List Disenroll Adjustments based on a provided Subscriber ID and As of Date (Disenroll Date).
Success
Unauthorized
List of Self-Admin Invoices to be generated based on the selected Invoice Date.
Success
Unauthorized
Creates a new Premium Billing Invoice for the selected Subscriber.
Success
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
{- "data": {
- "invoice_Key": 0,
- "additional_Invoice_Level": "string",
- "bill_Address": "string",
- "bill_Address2": "string",
- "bill_City": "string",
- "bill_County_Code": "string",
- "bill_Name": "string",
- "bill_State": "st",
- "bill_Zip_Code": "string",
- "billing_Cycle_ID": "st",
- "billing_From": "2019-08-24T14:15:22Z",
- "billing_Thru": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "finalized": true,
- "finalized_Date": "2019-08-24T14:15:22Z",
- "finalized_User": "string",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "invoice_Level": "s",
- "invoice_Number": "string",
- "invoice_Status": "string",
- "original_Invoice_Key": 0,
- "pay_Period": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
Creates a new Premium Billing Invoice for the selected Group.
Success
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
{- "data": {
- "invoice_Key": 0,
- "additional_Invoice_Level": "string",
- "bill_Address": "string",
- "bill_Address2": "string",
- "bill_City": "string",
- "bill_County_Code": "string",
- "bill_Name": "string",
- "bill_State": "st",
- "bill_Zip_Code": "string",
- "billing_Cycle_ID": "st",
- "billing_From": "2019-08-24T14:15:22Z",
- "billing_Thru": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "finalized": true,
- "finalized_Date": "2019-08-24T14:15:22Z",
- "finalized_User": "string",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "invoice_Level": "s",
- "invoice_Number": "string",
- "invoice_Status": "string",
- "original_Invoice_Key": 0,
- "pay_Period": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
Creates a new Premium Billing Invoice for the selected Group/Division.
Success
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
{- "data": {
- "invoice_Key": 0,
- "additional_Invoice_Level": "string",
- "bill_Address": "string",
- "bill_Address2": "string",
- "bill_City": "string",
- "bill_County_Code": "string",
- "bill_Name": "string",
- "bill_State": "st",
- "bill_Zip_Code": "string",
- "billing_Cycle_ID": "st",
- "billing_From": "2019-08-24T14:15:22Z",
- "billing_Thru": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "finalized": true,
- "finalized_Date": "2019-08-24T14:15:22Z",
- "finalized_User": "string",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "invoice_Level": "s",
- "invoice_Number": "string",
- "invoice_Status": "string",
- "original_Invoice_Key": 0,
- "pay_Period": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
Creates a new Premium Billing Invoice for the selected GroupDivisionCaptive.
Success
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
{- "data": {
- "invoice_Key": 0,
- "additional_Invoice_Level": "string",
- "bill_Address": "string",
- "bill_Address2": "string",
- "bill_City": "string",
- "bill_County_Code": "string",
- "bill_Name": "string",
- "bill_State": "st",
- "bill_Zip_Code": "string",
- "billing_Cycle_ID": "st",
- "billing_From": "2019-08-24T14:15:22Z",
- "billing_Thru": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "finalized": true,
- "finalized_Date": "2019-08-24T14:15:22Z",
- "finalized_User": "string",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "invoice_Level": "s",
- "invoice_Number": "string",
- "invoice_Status": "string",
- "original_Invoice_Key": 0,
- "pay_Period": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
Creates a new Premium Billing Invoice the selected Group for any Division with the Group Invoice Level AND a separate Invoice for each Division flagged as Division Invoice Level.
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
Creates a new Self-Admin Invoice for the selected Group.
Success
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
{- "data": {
- "invoice_Key": 0,
- "additional_Invoice_Level": "string",
- "bill_Address": "string",
- "bill_Address2": "string",
- "bill_City": "string",
- "bill_County_Code": "string",
- "bill_Name": "string",
- "bill_State": "st",
- "bill_Zip_Code": "string",
- "billing_Cycle_ID": "st",
- "billing_From": "2019-08-24T14:15:22Z",
- "billing_Thru": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "finalized": true,
- "finalized_Date": "2019-08-24T14:15:22Z",
- "finalized_User": "string",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "invoice_Level": "s",
- "invoice_Number": "string",
- "invoice_Status": "string",
- "original_Invoice_Key": 0,
- "pay_Period": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
Creates a new Self-Admin Invoice for the selected Group/Division.
