Silna V2BenefitsCheckResource API

openapi: 3.0.2
info:
  title: Silna Public OldV1PriorAuthorizationResource V2BenefitsCheckResource API
  version: '1.0'
servers:
- url: https://app.silnahealth.com/api
security:
- bearerAuth: []
tags:
- name: V2BenefitsCheckResource
paths:
  /public/v2/benefits-checks/{benefits_check_id}:
    get:
      summary: Get Benefits Check V2
      responses:
        '200':
          description: ''
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/V2BenefitsCheckResponse'
          headers:
            X-RateLimit-Limit:
              schema:
                type: integer
                description: The maximum number of requests allowed in the time window
            X-RateLimit-Remaining:
              schema:
                type: integer
                description: The number of requests remaining in the current time window
            X-RateLimit-Reset:
              schema:
                type: integer
                description: The time when the rate limit will reset, in Unix timestamp
            Retry-After:
              schema:
                type: number
                description: The number of seconds to wait before making another request
        '404':
          description: ''
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/ObjectNotFoundError'
          headers:
            X-RateLimit-Limit:
              schema:
                type: integer
                description: The maximum number of requests allowed in the time window
            X-RateLimit-Remaining:
              schema:
                type: integer
                description: The number of requests remaining in the current time window
            X-RateLimit-Reset:
              schema:
                type: integer
                description: The time when the rate limit will reset, in Unix timestamp
            Retry-After:
              schema:
                type: number
                description: The number of seconds to wait before making another request
        '429':
          description: ''
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/TooManyRequestsError'
          headers:
            X-RateLimit-Limit:
              schema:
                type: integer
                description: The maximum number of requests allowed in the time window
            X-RateLimit-Remaining:
              schema:
                type: integer
                description: The number of requests remaining in the current time window
            X-RateLimit-Reset:
              schema:
                type: integer
                description: The time when the rate limit will reset, in Unix timestamp
            Retry-After:
              schema:
                type: number
                description: The number of seconds to wait before making another request
        '401':
          description: ''
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/AuthenticationError'
          headers:
            X-RateLimit-Limit:
              schema:
                type: integer
                description: The maximum number of requests allowed in the time window
            X-RateLimit-Remaining:
              schema:
                type: integer
                description: The number of requests remaining in the current time window
            X-RateLimit-Reset:
              schema:
                type: integer
                description: The time when the rate limit will reset, in Unix timestamp
            Retry-After:
              schema:
                type: number
                description: The number of seconds to wait before making another request
      parameters:
      - in: path
        name: benefits_check_id
        required: true
        schema:
          type: string
      operationId: V2BenefitsCheckResource.get
      tags:
      - V2BenefitsCheckResource
      x-folder: public_api
components:
  schemas:
    BenefitsCheckEligibilityStatus:
      type: string
      enum:
      - ELIGIBLE
      - INELIGIBLE
      x-folder: benefit_check
    TooManyRequestsError:
      type: object
      required:
      - message
      properties:
        message:
          type: string
          description: Human readable error message
      x-folder: null
    V2SpecialtyFieldsProvider:
      properties:
        specialty:
          $ref: '#/components/schemas/PublicSpecialty'
          description: Specialty
        copay_fields:
          description: List of copay fields
          items:
            $ref: '#/components/schemas/V2CopayField'
          title: Copay Fields
          type: array
        coinsurance_fields:
          description: List of coinsurance fields
          items:
            $ref: '#/components/schemas/V2CoinsuranceField'
          title: Coinsurance Fields
          type: array
        deductible:
          default: null
          description: Deductible accumulation details
          nullable: true
          $ref: '#/components/schemas/V2AccumulationFields'
        out_of_pocket:
          default: null
          description: Out of pocket accumulation details
          nullable: true
          $ref: '#/components/schemas/V2AccumulationFields'
        visit_limits:
          description: List of visit limit fields
          items:
            $ref: '#/components/schemas/V2VisitLimitField'
