{ "opencollection": "1.0.0", "info": { "name": "Yuzu Accumulator (Experimental) Accumulator (Experimental) PublicApiV1 API", "version": "0.5" }, "items": [ { "info": { "name": "PublicApiV1", "type": "folder" }, "items": [ { "info": { "name": "Retrieve all members", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/members", "params": [ { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" }, { "name": "planId", "value": "", "type": "query", "description": "Filter by plan ID" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Retrieve a paginated list of all members across sponsors/plans. Use optional filters like planId to narrow results." }, { "info": { "name": "Retrieve a member", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/members/:memberId", "params": [ { "name": "memberId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific member, including demographics, address, and coverage informations." }, { "info": { "name": "Retrieve all networks", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/networks", "params": [ { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all networks" }, { "info": { "name": "Retrieve all providers for a network", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/networks/:networkId/providers", "params": [ { "name": "networkId", "value": "", "type": "path" }, { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" }, { "name": "includeNested", "value": "", "type": "query", "description": "When true, also returns providers from the network's direct child (affiliate) networks. Defaults to false." } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all providers within a specific network. Set includeNested=true to also include providers from the network's direct child (affiliate) networks." }, { "info": { "name": "Create a provider", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/networks/:networkId/providers", "params": [ { "name": "networkId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new provider within a specific network." }, { "info": { "name": "Update a provider", "type": "http" }, "http": { "method": "PATCH", "url": "{{baseUrl}}/v1/providers/:networkProviderId", "params": [ { "name": "networkProviderId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Update details of an existing provider by its ID." }, { "info": { "name": "Delete a provider", "type": "http" }, "http": { "method": "DELETE", "url": "{{baseUrl}}/v1/providers/:networkProviderId", "params": [ { "name": "networkProviderId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Remove an existing provider by its ID." }, { "info": { "name": "Retrieve a coverage", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/coverages/:coverageId", "params": [ { "name": "coverageId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific coverage by its ID." }, { "info": { "name": "Create a coverage fee", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/coverages/:coverageId/fees", "params": [ { "name": "coverageId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new fee for a specific coverage." }, { "info": { "name": "Update a coverage fee", "type": "http" }, "http": { "method": "PATCH", "url": "{{baseUrl}}/v1/coverages/:coverageId/fees/:coverageFeeId", "params": [ { "name": "coverageId", "value": "", "type": "path" }, { "name": "coverageFeeId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Update an existing fee for a specific coverage." }, { "info": { "name": "Delete a coverage fee", "type": "http" }, "http": { "method": "DELETE", "url": "{{baseUrl}}/v1/coverages/:coverageId/fees/:coverageFeeId", "params": [ { "name": "coverageId", "value": "", "type": "path" }, { "name": "coverageFeeId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Remove an existing fee for a specific coverage." }, { "info": { "name": "List all sponsors", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/sponsors", "params": [ { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all sponsors." }, { "info": { "name": "Create a sponsor", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/sponsors", "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new sponsor with the provided details. This endpoint is deprecated, please use the v2 endpoint." }, { "info": { "name": "Retrieve a sponsor", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/sponsors/:sponsorNamespace", "params": [ { "name": "sponsorNamespace", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific sponsor by its namespace. This endpoint is deprecated, please use the v2 endpoint." }, { "info": { "name": "Update a sponsor", "type": "http" }, "http": { "method": "PATCH", "url": "{{baseUrl}}/v1/sponsors/:sponsorNamespace", "params": [ { "name": "sponsorNamespace", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Update details of an existing sponsor by its namespace. This endpoint is\n deprecated, please use the v2 endpoint. Note: this endpoint deletes omitted\n plans." }, { "info": { "name": "Create initial enrollment for a sponsor", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/sponsors/:sponsorNamespace/enroll/initial-enrollment", "params": [ { "name": "sponsorNamespace", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create an initial enrollment for a sponsor with the provided member data. This endpoint is deprecated, please use the v2 endpoint." }, { "info": { "name": "List members of a sponsor", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/sponsors/:sponsorNamespace/members", "params": [ { "name": "sponsorNamespace", "value": "", "type": "path" }, { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of members for a specific sponsor. This endpoint is deprecated, please use the v2 endpoint." }, { "info": { "name": "List vendor relationships for a plan", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/plans/:planId/vendorRelationships", "params": [ { "name": "planId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of vendor relationships for a specific plan." }, { "info": { "name": "Delete a plan", "type": "http" }, "http": { "method": "DELETE", "url": "{{baseUrl}}/v1/plans/:planId", "params": [ { "name": "planId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Remove an existing plan by its ID." }, { "info": { "name": "Edit a plan fee", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/planFees/:planFeeId", "params": [ { "name": "planFeeId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Update an existing plan fee by its ID." }, { "info": { "name": "Retrieve a vendor", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/vendors/:vendorId", "params": [ { "name": "vendorId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific vendor by its ID." }, { "info": { "name": "List all vendors", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/vendors", "params": [ { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all vendors." }, { "info": { "name": "Retrieve a medical