API 💻
Last updated
Last updated
After creating an account you can access the test API endpoints on our sandbox server:
This endpoint is identical to our production endpoint but does not allow PHI and only returns dummy card results.
Once you have signed our Business Associate Agreement (BAA) you will be able to access the production server:
The admin endpoints are designed for managing access tokens within our system. These endpoints can only be called using a valid API key. They provide a secure way to generate and manage tokens, ensuring that only authorized users can access sensitive data and functionalities.
GET https://sandbox.cardscan.ai/v1/access-token
This endpoint generates the JSON Web Token (JWT) for a web or mobile user
user_id
String
Unique identifier for the user
{
"IdentityId": "us-east-1:0236cb77-ac53-460d-ba39-60b186af2897",
"Token": "eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJzdWIiOiIxMjM0NTY3ODkwIiwibmFtZSI6IkpvaG4gRG9lIiwiaWF0IjoxNTE2MjM5MDIyfQ.SflKxwRJSMeKKF2QT4fwpMeJf36POk6yJV_adQssw5c"
}{
"message": "Unknown authorization error - please check your token format and try again",
"type": "Unauthorized",
"code":401
}{
"message": "API Key is not registered",
"type": "Unauthorized",
"code": 401
}This endpoint generates a short-lived session token that the web/mobile user will use to directly authenticate with CardScan's servers. See the Authentication page for more details.
This function takes an optional user_id which must be unique between your users.
See Authentication for code examples.
POST https://sandbox.cardscan.ai/v1/cards
Creates a card object to initiate the scanning process and will be used for generating upload endpoints.
enable_backside_scan
boolean
Enabled scanning of both sides of the insurance cards. Important for eligibility checks and prior auth.
Default: False
enable_livescan
boolean
Allows the card to process multiple updates per side. Required for live scanning.
Default: False
{
"card_id": "171d11c4-9154-4f2f-b4ca-0fb610abe05e",
"state": "pending",
"created_at": "2024-02-05 15:50:14.856792"
}{
"message": "enable_backside_scan must be a boolean",
"type": "Bad Request",
"code": 400
}curl --location 'https://sandbox.cardscan.ai/v1/cards' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer endusertokenXXX' \
--data '{
"enable_backside_scan": true
}'POST https://sandbox.cardscan.ai/v1/cards/:card_id/generate-upload-url
Generates a URL and signed payload to enable direct image upload to AWS S3.
card_id*
UUID
For the card entity to link the upload with.
orientation*
Enum
'front' - the front face of the insurance card, often containing the name, member_id, etc.
'back' - the back side of the card, often containing the claims address, and various phone number.
{
"card_id": "4c901279-622f-485f-85cc-aad1f12c2d8e",
"upload_url": "https://cardscan-sandbox.s3.amazonaws.com/",
"upload_parameters": {
"key": "4c901279-622f-485f-85cc-aad1f12c2d8e",
"x-amz-algorithm": "AWS4-HMAC-SHA256",
"x-amz-security-token": "BADCAFEb3JpZ2sddsfdsfrIAiACLcnulBVymY22qkf3M8XDvlhXweRzDe8V95X73BextSqDAgiU//////////8BEAAaDDUzNTc5NTY3OTQ2NiIM1ZoFizA0PWXBXfiWKtcBVOcw4ss3VbqdPFO7OTJmxuPLUnPKNbsMaRF5sNEsqecP74+mucNgjAwigvQM3K0Bb/WqTsmGIkGXT7p+St1XpyB9nY+nVE1cVgtkggwU4UDXhBpnZLhQIE5fLjEBU+X0Gwd7WVXJdwXFa5iD+EwsQU2aJihBc1tdxYXmIZIkMQ1UXdFPbRc1vX4wcDgzrfbvT5749d1rOh5u9mKxTNc7z/1G4aYswrODlh5N/hSamcKGlaC/wwxrv8gwY64QEp/nQkUuTdrKPSrQRUb7Z5Fj7m8erRixTtYI2rOfAl5Cl",
"x-amz-credential": "FAKEKEYSDONOTUSEXZYABC/20210413/us-east-1/s3/aws4_request",
"x-amz-date": "20210413T210019Z",
"policy": "eyJleHBpcmF0aW9uIjogIjIwMjEtMDQtMTNUMjI6MDA6MTlaIiwgImNvbmRpdGlvbnMiOiBbeyJidWNrZXQiOiAiY2FyZHNjYW4tc2FuZGJveCJ9LCB7ImtleSI6ICI0YzkwMTI3OS02MjJmLTQ4NWYtODVjYy1hYWQxZjEyYzJkOGUifSwgeyJ4LWFtei1hbGdvcml0aG0iOiAiQVdTNC1ITUFDLVNIQTI1NiJ9LCB7IngtYW16LWNyZWRlbnRpYWwiOiAiQUtJSEFMUk9CSVZGTkZYWllBQkMvMjAyMTA0MTMvdXMtZWFzdC0xL3MzL2F3czRfcmVxdWVzdCJ9LCB7IngtYW16LWRhdGUiOiAiMjAyMTA0MTNUMjEwMDE5WiJ9XX0=",
"x-amz-signature": "40da5a6814f646d9ded38539e37d6badcafe808494b04c76d37ccc89a3e5d34d"
}
}{
"message": "expiration must be between 100 and 3600",
"type": "Bad Request",
"code": 400
}{
"message": "Unknown authorization error - please check your token format and try again",
"type": "Unauthorized",
"code": 401
}{
"message": "Token is expired",
"type": "Authentication Timeout",
"code": 419
}The S3 URL only supports HTTP POSTs, not PUTs.
The upload_parameters may change at any time, please make sure to not hardcode the list in any POST command.
curl --location 'https://sandbox.cardscan.ai/v1/cards/9d709b16-3807-4fc9-b176-4409241beab5/generate-upload-url' \
--header 'Content-Type: application/json' \
--header 'Authorization: Bearer endusertokenXXX \
--data '{
"orientation": "back"
}'// The JS client wraps generate-upload-url in with the file upload functionality.
const client = new CardScanApi({
sessionToken:token,
live: false
});
client.uploadCardImage(file)
.then((cardId) => {
//update UI.
})
.catch((error) => {
//retry or update UI
});// The swift client wraps generate-upload-url with the file upload functionality.
let apiClient = CardScanAPIClient(userToken: userToken, live: false)
apiClient.uploadCardImage(image: image) { result in
switch result {
case .failure(let error):
//check error, retry, update UI.
print("uploadCardImage error \(error)")
case .success(let cardId):
//update UI for success!
}
}Image uploads have a maximum size of 50MB and a minimum of 5KB.
GET https://sandbox.cardscan.ai/v1/cards
cursor
string
Used to paginate through results when count is greater that limit.
limit
integer
Count of cards to return.