Success
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "groupDivisionCaptive": "string",
- "bill_From": "2019-08-24T14:15:22Z",
- "bill_Thru": "2019-08-24T14:15:22Z",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "regenerate": true,
- "input_Date": "2019-08-24T14:15:22Z"
}
{- "data": {
- "invoice_Key": 0,
- "additional_Invoice_Level": "string",
- "bill_Address": "string",
- "bill_Address2": "string",
- "bill_City": "string",
- "bill_County_Code": "string",
- "bill_Name": "string",
- "bill_State": "st",
- "bill_Zip_Code": "string",
- "billing_Cycle_ID": "st",
- "billing_From": "2019-08-24T14:15:22Z",
- "billing_Thru": "2019-08-24T14:15:22Z",
- "due_Date": "2019-08-24T14:15:22Z",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "finalized": true,
- "finalized_Date": "2019-08-24T14:15:22Z",
- "finalized_User": "string",
- "invoice_Date": "2019-08-24T14:15:22Z",
- "invoice_Level": "s",
- "invoice_Number": "string",
- "invoice_Status": "string",
- "original_Invoice_Key": 0,
- "pay_Period": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
Generate the necessary Billing adjustments for an Invoice refund and create a Distribution if needed.
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "group_ID": "string",
- "division_ID": "string",
- "subscriber_ID": "string",
- "premRate_Key": 0,
- "amount": 0.1,
- "amount_Received": 0.1,
- "volume": 0.1,
- "payee_Level": "string",
- "payor_ID": "string",
- "account_Key": 0,
- "premPayment_Key": 0,
- "refund_Amount": 0.1,
- "payment_ID": "string",
- "payment_Name": "string",
- "invoice_Level": "string",
- "user_ID": "string"
}
Take a list of Rates and a set of configuration options and copy those rates.
Accepted for processing
Unauthorized
{- "rate_Basis": "string",
- "keep_Rate_Basis": true,
- "rate_Category": "string",
- "keep_Rate_Category": true,
- "plan_ID": "string",
- "keep_Plan_ID": true,
- "group_ID": "string",
- "keep_Group_ID": true,
- "division_ID": "string",
- "keep_Division_ID": true,
- "premRate_Type": "string",
- "rate_Option": 0,
- "payee_Option": 0,
- "existing_Rate_Term_Date": "2019-08-24T14:15:22Z",
- "new_Rate_Effective_Date": "2019-08-24T14:15:22Z",
- "new_Rate_Term_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premRates": [
- {
- "premRate_Key": 0,
- "add_On_Grouping_ID": "string",
- "additional_Invoice_Address": "stri",
- "additional_Invoice_Frequency": "st",
- "additional_Invoice_Level": "string",
- "address_Type": "string",
- "adjustment_Reason": 0,
- "adult": true,
- "age_From": 0,
- "age_Thru": 0,
- "age_Type": "string",
- "age_Type_Month": "st",
- "assign_To_New_Division": true,
- "assign_To_New_Group": true,
- "assign_To_New_Member": true,
- "auto_Adjust": true,
- "auto_Adjust_Reason": 0,
- "avoid_Retro": true,
- "benefit_Code": "string",
- "billing_Cycle_ID": "st",
- "child": true,
- "city": "string",
- "class_Code": "string",
- "country_ID": "string",
- "county_Code": "string",
- "description": "string",
- "division_ID": "string",
- "effective_Date": "2019-08-24T14:15:22Z",
- "effective_Date_Type": "string",
- "employee_Employer_Contribution": "st",
- "employer_Contribution": 0.1,
- "employer_Contribution_Pct": true,
- "employer_Rate": 0.1,
- "employer_Rate_Max": 0.1,
- "employer_Rate_Minimum": 0.1,
- "employer_Rate_Type": "string",
- "employer_Rate_Variable1": 0.1,
- "employer_Rate_Variable2": 0.1,
- "employer_Rate_Variable3": 0.1,
- "employer_Round_Precision": 0,
- "employer_Round_Type": "string",
- "enrolled_Count_From": 0,
- "enrolled_Count_Thru": 0,
- "enrolled_Count_Type": "string",
- "enrolled_Duration_From": 0,
- "enrolled_Duration_Min": 0,
