APIs for VBASoftware
Plan Pre-existing Coverages
API Reference
Accounting
Check Batches
Check Details
Check Edit Details
Check Edit Headers
Check Edits
Check Statuses
Check Types
Checks
Funding
Funding Account
Funding Account Category
Funding Account Signatures
Funding Account Type
Funding Deposits
Funding Indicators
Funding Issue Types
Funding Reconciliation Disbursements
Funding Reconciliation On Statements
Funding Reconciliation Statuses
Funding Reconciliations
Funding Reconciliations Received
Funding References
Funding Request Claim Remove
Funding Request Claims
Funding Request Statuses
Funding Request Types
Funding Requests
Funding Statement Formats
Funding Statuses
Funding Types
Payor Account Notifications
Payor Account Signatures
Payor Accounts
PremInvoiceList
Signatures
Change Data Capture
Client Config
Company Data
Criteria
EDI Code Mappings
Feedback
IPWhitelists
Job Execution Metadata
Job Executions
Job Types
Jobs
State Surcharge Basis
VBAInterface ID Codes
VBAInterface Map Types
VBAInterface Statuses
VBAInterface Types
VBAInterface Vendors
VBAInterfaces
Adv. Accounting
Adv. Auth
Adv. Benefits
Adv. Billing
Adv. Capitation
Adv. Care Management
Adv. Claim
Adv. Commission
Adv. Enrollment
Adv. FeeSchedule
Adv. Grievance
Adv. Group Contracts
Adv. Group Divisions
Adv. Groups
Adv. Reinsurance
Adv. VBAGateway
Adv. Workflow
Auth
Auth Action
Auth Code
Auth Diagnostic Codes
Auth Max Calc
Auth Procedure Codes
Auth Reference
Auth Review
Auth Review Level
Auth Review Severity
Auth Review Status
Auth Review Type
Auth Review Urgency Type
Auth Type Places
Auth Types
Benefit Categories
Benefit Diagnostic Codes
Benefit Places
Benefit Procedures
Benefit Provider Types
Benefit Specialties
Benefits
Disability Event Case Changes
Disability Event Deduction Changes
Disability Event Field Changes
Disability Event Fields
Disability Event Groups
Issue Duration Value Detail
Issue Duration Values
Plan Accumulator Benefits
Plan Accumulators
Plan Auth Penalties
Plan Auth Penalty Benefits
Plan Benefit Cascades
Plan Benefit Clusters
Plan Benefit Diagnosis Ex Codes
Plan Benefit Diagnostic Codes
Plan Benefit Levels
Plan Benefit Maximums
Plan Benefit Modifier Ex Codes
Plan Benefit PBM Co-Pays
Plan Benefit Place Authorizations
Plan Benefit Place Co-Insurance
Plan Benefit Place Co-Pays
Plan Benefit Place Ex Codes
Plan Benefit Places
Plan Benefit Procedure Ex Codes
Plan Benefit Procedure Maximums
Plan Benefit Procedures
Plan Benefit Provider Types
Plan Benefit Rates
Plan Benefit Specialties
Plan Benefit Tooth Maximums
Plan Benefits
Plan Coordination
Plan Dependency
Plan Dependency Benefit
Plan Diagnosis Age Restrictions
Plan Disability Limits
Plan Display Types
Plan Displays
Plan Lineage Details
Plan Lineages
Plan Maximums
Plan Modifiers
Plan Place Auth
Plan Place Auth Benefit
Plan Procedure Age Restriction Modifiers
Plan Procedure Age Restrictions
Plan Relationship Age Restrictions
Plan Types
Plans
Billing
Billing Basis
Group Bill Cycle Payment Methods
Invoice Reasons
Payment Methods
Prem Rate Types
PremInvoice
Premium Distributions
Premium Invoice Adjustments
Premium Invoice Adjustments Received
Premium Invoice Payments
Premium Invoice Subscriber Details
Premium Invoice Subscribers
Premium Invoices
Premium Invoices Received
Premium Invoices Self-Admin
Premium Invoices Self-Admin Received
Premium Past Due Group Triggers
Premium Past Due Subscriber Triggers
Premium Past Due Triggers
Premium Payment File Formats
Premium Payment Types
Premium Payments
Premium Payments On Accounts
Premium Payments on Subscribers
Premium Rate Add-Ons
Premium Rate Age Types
Premium Rate Basis
Premium Rate Categories
Premium Rate Distribution Types