Default: 50
Max: 500
{
"cards": [
{
"card_id": "1bab2f3c-cfbe-4f22-b480-b389ece57f7e",
"state": "pending",
"created_at": "2021-07-30 19:56:40.638894+00:00",
},
{
"card_id": "98405a1e-b367-4b3a-876a-e7886b7e1b69",
"state": "processing",
"created_at": "2021-07-30 20:26:40.838094+00:00",
},
{
"card_id": "4c901279-622f-485f-85cc-aad1f12c2d8e",
"state": "error",
"created_at": "2021-07-30 20:58:50.334343+00:00",
"error_message": "Failure during OCR process - [E507]"
},
{
"card_id": "a1d743ee-3bb9-468d-a2c5-4e33fa0e1c6e",
"state": "completed",
"created_at": "2021-07-31 18:36:33.567313+00:00",
"details": {
"group_number": {
"value": "98755",
"scores": [
"0.9994",
"0.9828"
]
},
"member_number": {
"value": "128845682",
"scores": [
"0.9984",
"0.9618"
]
},
"member_name": {
"value": "emily dickinson",
"scores": [
"0.9974",
"0.8879"
]
},
"plan_name": {
"value": "unitedhealthcare choice plus",
"scores": [
"0.9953",
"0.9835"
]
},
"plan_id": {
"value": "(80840) 911-80708-01",
"scores": [
"0.9942",
"0.9939"
]
}
}
}
],
"response_metadata": {
"limit": 4,
"next_cursor": "IieuzkckWq0"
}
}{
"message": "limit must be a positve integer and less than 500",
"type": "Bad Request",
"code": 400
}{
"message": "Unknown authorization error - please check your token format and try again",
"type": "Unauthorized",
"code": 401
}{
"message": "Token is expired",
"type": "Authentication Timeout",
"code": 419
}The next_cursor field is only present in the response_metadata when there are additional results to request.
The completed card in this example is truncated, for a full card and supported states, please see Get Card Details below.
curl --location --request GET 'https://sandbox.cardscan.ai/v1/cards' \
--header 'Authorization: Bearer endusertokenXXX' const client = new CardScanApi({
sessionToken:token,
live: false
});
client.listCards()
.then((cards) => {
//update UI.
})
.catch((error) => {
//retry or update UI
});let apiClient = CardScanAPIClient(userToken: userToken, live: false)
apiClient.listCards(limit: 10) { result in
switch result {
case .failure(let error):
print("listCards error \(error)")
case .success(let cards):
//update UI
}
}GET https://sandbox.cardscan.ai/v1/cards/:cardId
cardId*
string
UUID of card
{
"card_id": "a1d743ee-3bb9-468d-a2c5-4e33fa0e1c6e",
"state": "completed",
"created_at": "2021-07-31 18:36:33.567313+00:00",
"details": {
"group_number": {
"value": "98755",
"scores": [
"0.9994",
"0.9828"
]
},
"member_number": {
"value": "128845682",
"scores": [
"0.9984",
"0.9618"
]
},
"rx_bin": {
"value": "610279",
"scores": [
"0.9979",
"0.9842"
]
},
"rx_pcn": {
"value": "9987",
"scores": [
"0.9991",
"0.9147"
]
},
"member_name": {
"value": "emily dickinson",
"scores": [
"0.9974",
"0.8879"
]
},
"plan_name": {
"value": "unitedhealthcare choice plus",
"scores": [
"0.9953",
"0.9835"
]
},
"plan_id": {
"value": "(80840) 911-80708-01",
"scores": [
"0.9942",
"0.9939"
]
},
"card_specific_id": {
"value": "87726",
"scores": [
"0.997",
"0.9592"
]
}
}
}{
"message": "Invalid card_id, the ID must be formatted as a UUID.",
"type": "Bad Request",
"code": 400
}{
"message": "Unknown authorization error - please check your token format and try again",
"type": "Unauthorized",
"code": 401
}{
"message": "Token is expired",
"type": "Authentication Timeout",
"code": 419
}{
"message": "No resource found for card_id - a1d743ee-3bb9-468d-a2c5-4e33fa0e1c6a",
"type": "Not Found",
"code": 404
}Cards returned by this endpoint and the /v1/cards endpoint have a state field:
pending
This card ID has been reserved but a corresponding file has not yet been uploaded
processing
The card is being processed by our ML pipeline.
completed
Card processing is completed and the card details are available.
error
An error has occurred, see error_message for more details.
unknown
An unknown issue has occurred, please contact support for help.
After being processed by the ML pipeline, each element is labeled and when the probability is above our minimum threshold the results are returned.
group_number
The group number identifies the specific benefits associated with the plan. This is missing with some payers and exchange plans.
98755
member_number
A unique identifier for each member and dependent. This is used to verify coverage and arrange payment for services.
128845682
payer_name
The name of the health insurance payer or 3rd party administrator.
unitedhealthcare
payer_id
The payer ID or EDI for the insurance company. This is as written on the card and not matched to a clearing house.
87726
rx_bin
rx_pcn
rx_group rx_id
These are used to identify how a prescription drug will be reimbursed and where a pharmacy can send a reimbursement claim to
610279
9987
UHC 12458765
member_name
Most often the policyholder, but on some cards this is the dependent the card was issues to.
Emily Dickinson
dependent_names
This is a list of all dependents found on the card.
Richard Dickinson
plan_name
Our best attempt to determine the name of the plan for this card. This is missing on many cards.
unitedhealthcare choice plus
plan_id
An identifier representing the plan associated with this card.
(80840) 911-80708-01
client_name
The name of the employer who is contracted with the 3rd party administrator.
Apple, Inc.
plan_details
When available a list of: deductibles, co-pays, co-insurance, PCP name.
Office: $25
ER: $300
start_date
The date when coverage starts.
04/01/2021
card_specific_id
A non-specific but prominent identifier found on the card.
54243
phone_numbers
A list of all phone numbers found of the front and back of the card.
800-400-5251
addresses
A list of all addresses found on the card.
UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800
Note: If an element is missing it means it is either not available on this type of card, or we did not have a high enough confidence to return it.
curl --request GET 'https://sandbox.cardscan.ai/v1/cards/a1d743ee-3bb9-468d-a2c5-4e33fa0e1c6e' \
--header 'Authorization: Bearer endusertokenXXX'const client = new CardScanApi({
sessionToken:token,
live: false
});
client.getCard(cardId)
.then((card) => {
//update UI.
})
.catch((error) => {
//retry or update UI
});let apiClient = CardScanAPIClient(userToken: userToken, live: false)
apiClient.getCard(cardUUID: cardId) { result in
switch result {
case .failure(let error):
print("getCard error \(error)")
case .success(let card):
//update UI
}
}DELETE https://sandbox.cardscan.ai/v1/cards/:cardId
This will trigger a soft delete of the specified card.
cardId*
String
UUID of the card
Note: All of the images, ML results, eligibility results, and PHI will be removed, but the card record and performance statistics will remain.
curl --request DELETE 'https://sandbox.cardscan.ai/v1/cards/a1d743ee-3bb9-468d-a2c5-4e33fa0e1c6e' \
--header 'Authorization: Bearer endusertokenXXX'POST https://sandbox.cardscan.ai/v1/cards/:cardId/flag
This endpoint allows you to flag a specific card with a particular type of flag. Flags are used to mark cards for special attention or action.