          title: Visit Limits
          type: array
        dollar_limits:
          description: List of dollar limit fields
          items:
            $ref: '#/components/schemas/V2DollarLimitField'
          title: Dollar Limits
          type: array
        authorization_requirements:
          description: List of authorization requirement fields
          items:
            $ref: '#/components/schemas/V2AuthorizationField'
          title: Authorization Requirements
          type: array
        referral_requirements:
          description: List of referral requirement fields
          items:
            $ref: '#/components/schemas/V2ReferralField'
          title: Referral Requirements
          type: array
        exclusions:
          description: List of exclusion fields
          items:
            $ref: '#/components/schemas/V2ExclusionField'
          title: Exclusions
          type: array
        reimbursement_rate:
          default: null
          description: Reimbursement rate field
          nullable: true
          $ref: '#/components/schemas/V2ReimbursementRateField'
        medicare_dollars_used:
          default: null
          description: Medicare dollars used field
          nullable: true
          $ref: '#/components/schemas/V2MedicareDollarsUsedField'
        exclusions_and_limitations:
          default: null
          description: Exclusions and limitations text
          title: Exclusions And Limitations
          nullable: true
          type: string
        patient_cost_estimates:
          description: List of patient cost estimates
          items:
            $ref: '#/components/schemas/V2PatientCostOfServiceEstimate'
          title: Patient Cost Estimates
          type: array
      required:
      - specialty
      title: V2SpecialtyFieldsProvider
      type: object
      x-folder: public_api
    BenefitsCheckModifierTime:
      type: string
      enum:
      - BEFORE
      - AFTER
      x-folder: benefit_check
    PublicSpecialty:
      type: string
      enum:
      - PHYSICAL_THERAPY
      - ABA_THERAPY
      - SPEECH_THERAPY
      - OCCUPATIONAL_THERAPY
      - PSYCHOLOGICAL_TESTING
      - HOME_HEALTH_CARE
      - HOSPICE
      - CARDIAC_REHABILITATION
      - INTENSIVE_CARDIAC_REHABILITATION
      - MENTAL_HEALTH
      - PRINCIPAL_ILLNESS_NAVIGATION
      - PRINCIPAL_CARE_MANAGEMENT
      - ADVANCED_PRIMARY_CARE_MODELS
      - PREVENTATIVE_HEALTH
      - PARTIAL_HOSPITALIZATION_PROGRAM
      - INTENSIVE_OUTPATIENT_PROGRAM
      - INTERVENTIONAL_RADIOLOGY
      - VASCULAR_SURGERY
      - INTERVENTIONAL_CARDIOLOGY
      - ORTHOPEDICS
      - CHIROPRACTIC
      - GYNECOLOGY
      - LONG_TERM_CARE
      - NUTRITIONAL_COUNSELING
      - PHYSICAL_MEDICINE
      - PULMONARY_REHABILITATION
      - INJECTABLE_SPECIALTY_MEDICATIONS
      - ALLERGY_TESTING
      - SKILLED_NURSING
      - RADIOLOGY
      - OTOLARYNGOLOGY
      - DURABLE_MEDICAL_EQUIPMENT
      - DERMATOLOGY
      - PROFESSIONAL_OFFICE_VISIT
      - PSYCHIATRY
      x-folder: specialty
    V2DecimalFieldNoModifier:
      properties:
        value:
          anyOf:
          - type: number
          - pattern: ^(?!^[-+.]*$)[+-]?0*\d*\.?\d*$
            type: string
          default: null
          description: Decimal value
          title: Value
          nullable: true
      title: V2DecimalFieldNoModifier
      type: object
      x-folder: public_api
    V2CopayField:
      properties:
        value:
          anyOf:
          - type: number
          - pattern: ^(?!^[-+.]*$)[+-]?0*\d*\.?\d*$
            type: string
          default: null
          description: Copay Amount
          title: Value
          nullable: true
        modifier:
          default: null
          description: Copay modifier information
          nullable: true
          $ref: '#/components/schemas/V2CopayModifier'
      title: V2CopayField
      type: object
      x-folder: public_api
    V2DollarLimitModifier:
      properties:
        treatment_codes:
          description: List of treatment codes for which the dollar limit applies.
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of service codes for which the dollar limit applies.
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
        specialties:
          description: List of specialties for which the dollar limit applies.
          items:
            $ref: '#/components/schemas/PublicSpecialty'
          title: Specialties
          type: array
        timing:
          default: null
          description: Timing information for when the dollar limit applies
          nullable: true
          $ref: '#/components/schemas/V2BenefitsCheckTiming'
      title: V2DollarLimitModifier
      type: object
      x-folder: public_api
    V2PlaceOfServiceCode:
      properties:
        code:
          description: Service code
          title: Code
          type: string
          example: '11'
        name:
          description: Service name
          title: Name
          type: string
          example: Office
      required:
      - code
      - name
      title: V2PlaceOfServiceCode
      type: object
      x-folder: public_api
    V2ReferralModifier:
      properties:
        treatment_codes:
          description: List of treatment codes for which the referral requirement applies.
