Availity · Schema
Coverage
Coverage schema from Availity API
HealthcareClearinghouseHIPAAX12 EDIEligibilityClaimsPrior AuthorizationRevenue Cycle ManagementPayersPrice Transparency
Properties
| Name | Type | Description |
|---|---|---|
| serviceTypeCodes | array | |
| serviceTypeNames | array | |
| insuranceType | string | |
| planCoverage | string | |
| coverageStatus | string | |
| effectiveDate | string | |
| expirationDate | string | |
| benefits | array |
JSON Schema
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "https://raw.githubusercontent.com/api-evangelist/availity/refs/heads/main/json-schema/eligibility-coverage-schema.json",
"title": "Coverage",
"description": "Coverage schema from Availity API",
"type": "object",
"properties": {
"serviceTypeCodes": {
"type": "array",
"items": {
"type": "string"
}
},
"serviceTypeNames": {
"type": "array",
"items": {
"type": "string"
}
},
"insuranceType": {
"type": "string"
},
"planCoverage": {
"type": "string"
},
"coverageStatus": {
"type": "string",
"enum": [
"Active",
"Inactive",
"Cancelled"
]
},
"effectiveDate": {
"type": "string",
"format": "date"
},
"expirationDate": {
"type": "string",
"format": "date"
},
"benefits": {
"type": "array",
"items": {
"$ref": "#/components/schemas/Benefit"
}
}
}
}
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