Path Parameters
cardId*
String
UUID of the card
flag_type*
String
missing_elements
incorrect_elements
bad_payer_match
unreadable_text
eligibility_issue
other
The flag type used to mark the card
message
String
An optional message to add additional information
{
"message": "Card flagged successfully"
}{
"message": "flag_type is required",
"type": "Bad Request",
"code": 400
}{
"message": "Invalid flag_type",
"type": "Bad Request",
"code": 400
}GET /generate-magic-link
Generates a magic link for the currently authenticated user. The generated token expires in one hour. This endpoint is called by the React Widget when using the Web To Mobile Handoff feature.
{
"magic_link": "https://sandbox.cardscan.ai/v1/validate-magic-link?token=<token>",
"token": "<token>",
"expires_at": "2024-06-27T03:48:01.049866"
}{
"message": "User is not authorized for this resource",
"type": "Access Denied",
"code": 403
}curl --request GET 'https://sandbox.cardscan.ai/v1/generate-magic-link \
--header 'Authorization: Bearer endusertokenXXX'const client = new CardScanApi({
sessionToken:token,
live: false
});
client.generateMagicLink()
.then((response) => {
// ...
})
.catch((error) => {
// ...
});GET /validate-magic-link?token=<magic-token>
Validates that the provided magic link token is valid and if so, returns an Access Token with limited capabilities. You need to use this endpoint if you want to self-host the Web To Mobile Handoff feature.
{
"IdentityId": "us-east-1:0236cb77-ac53-460d-ba39-60b186af2897",
"Token": "eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJzdWIiOiIxMjM0NTY3ODkwIiwibmFtZSI6IkpvaG4gRG9lIiwiaWF0IjoxNTE2MjM5MDIyfQ.SflKxwRJSMeKKF2QT4fwpMeJf36POk6yJV_adQssw5c"
}{
"message": "Invalid token",
"type": "Bad Request",
"code": 400
}{
"message": "Token expired - <token>",
"type": "Expired",
"code": 410
}{
"message": "No resource found for token - badtokenbadtok",
"type": "Not Found",
"code": 404
}curl --request GET 'https://sandbox.cardscan.ai/v1/validate-magic-link?token=<token> \
--header 'Authorization: Bearer endusertokenXXX'const token = "your-magic-token";
fetch(`${baseURL}/validate-magic-link?token=${token}`)
.then((res) => res.json())
.then((data) => {
setToken(data.Token); // Access token
})
.catch((err) => console.log(err));
Our Eligibility Verification Endpoints offer a seamless way to check the insurance eligibility of patients. They provide real-time verification of coverage details, ensuring accurate and efficient processing of healthcare services.
Please see the Eligibility Verification page for full details on the product offering.
Our Eligibility Verification Endpoints operate similarly to our Insurance Card Scanning Endpoints. Users can create a new eligibility request, which is processed asynchronously. The system updates the record as the state changes, providing real-time insights into insurance coverage and benefits.
Note: Currently a completed insurance card scan is required to start the eligibility verification process.
To create an eligibility request, users must provide subscriber and dependent demographics along with provider details, including a National Provider Identifier (NPI). This information is essential for accurately verifying insurance eligibility.
You can locate a providers NPI on the NPPES NPI Registry search page.
The ID of the card.
Successful eligibility response
The ID of the eligibility record.
The state of the eligibility record.
The ID of the card.
The eligibility request.
Details about any error that occurred during the request. (Only first error)
The timestamp when the eligibility record was created.
The timestamp when the eligibility record was last updated.
const response = await fetch('https://sandbox.cardscan.ai/v1/eligibility', {
method: 'POST',
headers: {
"Authorization": "Bearer <token>",
"Content-Type": "application/json"
},
body: JSON.stringify({
"eligibility": {
"provider": {
"firstName": "text",
"lastName": "text",
"npi": "text"
},
"subscriber": {
"firstName": "text",
"lastName": "text",
"dateOfBirth": "text"
}
},
"card_id": "123e4567-e89b-12d3-a456-426614174000"
}),
});
const data = await response.json();{
"eligibility_id": "text",
"state": "completed",
"card_id": "text",
"eligibility_request": {
"controlNumber": "text",
"tradingPartnerServiceId": "text",
"provider": {
"firstName": "text",
"lastName": "text",
"npi": "text"
},
"subscriber": {
"firstName": "text",
"lastName": "text",
"dateOfBirth": "text"
}
},
"eligibility_response": {
"meta": {
"senderId": "text",
"submitterId": "text",
"billerId": "text",
"applicationMode": "text",
"traceId": "text",
"outboundTraceId": "text"
},
"controlNumber": "text",
"reassociationKey": "text",
"tradingPartnerServiceId": "text",
"provider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"subscriber": {
"healthCareDiagnosisCodes": [
{
"diagnosisTypeCode": "text",
"diagnosisCode": "text"
}
],
"memberId": "text",
"firstName": "text",
"lastName": "text",
"middleName": "text",
"suffix": "text",
"gender": "M",
"entityIdentifier": "text",
"entityType": "text",
"uniqueHealthIdentifier": "text",
"dateOfBirth": "text",
"informationStatusCode": "text",
"employmentStatusCode": "text",
"governmentServiceAffiliationCode": "text",
"description": "text",
"militaryServiceRankCode": "text",
"dateTimePeriodFormatQualifier": "text",
"dateTimePeriod": "text",
"endDateTimePeriod": "text",
"startDateTimePeriod": "text",
"ssn": "text",
"groupNumber": "text",
"planNumber": "text",
"planNetworkIdNumber": "text",
"relationToSubscriber": "text",
"relationToSubscriberCode": "text",
"insuredIndicator": "text",
"maintenanceTypeCode": "text",
"maintenanceReasonCode": "text",
"birthSequenceNumber": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"responseProvider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"subscriberTraceNumbers": [
{
"traceTypeCode": "text",
"traceType": "text",
"referenceIdentification": "text",
"originatingCompanyIdentifier": "text",
"secondaryReferenceIdentification": "text"
}
],
"dependents": [
{
"healthCareDiagnosisCodes": [
{
"diagnosisTypeCode": "text",
"diagnosisCode": "text"
}
],
"memberId": "text",
"firstName": "text",
"lastName": "text",
"middleName": "text",
"suffix": "text",
"gender": "M",
"entityIdentifier": "text",
"entityType": "text",
"uniqueHealthIdentifier": "text",
"dateOfBirth": "text",
"informationStatusCode": "text",
"employmentStatusCode": "text",
"governmentServiceAffiliationCode": "text",
"description": "text",
