API Documentation
Endpoints
- POSTEligibility Request
- GETEligibility Result
- GETEligibility Result Plan PDF
- GETEligibility Result V2Draft
- POSTEligibility Details Request
- POSTCreate Claim
- POSTCreate Patient
- GETList Patients
- GETPatient Details
- POSTPatient Eligibility Link
- GETList Patient Eligibility Links
- GETList Locations
- POSTStart Embedded Session
Get Eligibility Check v2
Copy
Ask AI
curl --request GET \
--url https://api.anagram.care/api/auth/v2/eligibility/{request_uid}/ \
--header 'Authorization: <api-key>'Copy
Ask AI
{
"request_uid": "f2edce8e783e4a42a50029a5ea0b0fe4",
"status": "complete",
"error_code": null,
"results": [
{
"insurer_code": "insurer:vision:vsp",
"id": 0,
"plan_is_active": true,
"status": "active",
"plan_name": "VSP Choice Plan",
"plan_group": "MAN GOFORG / WYMAN GORDON COMPANY",
"plan_group_id": "30057697-0001",
"plan_begin_date": "2023-02-01",
"plan_end_date": null,
"plan_refresh_date": null,
"persons": [
{
"first_name": "DAN L",
"last_name": "CAMPUS",
"dob": "1963-07-11",
"sex": "male",
"member_id": null,
"ssn_last_four": "1234",
"type": "self",
"address": {
"line1": "39 CAN ROAD",
"line2": null,
"city": "WALLER",
"zipcode": "77484-3862",
"state": "TX"
},
"email": null,
"phone": "8324579375",
"id": 0,
"full_name": "DAN L CAMPUS",
"is_active": null,
"plan": {
"insurer_state": "oon",
"begin_date": "2026-01-01",
"refresh_date": "2026-12-31",
"items": [
{
"benefit_code": "EXAM",
"comment": "Route eye exam with refraction",
"refresh_date": "2026-12-31",
"copayment": [
{
"flags": [
"inn"
],
"value": "10.0000"
},
{
"flags": [
"oon"
],
"value": "15.0000"
}
],
"allowance": [
{
"flags": [
"oon"
],
"value": "45.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
]
},
{
"benefit_code": "MATERIAL",
"refresh_date": "2026-12-31",
"items": [
{
"benefit_code": "GLASSES",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "25.0000"
}
],
"items": [
{
"benefit_code": "FRAME",
"allowance": [
{
"flags": [
"oon"
],
"value": "70.0000"
},
{
"flags": [
"inn"
],
"value": "130.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
],
"items": [
{
"benefit_code": "FRAME_TIER_1",
"flags": [
"inn"
],
"allowance": [
{
"value": "20.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
]
},
{
"benefit_code": "FRAME_TIER_2",
"flags": [
"inn"
],
"end_date": "2026-06-30",
"allowance": [
{
"value": "40.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
]
}
]
},
{
"benefit_code": "LENS",
"quantity": [
{
"value": 2
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
],
"items": [
{
"benefit_code": "LENS_ANY",
"flags": [
"inn",
"exclusive-use"
]
},
{
"benefit_code": "LENS_1F",
"flags": [
"oon",
"exclusive-use"
],
"allowance": [
{
"value": "50.0000"
}
]
},
{
"benefit_code": "LENS_2F",
"flags": [
"oon",
"exclusive-use"
],
"allowance": [
{
"value": "60.0000"
}
]
},
{
"benefit_code": "LENS_3F",
"flags": [
"oon",
"exclusive-use"
],
"allowance": [
{
"value": "70.0000"
}
]
},
{
"benefit_code": "LENS_MATERIAL",
"flags": [
"inn",
"requires-parent-use",
"required"
],
"items": [
{
"benefit_code": "LENS_MATERIAL_CR39",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "0.0000"
}
]
},
{
"benefit_code": "LENS_MATERIAL_POLYCORBANATE",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "30.0000"
}
]
},
{
"benefit_code": "LENS_MATERIAL_HI_INDEX",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "50.0000"
}
]
}
]
},
{
"benefit_code": "LENS_ADDON",
"flags": [
"inn",
"requires-parent-use"
],
"items": [
{
"benefit_code": "LENS_ADDON_SCRETCH_RESISTANCE",
"copayment": [
{
"value": "17.0000"
}
]
},
{
"benefit_code": "LENS_ADDON_ANTI_REFLECTIVE",
"copayment": [
{
"value": "41.0000"
}
]
}
]
}
]
}
]
},
{
"benefit_code": "CONTACT",
"flags": [
"exclusive-use"
],
"copayment": [
{
"flags": [
"oon"
],
"value": "0.0000"
}
],
"allowance": [
{
"flags": [
"oon"
],
"value": "110.0000"
}
],
"items": [
{
"benefit_code": "CONTACT_FIT",
"flags": [
"requires-parent-use"
],
"copayment": [
{
"flags": [
"inn"
],
"value": "60.0000"
}
]
},
{
"benefit_code": "CONTACT_LENS",
"flags": [
"required"
],
"copayment": [
{
"flags": [
"inn"
],
"value": "0.0000"
}
],
"allowance": [
{
"flags": [
"inn"
],
"value": "130.0000"
}
]
}
]
}
]
}
]
}
}
]
}
]
}Endpoints
Eligibility Result V2
Provides status and results of an eligibility check
GET
/
api
/
auth
/
v2
/
eligibility
/
{request_uid}
Get Eligibility Check v2
Copy
Ask AI
curl --request GET \
--url https://api.anagram.care/api/auth/v2/eligibility/{request_uid}/ \
--header 'Authorization: <api-key>'Copy
Ask AI
{
"request_uid": "f2edce8e783e4a42a50029a5ea0b0fe4",
"status": "complete",
