generated: '2026-07-21'
method: searched
source: https://docs.silnahealth.com/api-reference/v1benefitscheckresource/qa-testing-guide.md
description: >-
  Silna provides a QA environment for testing the Benefits Check integration. Every
  benefits check request is intercepted and returns a synthetic response driven by the
  patient plan's member number - no real payor calls are made. All values below are
  published verbatim in Silna's QA Testing Guide.
environment:
  name: QA
  behavior: >-
    Requests are intercepted and return synthetic responses based on the patient plan
    member number. Workflow is identical to production (create patient plan, create
    benefits check, get benefits check, poll until status COMPLETE).
  limitation: >-
    Currently only works with the Aetna payor (id 018f7dfa-3e85-7f38-a0fe-71a9bf6a64c2)
    and insurance code 11 (Commercial). Other codes/payors are a work in progress.
member_number_format:
  pattern: A[FLAGS][INSURANCE_CODE]
  parts:
  - part: Prefix
    value: Always 'A'
    required: true
  - part: Flags
    value: Optional keywords toggling behaviors; filler chars like '_' or '0' allowed for readability.
    required: false
  - part: Insurance Code
    value: Last two characters; two-digit code selecting insurance type and plan data.
    required: true
test_member_numbers:
- number: ATEST00000011
  meaning: Commercial plan, no special requirements
- number: A_AUTH_REQ_011
  meaning: Commercial plan with authorization required
- number: A_REF_REQ_011
  meaning: Commercial plan with referral required
- number: A_VISIT_REQ_011
  meaning: Commercial plan with visit limits
- number: AAUTH_REQREF_REQVISIT_REQ11
  meaning: Commercial plan with all three requirements
insurance_type_codes:
- code: '11'
  insurance_type: Commercial
  plan: >-
    Aetna-style Open Access MC plan. Individual deductible $3,500 / $7,000 OON. Family
    deductible $10,000 / $14,000 OON. Individual OOP $5,500 / $13,000 OON. Family OOP
    $16,000 / $26,000 OON. 10% coinsurance in-network, 40% out-of-network. $0 copay.
    Plan dates 2025-01-01 to 2025-12-31.
note: >-
  Authorization/referral/visit-limit flags require a benefits check template with those
  features enabled - contact your Silna representative to update the template.