedByUser": {
      "$ref": "19"
    }
  },
  {
    "$ref": "1"
  }
]