- "enrolled_Duration_Option": "string",
- "enrolled_Duration_Thru": 0,
- "enrolled_Duration_Type": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "group_Division_Offering": true,
- "group_ID": "string",
- "member_Seq": "st",
- "network_ID": "string",
- "network_Type": "string",
- "new_Hire_Age": true,
- "override_Enrolled_Dates": true,
- "parent_PremRate_Key": 0,
- "payment_Method": "string",
- "plan_ID": "string",
- "plan_Type": "string",
- "premRate_Basis": "string",
- "premRate_Category": "string",
- "premRate_ID": "string",
- "premRate_Type": "string",
- "premium_Proration": true,
- "rate": 0.1,
- "rate_Max": 0.1,
- "rate_Minimum": 0.1,
- "rate_Pace": "string",
- "rate_Pace_Type": "string",
- "rate_Round_Precision": 0,
- "rate_Round_Type": "string",
- "rate_Type": "string",
- "rate_Variable1": 0.1,
- "rate_Variable2": 0.1,
- "rate_Variable3": 0.1,
- "region_Code": "string",
- "relationship": "string",
- "sex": "s",
- "smoker": "s",
- "state": "st",
- "subscriber_ID": "string",
- "term_Date": "2019-08-24T14:15:22Z",
- "term_Date_type": "string",
- "tier": "st",
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "zip_Code_From": "string",
- "zip_Code_Thru": "string"
}
], - "premRatePayees": [
- {
- "premRate_Key": 0,
- "payee_ID": "string",
- "account_Key": 0,
- "amount": 0.1,
- "amount_Max": 0.1,
- "amount_Pct": true,
- "dist_Type": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "payor_ID": "string",
- "policy_Number": "string",
- "premRate_Category": "string",
- "priority": 0,
- "rate": 0.1,
- "rate_Max": 0.1,
- "rate_Min": 0.1,
- "rate_Round_Precision": 0,
- "rate_Round_Type": "string",
- "rate_Var1": 0.1,
- "rate_Var2": 0.1,
- "rate_Var3": 0.1,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}
]
}
Take a list of Rates and a set of configuration options and change those rates.
Accepted for processing
Unauthorized
{- "rate_Basis": "string",
- "keep_Rate_Basis": true,
- "rate_Category": "string",
- "keep_Rate_Category": true,
- "plan_ID": "string",
- "keep_Plan_ID": true,
- "group_ID": "string",
- "keep_Group_ID": true,
- "division_ID": "string",
- "keep_Division_ID": true,
- "premRate_Type": "string",
- "rate_Option": 0,
- "payee_Option": 0,
- "existing_Rate_Term_Date": "2019-08-24T14:15:22Z",
- "new_Rate_Effective_Date": "2019-08-24T14:15:22Z",
- "new_Rate_Term_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premRates": [
- {
- "premRate_Key": 0,
- "add_On_Grouping_ID": "string",
- "additional_Invoice_Address": "stri",
- "additional_Invoice_Frequency": "st",
- "additional_Invoice_Level": "string",
- "address_Type": "string",
- "adjustment_Reason": 0,
- "adult": true,
- "age_From": 0,
- "age_Thru": 0,
- "age_Type": "string",
- "age_Type_Month": "st",
- "assign_To_New_Division": true,
- "assign_To_New_Group": true,
- "assign_To_New_Member": true,
- "auto_Adjust": true,
- "auto_Adjust_Reason": 0,
- "avoid_Retro": true,
- "benefit_Code": "string",
- "billing_Cycle_ID": "st",
- "child": true,
- "city": "string",
- "class_Code": "string",
- "country_ID": "string",
- "county_Code": "string",
- "description": "string",
- "division_ID": "string",
- "effective_Date": "2019-08-24T14:15:22Z",
- "effective_Date_Type": "string",
- "employee_Employer_Contribution": "st",
- "employer_Contribution": 0.1,
- "employer_Contribution_Pct": true,
- "employer_Rate": 0.1,
- "employer_Rate_Max": 0.1,
- "employer_Rate_Minimum": 0.1,
- "employer_Rate_Type": "string",
- "employer_Rate_Variable1": 0.1,
- "employer_Rate_Variable2": 0.1,
- "employer_Rate_Variable3": 0.1,
- "employer_Round_Precision": 0,
- "employer_Round_Type": "string",