"militaryServiceRankCode": "text",
"dateTimePeriodFormatQualifier": "text",
"dateTimePeriod": "text",
"endDateTimePeriod": "text",
"startDateTimePeriod": "text",
"ssn": "text",
"groupNumber": "text",
"planNumber": "text",
"planNetworkIdNumber": "text",
"relationToSubscriber": "text",
"relationToSubscriberCode": "text",
"insuredIndicator": "text",
"maintenanceTypeCode": "text",
"maintenanceReasonCode": "text",
"birthSequenceNumber": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"responseProvider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
}
],
"payer": {
"entityIdentifier": "text",
"entityType": "text",
"firstName": "text",
"lastName": "text",
"name": "text",
"middleName": "text",
"suffix": "text",
"employersId": "text",
"federalTaxpayersIdNumber": "text",
"naic": "text",
"npi": "text",
"centersForMedicareAndMedicaidPlanId": "text",
"payorIdentification": "text",
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
],
"etin": "text"
},
"planInformation": {
"stateLicenseNumber": "text",
"medicareProviderNumber": "text",
"medicaidProviderNumber": "text",
"facilityIdNumber": "text",
"personalIdentificationNumber": "text",
"planNumber": "text",
"planDescription": "text",
"policyNumber": "text",
"memberId": "text",
"caseNumber": "text",
"familyUnitNumber": "text",
"groupNumber": "text",
"groupDescription": "text",
"referralNumber": "text",
"alternativeListId": "text",
"classOfContractCode": "text",
"coverageListId": "text",
"contractNumber": "text",
"medicalRecordIdentificationNumber": "text",
"electronicDevicePin": "text",
"submitterIdentificationNumber": "text",
"patientAccountNumber": "text",
"hicNumber": "text",
"drugFormularyNumber": "text",
"priorAuthorizationNumber": "text",
"idCardSerialNumber": "text",
"idCardNumber": "text",
"centersForMedicareAndMedicaidServicesNPI": "text",
"issueNumber": "text",
"insurancePolicyNumber": "text",
"userIdentification": "text",
"medicalAssistanceCategory": "text",
"eligibilityCategory": "text",
"planNetworkIdNumber": "text",
"planNetworkIdDescription": "text",
"facilityNetworkIdentificationNumber": "text",
"medicaidRecipientIdNumber": "text",
"priorIdNumber": "text",
"socialSecurityNumber": "text",
"federalTaxpayersIdentificationNumber": "text",
"agencyClaimNumber": "text"
},
"planDateInformation": {
"discharge": "text",
"issue": "text",
"effectiveDateOfChange": "text",
"periodStart": "text",
"periodEnd": "text",
"completion": "text",
"coordinationOfBenefits": "text",
"plan": "text",
"benefit": "text",
"primaryCareProvider": "text",
"latestVisitOrConsultation": "text",
"eligibility": "text",
"added": "text",
"cobraBegin": "text",
"cobraEnd": "text",
"premiumPaidToDateBegin": "text",
"premiumPaidToDateEnd": "text",
"planBegin": "text",
"planEnd": "text",
"benefitBegin": "text",
"benefitEnd": "text",
"eligibilityBegin": "text",
"eligibilityEnd": "text",
"enrollment": "text",
"admission": "text",
"dateOfDeath": "text",
"certification": "text",
"service": "text",
"policyEffective": "text",
"policyExpiration": "text",
"dateOfLastUpdate": "text",
"status": "text"
},
"benefitsInformation": [
{
"code": "text",
"name": "text",
"coverageLevelCode": "text",
"coverageLevel": "text",
"serviceTypeCodes": [
"text"
],
"serviceTypes": [
"text"
],
"insuranceTypeCode": "text",
"insuranceType": "text",
"planCoverage": "text",
"timeQualifierCode": "text",
"timeQualifier": "text",
"benefitAmount": "text",
"benefitPercent": "text",
"quantityQualifierCode": "text",
"quantityQualifier": "text",
"benefitQuantity": "text",
"authOrCertIndicator": "text",
"inPlanNetworkIndicatorCode": "text",
"inPlanNetworkIndicator": "text",
"headerLoopIdentifierCode": "text",
"trailerLoopIdentifierCode": "text",
"compositeMedicalProcedureIdentifier": {
"productOrServiceIdQualifierCode": "text",
"productOrServiceIdQualifier": "text",
"procedureCode": "text",
"procedureModifiers": [
"text"
],
"productOrServiceID": "text",
"diagnosisCodePointer": [
"text"
]
},
"benefitsAdditionalInformation": {
"stateLicenseNumber": "text",
"medicareProviderNumber": "text",
"medicaidProviderNumber": "text",
"facilityIdNumber": "text",
"personalIdentificationNumber": "text",
"planNumber": "text",
"policyNumber": "text",
"memberId": "text",
"caseNumber": "text",
"familyUnitNumber": "text",
"groupNumber": "text",
"referralNumber": "text",
"alternativeListId": "text",
"classOfContractCode": "text",
"coverageListId": "text",
"contractNumber": "text",
"medicalRecordIdentificationNumber": "text",
"electronicDevicePin": "text",
"submitterIdentificationNumber": "text",
"patientAccountNumber": "text",
"hicNumber": "text",
"drugFormularyNumber": "text",
"priorAuthorizationNumber": "text",
"idCardSerialNumber": "text",
"idCardNumber": "text",
"centersForMedicareAndMedicaidServicesNPI": "text",
"issueNumber": "text",
"insurancePolicyNumber": "text",
"userIdentification": "text",
"medicalAssistanceCategory": "text",
"eligibilityCategory": "text",
"planNetworkIdNumber": "text",
"facilityNetworkIdentificationNumber": "text",
"medicaidRecepientIdNumber": "text",
"priorIdNumber": "text",
"socialSecurityNumber": "text",
"federalTaxpayersIdentificationNumber": "text",
"agencyClaimNumber": "text"
},
"benefitsDateInformation": {
"discharge": "text",
"discharges": [
{
"date": "text",
"startDate": "text",
"endDate": "text"
}
],
"issue": "text",
"effectiveDateOfChange": "text",
"periodStart": "text",
"periodEnd": "text",
"completion": "text",
"coordinationOfBenefits": "text",
"plan": "text",
"benefit": "text",
"primaryCareProvider": "text",
"latestVisitOrConsultation": "text",
"eligibility": "text",
"added": "text",
"cobraBegin": "text",
"cobraEnd": "text",
"premiumPaidtoDateBegin": "text",
"premiumPaidToDateEnd": "text",
"planBegin": "text",
"planEnd": "text",
"benefitBegin": "text",
"benefitEnd": "text",
"eligibilityBegin": "text",
"eligibilityEnd": "text",
"enrollment": "text",
"admission": "text",
"admissions": [
{
"date": "text",
"startDate": "text",
"endDate": "text"
}
],
"dateOfDeath": "text",
"certification": "text",
"service": "text",
"policyEffective": "text",
"policyExpiration": "text",
"dateOfLastUpdate": "text",
"status": "text"
},
"benefitsRelatedEntity": {
"entityIdentifier": "text",
"entityType": "text",
"entityName": "text",
"entityFirstname": "text",
"entityMiddlename": "text",
"entitySuffix": "text",
"entityIdentification": "text",
"entityIdentificationValue": "text",
