{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "getEligibility",
  "description": "JSON Schema for getEligibility response from Ribbon Health H1 API",
  "required": [
    "parameters",
    "request_id",
    "status"
  ],
  "type": "object",
  "properties": {
    "parameters": {
      "type": "object",
      "properties": {
        "member_id": {
          "type": "string",
          "description": "The member's identification number",
          "example": "000000000-00"
        },
        "first_name": {
          "type": "string",
          "description": "The member's first name",
          "example": "John"
        },
        "last_name": {
          "type": "string",
          "description": "The member's last name",
          "example": "Doe"
        },
        "birth_date": {
          "type": "string",
          "description": "The member's birth date as an ISO-format date string",
          "format": "date",
          "example": "1980-12-31"
        },
        "insurance_partner": {
          "type": "string",
          "description": "The identifier for this insurance partner in the Ribbon API",
          "example": "aetna_better_health_il"
        }
      }
    },
    "status": {
      "type": "object",
      "properties": {
        "is_valid": {
          "type": "boolean",
          "description": "Whether the eligibility check was successful",
          "example": true
        },
        "error": {
          "type": "string",
          "description": "If `is_valid` is `true`, an error code explaining what went wrong. When `is_valid` is `false`, this will be `null`.",
          "nullable": true
        }
      }
    },
    "request_id": {
      "type": "string",
      "description": "A unique identifier for the given response which Ribbon can use to find it in our logs during support requests",
      "example": "40610978"
    },
    "plan_info": {
      "type": "object",
      "properties": {
        "insurance_partner": {
          "type": "string",
          "description": "The identifier for this insurance partner in the Ribbon API",
          "example": "aetna_better_health_il"
        },
        "plan_name": {
          "type": "string",
          "description": "User-friendly display name for this insurance partner",
          "example": "Aetna Better Health of Illinois"
        },
        "is_active": {
          "type": "boolean",
          "description": "Whether the member is actively covered by this plan",
          "example": true
        },
        "plan_start_date": {
          "type": "string",
          "description": "The starting date for the member's coverage by this plan",
          "format": "date",
          "example": "2012-02-01"
        },
        "plan_end_date": {
          "type": "string",
          "description": "The ending date for the member's coverage by this plan",
          "format": "date",
          "nullable": true,
          "example": "2024-01-01"
        }
      }
    },
    "deductible_detail": {
      "type": "object",
      "properties": {
        "individual": {
          "type": "object",
          "properties": {
            "in_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards in-network deductibles, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards in-network deductibles, in dollars",
                  "nullable": true,
                  "example": "3000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards in-network deductibles, in dollars",
                  "example": "2983.57"
                }
              }
            },
            "out_of_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards out-of-network deductibles, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards out-of-network deductibles, in dollars",
                  "nullable": true,
                  "example": "6000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards out-of-network deductibles, in dollars",
                  "nullable": true,
                  "example": "5983.57"
                }
              }
            }
          }
        },
        "family": {
          "type": "object",
          "properties": {
            "in_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards in-network deductibles, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards in-network deductibles, in dollars",
                  "nullable": true,
                  "example": "6000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards in-network deductibles, in dollars",
                  "nullable": true,
                  "example": "5983.57"
                }
              }
            },
            "out_of_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards out-of-network deductibles, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards out-of-network deductibles, in dollars",
                  "nullable": true,
                  "example": "6000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards out-of-network deductibles, in dollars",
                  "nullable": true,
                  "example": "5983.57"
                }
              }
            }
          }
        }
      }
    },
    "out_of_pocket_detail": {
      "type": "object",
      "properties": {
        "individual": {
          "type": "object",
          "properties": {
            "in_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards their in-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards their in-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "3000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards their in-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "2983.57"
                }
              }
            },
            "out_of_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards their out-of-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards their out-of-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "6000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards their out-of-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "5983.57"
                }
              }
            }
          }
        },
        "family": {
          "type": "object",
          "properties": {
            "in_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards their in-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards their in-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "3000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards their in-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "2983.57"
                }
              }
            },
            "out_of_network": {
              "type": "object",
              "properties": {
                "spend": {
                  "type": "string",
                  "description": "The amount the member has paid towards their out-of-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "16.43"
                },
                "maximum": {
                  "type": "string",
                  "description": "The maximum amount the member can pay towards their out-of-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "6000"
                },
                "remaining": {
                  "type": "string",
                  "description": "The remaining amount the member can pay towards their out-of-network out-of-pocket maximum, in dollars",
                  "nullable": true,
                  "example": "5983.57"
                }
              }
            }
          }
        }
      }
    },
    "primary_care_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "dme_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "oncology_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "vision_optometry_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "physical_therapy_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "specialist_office_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "mental_health_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "surgical_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "urgent_care_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "diagnostic_lab_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "asc_facility_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "chiropractic_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "mri_ct_scan_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "x_ray_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "speech_therapy_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "occupational_therapy_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "emergency_medical_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "wellness_or_routine_visit_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "podiatry_office_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "outpatient_professional_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "anesthesia_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "substance_abuse_professional_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "substance_abuse_in_patient_facility_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "substance_abuse_out_patient_facility_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "flu_vaccination_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "hospital_inpatient_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "pharmacy_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "hospital_outpatient_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "telemedicine_primary_care_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "telemedicine_specialist_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "telemedicine_urgent_care_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "telemedicine_physical_therapy_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "telemedicine_mental_health_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "psychotherapy_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "snf_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "snf_room_board_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "home_health_care_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "hospice_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    },
    "professional_physician_visit_inpatient_summary": {
      "type": "object",
      "properties": {
        "in_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's in-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        },
        "out_of_network": {
          "type": "object",
          "properties": {
            "copay": {
              "type": "string",
              "description": "The amount of the member's out-of-network copay, in dollars",
              "example": "30.0"
            },
            "coinsurance": {
              "type": "string",
              "nullable": true,
              "example": "0.0"
            }
          }
        }
      }
    }
  }
}