plans

Find a health plan

Employer / insurer / plan name / EIN / marketplace plan id → plans, with the plan_id used by rates and claims.

Workflows

Workflow estimate-visit-cost, step 1/4 resolve-plan: Estimate what a visit will cost a person before care, under their plan, at a specific place.

  • Purpose: Resolves the person's plan; one employer can map to several insurers, and the ID card names the one that applies.
  • Next: find_providers

Workflow check-a-bill, step 1/3 resolve-plan: Check whether a received bill or EOB matches the plan's published negotiated prices.

  • Next: find_providers

Workflow compare-places, step 1/3 resolve-plan: Compare what the plan pays different nearby providers for the same service.

  • Next: find_codes
get/v1/plans

Request

  • Base URL: https://api.ticexplorer.com
  • URL: https://api.ticexplorer.com/v1/plans
  • Auth: HTTP bearer

Query parameters

qstring required

Employer, insurer, plan name, EIN or HIOS id

Example:microsoft premera
zipstring nullable

Member ZIP (ranks plans in that state first)

limitinteger
cursorinteger

Response

Successful Response

next_cursorinteger nullable
next_stepsstring[]

Changes

No recorded changes to this operation across all 1 revision of this API.