{ "opencollection": "1.0.0", "info": { "name": "ribbon-health Cost Estimates API", "version": "1.0.0" }, "request": { "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "items": [ { "info": { "name": "Cost Estimates", "type": "folder" }, "items": [ { "info": { "name": "getEligibility", "type": "http" }, "http": { "method": "POST", "url": "https://api.ribbonhealth.com/v1/eligibility", "params": [ { "name": "include_full_response", "value": "", "type": "query", "description": "Whether to return the full eligibility response from the payer. Defaults to `false` when not provided." } ], "body": { "type": "json", "data": "{}" } }, "docs": "Verify a member's current insurance coverage and benefits. You can access detailed information including a member’s progress on their Deductible and Out-of-pocket, as well as Copay and Coinsurance information for different services.\n\n#### Example Use Case\nInform a member of their current progress against their Deductible as well as their Copay and Coinsurance summaries so they can better estimate their out-of pocket costs.\n" }, { "info": { "name": "getEligibilityInsurancePartners", "type": "http" }, "http": { "method": "GET", "url": "https://api.ribbonhealth.com/v1/eligibility_insurance_partners", "params": [ { "name": "search", "value": "", "type": "query", "description": "Fuzzy search input for insurance names" } ] }, "docs": "Search or list all insurance partners supported by our eligibility features.\n" }, { "info": { "name": "getEligibilityInsurancePartner", "type": "http" }, "http": { "method": "GET", "url": "https://api.ribbonhealth.com/v1/eligibility_insurance_partners/:insurance_partner", "params": [ { "name": "insurance_partner", "value": "", "type": "path", "description": "The identifier for this insurance partner in the Ribbon API" } ] }, "docs": "Fetch an insurance partner supported by our eligibility features.\n" }, { "info": { "name": "getProcedureCostEstimate", "type": "http" }, "http": { "method": "GET", "url": "https://api.ribbonhealth.com/v1/procedure_cost_estimate", "params": [ { "name": "procedure_ids", "value": "", "type": "query", "description": "The UUIDs of the procedures to filter results to, as a comma-delimited string" }, { "name": "member_zip", "value": "", "type": "query", "description": "The zip code of the member we are generating cost estimates for" }, { "name": "type", "value": "", "type": "query", "description": "The type of data to base cost estimates on: `claims` data or payer-filed `price_transparency` data. Defaults to `claims`." }, { "name": "plan_id", "value": "", "type": "query", "description": "The UUID of the insurance plan to use when fetching negotiated rates with providers. Necessary only if searching for estimates using the 'price_transparency' `type`." } ] }, "docs": "Calculates estimated costs for a given procedure based on a user's location.\n\n#### Example Use Case\nEstimate the cost of a knee replacement surgery for a user in Boston so they can plan their personal finances accordingly.\n" } ] } ], "bundled": true }