๐Ÿ”ง VBA API Tester (PHP)

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๐Ÿ” Authentication

Not authenticated

๐Ÿ‘ฅ Member & Enrollment Operations

๐Ÿ“˜ Recommended Workflow:
1๏ธโƒฃ List Members โ†’ Get member_Seq values
2๏ธโƒฃ List All Enrollments โ†’ Get group_ID, division_ID, plan_ID for everyone!
3๏ธโƒฃ List Member Enrollment Plans โ†’ Get detailed plan history for specific member (optional)
4๏ธโƒฃ List Accumulators โ†’ Get deductibles/OOP using IDs from step 2

1. List Members for Subscriber

2. โญ List All Enrollments (SOLUTION!)

This is it! Returns group_ID, division_ID, plan_ID for ALL family members!

Returns complete enrollment details for entire family - no group/division IDs needed!
๐Ÿ’ก Filter by member_Seq to find specific member's enrollments.

3. Get Member Details

4. List Member Enrollment Plans (Detailed)

Get detailed enrollment plan history for a specific member. Use IDs from "List All Enrollments".

Returns: plan_ID, plan_Start, plan_End, tier, dollar_Amount for each period.

5. List Member PCPs (Primary Care Providers)

Returns: provider_ID, effective_Date, end_Date, capitation_Category.

6. Get Provider Details

Returns: Name, address, specialties, NPI/Federal ID.

๐Ÿ’ฐ Accumulator Operations

๐Ÿ’ก Note: Get group_ID, plan_ID, and plan year from Benefit Inquiry first!

List Accumulator Detail

List Accumulator Benefit Detail

๐Ÿ”ข ID Code Operations

1. List All ID Types

Get all available ID types in the system (run this first to see what types are available)

Returns: List of all ID type names you can use in the next endpoint.

2. List ID Codes by Type

Get all ID codes for a specific type (use a type from the list above)

Returns: List of ID codes with descriptions for the specified type.

3. List ID Code Values

Get all values for a specific ID code within a type

Returns: List of values for the specified ID code.

4. Get Single ID Code Value

Get details for a specific ID code value by key

5. Get ID Code Values by Source

Search ID code values by source with up to 5 column/value pairs

๐Ÿ”Ž Search Configurations

Pre-built search queries (like SQL views) that join multiple tables

1. List Search Configs by Functional Area

Get all pre-built search configurations for a functional area

2. Get Search Config Details

Get details for a specific search configuration by ID

๐Ÿ”Ž Execute Search

Run searches using search configurations with custom criteria and field selection

1. Search Provider by ID

Search using PROV config to get provider details

2. Get Provider IDs by NPI

Search for all Provider IDs that have a specific NPI number

2b. Test /id-code-values Endpoint (Direct)

Test the direct /id-code-values endpoint with query parameters

3. Get NPI by Provider ID (Reverse Lookup)

Find NPI number for a specific provider

4. Custom Search (Advanced)

Build a custom search with JSON payload

๐Ÿ“Š Results

Results will appear here...