Tross
EYEMED

Fetch Eligibility

Fetch eligibility in EyeMed

POSThttps://api.ontross.com/api/integrations/eyemed/fetch-eligibility
Request Fields
input
object
required
Input object.
input.member_id
string
Member id
input.date_of_service
string
Date of service
input.provider_npi
string
Provider npi
input.location
string
Location
auth_id
string
required
Auth id
Output Fields
eligibility
array
List of eligibility.
eligibility[].tab_name
string
Tab name
eligibility[].services
array
List of services.
eligibility[].services[].service
string
Service
eligibility[].services[].eligible
string
Eligible
eligibility[].services[].eligible_as_of
string
Eligible as of
eligibility[].services[].frequency
string
Frequency
benefits
array
List of benefits.
benefits[].name
string
Name
benefits[].categories
array
List of categories.
benefits[].categories[].category
string
Category
benefits[].categories[].services
array
List of services.
benefits[].categories[].services[].service
string
Service
benefits[].categories[].services[].cost
string
Cost
declining_balance_packages
array
List of declining balance packages.
declining_balance_packages[].benefit_category_id
string
Benefit category id
declining_balance_packages[].benefit_category
string
Benefit category
declining_balance_packages[].in_network_elig
boolean
In network elig
declining_balance_packages[].out_network_elig
boolean
Out network elig
declining_balance_packages[].disclaimers
array
List of disclaimers.
declining_balance_packages[].limit_id
string
Limit id
declining_balance_packages[].description
string
Description
declining_balance_packages[].amount_basis
string
Amount basis
declining_balance_packages[].start_amount
number
Start amount
declining_balance_packages[].remaining_balance
number
Remaining balance
declining_balance_packages[].family_individual
string
Family individual
declining_balance_packages[].limit_repln_count
integer
Limit repln count
declining_balance_packages[].period
string
Period
declining_balance_packages[].applicable_network_type
string
Applicable network type
declining_balance_packages[].balance_applied_against
string
Balance applied against
declining_balance_packages[].applicable
string
Applicable
declining_balance_packages[].services_applicable
array
List of services applicable.
declining_balance_packages[].services_applicable[].benefit_category_order
integer
Benefit category order
declining_balance_packages[].services_applicable[].benefit_category_id
string
Benefit category id
declining_balance_packages[].services_applicable[].benefit_category_name
string
Benefit category name
declining_balance_packages[].services_applicable[].eligible_category_order
integer
Eligible category order
declining_balance_packages[].services_applicable[].eligible_category_id
string
Eligible category id
declining_balance_packages[].services_applicable[].eligible_category_name
string
Eligible category name
declining_balance_packages[].services_applicable[].network_ind
string
Network ind
declining_balance_packages[].services_applicable[].demographic_type
string
Demographic type
declining_balance_packages[].services_applicable[].demographic_beg_age
integer
Demographic beg age
declining_balance_packages[].services_applicable[].demographic_end_age
integer
Demographic end age
page_html
string
Page html
Code
curl --request POST \
  --url https://api.ontross.com/api/integrations/eyemed/fetch-eligibility \
  --header 'X-API-Key: REPLACE_KEY_VALUE' \
  --header 'content-type: application/json' \
  --data '{"input":{"member_id":"string_id","date_of_service":"value","provider_npi":"string","location":"string"},"auth_id":"auth_uuid_here"}'
Request BODY
{
  "input": {
    "member_id": "string_id",
    "date_of_service": "value",
    "provider_npi": "string",
    "location": "string"
  },
  "auth_id": "auth_uuid_here"
}