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of services for which the referral requirement applies.
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
      title: V2ReferralModifier
      type: object
      x-folder: public_api
    V2BenefitsCheckResponse:
      properties:
        id:
          description: Benefits Check ID
          format: uuid
          title: Id
          type: string
        status:
          $ref: '#/components/schemas/BenefitsCheckStatusPublic'
          description: Benefits Check Status
        eligibility_status:
          default: null
          description: Eligibility Status
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckEligibilityStatus'
        ineligibility_reason:
          default: null
          description: Reason for ineligibility
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckIneligibilityReason'
        reference:
          default: null
          description: Reference number
          title: Reference
          nullable: true
          type: string
        note:
          default: null
          description: Note
          title: Note
          nullable: true
          type: string
        insurance_type:
          default: null
          description: Insurance type
          nullable: true
          $ref: '#/components/schemas/InsuranceType'
        date_verified:
          default: null
          description: Date verified
          title: Date Verified
          nullable: true
          format: date-time
          type: string
        patient_plan_id:
          description: Patient Plan ID
          format: uuid
          title: Patient Plan Id
          type: string
        patient_id:
          description: Patient ID
          format: uuid
          title: Patient Id
          type: string
        provider_id:
          description: Provider ID
          format: uuid
          title: Provider Id
          type: string
        network_status:
          default: null
          description: Network status
          nullable: true
          $ref: '#/components/schemas/NetworkStatus'
        plan_type:
          default: null
          description: Plan type
          title: Plan Type
          nullable: true
          type: string
        plan_start_date:
          default: null
          description: Plan start date
          title: Plan Start Date
          nullable: true
          format: date
          type: string
        plan_end_date:
          default: null
          description: Plan end date
          title: Plan End Date
          nullable: true
          format: date
          type: string
        group_number:
          default: null
          description: Plan group ID
          title: Group Number
          nullable: true
          type: string
        patient_information:
          default: null
          description: Patient information
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckPatientInformation'
        other_payor_information:
          default: null
          description: Other payor information
          title: Other Payor Information
          nullable: true
          items:
            $ref: '#/components/schemas/BenefitsCheckOtherPayorInformation'
          type: array
        other_payor_entity_name:
          default: null
          description: Name of the other insurance payor entity when ineligibility reason is patient has other insurance
          title: Other Payor Entity Name
          nullable: true
          type: string
        independent_physician_association_name:
          default: null
          description: Name of the Independent Physician Association (IPA) managing the provider network for the patient's plan
          title: Independent Physician Association Name
          nullable: true
          type: string
        created_at:
          description: Created at timestamp
          format: date-time
          title: Created At
          type: string
        silna_url:
          default: null
          description: Silna benefits check URL
          title: Silna Url
          nullable: true
          type: string
        specialty_fields:
          description: Specialty specific benefits data
          items:
            $ref: '#/components/schemas/V2SpecialtyFieldsProvider'
          title: Specialty Fields
          type: array
      required:
      - id
      - status
      - patient_plan_id
      - patient_id
      - provider_id
      - created_at
      - specialty_fields
      title: V2BenefitsCheckResponse
      type: object
      x-folder: public_api
    V2AccumulationFields:
      properties:
        individual:
          $ref: '#/components/schemas/V2AccumulationField'
          description: Individual accumulation field
        family:
          $ref: '#/components/schemas/V2AccumulationField'
          description: Family accumulation field
      required:
      - individual
      - family
      title: V2AccumulationFields
      type: object
      x-folder: public_api
    AuthenticationError:
      type: object
      required:
      - message
      properties:
        message:
          type: string
          description: Human readable error message
        type:
          $ref: '#/components/schemas/PublicApiErrorType'
      x-folder: null
    V2VisitLimitModifier:
      properties:
        treatment_codes:
          description: List of treatment codes for which the treatment codes applie
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of service codes for which the visit limit applies
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
        specialties:
          description: List of specialties for which the visit limit applies