Premium Rate Excludes
Premium Rate Members
Premium Rate Min/Max
Premium Rate Min/Max Details
Premium Rate Pace Types
Premium Rate Paces
Premium Rate Payees
Premium Rate Zipcodes
Premium Rates
Call Destinations
Call Statuses
Call Tracking Subscribers
Call Trackings
Call Types
Caller Types
CallTrackingDiagCodes
CallTrackingProcCodes
Capitation Adjustment Reasons
Capitation Adjustment Types
Capitation Adjustments
Capitation Categories
Capitation Category Types
Capitation Plan Rates
Capitation Service Plans
Capitation Service Tax IDs
Capitation Services
Capitation Transactions
Capitation Types
Capitations
Care Case Actions
Care Case Add
Care Case Authorizations
Care Case Clinical Fact Categories
Care Case Clinical Fact Category Types
Care Case Clinical Facts
Care Case Clinical Trial Arms
Care Case Clinical Trial Reasons
Care Case Clinical Trial Study Phases
Care Case Clinical Trials
Care Case Compliances
Care Case Concordances
Care Case Details
Care Case Diagnoses
Care Case Eligibility Statuses
Care Case Emetic Risks
Care Case Intake Secondary Types
Care Case Intake Types
Care Case Intakes
Care Case Intents
Care Case Log Entry Types
Care Case Lots
Care Case Medications
Care Case Members
Care Case Neutropenic Risks
Care Case Providers
Care Case Savings
Care Case Savings Secondary Types
Care Case Savings Types
Care Case Stages
Care Case Treatment Types
Care Case Treatments
Care Case Work Log Savings Types
Care Case Work Log Secondary Log Types
Care Case Work Log Types
Care Case Work Logs
Care Cases
Care Manager Care Plans
Care Manager Care Types
Care Manager Cases
Care Manager Mappings
Care Manager Types
Care Managers
Care Plan Categories
Care Plan Custom Values
Care Plan Details
Care Plan Rule Criterias
Care Plan Rule Details
Care Plan Rules
Care Plan Score Details
Care Plan Scores
Care Plans
Care Types
Care Unit Managers
Care Units
Case Attachment Types
Case Attachments
Case Close Reasons
Case Head Types
Case Heads
Case Medical Concordance Levels
Case Priorities
Case Reasons
Case Status Reasons
Case Statuses
VBAssist
Auth Actions
Claim Adjudication
Claim Anesthesia Modifier Units
Claim Anesthesia Place Code Units
Claim Anesthesia Procedure Code Units
Claim Audit Appeal Reasons
Claim Audit Appeal Results
Claim Audit Clauses
Claim Audit Detail Results
Claim Audit Details
Claim Audit Results
Claim Audit Statuses
Claim Audits
Claim Batch
Claim Batch Detail Benefits
Claim Batch Details
Claim Batch Life Benefits
Claim Batch Logs
Claim Batch Plans
Claim Batch References
Claim Batch Types
Claim Batches
Claim Batches Statuses
Claim Coding Rule Types
Claim Coding Rules
Claim Condition Codes
Claim Custom Ex Code Rules
Claim Deduction Types
Claim Detail Deductions
Claim Detail Ex Codes
Claim Details
Claim Disabilities
Claim Disability Deductions
Claim Ex Codes
Claim Funded Statuses
Claim Invoice
Claim Invoice Adjustment Reasons
Claim Invoice Adjustment Received
Claim Invoice Adjustments
Claim Invoice Details
Claim Invoice Payments
Claim Invoice Received
Claim Lives
Claim Occurrence Codes
Claim Offset
Claim Offset Detail
Claim Payments
Claim PreBatch Details
Claim PreBatches
Claim Prompt Pays
Claim Queue Details
Claim Queue Logs
Claim Queue Notify User Groups
Claim Queue Notify Users
Claim Queue Priorities
Claim Queue Process Tracking
Claim Queue Processors
Claim Queue Results
Claim Queue Schedule Notify User Groups
Claim Queue Schedule Notify Users
Claim Queue Schedules
Claim Queue Statuses
Claim Queues
Claim Reprice Remove
Claim Rule Dependents
Claim Rule Procedures
Claim Rule Provider Types
Claim Rule Set Details
Claim Rule Set Headers
Claim Rule Types
Claim Rules
Claim Statuses
Claim Transactions
Claim Value Codes
Claims
Duplicate Columns
