openapi: 3.2.0 info: version: v1 title: HealowHealthApi Search Healow Member CG API servers: - url: https://cdaxwu01.devad.devcorp.wellcare.com:4433 tags: - name: SearchHealowMemberCG paths: /api/SearchHealowMemberCG/HealowMemberCGDetails: get: tags: - SearchHealowMemberCG operationId: SearchHealowMemberCG_HealowMemberCGDetails parameters: - name: reqHeader.applicationId in: query required: false schema: type: string - name: reqHeader.channelId in: query required: false schema: type: string - name: reqHeader.interactionId in: query required: false schema: type: string - name: reqHeader.entityInfos.entityId in: query required: false schema: type: string - name: reqHeader.entityInfos.entityType in: query required: false schema: type: string responses: '200': description: OK content: application/json: schema: type: boolean text/json: schema: type: boolean application/xml: schema: type: boolean text/xml: schema: type: boolean summary: Search healow member CG healow member CG details x-summary-source: derived /api/searchhealowmembercg/v41searchhlmemberwithgapincare: post: tags: - SearchHealowMemberCG operationId: SearchHealowMemberCG_V41SearchHlMemberWithGapInCare responses: '200': description: OK content: application/json: schema: $ref: '#/components/schemas/WellCareHlMemberVer41Response' text/json: schema: $ref: '#/components/schemas/WellCareHlMemberVer41Response' application/xml: schema: $ref: '#/components/schemas/WellCareHlMemberVer41Response' text/xml: schema: $ref: '#/components/schemas/WellCareHlMemberVer41Response' requestBody: content: application/json: schema: $ref: '#/components/schemas/Hl41Request' text/json: schema: $ref: '#/components/schemas/Hl41Request' application/xml: schema: $ref: '#/components/schemas/Hl41Request' text/xml: schema: $ref: '#/components/schemas/Hl41Request' application/x-www-form-urlencoded: schema: $ref: '#/components/schemas/Hl41Request' required: true summary: Search healow member CG V41 search hl member with gap in care x-summary-source: derived /api/searchhealowmembercg/v52searchhlMembegapincarehccsc: post: tags: - SearchHealowMemberCG operationId: SearchHealowMemberCG_V52SearchHlMembeGapInCareHCCSC responses: '200': description: OK content: application/json: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' text/json: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' application/xml: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' text/xml: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' requestBody: content: application/json: schema: $ref: '#/components/schemas/V52HLReqMember' text/json: schema: $ref: '#/components/schemas/V52HLReqMember' application/xml: schema: $ref: '#/components/schemas/V52HLReqMember' text/xml: schema: $ref: '#/components/schemas/V52HLReqMember' application/x-www-form-urlencoded: schema: $ref: '#/components/schemas/V52HLReqMember' required: true summary: Search healow member CG V52 search hl membe gap in care HCCSC x-summary-source: derived /api/searchhealowmembercg/searchhlmemberwithcaregap: post: tags: - SearchHealowMemberCG operationId: SearchHealowMemberCG_SearchHlMemberWithCareGap responses: '200': description: OK content: application/json: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' text/json: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' application/xml: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' text/xml: schema: $ref: '#/components/schemas/WellcareHlMemberInsighsResponse' requestBody: content: application/json: schema: $ref: '#/components/schemas/RequestHealowMember' text/json: schema: $ref: '#/components/schemas/RequestHealowMember' application/xml: schema: $ref: '#/components/schemas/RequestHealowMember' text/xml: schema: $ref: '#/components/schemas/RequestHealowMember' application/x-www-form-urlencoded: schema: $ref: '#/components/schemas/RequestHealowMember' required: true summary: Search healow member CG search hl member with care gap x-summary-source: derived components: schemas: WellcareHlMemberInsighsResponse: type: object properties: member_data: $ref: '#/components/schemas/Hlmember_data' gic_data: $ref: '#/components/schemas/Gic_data' general_alert_data: $ref: '#/components/schemas/General_alert_dataInfo' pce_hcc_data: $ref: '#/components/schemas/Pce_hcc_data' pce_sc_data: $ref: '#/components/schemas/Pce_sc_data' RequestHealowMember: type: object properties: requestHeader: $ref: '#/components/schemas/requestHeaderInfo' member_request: $ref: '#/components/schemas/RequestMember' Hcc_data_info: type: object properties: pce_hcc_record_id: type: string pce_hcc_cat_code: type: string pce_hcc_description: type: string pce_hcc_period1_start: format: date-time type: string pce_hcc_period1_end: format: date-time type: string pce_hcc_period1_value: type: string pce_hcc_period2_start: format: date-time type: string pce_hcc_period2_end: format: date-time type: string pce_hcc_period2_value: type: string pce_hcc_period3_start: format: date-time type: string pce_hcc_period3_end: format: date-time type: string pce_hcc_period3_value: type: string pce_hcc_period4_start: format: date-time type: string pce_hcc_period4_end: format: date-time type: string pce_hcc_period4_value: type: string pce_hcc_laststatus_date: format: date-time type: string pce_hcc_supporting_evidence: type: string pce_hcc_additional_info: type: string supporting_icd_record_id: format: int32 type: integer supporting_icd_code: type: string supporting_icd_description: type: string icd_status_date: format: date-time type: string icd_supporting_evidence: type: string Hlmember_data: type: object properties: hI_request_Id: type: string txn_id: type: string code: format: int32 type: integer member: $ref: '#/components/schemas/memberinfo' Insurance_name: type: string Ins_subscriberid: type: string Ins_id_suffix: type: string matched_flag: type: string matched_flag_msg_code: type: string enrollment_end_date: format: date-time type: string records_processed: format: int32 type: integer Pce_hcc_data: type: object properties: pce_hcc_data_infotext: type: string hcc_data: type: array items: $ref: '#/components/schemas/Hcc_data_info' Gic_info: type: object properties: gic_id: type: string gic_code: type: string gic_name: type: string gic_due_date: format: date-time type: string measurement_period_start: format: date-time type: string measurement_period_end: format: date-time type: string gic_last_done_date: format: date-time type: string gic_status: type: string gic_satisfier_value: type: string gic_satisfier_type: type: string General_alert_dataInfo: type: object properties: alert_infotext: type: string general_alert_data: type: array items: $ref: '#/components/schemas/Alerts_data_info' Hl41Request: type: object properties: resourceType: type: string identifier: type: string parameter: type: array items: $ref: '#/components/schemas/HlParameter' HLErrors: type: object properties: name: type: string description: type: string error_code: format: int32 type: integer error_details: type: string requestHeaderInfo: type: object properties: applicationId: type: string channelId: type: string interactionId: type: string entityInfos: $ref: '#/components/schemas/entityInfo' WellCareHlMemberVer41Response: type: object properties: data: $ref: '#/components/schemas/ResponseData' errors: type: array items: $ref: '#/components/schemas/HLErrors' success: type: boolean status: type: string response_time: format: int32 type: integer response_timestamp: type: string ht_txn_id: type: string FHIR_doc: type: object properties: resource_type: type: string id: type: string content_type: type: string content: type: string Alerts_data_info: type: object properties: alert_id: type: string alert_name: type: string alert_text: type: string alert_onset_date: format: date-time type: string alert_due_date: format: date-time type: string alert_type: type: string alert_additional_info: type: string Gic_data: type: object properties: gic_data_infotext: type: string gic_data_list: type: array items: $ref: '#/components/schemas/Gic_info' Pce_sc_data: type: object properties: pce_sc_infotext: type: string sc_data: type: array items: $ref: '#/components/schemas/Pce_sc_info' memberinfo: type: object properties: uid: type: string zip: type: string date_of_birth: format: date-time type: string gender: type: string first_name: type: string last_name: type: string RequestMember: type: object properties: hI_request_Id: type: string providernpi: type: string providertin: type: string last_name: type: string first_name: type: string date_of_birth: format: date-time type: string gender: type: string zip: type: string Insurance_name: type: string Ins_SubscriberId: type: string encounterid: type: string encounterdate: format: date-time type: string apuid: type: string emrversion: type: string requestsource: type: string ResponseData: type: object properties: member_summary_fhir_doc: $ref: '#/components/schemas/FHIR_doc' Pce_sc_info: type: object properties: pce_sc_record_id: type: string pce_sc_description: type: string pce_sc_onset_date: format: date-time type: string pce_sc_supporting_evidence: type: string V52HLReqMember: type: object properties: member_request: $ref: '#/components/schemas/RequestMember' HlParameter: type: object properties: member_id: type: string member_dob: type: string encounter_id: type: string member_first_name: type: string member_last_name: type: string provider_tin: type: string provider_npi: type: string provider_name: type: string scheduled_appointment_date: format: date-time type: string return_doc_data_interchange_format: type: string apu_id: type: string entityInfo: type: object properties: entityId: type: string entityType: type: string