"error_code": null,
"results": [
{
"insurer_code": "insurer:vision:vsp",
"id": 0,
"plan_is_active": true,
"status": "active",
"plan_name": "VSP Choice Plan",
"plan_group": "MAN GOFORG / WYMAN GORDON COMPANY",
"plan_group_id": "30057697-0001",
"plan_begin_date": "2023-02-01",
"plan_end_date": null,
"plan_refresh_date": null,
"persons": [
{
"first_name": "DAN L",
"last_name": "CAMPUS",
"dob": "1963-07-11",
"sex": "male",
"member_id": null,
"ssn_last_four": "1234",
"type": "self",
"address": {
"line1": "39 CAN ROAD",
"line2": null,
"city": "WALLER",
"zipcode": "77484-3862",
"state": "TX"
},
"email": null,
"phone": "8324579375",
"id": 0,
"full_name": "DAN L CAMPUS",
"is_active": null,
"plan": {
"insurer_state": "oon",
"begin_date": "2026-01-01",
"refresh_date": "2026-12-31",
"items": [
{
"benefit_code": "EXAM",
"comment": "Route eye exam with refraction",
"refresh_date": "2026-12-31",
"copayment": [
{
"flags": [
"inn"
],
"value": "10.0000"
},
{
"flags": [
"oon"
],
"value": "15.0000"
}
],
"allowance": [
{
"flags": [
"oon"
],
"value": "45.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
]
},
{
"benefit_code": "MATERIAL",
"refresh_date": "2026-12-31",
"items": [
{
"benefit_code": "GLASSES",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "25.0000"
}
],
"items": [
{
"benefit_code": "FRAME",
"allowance": [
{
"flags": [
"oon"
],
"value": "70.0000"
},
{
"flags": [
"inn"
],
"value": "130.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
],
"items": [
{
"benefit_code": "FRAME_TIER_1",
"flags": [
"inn"
],
"allowance": [
{
"value": "20.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
]
},
{
"benefit_code": "FRAME_TIER_2",
"flags": [
"inn"
],
"end_date": "2026-06-30",
"allowance": [
{
"value": "40.0000"
}
],
"quantity": [
{
"value": 1
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
]
}
]
},
{
"benefit_code": "LENS",
"quantity": [
{
"value": 2
}
],
"quantity_accepted": [
{
"value": 0
}
],
"quantity_reserved": [
{
"value": 0
}
],
"items": [
{
"benefit_code": "LENS_ANY",
"flags": [
"inn",
"exclusive-use"
]
},
{
"benefit_code": "LENS_1F",
"flags": [
"oon",
"exclusive-use"
],
"allowance": [
{
"value": "50.0000"
}
]
},
{
"benefit_code": "LENS_2F",
"flags": [
"oon",
"exclusive-use"
],
"allowance": [
{
"value": "60.0000"
}
]
},
{
"benefit_code": "LENS_3F",
"flags": [
"oon",
"exclusive-use"
],
"allowance": [
{
"value": "70.0000"
}
]
},
{
"benefit_code": "LENS_MATERIAL",
"flags": [
"inn",
"requires-parent-use",
"required"
],
"items": [
{
"benefit_code": "LENS_MATERIAL_CR39",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "0.0000"
}
]
},
{
"benefit_code": "LENS_MATERIAL_POLYCORBANATE",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "30.0000"
}
]
},
{
"benefit_code": "LENS_MATERIAL_HI_INDEX",
"flags": [
"exclusive-use"
],
"copayment": [
{
"value": "50.0000"
}
]
}
]
},
{
"benefit_code": "LENS_ADDON",
"flags": [
"inn",
"requires-parent-use"
],
"items": [
{
"benefit_code": "LENS_ADDON_SCRETCH_RESISTANCE",
"copayment": [
{
"value": "17.0000"
}
]
},
{
"benefit_code": "LENS_ADDON_ANTI_REFLECTIVE",
"copayment": [
{
"value": "41.0000"
}
]
}
]
}
]
}
]
},
{
"benefit_code": "CONTACT",
"flags": [
"exclusive-use"
],
"copayment": [
{
"flags": [
"oon"
],
"value": "0.0000"
}
],
"allowance": [
{
"flags": [
"oon"
],
"value": "110.0000"
}
],
"items": [
{
"benefit_code": "CONTACT_FIT",
"flags": [
"requires-parent-use"
],
"copayment": [
{
"flags": [
"inn"
],
"value": "60.0000"
}
]
},
{
"benefit_code": "CONTACT_LENS",
"flags": [
"required"
],
"copayment": [
{
"flags": [
"inn"
],
"value": "0.0000"
}
],
"allowance": [
{
"flags": [
"inn"
],
"value": "130.0000"
}
]
}
]
}
]
}
]
}
}
]
}
]
}The V2 endpoint expands on V1 by returning comprehensive in-network benefit details, including coinsurance, allowances, and additional coverage information.
Flags
Benefits and benefit properties might be context-dependent, which is indicated by flags. When flags are not specified, the benefit or property is always applicable. Child benefits inherit the flag-dependent properties of parent benefits.inn— benefit or property is applicable only in-networkoon— benefit or property is applicable only out-of-networkexclusive-use— only one benefit of the same level can be used per policy yearrequired— benefit is required to be used for the parent benefit to kick inrequires-parent-use— benefit can be used if the parent benefit is already used
Authorizations
Your API token prefaced with an "Api" prefix. Example value: "Api B3F4242424E3FDB4242424242A9C7642"
Path Parameters
⌘I
Assistant
Responses are generated using AI and may contain mistakes.