"entityRelationship": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"providerInformation": {
"providerCode": "text",
"referenceIdentification": "text"
}
},
"benefitsRelatedEntities": [
{
"entityIdentifier": "text",
"entityType": "text",
"entityName": "text",
"entityFirstname": "text",
"entityMiddlename": "text",
"entitySuffix": "text",
"entityIdentification": "text",
"entityIdentificationValue": "text",
"entityRelationship": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"providerInformation": {
"providerCode": "text",
"referenceIdentification": "text"
}
}
],
"benefitsServiceDelivery": [
{
"quantityQualifierCode": "text",
"quantityQualifier": "text",
"quantity": "text",
"unitForMeasurementCode": "text",
"sampleSelectionModulus": "text",
"timePeriodQualifierCode": "text",
"timePeriodQualifier": "text",
"numOfPeriods": "text",
"deliveryOrCalendarPatternCode": "text",
"deliveryPatternTimeCode": "text",
"unitForMeasurementQualifierCode": "text",
"unitForMeasurementQualifier": "text",
"deliveryOrCalendarPatternQualifierCode": "text",
"deliveryOrCalendarPatternQualifier": "text",
"deliveryPatternTimeQualifierCode": "text",
"deliveryPatternTimeQualifier": "text"
}
],
"additionalInformation": [
{
"description": "text"
}
],
"eligibilityAdditionalInformation": {
"codeListQualifierCode": "text",
"industryCode": "text",
"codeCategory": "text",
"injuredBodyPartName": "text"
},
"eligibilityAdditionalInformationList": [
{
"codeListQualifierCode": "text",
"industryCode": "text",
"codeCategory": "text",
"injuredBodyPartName": "text"
}
]
}
],
"errors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
],
"status": "text",
"transactionSetAcknowledgement": "text",
"implementationTransactionSetSyntaxError": "text",
"x12": "text"
},
"eligibility_summarized_response": {
"eligibility_request_id": "123e4567-e89b-12d3-a456-426614174000",
"subscriber_details": {
"member_id": "text",
"firstname": "text",
"lastname": "text",
"middlename": "text",
"gender": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"dob": "2024-12-21"
},
"payer_details": {
"payer_name": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
}
},
"plan_details": {
"plan_number": "text",
"group_name": "text",
"group_number": "text",
"plan_start_date": "2024-12-21",
"plan_eligibility_start_date": "2024-12-21",
"plan_name": "text",
"plan_active": false
},
"coverage_summary": {
"individual_deductible_in_network": {
"total_amount": "text",
"remaining_amount": "text"
},
"individual_oop_in_network": {
"total_amount": "text",
"remaining_amount": "text"
},
"family_deductible_in_network": {
"total_amount": "text",
"remaining_amount": "text"
},
"family_oop_in_network": {
"total_amount": "text",
"remaining_amount": "text"
}
},
"chiropractic": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"emergency_room": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"office_visit": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"urgent_care": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"hospital_outpatient": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
}
},
"error": {
"type": "text",
"code": "text",
"message": "text"
},
"created_at": "2024-12-21T12:04:50.867Z",
"update_at": "2024-12-21T12:04:50.867Z"
}Successful response
const response = await fetch('https://sandbox.cardscan.ai/v1/eligibility', {
method: 'GET',
headers: {
"Authorization": "Bearer <token>"
},
});
const data = await response.json();{
"eligibility_requests": [
{
"eligibility_id": "text",
"state": "completed",
"card_id": "text",
"eligibility_request": {
"controlNumber": "text",
"tradingPartnerServiceId": "text",
"provider": {
"firstName": "text",
"lastName": "text",
"npi": "text"
},
"subscriber": {
"firstName": "text",
"lastName": "text",
"dateOfBirth": "text"
}
},
"eligibility_response": {
"meta": {
"senderId": "text",
"submitterId": "text",
"billerId": "text",
"applicationMode": "text",
"traceId": "text",
"outboundTraceId": "text"
},
"controlNumber": "text",
"reassociationKey": "text",
"tradingPartnerServiceId": "text",
"provider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"subscriber": {
"healthCareDiagnosisCodes": [
{
"diagnosisTypeCode": "text",
"diagnosisCode": "text"
}
],
"memberId": "text",
"firstName": "text",
"lastName": "text",
"middleName": "text",
"suffix": "text",
"gender": "M",
"entityIdentifier": "text",
"entityType": "text",
"uniqueHealthIdentifier": "text",
"dateOfBirth": "text",
"informationStatusCode": "text",
"employmentStatusCode": "text",
"governmentServiceAffiliationCode": "text",
"description": "text",
"militaryServiceRankCode": "text",
"dateTimePeriodFormatQualifier": "text",
"dateTimePeriod": "text",
"endDateTimePeriod": "text",
"startDateTimePeriod": "text",
"ssn": "text",
"groupNumber": "text",
"planNumber": "text",
"planNetworkIdNumber": "text",
"relationToSubscriber": "text",
"relationToSubscriberCode": "text",
"insuredIndicator": "text",
"maintenanceTypeCode": "text",
"maintenanceReasonCode": "text",
"birthSequenceNumber": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"responseProvider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"subscriberTraceNumbers": [
{
"traceTypeCode": "text",
"traceType": "text",
"referenceIdentification": "text",
"originatingCompanyIdentifier": "text",
"secondaryReferenceIdentification": "text"
}
],
"dependents": [
{
"healthCareDiagnosisCodes": [
{
"diagnosisTypeCode": "text",
"diagnosisCode": "text"
}
],
"memberId": "text",
"firstName": "text",
"lastName": "text",
"middleName": "text",
"suffix": "text",
"gender": "M",
"entityIdentifier": "text",
"entityType": "text",
"uniqueHealthIdentifier": "text",
"dateOfBirth": "text",
"informationStatusCode": "text",
"employmentStatusCode": "text",
"governmentServiceAffiliationCode": "text",
"description": "text",
"militaryServiceRankCode": "text",
"dateTimePeriodFormatQualifier": "text",
"dateTimePeriod": "text",
"endDateTimePeriod": "text",
"startDateTimePeriod": "text",
"ssn": "text",
"groupNumber": "text",
"planNumber": "text",
"planNetworkIdNumber": "text",
"relationToSubscriber": "text",
"relationToSubscriberCode": "text",
"insuredIndicator": "text",
"maintenanceTypeCode": "text",
"maintenanceReasonCode": "text",
"birthSequenceNumber": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"responseProvider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
}
],
"payer": {
"entityIdentifier": "text",
"entityType": "text",
"firstName": "text",
"lastName": "text",
"name": "text",
"middleName": "text",
"suffix": "text",