Duplicate Master Sets
Duplicate Masters
Duplicate Set Columns
Duplicate Sets
EDICustomFields
EDICustomFieldValueClaims
EOB
Error Category
Error Category Types
Error Severity
Error Type
Events
Flex Claim Details
Flex Claim Services
Flex Claims
Members
Premium Claim
Reviewed Status
Suspense Claims
Suspense Criterias
Suspense Types
Commission Activity
Commission Activity Parameters
Commission Adjustment Reasons
Commission Adjustment Types
Commission Adjustments
Commission Agencies
Commission Agency Rep Rates
Commission Agency Reps
Commission Agency Types
Commission Appointment Types
Commission Basis
Commission Categories
Commission Cycles
Commission License Types
Commission Rate Cluster Agency Rep
Commission Rate Cluster Rates
Commission Rate Clusters
Commission Rate Subscribers
Commission Rates
Commission Rep Accounts
Commission Rep Appointments
Commission Rep Groups
Commission Rep Licenses
Commission Rep Subscribers
Commission Rep Types
Commission Reps
Commission Transactions
Commissions
Unassigned Commission Adjustments
Admission Type Places
Age Settings
Agriculture Tax Returns
Amount Details
APC Codes
APC Weights
Armor Code ExCode
Bill Type Places
Bill Types
Billing Cycles
Brokerage
Claim Queue Types
Claim Types
CLIA Certificate
CLIA Certificate Procedure Codes
COB Types
College Types
Colleges
Communication Methods
Contact Assignments
Contact Categories
Contact Emails
Contact Mappings
Contact Phone
Contact Statuses
Contacts
Context4 Lists
Context4Health Cost Containment CaseIndex
Context4Health Cost Containment Category
Context4Health Cost Containment Default Action
Context4Health Cost Containment Errors
Context4Health Cost Containment Ex Codes
Context4Health Cost Containment Message Types
Context4Health Cost Containment Option Pricing
Context4Health Cost Containment Options
Cost Contain Zelis ExCodes
Country
Country Dialing Codes
County
Coverage Types
Criteria
Criteria Columns
Currency
Data Types
Day Intervals
Diagnostic Code Groups
Diagnostic Code Types
Diagnostic Codes
Disability Options
Disaster Locations
Disasters
DRG Cluster
DRG Cluster Detail
DRG Codes
DRG Schedule
DRG Weight
Drug Code Units
Drug Codes
Eligibility Status
Employer Contribution Schedule Types
Employer Sizes
Ethnicity Codes
Event Priority Levels
Event Status Types
Ex Code Result Types
Expense Types
Explaination Code Categories
Explanation Codes
External ID
Filter Types
Filters
Flex Types
Forfeiture Statuses
Frequency Intervals
Gender
Group Codes
HIPAA Adjustment Codes
HIPAA Benefit Codes
HIPAA Claim Status Category Codes
HIPAA Claim Status Codes
HIPAA Plan Types
HIPAA Reasons
HIPAA Relationships
HIPAA Remittance Codes
HIPAA Tiers
ID Code Types
ID Code Values
ID Types
Image
Insurance Carrier Types
Insurance Carriers
Insurance Priorities
Insurance Types
Interface Types
Invoice Status
Invoice Types
Language Skill Levels
Languages
Life Options
Local Taxes
Logging
LogType
Marital Statuses
Modifiers
Network Modifiers
Network Practice Types
Network Procedure Clusters
Network Profile Assignments
Network Profile Networks
Network Profiles
Network Types
Networks
Objects
Occupations
PatientStatus
Pay Frequency
Payee Accounts
Payees
Payor
Payor Filters
Payor Reports
PBM Types
Places of Service
Policy Forfeiture Ext
Policy Forfeiture Ext Details
Policy Statuses
Procedure Categories
Procedure Cluster Details
Procedure Clusters
Procedure Code Qualifiers
Procedure Code Sets
Procedure Codes
Procedure Groups
Process Logging
Process Parameters
Processes
Provider Types
Reasons
Relationships
Rounding Precision
Rounding Types
Search Config
Search Criteria
Search Operators
Search Request
Send To
Sex Codes
Specialty
State Interest
State Procedure Code Taxes
