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Health Plan Benefits API

Our Benefits API returns 50+ plan benefit elements to power plan presentation on BenAdmins, digital health platforms, and other health insurance applications.

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Key Attributes

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50+ Plan Benefit Elements

Deductibles, MOOPs, cost share with tiers, actuarial values, plan type and year, metal levels, HSA eligible flags, and more.

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Normalized Benefit Presentation

We developed a Bakus-Naur Form (BNF) context-free grammar to apply to all benefit presentations. This allows for consistent presentation of benefits across carriers and easy parsing of benefit designs.

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Anatomized Asset Links

We provide anonymized links to SBCs and carrier logos hosted on our CDN.

API Calls and Responses

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API Calls

  • Plan ID
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API Returns

  • Plan benefits
  • Asset links
  • Network and formulary mapping

Use Cases

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BenAdmin, HCM and HRIS

Reduce on-boarding friction. Dynamically populate normalized plan benefits within your BenAdmin without manually keying benefit data.

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Digital Health

Enable your digital health service from telemedicine to concierge and health plan utilization apps.

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Enrollment

Enable individuals to see the benefits of the plan(s) in which they are enrolling by dynamically populating normalized plan attributes.

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