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Response Dictionary

The Response Dictionary outlines the details of fields that should be delivered within response payloads from an RTE API.

name

type

pattern

required

description

primaryId

string

Yes

The memberId of the primary subscriber; primarily used for dependents. For non-dependents, this will be the same as the memberId field.

uniqueIdentifier

string

Yes

uniqueIdentifier contains the sub-object memberId, which is a patient's unique member identification number in 98point6 services.

groupId

string

Sometimes

Required in certain health plan scenarios. Used to identify the health plan/group associated to a patient.

relationship

string

Yes

birthDate

string

Yes

A patient's birth date. ISO format is required (YYYY-MM-DD).

sex

string

^(M|F|U)$

Yes

A patient’s declared sex.

prefix

string

^(18|01|19|23|09|10|25|53)$

A patient’s name prefix.

firstName

string

Yes

A patient’s first name.

middleName

string

No

A patient’s middle name.

lastName

string

Yes

A patient’s last name.

suffix

string

No

A patient’s name suffix.

address1

string

Yes

A patient’s street address.

address2

string

A patient’s street address (continued).

city

string

Yes

City in which the patient resides.

state

string

^[A-Za-z]{2}$

Yes

US state in which the patient resides.

zip

string

^\d{5}(-?\d{4})?$

Yes

The zip code attributed to a patient’s mailing address.

homePhone

string

^\d{10}$

No

A patient’s home phone number.

cellPhone

string

^\d{10}$

No

A patient’s mobile phone number.

workPhone

string

^\d{10}$

No

A patient’s work phone number.

email

string

A patient’s email address.

language

string

A patient’s primary language.

partnerName

string

Yes

Partner’s unique name. Will be provided to partners by 98point6.

partnerId

string

Yes

Partner’s unique identifier. Will be provided to partners by 98point6.

subscriptionType

string

^(HSA|PPO|EPO|HMO|UNKNOWN|UNINSURED)$

Yes

The type of 98point6 subscription attributed to a patient.

employerName

string

No

The display name of a patient’s employer.

employerId

string

No

An external identifier used to associate patients to a specific employer.

planType

string

^(hmo|ppo|epo|mm|pos|cobra|other)$

Yes

The category of plan attributed to a patient’s healthcare coverage.

planDescription

string

Yes

A display description of a patient’s healthcare coverage.

referralTier

string

^(NO_COORDINATION|RESOURCE_LINK|REFER_TO_CENTRAL_COORDINATOR|COORDINATED|COORDINATED_PLUS_FOLLOWUP)$

Sometimes

Required in scenarios where care coordination is needed.

coinsurancePercentage

number

Sometimes

Required in scenarios where claims submission and/or member-level cost-sharing is needed. Minimum allowed value: 0. Maximum allowed value: 1.

copay

integer

Sometimes

Required in scenarios where claims submission and/or member-level cost-sharing is needed. Minimum allowed value: 0.

contractedRate

integer

Sometimes

Required in scenarios where claims submission and/or member-level cost-sharing is needed. Minimum allowed value: 0.

priceWaiverApplies

boolean

No

payerName

string

Sometimes

Required in scenarios where claims submission is needed.

payerId

string

Sometimes

Required in scenarios where claims submission is needed.

externalPatientId

string

No

An external identifier used to cross reference patients between 98point6 and partner systems.

worksite

string

No

orgId

string

No

orgArrangement

string

No

segment

string

No

rank

integer

No

In the event that a patient has coverage from multiple sources (e.g. from their own employer and from a spouse’s), this property must be filled out in order of priority. (The lower the number, the higher the priority.) Maximum allowed value: 1.

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