State Surcharge
States
Suffix
Tax Filing Status
Taxonomy
Taxonomy Group Details
Taxonomy Group Types
Taxonomy Groups
Tiers
Timely Filing
Tooth
Tooth Actions
Tooth Chart Types
Tooth Charts
Tooth Procedures
Tooth Quadrants
Transplant Types
Treatment Types
UC Network
Unit Type Conversions
Unit Types
VBA Plan Types
Visium Code ExCode
Visium Network
Visium Policy
Visium Setting
Volume Types
Yes No List
Zelis Cost Containment Claim Detail Repricing
Zelis Cost Containment Claim Repricing
Zelis Cost Containment Edit Codes
Zelis Cost Containment EOB Codes
Zelis Cost Containment Polls
ZipCodes
Credentialing Amounts
Credentialing Attestation Methods
Credentialing Attestation Questions
Credentialing Attestation Sources
Credentialing Attestation Types
Credentialing Carriers
Credentialing Certifications
Credentialing Confidentials
Credentialing Contracts
Credentialing Dates
Credentialing Education Types
Credentialing License Types
Credentialing Options
Credentialing Practice Categories
Credentialing Practice Category Types
Credentialing Quality
Credentialing Services
Credentialing Statuses
Credentialing Techniques
Credentialing Terminations
Credentialing Types
Provider Credentialing
Provider Credentialing Amounts
Provider Credentialing Attestations
Provider Credentialing Certifications
Provider Credentialing Confidentials
Provider Credentialing Contracts
Provider Credentialing Counties
Provider Credentialing Dates
Provider Credentialing Education
Provider Credentialing Hours
Provider Credentialing Hyperlinks
Provider Credentialing Licenses
Provider Credentialing Malpractice
Provider Credentialing Options
Provider Credentialing Practice Offices
Provider Credentialing Practices
Provider Credentialing Quality
Provider Credentialing Services
Provider Credentialing Techniques
Provider Credentialing Terminations
Disenroll Log
Disenroll Log Rates
Enrollment Accumulators
Enrollment Waiting Period Subscribers
Enrollment Waiting Periods
Member Account Plan Payments
Member Account Plans
Member Accounts
Member Accum
Member Address
Member Address History
Member Alternate Payee
Member Alternate Payee Plan
Member Beneficiary
Member Beneficiary Plans
Member Care Alerts
Member Case Heads
Member Classes
Member COB Savings
Member Colleges
Member Eligibility Status
Member Enrollment Plan Rider
Member Enrollment Plans
Member ID Card Request Types
Member ID Card Requests
Member ID Cards Printed
Member Insurance
Member Languages
Member Medicare Reponsibility
Member Networks
Member Occupations
Member Payments
Member Plan Years
Member Pre-existing Diagnostic Codes
Member PreEx Disclosed Diags
Member Prior Accumulators
Member Provider Alternates
Member Providers
Member Taxes
Member Tooth
Member Tooth Ex Codes
Member VBA Plan Type IDs
Members
Subscriber Accumulators
Subscriber Enrollment Plan Riders
Subscriber Enrollment Plans
Subscriber Enrollments
Subscriber Flex
Subscriber Flex Exports
Subscriber Flex Payments
Subscriber ID Code History
Subscriber ID Codes
Subscriber Payment Methods
Subscriber Plan Policies
Subscriber Plan Policy Forfeitures
Subscriber Plan Policy Statuses
Subscriber Premium Rate Splits
Subscriber Prior Accumulators
Subscriber Sponsors
Subscriber Waive Premiums
Subscriber Writing Agents
Subscribers
Waiting Period Types
Event Args
Event Schedules
Events
Fee Schedule Anesthesias
Fee Schedule Details
Fee Schedule Effective Dates
Fee Schedule Modifier Discounts
Fee Schedule Modifier Excludes
Fee Schedule Procedure Group Adjustments
Fee Schedule Provider Type Discounts
Fee Schedules
Grievance Admin Change Types
Grievance Categories
Grievance Issue Types
Grievance Resolution Types
Grievance Statuses
Grievance Types
Grievances