          items:
            $ref: '#/components/schemas/PublicSpecialty'
          title: Specialties
          type: array
        timing:
          default: null
          description: Timing information for when the visit limit applies
          nullable: true
          $ref: '#/components/schemas/V2BenefitsCheckTiming'
      title: V2VisitLimitModifier
      type: object
      x-folder: public_api
    ObjectNotFoundError:
      type: object
      required:
      - message
      properties:
        message:
          type: string
          description: Human readable error message
      x-folder: null
    V2PatientCostOfServiceEstimate:
      properties:
        cost_estimate_name:
          description: Name of the cost estimate
          title: Cost Estimate Name
          type: string
        cost_of_service:
          description: Cost of service
          title: Cost Of Service
          type: string
        cost_of_service_duration:
          default: null
          description: Duration of the cost estimate (e.g., PER_VISIT, PER_DAY)
          nullable: true
          $ref: '#/components/schemas/RateDuration'
      required:
      - cost_estimate_name
      - cost_of_service
      title: V2PatientCostOfServiceEstimate
      type: object
      x-folder: public_api
    BenefitsCheckModifierUnitType:
      type: string
      enum:
      - VISITS
      - CPT_UNITS
      - DOLLARS
      - HOURS
      - DAYS
      - WEEKS
      - MONTHS
      - YEARS
      x-folder: benefit_check
    V2ReimbursementRateModifier:
      properties:
        reimbursement_rate_type:
          default: null
          description: Type of reimbursement rate
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckModifierReimbursementRateType'
      title: V2ReimbursementRateModifier
      type: object
      x-folder: public_api
    BenefitsCheckStatusPublic:
      type: string
      enum:
      - REQUESTED
      - AWAITING_SILNA
      - AWAITING_PROVIDER
      - COMPLETE
      - WITHDRAWN
      x-folder: benefit_check
    RateDuration:
      type: string
      enum:
      - PER_VISIT
      - PER_HOUR
      - PER_DAY
      - PER_SESSION
      - PER_MONTH
      - PER_WEEK
      - PER_PHASE
      - NONE_HIDDEN
      x-folder: provider
    InsuranceType:
      type: string
      enum:
      - COMMERCIAL
      - MEDICARE
      - MEDICAID
      - REGIONAL_CENTER
      - WORKERS_COMPENSATION
      - AUTO_INSURANCE
      x-folder: patient
    V2ExclusionField:
      properties:
        value:
          default: false
          description: True if the associated services are excluded from coverage; False if covered or unknown
          title: Value
          type: boolean
        modifier:
          default: null
          description: Exclusion modifier information
          nullable: true
          $ref: '#/components/schemas/V2ExclusionModifier'
      title: V2ExclusionField
      type: object
      x-folder: public_api
    V2ReferralField:
      properties:
        value:
          default: false
          description: Whether a referral is required.
          title: Value
          type: boolean
        modifier:
          default: null
          description: Referral modifier information
          nullable: true
          $ref: '#/components/schemas/V2ReferralModifier'
      title: V2ReferralField
      type: object
      x-folder: public_api
    V2MedicareDollarsUsedField:
      properties:
        value:
          anyOf:
          - type: number
          - pattern: ^(?!^[-+.]*$)[+-]?0*\d*\.?\d*$
            type: string
          default: null
          description: Medicare Dollars Used
          title: Value
          nullable: true
      title: V2MedicareDollarsUsedField
      type: object
      x-folder: public_api
    V2AuthorizationModifier:
      properties:
        payor_name:
          default: null
          description: Name of the payor
          title: Payor Name
          nullable: true
          type: string
        timing:
          default: null
          description: Timing information for when the authorization is required
          nullable: true
          $ref: '#/components/schemas/V2BenefitsCheckTiming'
        treatment_codes:
          description: 'List of treatment codes for which the authorization requirement applies. '
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of service codes for which the authorization requirement applies.
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
        diagnosis_codes:
          description: List of diagnosis codes for which the authorization requirement applies.
          items:
            type: string
          title: Diagnosis Codes
          type: array
      title: V2AuthorizationModifier
      type: object
      x-folder: public_api
    V2ReimbursementRateField:
      properties:
        value:
          default: null
          description: Reimbursement Rate
          title: Value
          nullable: true
          type: string
        modifier:
          default: null
          description: Reimbursement rate modifier information
          nullable: true
          $ref: '#/components/schemas/V2ReimbursementRateModifier'
      title: V2ReimbursementRateField
      type: object
      x-folder: public_api
    V2CopayModifier:
      properties:
        timing:
          default: null
          description: Timing information for when the copay is applicable
          nullable: true
          $ref: '#/components/schemas/V2BenefitsCheckTiming'
        treatment_codes:
          description: List of treatment codes for which the treatment code applies
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of services for which the copay applies.