- "enrolled_Count_From": 0,
- "enrolled_Count_Thru": 0,
- "enrolled_Count_Type": "string",
- "enrolled_Duration_From": 0,
- "enrolled_Duration_Min": 0,
- "enrolled_Duration_Option": "string",
- "enrolled_Duration_Thru": 0,
- "enrolled_Duration_Type": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "group_Division_Offering": true,
- "group_ID": "string",
- "member_Seq": "st",
- "network_ID": "string",
- "network_Type": "string",
- "new_Hire_Age": true,
- "override_Enrolled_Dates": true,
- "parent_PremRate_Key": 0,
- "payment_Method": "string",
- "plan_ID": "string",
- "plan_Type": "string",
- "premRate_Basis": "string",
- "premRate_Category": "string",
- "premRate_ID": "string",
- "premRate_Type": "string",
- "premium_Proration": true,
- "rate": 0.1,
- "rate_Max": 0.1,
- "rate_Minimum": 0.1,
- "rate_Pace": "string",
- "rate_Pace_Type": "string",
- "rate_Round_Precision": 0,
- "rate_Round_Type": "string",
- "rate_Type": "string",
- "rate_Variable1": 0.1,
- "rate_Variable2": 0.1,
- "rate_Variable3": 0.1,
- "region_Code": "string",
- "relationship": "string",
- "sex": "s",
- "smoker": "s",
- "state": "st",
- "subscriber_ID": "string",
- "term_Date": "2019-08-24T14:15:22Z",
- "term_Date_type": "string",
- "tier": "st",
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "zip_Code_From": "string",
- "zip_Code_Thru": "string"
}
], - "premRatePayees": [
- {
- "premRate_Key": 0,
- "payee_ID": "string",
- "account_Key": 0,
- "amount": 0.1,
- "amount_Max": 0.1,
- "amount_Pct": true,
- "dist_Type": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "payor_ID": "string",
- "policy_Number": "string",
- "premRate_Category": "string",
- "priority": 0,
- "rate": 0.1,
- "rate_Max": 0.1,
- "rate_Min": 0.1,
- "rate_Round_Precision": 0,
- "rate_Round_Type": "string",
- "rate_Var1": 0.1,
- "rate_Var2": 0.1,
- "rate_Var3": 0.1,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}
]
}
Auto Apply Payment based on specified configuration options.
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "premPayment_Key": 0,
- "payment_Posted": 0.1,
- "payment_Posted_Date": "2019-08-24T14:15:22Z",
- "payment_ID": "string",
- "received_Date": "2019-08-24T14:15:22Z",
- "autoApplyOption": 0,
- "autoApplyAdjustmentOption": 0,
- "autoApplyCategories": [
- "string"
], - "autoApplySubscribers": [
- "string"
]
}
Using the ListPremApplyPaymentCategory Operation to get a list of payments and additional configuration, have On Accout and PremPayment information updated.
Accepted for processing
Unauthorized
{- "file_Type": "string",
- "posted_Date": "2019-08-24T14:15:22Z",
- "received_Date": "2019-08-24T14:15:22Z",
- "posted_Amount": 0.1,
- "user_ID": "string",
- "write_Off_When_In_Tolerance_Range": true,
- "payment": {
- "premPayment_Key": 0,
- "account_Key": 0,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "funding_Key": 0,
- "group_ID": "string",
- "payment_Amount": 0.1,
- "payment_Date": "2019-08-24T14:15:22Z",
- "payment_ID": "string",
- "payment_Name": "string",
- "payment_Type": "string",
- "payor_ID": "string",
- "subscriber_ID": "string",
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "applyPayments": [
- {
- "apply_Payment_Category": "string",
- "adjustment_Reason": "string",
- "reason_Key": 0,
- "group_ID": "string",
- "group_Name": "string",
- "subscriber_ID": "string",
- "ssn": "string",
- "subscriber_Name": "string",
- "plan_Type": "string",
- "payor_ID": "string",
- "amount_Due": 0.1,
- "on_Account": 0.1,
- "apply_Payment": 0.1
}
]
}
Using the PremPaymentOnAccount List as a basis for configuration, have On Accout and PremPayment information updated.