"employersId": "text",
"federalTaxpayersIdNumber": "text",
"naic": "text",
"npi": "text",
"centersForMedicareAndMedicaidPlanId": "text",
"payorIdentification": "text",
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
],
"etin": "text"
},
"planInformation": {
"stateLicenseNumber": "text",
"medicareProviderNumber": "text",
"medicaidProviderNumber": "text",
"facilityIdNumber": "text",
"personalIdentificationNumber": "text",
"planNumber": "text",
"planDescription": "text",
"policyNumber": "text",
"memberId": "text",
"caseNumber": "text",
"familyUnitNumber": "text",
"groupNumber": "text",
"groupDescription": "text",
"referralNumber": "text",
"alternativeListId": "text",
"classOfContractCode": "text",
"coverageListId": "text",
"contractNumber": "text",
"medicalRecordIdentificationNumber": "text",
"electronicDevicePin": "text",
"submitterIdentificationNumber": "text",
"patientAccountNumber": "text",
"hicNumber": "text",
"drugFormularyNumber": "text",
"priorAuthorizationNumber": "text",
"idCardSerialNumber": "text",
"idCardNumber": "text",
"centersForMedicareAndMedicaidServicesNPI": "text",
"issueNumber": "text",
"insurancePolicyNumber": "text",
"userIdentification": "text",
"medicalAssistanceCategory": "text",
"eligibilityCategory": "text",
"planNetworkIdNumber": "text",
"planNetworkIdDescription": "text",
"facilityNetworkIdentificationNumber": "text",
"medicaidRecipientIdNumber": "text",
"priorIdNumber": "text",
"socialSecurityNumber": "text",
"federalTaxpayersIdentificationNumber": "text",
"agencyClaimNumber": "text"
},
"planDateInformation": {
"discharge": "text",
"issue": "text",
"effectiveDateOfChange": "text",
"periodStart": "text",
"periodEnd": "text",
"completion": "text",
"coordinationOfBenefits": "text",
"plan": "text",
"benefit": "text",
"primaryCareProvider": "text",
"latestVisitOrConsultation": "text",
"eligibility": "text",
"added": "text",
"cobraBegin": "text",
"cobraEnd": "text",
"premiumPaidToDateBegin": "text",
"premiumPaidToDateEnd": "text",
"planBegin": "text",
"planEnd": "text",
"benefitBegin": "text",
"benefitEnd": "text",
"eligibilityBegin": "text",
"eligibilityEnd": "text",
"enrollment": "text",
"admission": "text",
"dateOfDeath": "text",
"certification": "text",
"service": "text",
"policyEffective": "text",
"policyExpiration": "text",
"dateOfLastUpdate": "text",
"status": "text"
},
"benefitsInformation": [
{
"code": "text",
"name": "text",
"coverageLevelCode": "text",
"coverageLevel": "text",
"serviceTypeCodes": [
"text"
],
"serviceTypes": [
"text"
],
"insuranceTypeCode": "text",
"insuranceType": "text",
"planCoverage": "text",
"timeQualifierCode": "text",
"timeQualifier": "text",
"benefitAmount": "text",
"benefitPercent": "text",
"quantityQualifierCode": "text",
"quantityQualifier": "text",
"benefitQuantity": "text",
"authOrCertIndicator": "text",
"inPlanNetworkIndicatorCode": "text",
"inPlanNetworkIndicator": "text",
"headerLoopIdentifierCode": "text",
"trailerLoopIdentifierCode": "text",
"compositeMedicalProcedureIdentifier": {
"productOrServiceIdQualifierCode": "text",
"productOrServiceIdQualifier": "text",
"procedureCode": "text",
"procedureModifiers": [
"text"
],
"productOrServiceID": "text",
"diagnosisCodePointer": [
"text"
]
},
"benefitsAdditionalInformation": {
"stateLicenseNumber": "text",
"medicareProviderNumber": "text",
"medicaidProviderNumber": "text",
"facilityIdNumber": "text",
"personalIdentificationNumber": "text",
"planNumber": "text",
"policyNumber": "text",
"memberId": "text",
"caseNumber": "text",
"familyUnitNumber": "text",
"groupNumber": "text",
"referralNumber": "text",
"alternativeListId": "text",
"classOfContractCode": "text",
"coverageListId": "text",
"contractNumber": "text",
"medicalRecordIdentificationNumber": "text",
"electronicDevicePin": "text",
"submitterIdentificationNumber": "text",
"patientAccountNumber": "text",
"hicNumber": "text",
"drugFormularyNumber": "text",
"priorAuthorizationNumber": "text",
"idCardSerialNumber": "text",
"idCardNumber": "text",
"centersForMedicareAndMedicaidServicesNPI": "text",
"issueNumber": "text",
"insurancePolicyNumber": "text",
"userIdentification": "text",
"medicalAssistanceCategory": "text",
"eligibilityCategory": "text",
"planNetworkIdNumber": "text",
"facilityNetworkIdentificationNumber": "text",
"medicaidRecepientIdNumber": "text",
"priorIdNumber": "text",
"socialSecurityNumber": "text",
"federalTaxpayersIdentificationNumber": "text",
"agencyClaimNumber": "text"
},
"benefitsDateInformation": {
"discharge": "text",
"discharges": [
{
"date": "text",
"startDate": "text",
"endDate": "text"
}
],
"issue": "text",
"effectiveDateOfChange": "text",
"periodStart": "text",
"periodEnd": "text",
"completion": "text",
"coordinationOfBenefits": "text",
"plan": "text",
"benefit": "text",
"primaryCareProvider": "text",
"latestVisitOrConsultation": "text",
"eligibility": "text",
"added": "text",
"cobraBegin": "text",
"cobraEnd": "text",
"premiumPaidtoDateBegin": "text",
"premiumPaidToDateEnd": "text",
"planBegin": "text",
"planEnd": "text",
"benefitBegin": "text",
"benefitEnd": "text",
"eligibilityBegin": "text",
"eligibilityEnd": "text",
"enrollment": "text",
"admission": "text",
"admissions": [
{
"date": "text",
"startDate": "text",
"endDate": "text"
}
],
"dateOfDeath": "text",
"certification": "text",
"service": "text",
"policyEffective": "text",
"policyExpiration": "text",
"dateOfLastUpdate": "text",
"status": "text"
},
"benefitsRelatedEntity": {
"entityIdentifier": "text",
"entityType": "text",
"entityName": "text",
"entityFirstname": "text",
"entityMiddlename": "text",
"entitySuffix": "text",
"entityIdentification": "text",
"entityIdentificationValue": "text",
"entityRelationship": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"providerInformation": {
"providerCode": "text",
"referenceIdentification": "text"
}
},
"benefitsRelatedEntities": [
{
"entityIdentifier": "text",
"entityType": "text",
"entityName": "text",
"entityFirstname": "text",
"entityMiddlename": "text",
"entitySuffix": "text",
"entityIdentification": "text",
"entityIdentificationValue": "text",
"entityRelationship": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"providerInformation": {
"providerCode": "text",
"referenceIdentification": "text"
}
}
],
"benefitsServiceDelivery": [
{
"quantityQualifierCode": "text",
"quantityQualifier": "text",
"quantity": "text",
"unitForMeasurementCode": "text",
"sampleSelectionModulus": "text",
"timePeriodQualifierCode": "text",