Classes
Contribution Schedules
Flex Issuance Types
Flex Vendor Card Status
Flex Vendor Purse Status
Flex Vendors
Group Account Periods
Group Account Reports
Group ACH Pulls
Group Advice to Pay
Group Calculate Interest Network Options
Group Calculate Interest Options
Group Classes
Group Company Data Ex-Code Overrides
Group Contract Network Types
Group Contract Plan Premiums
Group Contract Plan Rider External IDs
Group Contract Plan Riders
Group Contract Plans
Group Contract Tiers
Group Contracts
Group Coverage Calculations
Group Day Interval
Group Disenroll Affected Claims
Group Division Captives
Group Division Cobras
Group Division Deduction Types
Group Division ID Codes
Group Divisions
Group End Coverage Age Types
Group Ex-Code Criterias
Group Flex Auto-Create
Group Flex Schedules
Group Flexes
Group IRS 1094C
Group IRS 1095B
Group Multiplier Options
Group Network Add-Ons
Group Network Criteria Columns
Group Network Criterias
Group Networks
Group Participation Incentives
Group Pay Through Day Options
Group Payor Account Benefits
Group Payor Account Networks
Group Payor Account Pay To
Group Payor Account Plan Types
Group Payor Account Provider Federal IDs
Group Payor Account Senders
Group Payor Account Settings
Group Plan Prior Accum Auto Generators
Group Plan Years
Group Premium Rate Categories
Group Price Adjustments
Group Self Admin Settings
Group Start Date Rules
Group State Surcharge
Group Student Age Settings
Group Subscriber Reimbursements
Group Tax Day Limit Types
Group Term Rules
Group UC Percent Claim Types
Group UC Percent Criterias
Group UC Percent Settings
Group VBA Plan Types
Group Volumes
Groups
ID Card Record Statuses
ID Card Request Statuses
Invoice Levels
MessageAttachment
Payment Schedules
Reimburse Schedules
Tolerances
VBAGateway Messaging
Zelis Redcard
Note Attachments
Note Categories
Note Category Types
Note Data
Note Priorities
Note References
Note Sources
Note Types
Process Automation
Provider CLIA Certificates
APC Schedules
Provider
Provider Account
Provider Affiliation
Provider Alternate
Provider APC
Provider Auth Exempt Procedures
Provider Benefit Admin Fees
Provider DRG
Provider Languages
Provider Network
Provider Network Modifier
Provider Payees
Provider Per Diem
Provider Per Diem Procedure
Provider Practice Types
Provider Profile
Provider Rate Adjustments
Provider Rate Column
Provider Rate Criteria
Provider Rate Types
Provider Rates
Provider Roles
Provider Specialty
Provider Suffix
Provider Taxonomy
Provider Withholds
Reinsurance Accumulators
Reinsurance Aggregating Specific Members
Reinsurance Conditional Specific
Reinsurance Conditional Specific Detail
Reinsurance Contract Criteria Details
Reinsurance Contract Criterias
Reinsurance Contract Cycles
Reinsurance Contract Factor Criterias
Reinsurance Contract Factors
Reinsurance Contract Levels
Reinsurance Contract Status
Reinsurance Contract Templates
Reinsurance Contract Transaction Claim Details
Reinsurance Contract Transaction Claim Statuses
Reinsurance Contract Transaction Claims
Reinsurance Contract Transaction Reimbursements
Reinsurance Contract Transaction Statuses
Reinsurance Contract Transactions
Reinsurance Contract Types
Reinsurance Contracts
Reinsurance Domestic Claims Criteria
Reinsurance Member Specific Deductibles
Reinsurance Notify User Groups
Reinsurance Notify Users
Reinsurance Options
Report Categories
Report Definitions
Report Queue Detail Arguments
Report Queue Details
Report Queue Logs
Report Queue Schedules
Report Queues
Report Request Invoice
Report Request Invoice Detail
Report Series
Report Series Process Arguments
Report Series Process Templates
Report Series Processes
Report Series Step Args
Report Series Steps