Accepted for processing
Unauthorized
{- "user_ID": "string",
- "payment": {
- "premPayment_Key": 0,
- "account_Key": 0,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "funding_Key": 0,
- "group_ID": "string",
- "payment_Amount": 0.1,
- "payment_Date": "2019-08-24T14:15:22Z",
- "payment_ID": "string",
- "payment_Name": "string",
- "payment_Type": "string",
- "payor_ID": "string",
- "subscriber_ID": "string",
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}, - "onAccountPayments": [
- {
- "premPaymentOnAccount_Key": 0,
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "group_ID": "string",
- "payment_Amount": 0.1,
- "payment_Posted": 0.1,
- "payor_ID": "string",
- "plan_Type": "string",
- "premPayment_Key": 0,
- "subscriber_ID": "string",
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string"
}
]
}
This process will delete an invoice and remove attached records, update or delete adjustments based on selected options.
Accepted for processing
Unauthorized
This will delete the invoice, remove attached adjustments, payments, etc. Then Regenerate the Invoice using the same Invoice Key.
Accepted for processing
Unauthorized
Import a defined Payment File in .csv format to then have payments created and, optionally, attached to invoices.
Success
Unauthorized
{- "payment_File_Format_Key": 0,
- "payment_File": "string",
- "payor_ID": "string",
- "account_Key": 0,
- "create_Invoice_Payments": true,
- "apply_Payments": true,
- "close_Invoices": true,
- "only_Close_Satisfied_Invoices": true,
- "user_ID": "string"
}
{- "data": {
- "payment_Created_Count": 0,
- "invoice_Payment_Posted_Count": 0,
- "invoice_Closed_Count": 0,
- "invoice_Left_Open_Count": 0
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}
PremInvoice Apply Payments for Self-Admin
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "subscriber_ID": "string",
- "plan_Type": "string",
- "payor_ID": "string",
- "premPayment_Key": 0,
- "adjustment_Reason": 0,
- "payment_Posted": 0.1,
- "payment_Posted_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premInvoiceSelfAdmins": [
- {
- "premInvoiceSelfAdmin_Key": 0,
- "age": 0,
- "benefit_Code": "string",
- "dependents": 0,
- "dist_Volume": 0.1,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "groupSelfAdmin_Age": 0,
- "groupSelfAdmin_Dependents": 0,
- "groupSelfAdmin_Dist_Volume": 0.1,
- "groupSelfAdmin_Key": 0,
- "groupSelfAdmin_Members": 0,
- "groupSelfAdmin_Premium": 0.1,
- "groupSelfAdmin_Sex": "s",
- "groupSelfAdmin_Subscribers": 0,
- "groupSelfAdmin_Volume": 0.1,
- "group_ID": "string",
- "invoice_Key": 0,
- "members": 0,
- "plan_ID": "string",
- "premRate_Key": 0,
- "premium": 0.1,
- "premium_Received": 0.1,
- "sex": "s",
- "subscribers": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "volume": 0.1
}
]
}
Given an Invoice and amount due, either check if an Invoice falls withing Tolerance range to performan a write-off, or go ahead and perform the write-off.
Success
Unauthorized
Based on the supplied PremPayment_Key, remove this payment from any invoice it is attached, and then recalc the received on each affected invoice.
Accepted for processing
Unauthorized
List of Billing Adjustments that would be created based on a Subscriber being disenrolled on the As of Date.
Success
Unauthorized
Generate the Premium Distributions for the selected Group and As of Date.
Accepted for processing
Unauthorized
Generate the Premium Distribution Checks for the selected Payor and Payee.