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
        applies_to_deductible:
          default: false
          description: Whether the copay applies to the deductible
          title: Applies To Deductible
          type: boolean
        before_deductible:
          default: false
          description: Whether the copay applies before or after the deductible
          title: Before Deductible
          type: boolean
        benefit_unit:
          default: null
          description: The unit for which the copay applies. For example, the patient's copay is $25 per day
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckModifierBenefitUnitType'
      title: V2CopayModifier
      type: object
      x-folder: public_api
    NetworkStatus:
      type: string
      enum:
      - IN_NETWORK
      - OUT_OF_NETWORK
      x-folder: payor_entity
    V2BenefitsCheckTiming:
      properties:
        before_after:
          default: null
          description: Specifies whether the modifier applies before or after a specific timeframe or accumulation
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckModifierTime'
        quantity:
          default: null
          description: Numeric quantity associated with the timing
          title: Quantity
          nullable: true
          type: integer
        unit:
          default: null
          description: Unit of measurement for the quantity
          nullable: true
          $ref: '#/components/schemas/BenefitsCheckModifierUnitType'
          example: MONTHS
      title: V2BenefitsCheckTiming
      type: object
      x-folder: public_api
    V2VisitLimitField:
      properties:
        value:
          anyOf:
          - type: number
          - pattern: ^(?!^[-+.]*$)[+-]?0*\d*\.?\d*$
            type: string
          default: null
          description: Visit Limit
          title: Value
          nullable: true
        modifier:
          default: null
          description: Visit limit modifier information
          nullable: true
          $ref: '#/components/schemas/V2VisitLimitModifier'
      title: V2VisitLimitField
      type: object
      x-folder: public_api
    V2CoinsuranceModifier:
      properties:
        timing:
          default: null
          description: Timing information for when the coinsurance is applicable
          nullable: true
          $ref: '#/components/schemas/V2BenefitsCheckTiming'
        treatment_codes:
          description: List of treatment codes for which the co-insurance applies.
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of service codes
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
        applies_to_deductible:
          default: false
          description: Whether the coinsurance applies to the deductible
          title: Applies To Deductible
          type: boolean
        before_deductible:
          default: false
          description: Whether the coinsurance applies before the deductible
          title: Before Deductible
          type: boolean
      title: V2CoinsuranceModifier
      type: object
      x-folder: public_api
    V2ExclusionModifier:
      properties:
        treatment_codes:
          description: List of treatment codes for which the exclusion applies.
          items:
            type: string
          title: Treatment Codes
          type: array
        places_of_service:
          description: List of place of services for which the exclusion applies.
          items:
            $ref: '#/components/schemas/V2PlaceOfServiceCode'
          title: Places Of Service
          type: array
        diagnosis_codes:
          description: List of diagnosis codes for which the exclusion applies.