Report Series Tracking Args
Report Static Lists
Report Tracking
Report Tracking Priorities
Report Tracking Received Statuses
Report Tracking Sent Statuses
Report Tracking Sent To
Report Tracking Statuses
Security Area Objects
Security Area Overrides
Security Area Reports
Security Area User Groups
Security Area Users
Security Areas
Security Field Set Details
Security Field Sets
Security Field User Groups
Security Field Users
Security Fields
Security Group Division User Groups
Security Group Division Users
Security Levels
Security User Limit Member Claim Data
Security User Restrictions
User Field Security
Support
Authentication
Multi-Factor Auth
Password Policy
User
User Account
User Amount
User Amount Procedure
User Experience
User Group Mappings
User Groups
User LogTypes
User Note Access
UserAmount
UserStatus
VBAGateway Subscription
VBAGateway Subscription Detail
VBA Reports
VBAReporting
Workflow Details
Workflow Task Options
Workflow Task Users
Workflow Tasks
Workflow Type Task Options
Workflow Types
Workflow Users
Workflows
VBASoftware (v1)
Download OpenAPI description
Languages
Servers
VBAPI VBASoftware
https://vbapi.vbasoftware.com/vbasoftware/
Bodyrequired
- application/json
- text/json
- application/*+json
Coverage type, based on enrollment, that will be applied by the pre-existing condition.
Holds the value of the lower bound of a range defined for disclosed pre-existing entry.
Amount allowed before a pend/deny on a pre-ex claim detail line, use in conjunction with Disclosed_Ex_Code.
Defines the type of range used with the bounds of the disclosed range. D = Days, M = Months.
Holds the value of the upper bound of a range defined for disclosed pre-existing entry.
Beginning of the duration range that the pre-existing Conditon will apply to.
Dollar amount that will be applied by the pre-existing condition before pending or denying claims.
Unit of time used to measure the pre-existing Condition duration. Limited to units of either months or days.
End of the duration range that the pre-existing Conditon will apply to.
- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/plans/{planID}/pre-existing-coverages
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X POST \
'https://vbapi.vbasoftware.com/vbasoftware/plans/{planID}/pre-existing-coverages' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'Content-Type: application/json' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE' \
-d '{
"plan_ID": "string",
"coverage_Type": "string",
"disclosed_Ex_Code": "string",
"disclosed_From_Range": 0,
"disclosed_Pre_Ex_Amount": 0.1,
"disclosed_Range_Type": "string",
"disclosed_Thru_Range": 0,
"entry_Date": "2019-08-24T14:15:22Z",
"entry_User": "string",
"ex_Code": "string",
"from_Range": 0,
"pre_Ex_Amount": 0.1,
"range_Type": "string",
"thru_Range": 0,
"update_Date": "2019-08-24T14:15:22Z",
"update_User": "string"
}'Response
No response example- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/plans/{planID}/pre-existing-coverages
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X GET \
'https://vbapi.vbasoftware.com/vbasoftware/plans/{planID}/pre-existing-coverages' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE'Response
No response example- VBAPI VBASoftwarehttps://vbapi.vbasoftware.com/vbasoftware/plans/{planID}/pre-existing-coverages/{coverageType}
- curl
- JavaScript
- Node.js
- Python
- Java
- C#
- PHP
- Go
- Ruby
- R
- Payload
curl -i -X GET \
'https://vbapi.vbasoftware.com/vbasoftware/plans/{planID}/pre-existing-coverages/{coverageType}' \
-H 'Authorization: Bearer <YOUR_JWT_HERE>' \
-H 'vbasoftware-database: string' \
-H 'x-api-key: YOUR_API_KEY_HERE'Response
No response example