Vyne Dental · Schema
PartialBenefitType
CompanyDentalHealthcareInsuranceEligibilityClaimsEDIPayments
Properties
| Name | Type | Description |
|---|---|---|
| network | object | |
| network_qualifier | object | |
| individual_deductible | numbernull | |
| individual_deductible_remaining | numbernull | |
| family_deductible | numbernull | |
| family_deductible_remaining | numbernull | |
| individual_maximum | numbernull | |
| individual_maximum_remaining | numbernull | |
| family_maximum | numbernull | |
| family_maximum_remaining | numbernull | |
| orthodontic_deductible | numbernull | |
| orthodontic_deductible_remaining | numbernull | |
| orthodontic_maximum | numbernull | |
| orthodontic_maximum_remaining | numbernull | |
| coverages | object |
JSON Schema
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "https://raw.githubusercontent.com/api-evangelist/vynedental/main/json-schema/vynedental-partial-benefit-type-schema.json",
"title": "PartialBenefitType",
"x-generated": "2026-10-13",
"x-method": "derived",
"x-generator": "derive-json-schema.py",
"x-source": "openapi/vynedental-eligibility-api-openapi.yml#/components/schemas/PartialBenefitType",
"type": "object",
"properties": {
"network": {
"$ref": "#/$defs/NetworkEnum"
},
"network_qualifier": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/NetworkQualifierEnum"
}
]
},
"individual_deductible": {
"type": [
"number",
"null"
],
"minimum": 0
},
"individual_deductible_remaining": {
"type": [
"number",
"null"
],
"minimum": 0
},
"family_deductible": {
"type": [
"number",
"null"
],
"minimum": 0
},
"family_deductible_remaining": {
"type": [
"number",
"null"
],
"minimum": 0
},
"individual_maximum": {
"type": [
"number",
"null"
],
"minimum": 0
},
"individual_maximum_remaining": {
"type": [
"number",
"null"
],
"minimum": 0
},
"family_maximum": {
"type": [
"number",
"null"
],
"minimum": 0
},
"family_maximum_remaining": {
"type": [
"number",
"null"
],
"minimum": 0
},
"orthodontic_deductible": {
"type": [
"number",
"null"
],
"minimum": 0
},
"orthodontic_deductible_remaining": {
"type": [
"number",
"null"
],
"minimum": 0
},
"orthodontic_maximum": {
"type": [
"number",
"null"
],
"minimum": 0
},
"orthodontic_maximum_remaining": {
"type": [
"number",
"null"
],
"minimum": 0
},
"coverages": {
"$ref": "#/$defs/PartialCoverages"
}
},
"required": [
"network",
"network_qualifier",
"individual_deductible",
"individual_deductible_remaining",
"family_deductible",
"family_deductible_remaining",
"individual_maximum",
"individual_maximum_remaining",
"family_maximum",
"family_maximum_remaining",
"orthodontic_deductible",
"orthodontic_deductible_remaining",
"orthodontic_maximum",
"orthodontic_maximum_remaining",
"coverages"
],
"additionalProperties": false,
"$defs": {
"BaseLimitationComponentType": {
"type": "object",
"properties": {
"quantity": {
"type": "string"
},
"quantity_qualifier": {
"type": "string"
}
},
"additionalProperties": false
},
"BenefitCoverageType": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
"boolean",
"null"
]
},
"maximum_applies": {
"type": [
"boolean",
"null"
]
},
"non_covered_procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"alternate_benefit_applies": {
"type": "boolean"
},
"fees": {
"type": [
"object",
"null"
],
"additionalProperties": {
"$ref": "#/$defs/FeeComponentType"
}
},
"procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"dental_classification": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/DentalClassificationEnum"
}
]
},
"disclaimers": {
"type": "array",
"items": {
"type": "string"
}
},
"limitation": {
"$ref": "#/$defs/LimitationType"
},
"service_history": {
"type": "array",
"items": {
"$ref": "#/$defs/ServiceHistoryType"
}
}
},
"required": [
"coinsurance_percentage",
"deductible_applies",
"maximum_applies",
"non_covered_procedure_codes",
"source_indicator",
"alternate_benefit_applies",
"fees",
"procedure_codes",
"dental_classification",
"disclaimers",
"limitation",
"service_history"
],
"additionalProperties": false
},
"DentalClassificationEnum": {
"type": "string",
"enum": [
"BASIC",
"MAJOR",
"ORTHO",
"PREVENTIVE"
]
},
"FeeComponentType": {
"type": "object",
"properties": {
"allowable": {
"type": [
"number",
"null"
],
"minimum": 0
},
"copayment": {
"type": [
"number",
"null"
],
"minimum": 0
}
},
"required": [
"allowable",
"copayment"
],
"additionalProperties": false
},
"FrequencyComponentType": {
"type": "object",
"properties": {
"quantity": {
"type": "string"
},
"quantity_qualifier": {
"type": "string"
},
"time_period_qualifier": {
"type": "string"
},
"time_period_value": {
"type": "string"
},
"unit_qualifier": {
"type": "string"
},
"unit": {
"type": "string"
}
},
"additionalProperties": false
},
"LimitationType": {
"type": "object",
"properties": {
"age_high_components": {
"$ref": "#/$defs/BaseLimitationComponentType"
},
"age_high_value": {
"type": [
"number",
"null"
]
},
"age_low_components": {
"$ref": "#/$defs/BaseLimitationComponentType"
},
"age_low_value": {
"type": [
"number",
"null"
]
},
"frequency_component": {
"$ref": "#/$defs/FrequencyComponentType"
},
"frequency_count": {
"type": [
"number",
"null"
]
},
"frequency_rule": {
"type": [
"string",
"null"
]
},
"remaining_component": {
"$ref": "#/$defs/RemainingComponentType"
},
"remaining_count": {
"type": [
"number",
"null"
]
}
},
"required": [
"age_high_components",
"age_high_value",
"age_low_components",
"age_low_value",
"frequency_component",
"frequency_count",
"frequency_rule",
"remaining_component",
"remaining_count"
],
"additionalProperties": false
},
"NetworkEnum": {
"type": "string",
"enum": [
"IN_NETWORK",
"OUT_OF_NETWORK"
]
},
"NetworkQualifierEnum": {
"type": "string",
"enum": [
"PPO",
"PREMIER"
]
},
"PartialCoverages": {
"type": "object",
"properties": {
"diagnostic": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
"boolean",
"null"
]
},
"maximum_applies": {
"type": [
"boolean",
"null"
]
},
"non_covered_procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"exams": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"pre_diagnostic_services": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"fmx": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"periapicals": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"bitewings": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"panoramic_images": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"cephalometric_image": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"intraoral_photos": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"diagnostic_tests_exams": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"cone_beam": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"advanced_images": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"surface_scans": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"interpretation_and_report_only": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"advanced_imaging_cbct_interpretation": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"blood_saliva_tests": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"microbial_genetic_testing": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"caries_pulp_testing": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"abnormality_detection": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"diagnostic_cast": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"carie_risk_assessment": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"caries_risk_assessment": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"antigen_testing": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"image_only": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
}
},
"additionalProperties": false
},
"preventive": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
"boolean",
"null"
]
},
"maximum_applies": {
"type": [
"boolean",
"null"
]
},