claim", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/claims/medical/:claimId", "params": [ { "name": "claimId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific medical claim by its ID." }, { "info": { "name": "List all medical claims", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/claims/medical", "params": [ { "name": "serviceStartDate", "value": "", "type": "query", "description": "Filter by service start date" }, { "name": "serviceEndDate", "value": "", "type": "query", "description": "Filter by service end date" }, { "name": "groupPolicyId", "value": "", "type": "query", "description": "Filter by group policy ID" }, { "name": "coverageId", "value": "", "type": "query", "description": "Filter by coverage ID" }, { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all medical claims with optional filters." }, { "info": { "name": "Retrieve a pharmacy claim", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/claims/pharmacy/:claimId", "params": [ { "name": "claimId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific pharmacy claim by its ID." }, { "info": { "name": "List all pharmacy claims", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/claims/pharmacy", "params": [ { "name": "fillStartDate", "value": "", "type": "query" }, { "name": "fillEndDate", "value": "", "type": "query" }, { "name": "groupPolicyId", "value": "", "type": "query", "description": "Filter by group policy ID" }, { "name": "coverageId", "value": "", "type": "query", "description": "Filter by coverage ID" }, { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" }, { "name": "serviceEndDate", "value": "", "type": "query", "description": "Filter by service end date" }, { "name": "serviceStartDate", "value": "", "type": "query", "description": "Filter by service start date" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all pharmacy claims with optional filters." }, { "info": { "name": "Retrieve a pre-certification", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/preCerts/:preCertId", "params": [ { "name": "preCertId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific pre-certification by its ID." }, { "info": { "name": "list all pre-certifications", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/preCerts", "params": [ { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" }, { "name": "coverageId", "value": "", "type": "query", "description": "Filter by coverage ID" }, { "name": "groupPolicyId", "value": "", "type": "query", "description": "Filter by group policy ID" }, { "name": "serviceDateFrom", "value": "", "type": "query", "description": "Filter by service date from (include preCerts with serviceDateFrom >= this date)" }, { "name": "serviceDateTo", "value": "", "type": "query", "description": "Filter by service date to (include preCerts with serviceDateTo <= this date)" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for all pre-certifications." }, { "info": { "name": "Retrieve a cash card", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/cashCards/:cashCardId", "params": [ { "name": "cashCardId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific cash card by its ID." }, { "info": { "name": "Retrieve an enrollment request", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/enrollmentRequests/:enrollmentRequestId", "params": [ { "name": "enrollmentRequestId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific enrollment request by its ID." }, { "info": { "name": "Retrieve a submitted accumulator rollover", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/submittedAccumulatorRollovers/:submittedAccumulatorRolloverId", "params": [ { "name": "submittedAccumulatorRolloverId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific submitted accumulator rollover by its ID." }, { "info": { "name": "Retrieve a plan claim", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/claims/plan/:planClaimId", "params": [ { "name": "planClaimId", "value": "", "type": "path" }, { "name": "includeAttachments", "value": "", "type": "query", "description": "When true, downloads and returns the plan claim's attachments as base64 data URIs. Defaults to false." } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific plan claim by its ID." }, { "info": { "name": "List all plan claims", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/claims/plan", "params": [ { "name": "startAfter", "value": "", "type": "query", "description": "Pagination cursor" }, { "name": "incurredBeforeDate", "value": "", "type": "query", "description": "Filter by incurred before date" }, { "name": "incurredAfterDate", "value": "", "type": "query", "description": "Filter by incurred after date" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a paginated list of all plan claims with optional filters." }, { "info": { "name": "Create a plan claim", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/claims/plan/:planId", "params": [ { "name": "planId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new plan claim for a specific plan with the provided data." }, { "info": { "name": "Create a pharmacy claim", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/claims/pharmacy/:coverageId", "params": [ { "name": "coverageId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new pharmacy claim for a specific coverage with the provided data." }, { "info": { "name": "Create a professional claim", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/claims/medical/professional/:coverageId", "params": [ { "name": "coverageId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new professional claim for a specific coverage with the provided data." }, { "info": { "name": "Create an institutional claim", "type": "http" }, "http": { "method": "POST", "url": "{{baseUrl}}/v1/claims/medical/institutional/:coverageId", "params": [ { "name": "coverageId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Create a new institutional claim for a specific coverage with the provided data." }, { "info": { "name": "Retrieve plan benefits", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/plans/:planId/benefits", "params": [ { "name": "planId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch details for a specific plan's benefits." }, { "info": { "name": "Update plan benefits", "type": "http" }, "http": { "method": "PATCH", "url": "{{baseUrl}}/v1/plans/:planId/benefits", "params": [ { "name": "planId", "value": "", "type": "path" } ], "body": { "type": "json", "data": "{}" }, "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Update the benefits for a specific plan." }, { "info": { "name": "Retrieve plan SBC", "type": "http" }, "http": { "method": "GET", "url": "{{baseUrl}}/v1/plans/:planId/sbc", "params": [ { "name": "planId", "value": "", "type": "path" } ], "auth": { "type": "bearer", "token": "{{bearerToken}}" } }, "docs": "Fetch a specific plan's Summary of Benefits and Coverage (SBC) as a PDF file" } ] } ], "bundled": true }