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Get Policy Benefits
curl --request GET \
  --url https://api.spikecare.com/public/v1/clinics/{clinic_id}/patients/{patient_id}/policies/{policy_id}/benefits \
  --header 'Authorization: Bearer <token>'
{
  "id": "<string>",
  "status": "pending",
  "data": {
    "planType": "<string>",
    "visitLimit": "<string>",
    "visitsUsed": "<string>",
    "planEndDate": "<string>",
    "networkStatus": "<string>",
    "patientCoPay": "<string>",
    "planStartDate": "<string>",
    "deductibleFamily": "<string>",
    "planEffectiveDate": "<string>",
    "benefitsExplanation": "<string>",
    "insuranceIdentifier": "<string>",
    "patientCoInsurance": "<string>",
    "visitLimitMaxType": "<string>",
    "deductibleFamilyMet": "<string>",
    "deductibleIndividual": "<string>",
    "planTerminationDate": "<string>",
    "visitLimitStructure": "<string>",
    "authorizationRequired": "<string>",
    "supplementalPlanName": "<string>",
    "therapyThresholdSpent": "<string>",
    "outOfPocketMaxFamily": "<string>",
    "deductibleIndividualMet": "<string>",
    "referenceNumberAndName": "<string>",
    "secondaryMedicareCovers": "<string>",
    "authorizationObtainedVia": "<string>",
    "therapyThresholdSpentOT": "<string>",
    "deductibleFamilyRemaining": "<string>",
    "outOfPocketMaxFamilyMet": "<string>",
    "outOfPocketMaxIndividual": "<string>",
    "visitLimitMaxTypeDetails": "<string>",
    "authorizationRequiredDetails": "<string>",
    "deductibleIndividualRemaining": "<string>",
    "outOfPocketMaxIndividualMet": "<string>",
    "medicalNecessityReviewRequired": "<string>",
    "physiciansPrescriptionRequired": "<string>",
    "authorizationObtainedViaDetails": "<string>",
    "outOfPocketMaxFamilyRemaining": "<string>",
    "outOfPocketMaxIndividualRemaining": "<string>",
    "primaryCareProviderReferralRequired": "<string>",
    "medicalNecessityReviewRequiredDetails": "<string>"
  }
}

Authorizations

​
Authorization
string
header
required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Path Parameters

​
clinic_id
string
required

Clinic ID

​
patient_id
string
required

Patient ID

​
policy_id
string
required

Internal Policy ID

Response

Policy Benefits Response

​
id
string
required

Benefits Id

​
status
enum<string>
required

Status

Available options:
pending,
success,
failure
​
data
object

Policy Benefits Data