"non_covered_procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"prophy": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"fluoride": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"counseling": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"sealants": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"preventative_agents": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"space_maintainer_fixed": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"space_maintainer_removable": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"space_maintainer_rebond": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"space_maintainer_removal": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"distal_space_maintainer": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
}
},
"additionalProperties": false
},
"restorative": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
"boolean",
"null"
]
},
"maximum_applies": {
"type": [
"boolean",
"null"
]
},
"non_covered_procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"amalgam_fillings": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"anterior_composite_fillings": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"posterior_composite_fillings": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"gold_foil_restoration": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"porcelain_inlays": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"metallic_inlays": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"porcelain_onlays": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"metallic_onlays": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"porcelain_ceramic_veneers": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"resin_veneers": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"porcelain_crowns": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"fullcast_crown": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"recement_crown": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"prefab_stainless_steel_crown": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"core_buildup": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"post_core": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"prefab_post_core": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"labial_veneer": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"composite_inlays": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"composite_onlays": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
}
},
"additionalProperties": false
},
"endodontics": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
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"null"
]
},
"maximum_applies": {
"type": [
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"null"
]
},
"non_covered_procedure_codes": {
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"items": {
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}
},
"source_indicator": {
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"allOf": [
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"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"pulp_capping": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"pulpotomy": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"pulpal_therapy": {
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{
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}
]
},
"endo_therapy_permanent": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"endo_therapy_special": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"endo_retreat": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"apex_recal": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"pulpal_regeneration": {
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{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"apico_surgery": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"additional_endo": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
}
},
"additionalProperties": false
},
"periodontics": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
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]
},
"maximum_applies": {
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]
},
"non_covered_procedure_codes": {
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"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"gingivectomy_gingivoplasty": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"surgical_removal_granulation_tissue": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"gingival_flap_procedures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"crown_lengthening_procedures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"osseous_surgery": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"perio_bone_graft": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"guided_tissue_regeneration": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"soft_tissue_grafts": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"autogenous_tissue_graft": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"scaling_and_root_planing": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"full_mouth_debridement": {
"allOf": [
{
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}
]
},
"scaling_presence_of_inflammation": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"periodontal_maintenance": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
}
},
"additionalProperties": false
},
"prosthodontics_removable": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
"boolean",
"null"
]
},
"maximum_applies": {
"type": [
"boolean",
"null"
]
},
"non_covered_procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"complete_dentures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"immediate_dentures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"partial_dentures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"adjustments_complete_dentures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"repairs_complete_dentures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"repairs_partial_dentures": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"denture_rebase_procedures": {
"allOf": [
{
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}
]
},
"denture_reline_procedures": {
"allOf": [
{
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}
]
},
"interim_denture": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"interim_partial_denture": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"other_removable_prosthetic_services": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
}
},
"additionalProperties": false
},
"maxillofacial_prosthetics": {
"type": "object",
"properties": {
"coinsurance_percentage": {
"type": [
"number",
"null"
]
},
"deductible_applies": {
"type": [
"boolean",
"null"
]
},
"maximum_applies": {
"type": [
"boolean",
"null"
]
},
"non_covered_procedure_codes": {
"type": "array",
"items": {
"$ref": "#/$defs/ProcedureCodeType"
}
},
"source_indicator": {
"nullable": true,
"allOf": [
{
"$ref": "#/$defs/SourceIndicatorEnum"
}
]
},
"facial_moulage": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"obturator_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"facial_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"mandibular_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"palatal_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"speech_aid_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"augmentative_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"nasal_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"orbital_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"auricular_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"ocular_prosthesis": {
"allOf": [
{
"$ref": "#/$defs/BenefitCoverageType"
}
]
},
"cranial_prosthesis": {
"allOf": [
{
# --- truncated at 32 KB (57 KB total) ---
# Full source: https://artifacts.apis.io/vynedental/json-schema/vynedental-partial-benefit-type-schema.json
Work with this as data
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