          items:
            type: string
          title: Diagnosis Codes
          type: array
      title: V2ExclusionModifier
      type: object
      x-folder: public_api
    V2AccumulationField:
      properties:
        amount:
          $ref: '#/components/schemas/V2DecimalFieldNoModifier'
          description: Amount field
        amount_met:
          $ref: '#/components/schemas/V2DecimalFieldNoModifier'
          description: Amount met field
      required:
      - amount
      - amount_met
      title: V2AccumulationField
      type: object
      x-folder: public_api
    BenefitsCheckModifierBenefitUnitType:
      type: string
      enum:
      - VISIT
      - DAY
      - WEEK
      - MONTH
      - YEAR
      - LIFETIME
      - CPT_UNIT
      - EPISODE
      - ADMISSION
      x-folder: benefit_check
    BenefitsCheckPatientInformation:
      description: Patient Information Schema - shared between V1 and V2
      properties:
        subscriber_first_name:
          default: null
          description: Subscriber first name
          title: Subscriber First Name
          nullable: true
          type: string
        subscriber_last_name:
          default: null
          description: Subscriber last name
          title: Subscriber Last Name
          nullable: true
          type: string
        subscriber_date_of_birth:
          default: null
          description: Subscriber date of birth
          title: Subscriber Date Of Birth
          nullable: true
          format: date
          type: string
        subscriber_address:
          default: null
          description: Subscriber address
          title: Subscriber Address
          nullable: true
          type: string
        subscriber_state:
          default: null
          description: Subscriber state
          title: Subscriber State
          nullable: true
          type: string
        subscriber_city:
          default: null
          description: Subscriber city
          title: Subscriber City
          nullable: true
          type: string
        subscriber_zip_code:
          default: null
          description: Subscriber zip code
          title: Subscriber Zip Code
          nullable: true
          type: string
        subscriber_patient_relationship:
          default: null
          description: Subscriber Patient relationship
          title: Subscriber Patient Relationship
          nullable: true
          type: string
      title: BenefitsCheckPatientInformation
      type: object
      x-folder: public_api
    V2CoinsuranceField:
      properties:
        value:
          anyOf:
          - type: number
          - pattern: ^(?!^[-+.]*$)[+-]?0*\d*\.?\d*$
            type: string
          default: null
          description: Coinsurance Percentage
          title: Value
          nullable: true
        modifier:
          default: null
          description: Coinsurance modifier information
          nullable: true
          $ref: '#/components/schemas/V2CoinsuranceModifier'
      title: V2CoinsuranceField
      type: object
      x-folder: public_api
    BenefitsCheckOtherPayorInformation:
      description: Other Payor Information Schema - shared between V1 and V2
      properties:
        payor_name:
          default: null
          description: Payor name
          title: Payor Name
          nullable: true
          type: string
        plan_order_number:
          default: null
          description: Plan order number
          title: Plan Order Number
          nullable: true
          type: integer
      title: BenefitsCheckOtherPayorInformation
      type: object
      x-folder: public_api
    BenefitsCheckModifierReimbursementRateType:
      type: string
      enum:
      - USUAL_CUSTOMARY_AND_REASONABLE
      - REASONABLE_AND_CUSTOMARY
      - FAIR_HEALTH_RATE
      - MEDICARE_COMPARABLE_RATE
      - RELATIVE_CUSTOMARY_RATE
      - REFERENCE_BASED_PRICING
      - ALLOWED_AMOUNT
      - MEDICALLY_NECESSARY_REASONABLE_AND_PROPER
      - NOT_SPECIFIED
      x-folder: benefit_check
    V2AuthorizationField:
      properties:
        value:
          default: false
          description: Whether an authorization is required.
          title: Value
          type: boolean
        modifier:
          default: null
          description: Authorization modifier information
          nullable: true
          $ref: '#/components/schemas/V2AuthorizationModifier'
      title: V2AuthorizationField
      type: object
      x-folder: public_api
    PublicApiErrorType:
      type: string
      enum:
      - AUTH_INVALID_REQUEST_HEADER
      - AUTH_INVALID_CREDENTIALS
      x-folder: null
    BenefitsCheckIneligibilityReason:
      type: string
      enum:
      - PLAN_INACTIVE
      - PATIENT_HAS_OUT_OF_NETWORK_IPA
      - PLAN_HAS_TERMINATED
      - MBI_TERMINATED
      - NO_MEDICARE_PART_B_COVERAGE
      - MEMBER_NUMBER_MISMATCH
      - SPECIALTY_NOT_COVERED
      - PATIENT_HAS_OTHER_INSURANCE
      - NO_OUT_OF_NETWORK_BENEFITS
      - HAS_ACTIVE_HOME_PLAN
      - ENROLLED_IN_HOSPICE
      - PROVIDER_PLACE_OF_SERVICE_NOT_COVERED
      - PATIENT_DECEASED
      x-folder: benefit_check
    V2DollarLimitField:
      properties:
        value:
          anyOf:
          - type: number
          - pattern: ^(?!^[-+.]*$)[+-]?0*\d*\.?\d*$
            type: string
          default: null
          description: Dollar Limit
          title: Value
          nullable: true
        dollars_used:
          anyOf:
          - ty

# --- truncated at 32 KB (32 KB total) ---
# Full source: https://raw.githubusercontent.com/api-evangelist/silna/refs/heads/main/openapi/silna-v2benefitscheckresource-api-openapi.yml