[ { "placeOfService": "Inpatient", "type": "adultImmunizations", "plan": "PL123", "groupSize": "L", "inNetwork": "Y", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Office", "type": "allergyTesting", "plan": "PL123", "groupSize": "L", "inNetwork": "N", "isCovered": "Y", "dateOfService": "2018-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Inpatient", "type": "nonRoutineGynExam", "plan": "PL555", "groupSize": "L", "inNetwork": "Y", "isCovered": "Y", "dateOfService": "2014-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Office", "type": "prostateCaScreening", "plan": "PL622", "groupSize": "L", "inNetwork": "Y", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Inpatient", "type": "preferredLab", "plan": "PL898", "groupSize": "L", "inNetwork": "Y", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Inpatient", "type": "transgenderSurgery", "plan": "PL012", "groupSize": null, "inNetwork": "N", "isCovered": "N", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Office", "type": "organDonation", "plan": "PL012", "groupSize": null, "inNetwork": "N", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Office", "type": "catScans", "plan": "PL711", "groupSize": null, "inNetwork": "Y", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Office", "type": "diabeticTesting", "plan": "PL898", "groupSize": "L", "inNetwork": "N", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null }, { "placeOfService": "Outpatient", "type": "clinicServices", "plan": "PL788", "groupSize": "L", "inNetwork": "Y", "isCovered": "Y", "dateOfService": "2019-03-25", "coveredInFull": null, "copay": null, "coInsurance": null } ]