API end point: https://patient360.anthem.com/P360Member/api/fhir-r4.
accumulators
Get all claim accumulators for the member
Applies to: Patient
| Name | Cardinality | Type | Documentation |
|---|---|---|---|
| coverage-level | 0..1 | string | coverage level: 'Individual' or 'NonIndividual' or empty for both, defaults to both |
| start | 0..1 | date | start date, defaults to the beginning of the same year of the end date |
| end | 0..1 | date | end date, defaults to the current date |
| plan-type | 0..1 | string | |
| last-quarter | 0..1 | string |
| Name | Cardinality | Type | Documentation |
|---|---|---|---|
| usage | 0..* | member benefits usage for each coverage | |
| desc | 1..1 | string | coverage description, eg 'IND DED IF FAM MBR EQUALS 1' |
| networkParticipation | 1..1 | string | 'Participating' or 'Non Participating' |
| code | 1..1 | string | accumulator type: 'Deductible', 'OutOfPocketMax' etc. |
| benefitValue | 1..1 | decimal | total benefit value |
| accumulated | 1..1 | decimal | benefit accumulated to the specified date |
| remaining | 1..1 | decimal | remaining benefit |
| coverageLevel | 1..1 | string | coverage level: 'Individual', 'Family' etc. |
| startDt | 1..1 | date | start date |
| endDt | 1..1 | date | end date |