The Insurance Eligibility Object represents the eligibility information for a patient's insurance.

The response includes eligibility details such as co-pay, coinsurance, deductible, and remaining deductible.

Object Definition

{
  "eligibility_details": {
    "copay": null,
    "copay_ambiguous": true,
    "coinsurance": "0",
    "coinsurance_ambiguous": false,
    "deductible": "2000",
    "deductible_ambiguous": false,
    "deductible_remaining": "1827.12",
    "deductible_remaining_ambiguous": false,
    "errors": []
  },
  "eligibility_check_timestamp": "2022-05-05T19:39:26+00:00",
  "eligibility_status": "active",
  "patient_id": 140658474356545,
  "patient_insurance_id": 130754515763059,
  "practice_id": 6558432
}

Attribute	Type	Possible Values	Description
eligibility_details.copay	decimal		copayment amount in dollars
eligibility_details.copay_ambiguous	boolean	true, false	If true, the given copay value may not be accurate and the full eligibility report will need to be referenced for better details.
eligibility_details.coinsurance	string	0.00 to 1.00	Coinsurance percentage value as a decimal
eligibility_details.coinsurance_ambiguous	boolean	true, false
eligibility_details.deductible	string		Deductible amount in dollars
eligibility_details.deductible_ambiguous	boolean	true, false
eligibility_details.deductible_remaining	string		Remaining deductible amount in dollars
eligibility_details.deductible_remaining_ambiguous	boolean	true, false
eligibility_details.errors	array of objects		Error messages showing reason for failed eligibility check
eligibility_check_timestamp	string		Eligibility check timestamp in ISO format
eligibility_status	string	"active", "inactive", "error"	Status of eligibility check
patient_id	integer		Patient's id in Elation system
patient_insurance_id	integer		Patient's insurance id in Elation system
practice_id	integer		Practice's id in Elation system