Accepted for processing
Unauthorized
PremInvoice Apply Payments by Subscriber
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "subscriber_ID": "string",
- "plan_Type": "string",
- "payor_ID": "string",
- "premPayment_Key": 0,
- "adjustment_Reason": 0,
- "payment_Posted": 0.1,
- "payment_Posted_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premInvoiceSelfAdmins": [
- {
- "premInvoiceSelfAdmin_Key": 0,
- "age": 0,
- "benefit_Code": "string",
- "dependents": 0,
- "dist_Volume": 0.1,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "groupSelfAdmin_Age": 0,
- "groupSelfAdmin_Dependents": 0,
- "groupSelfAdmin_Dist_Volume": 0.1,
- "groupSelfAdmin_Key": 0,
- "groupSelfAdmin_Members": 0,
- "groupSelfAdmin_Premium": 0.1,
- "groupSelfAdmin_Sex": "s",
- "groupSelfAdmin_Subscribers": 0,
- "groupSelfAdmin_Volume": 0.1,
- "group_ID": "string",
- "invoice_Key": 0,
- "members": 0,
- "plan_ID": "string",
- "premRate_Key": 0,
- "premium": 0.1,
- "premium_Received": 0.1,
- "sex": "s",
- "subscribers": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "volume": 0.1
}
]
}
PremInvoice Apply Payments by Header Adjustment
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "subscriber_ID": "string",
- "plan_Type": "string",
- "payor_ID": "string",
- "premPayment_Key": 0,
- "adjustment_Reason": 0,
- "payment_Posted": 0.1,
- "payment_Posted_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premInvoiceSelfAdmins": [
- {
- "premInvoiceSelfAdmin_Key": 0,
- "age": 0,
- "benefit_Code": "string",
- "dependents": 0,
- "dist_Volume": 0.1,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "groupSelfAdmin_Age": 0,
- "groupSelfAdmin_Dependents": 0,
- "groupSelfAdmin_Dist_Volume": 0.1,
- "groupSelfAdmin_Key": 0,
- "groupSelfAdmin_Members": 0,
- "groupSelfAdmin_Premium": 0.1,
- "groupSelfAdmin_Sex": "s",
- "groupSelfAdmin_Subscribers": 0,
- "groupSelfAdmin_Volume": 0.1,
- "group_ID": "string",
- "invoice_Key": 0,
- "members": 0,
- "plan_ID": "string",
- "premRate_Key": 0,
- "premium": 0.1,
- "premium_Received": 0.1,
- "sex": "s",
- "subscribers": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "volume": 0.1
}
]
}
PremInvoice Apply Payments by Subscriber and Plan Type
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "subscriber_ID": "string",
- "plan_Type": "string",
- "payor_ID": "string",
- "premPayment_Key": 0,
- "adjustment_Reason": 0,
- "payment_Posted": 0.1,
- "payment_Posted_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premInvoiceSelfAdmins": [
- {
- "premInvoiceSelfAdmin_Key": 0,
- "age": 0,
- "benefit_Code": "string",
- "dependents": 0,
- "dist_Volume": 0.1,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "groupSelfAdmin_Age": 0,
- "groupSelfAdmin_Dependents": 0,
- "groupSelfAdmin_Dist_Volume": 0.1,
- "groupSelfAdmin_Key": 0,
- "groupSelfAdmin_Members": 0,
- "groupSelfAdmin_Premium": 0.1,
- "groupSelfAdmin_Sex": "s",
- "groupSelfAdmin_Subscribers": 0,
- "groupSelfAdmin_Volume": 0.1,
- "group_ID": "string",
- "invoice_Key": 0,
- "members": 0,
- "plan_ID": "string",
- "premRate_Key": 0,
- "premium": 0.1,
- "premium_Received": 0.1,
- "sex": "s",
- "subscribers": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "volume": 0.1
}
]
}
PremInvoice Apply Payments by Subscriber and Payor ID
Accepted for processing
Unauthorized
{- "invoice_Key": 0,
- "subscriber_ID": "string",
- "plan_Type": "string",
- "payor_ID": "string",
- "premPayment_Key": 0,
- "adjustment_Reason": 0,
- "payment_Posted": 0.1,
- "payment_Posted_Date": "2019-08-24T14:15:22Z",
- "user_ID": "string",
- "premInvoiceSelfAdmins": [
- {
- "premInvoiceSelfAdmin_Key": 0,
- "age": 0,
- "benefit_Code": "string",
- "dependents": 0,
- "dist_Volume": 0.1,
- "division_ID": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "groupSelfAdmin_Age": 0,
- "groupSelfAdmin_Dependents": 0,
- "groupSelfAdmin_Dist_Volume": 0.1,
- "groupSelfAdmin_Key": 0,
- "groupSelfAdmin_Members": 0,
- "groupSelfAdmin_Premium": 0.1,
- "groupSelfAdmin_Sex": "s",
- "groupSelfAdmin_Subscribers": 0,
- "groupSelfAdmin_Volume": 0.1,
- "group_ID": "string",
- "invoice_Key": 0,
- "members": 0,
- "plan_ID": "string",
- "premRate_Key": 0,
- "premium": 0.1,
- "premium_Received": 0.1,
- "sex": "s",
- "subscribers": 0,
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "volume": 0.1
}
]
}
List Invoice Detail that can have premimum applied based on payment information and applied payment category.