"timePeriodQualifier": "text",
"numOfPeriods": "text",
"deliveryOrCalendarPatternCode": "text",
"deliveryPatternTimeCode": "text",
"unitForMeasurementQualifierCode": "text",
"unitForMeasurementQualifier": "text",
"deliveryOrCalendarPatternQualifierCode": "text",
"deliveryOrCalendarPatternQualifier": "text",
"deliveryPatternTimeQualifierCode": "text",
"deliveryPatternTimeQualifier": "text"
}
],
"additionalInformation": [
{
"description": "text"
}
],
"eligibilityAdditionalInformation": {
"codeListQualifierCode": "text",
"industryCode": "text",
"codeCategory": "text",
"injuredBodyPartName": "text"
},
"eligibilityAdditionalInformationList": [
{
"codeListQualifierCode": "text",
"industryCode": "text",
"codeCategory": "text",
"injuredBodyPartName": "text"
}
]
}
],
"errors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
],
"status": "text",
"transactionSetAcknowledgement": "text",
"implementationTransactionSetSyntaxError": "text",
"x12": "text"
},
"eligibility_summarized_response": {
"eligibility_request_id": "123e4567-e89b-12d3-a456-426614174000",
"subscriber_details": {
"member_id": "text",
"firstname": "text",
"lastname": "text",
"middlename": "text",
"gender": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"dob": "2024-12-21"
},
"payer_details": {
"payer_name": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
}
},
"plan_details": {
"plan_number": "text",
"group_name": "text",
"group_number": "text",
"plan_start_date": "2024-12-21",
"plan_eligibility_start_date": "2024-12-21",
"plan_name": "text",
"plan_active": false
},
"coverage_summary": {
"individual_deductible_in_network": {
"total_amount": "text",
"remaining_amount": "text"
},
"individual_oop_in_network": {
"total_amount": "text",
"remaining_amount": "text"
},
"family_deductible_in_network": {
"total_amount": "text",
"remaining_amount": "text"
},
"family_oop_in_network": {
"total_amount": "text",
"remaining_amount": "text"
}
},
"chiropractic": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"emergency_room": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"office_visit": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"urgent_care": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
},
"hospital_outpatient": {
"co_insurance_in_network": {
"amount": "text"
},
"co_payment_in_network": {
"amount": "text"
},
"service_code": "text"
}
},
"error": {
"type": "text",
"code": "text",
"message": "text"
},
"created_at": "2024-12-21T12:04:50.867Z",
"update_at": "2024-12-21T12:04:50.867Z"
}
],
"response_metadata": {
"cursor": "text",
"limit": 0,
"total": 0
}
}Successful eligibility response
The ID of the eligibility record.
The state of the eligibility record.
The ID of the card.
The eligibility request.
Details about any error that occurred during the request. (Only first error)
The timestamp when the eligibility record was created.
The timestamp when the eligibility record was last updated.
const response = await fetch('https://sandbox.cardscan.ai/v1/eligibility/{eligibility_id}', {
method: 'GET',
headers: {
"Authorization": "Bearer <token>"
},
});
const data = await response.json();{
"eligibility_id": "text",
"state": "completed",
"card_id": "text",
"eligibility_request": {
"controlNumber": "text",
"tradingPartnerServiceId": "text",
"provider": {
"firstName": "text",
"lastName": "text",
"npi": "text"
},
"subscriber": {
"firstName": "text",
"lastName": "text",
"dateOfBirth": "text"
}
},
"eligibility_response": {
"meta": {
"senderId": "text",
"submitterId": "text",
"billerId": "text",
"applicationMode": "text",
"traceId": "text",
"outboundTraceId": "text"
},
"controlNumber": "text",
"reassociationKey": "text",
"tradingPartnerServiceId": "text",
"provider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"subscriber": {
"healthCareDiagnosisCodes": [
{
"diagnosisTypeCode": "text",
"diagnosisCode": "text"
}
],
"memberId": "text",
"firstName": "text",
"lastName": "text",
"middleName": "text",
"suffix": "text",
"gender": "M",
"entityIdentifier": "text",
"entityType": "text",
"uniqueHealthIdentifier": "text",
"dateOfBirth": "text",
"informationStatusCode": "text",
"employmentStatusCode": "text",
"governmentServiceAffiliationCode": "text",
"description": "text",
"militaryServiceRankCode": "text",
"dateTimePeriodFormatQualifier": "text",
"dateTimePeriod": "text",
"endDateTimePeriod": "text",
"startDateTimePeriod": "text",
"ssn": "text",
"groupNumber": "text",
"planNumber": "text",
"planNetworkIdNumber": "text",
"relationToSubscriber": "text",
"relationToSubscriberCode": "text",
"insuredIndicator": "text",
"maintenanceTypeCode": "text",
"maintenanceReasonCode": "text",
"birthSequenceNumber": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"responseProvider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"subscriberTraceNumbers": [
{
"traceTypeCode": "text",
"traceType": "text",
"referenceIdentification": "text",
"originatingCompanyIdentifier": "text",
"secondaryReferenceIdentification": "text"
}
],
"dependents": [
{
"healthCareDiagnosisCodes": [
{
"diagnosisTypeCode": "text",
"diagnosisCode": "text"
}
],
"memberId": "text",
"firstName": "text",
"lastName": "text",
"middleName": "text",
"suffix": "text",
"gender": "M",
"entityIdentifier": "text",
"entityType": "text",
"uniqueHealthIdentifier": "text",
"dateOfBirth": "text",
"informationStatusCode": "text",
"employmentStatusCode": "text",
"governmentServiceAffiliationCode": "text",
"description": "text",
"militaryServiceRankCode": "text",
"dateTimePeriodFormatQualifier": "text",
"dateTimePeriod": "text",
"endDateTimePeriod": "text",
"startDateTimePeriod": "text",
"ssn": "text",
"groupNumber": "text",
"planNumber": "text",
"planNetworkIdNumber": "text",
"relationToSubscriber": "text",
"relationToSubscriberCode": "text",
"insuredIndicator": "text",
"maintenanceTypeCode": "text",
"maintenanceReasonCode": "text",
"birthSequenceNumber": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"responseProvider": {
"providerName": "text",
"providerFirstName": "text",
"providerOrgName": "text",
"middleName": "text",
"suffix": "text",
"entityIdentifier": "text",
"entityType": "text",
"npi": "text",
"providerCode": "text",
"referenceIdentification": "text",
"employersId": "text",
"ssn": "text",
"federalTaxpayersIdNumber": "text",
"payorIdentification": "text",
"pharmacyProcessorNumber": "text",
"serviceProviderNumber": "text",
"servicesPlanID": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