Success
Unauthorized
Create a new Premium Rate based on the selected Template Rate.
Success
Unauthorized
{- "group_ID": "string",
- "division_ID": "string",
- "premRate_Type": "string"
}
{- "data": {
- "premRate_Key": 0,
- "add_On_Grouping_ID": "string",
- "additional_Invoice_Address": "stri",
- "additional_Invoice_Frequency": "st",
- "additional_Invoice_Level": "string",
- "address_Type": "string",
- "adjustment_Reason": 0,
- "adult": true,
- "age_From": 0,
- "age_Thru": 0,
- "age_Type": "string",
- "age_Type_Month": "st",
- "assign_To_New_Division": true,
- "assign_To_New_Group": true,
- "assign_To_New_Member": true,
- "auto_Adjust": true,
- "auto_Adjust_Reason": 0,
- "avoid_Retro": true,
- "benefit_Code": "string",
- "billing_Cycle_ID": "st",
- "child": true,
- "city": "string",
- "class_Code": "string",
- "country_ID": "string",
- "county_Code": "string",
- "description": "string",
- "division_ID": "string",
- "effective_Date": "2019-08-24T14:15:22Z",
- "effective_Date_Type": "string",
- "employee_Employer_Contribution": "st",
- "employer_Contribution": 0.1,
- "employer_Contribution_Pct": true,
- "employer_Rate": 0.1,
- "employer_Rate_Max": 0.1,
- "employer_Rate_Minimum": 0.1,
- "employer_Rate_Type": "string",
- "employer_Rate_Variable1": 0.1,
- "employer_Rate_Variable2": 0.1,
- "employer_Rate_Variable3": 0.1,
- "employer_Round_Precision": 0,
- "employer_Round_Type": "string",
- "enrolled_Count_From": 0,
- "enrolled_Count_Thru": 0,
- "enrolled_Count_Type": "string",
- "enrolled_Duration_From": 0,
- "enrolled_Duration_Min": 0,
- "enrolled_Duration_Option": "string",
- "enrolled_Duration_Thru": 0,
- "enrolled_Duration_Type": "string",
- "entry_Date": "2019-08-24T14:15:22Z",
- "entry_User": "string",
- "group_Division_Offering": true,
- "group_ID": "string",
- "member_Seq": "st",
- "network_ID": "string",
- "network_Type": "string",
- "new_Hire_Age": true,
- "override_Enrolled_Dates": true,
- "parent_PremRate_Key": 0,
- "payment_Method": "string",
- "plan_ID": "string",
- "plan_Type": "string",
- "premRate_Basis": "string",
- "premRate_Category": "string",
- "premRate_ID": "string",
- "premRate_Type": "string",
- "premium_Proration": true,
- "rate": 0.1,
- "rate_Max": 0.1,
- "rate_Minimum": 0.1,
- "rate_Pace": "string",
- "rate_Pace_Type": "string",
- "rate_Round_Precision": 0,
- "rate_Round_Type": "string",
- "rate_Type": "string",
- "rate_Variable1": 0.1,
- "rate_Variable2": 0.1,
- "rate_Variable3": 0.1,
- "region_Code": "string",
- "relationship": "string",
- "sex": "s",
- "smoker": "s",
- "state": "st",
- "subscriber_ID": "string",
- "term_Date": "2019-08-24T14:15:22Z",
- "term_Date_type": "string",
- "tier": "st",
- "update_Date": "2019-08-24T14:15:22Z",
- "update_User": "string",
- "zip_Code_From": "string",
- "zip_Code_Thru": "string"
}, - "error": {
- "detail": "string",
- "instance": "string",
- "status": 0,
- "title": "string",
- "type": "string"
}, - "debug": {
- "activityID": "string"
}
}