]
}
],
"payer": {
"entityIdentifier": "text",
"entityType": "text",
"firstName": "text",
"lastName": "text",
"name": "text",
"middleName": "text",
"suffix": "text",
"employersId": "text",
"federalTaxpayersIdNumber": "text",
"naic": "text",
"npi": "text",
"centersForMedicareAndMedicaidPlanId": "text",
"payorIdentification": "text",
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"aaaErrors": [
{
"field": "text",
"code": "text",
"description": "text",
"followupAction": "text",
"location": "text",
"possibleResolutions": "text"
}
],
"etin": "text"
},
"planInformation": {
"stateLicenseNumber": "text",
"medicareProviderNumber": "text",
"medicaidProviderNumber": "text",
"facilityIdNumber": "text",
"personalIdentificationNumber": "text",
"planNumber": "text",
"planDescription": "text",
"policyNumber": "text",
"memberId": "text",
"caseNumber": "text",
"familyUnitNumber": "text",
"groupNumber": "text",
"groupDescription": "text",
"referralNumber": "text",
"alternativeListId": "text",
"classOfContractCode": "text",
"coverageListId": "text",
"contractNumber": "text",
"medicalRecordIdentificationNumber": "text",
"electronicDevicePin": "text",
"submitterIdentificationNumber": "text",
"patientAccountNumber": "text",
"hicNumber": "text",
"drugFormularyNumber": "text",
"priorAuthorizationNumber": "text",
"idCardSerialNumber": "text",
"idCardNumber": "text",
"centersForMedicareAndMedicaidServicesNPI": "text",
"issueNumber": "text",
"insurancePolicyNumber": "text",
"userIdentification": "text",
"medicalAssistanceCategory": "text",
"eligibilityCategory": "text",
"planNetworkIdNumber": "text",
"planNetworkIdDescription": "text",
"facilityNetworkIdentificationNumber": "text",
"medicaidRecipientIdNumber": "text",
"priorIdNumber": "text",
"socialSecurityNumber": "text",
"federalTaxpayersIdentificationNumber": "text",
"agencyClaimNumber": "text"
},
"planDateInformation": {
"discharge": "text",
"issue": "text",
"effectiveDateOfChange": "text",
"periodStart": "text",
"periodEnd": "text",
"completion": "text",
"coordinationOfBenefits": "text",
"plan": "text",
"benefit": "text",
"primaryCareProvider": "text",
"latestVisitOrConsultation": "text",
"eligibility": "text",
"added": "text",
"cobraBegin": "text",
"cobraEnd": "text",
"premiumPaidToDateBegin": "text",
"premiumPaidToDateEnd": "text",
"planBegin": "text",
"planEnd": "text",
"benefitBegin": "text",
"benefitEnd": "text",
"eligibilityBegin": "text",
"eligibilityEnd": "text",
"enrollment": "text",
"admission": "text",
"dateOfDeath": "text",
"certification": "text",
"service": "text",
"policyEffective": "text",
"policyExpiration": "text",
"dateOfLastUpdate": "text",
"status": "text"
},
"benefitsInformation": [
{
"code": "text",
"name": "text",
"coverageLevelCode": "text",
"coverageLevel": "text",
"serviceTypeCodes": [
"text"
],
"serviceTypes": [
"text"
],
"insuranceTypeCode": "text",
"insuranceType": "text",
"planCoverage": "text",
"timeQualifierCode": "text",
"timeQualifier": "text",
"benefitAmount": "text",
"benefitPercent": "text",
"quantityQualifierCode": "text",
"quantityQualifier": "text",
"benefitQuantity": "text",
"authOrCertIndicator": "text",
"inPlanNetworkIndicatorCode": "text",
"inPlanNetworkIndicator": "text",
"headerLoopIdentifierCode": "text",
"trailerLoopIdentifierCode": "text",
"compositeMedicalProcedureIdentifier": {
"productOrServiceIdQualifierCode": "text",
"productOrServiceIdQualifier": "text",
"procedureCode": "text",
"procedureModifiers": [
"text"
],
"productOrServiceID": "text",
"diagnosisCodePointer": [
"text"
]
},
"benefitsAdditionalInformation": {
"stateLicenseNumber": "text",
"medicareProviderNumber": "text",
"medicaidProviderNumber": "text",
"facilityIdNumber": "text",
"personalIdentificationNumber": "text",
"planNumber": "text",
"policyNumber": "text",
"memberId": "text",
"caseNumber": "text",
"familyUnitNumber": "text",
"groupNumber": "text",
"referralNumber": "text",
"alternativeListId": "text",
"classOfContractCode": "text",
"coverageListId": "text",
"contractNumber": "text",
"medicalRecordIdentificationNumber": "text",
"electronicDevicePin": "text",
"submitterIdentificationNumber": "text",
"patientAccountNumber": "text",
"hicNumber": "text",
"drugFormularyNumber": "text",
"priorAuthorizationNumber": "text",
"idCardSerialNumber": "text",
"idCardNumber": "text",
"centersForMedicareAndMedicaidServicesNPI": "text",
"issueNumber": "text",
"insurancePolicyNumber": "text",
"userIdentification": "text",
"medicalAssistanceCategory": "text",
"eligibilityCategory": "text",
"planNetworkIdNumber": "text",
"facilityNetworkIdentificationNumber": "text",
"medicaidRecepientIdNumber": "text",
"priorIdNumber": "text",
"socialSecurityNumber": "text",
"federalTaxpayersIdentificationNumber": "text",
"agencyClaimNumber": "text"
},
"benefitsDateInformation": {
"discharge": "text",
"discharges": [
{
"date": "text",
"startDate": "text",
"endDate": "text"
}
],
"issue": "text",
"effectiveDateOfChange": "text",
"periodStart": "text",
"periodEnd": "text",
"completion": "text",
"coordinationOfBenefits": "text",
"plan": "text",
"benefit": "text",
"primaryCareProvider": "text",
"latestVisitOrConsultation": "text",
"eligibility": "text",
"added": "text",
"cobraBegin": "text",
"cobraEnd": "text",
"premiumPaidtoDateBegin": "text",
"premiumPaidToDateEnd": "text",
"planBegin": "text",
"planEnd": "text",
"benefitBegin": "text",
"benefitEnd": "text",
"eligibilityBegin": "text",
"eligibilityEnd": "text",
"enrollment": "text",
"admission": "text",
"admissions": [
{
"date": "text",
"startDate": "text",
"endDate": "text"
}
],
"dateOfDeath": "text",
"certification": "text",
"service": "text",
"policyEffective": "text",
"policyExpiration": "text",
"dateOfLastUpdate": "text",
"status": "text"
},
"benefitsRelatedEntity": {
"entityIdentifier": "text",
"entityType": "text",
"entityName": "text",
"entityFirstname": "text",
"entityMiddlename": "text",
"entitySuffix": "text",
"entityIdentification": "text",
"entityIdentificationValue": "text",
"entityRelationship": "text",
"address": {
"address1": "123 address1",
"address2": "text",
"city": "city1",
"state": "wa",
"postalCode": "981010000",
"countryCode": "text",
"locationIdentifier": "text",
"countrySubDivisionCode": "text"
},
"contactInformation": {
"name": "text",
"contacts": [
{
"communicationMode": "text",
"communicationNumber": "text"
}
]
},
"providerInformation": {
"providerCode": "text",
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