GET api/Member/GetBenefits?TargetEntity={TargetEntity}&MemberID={MemberID}&HICNumber={HICNumber}&DateOfService={DateOfService}&CompanyID={CompanyID}

Request Information

URI Parameters

Name	Type	Additional information
TargetEntity	TargetEntity	None.
MemberID	string	None.
HICNumber	string	None.
DateOfService	date	Required
CompanyID	Company	None.

Body Parameters

None.

Request Formats

text/json, application/json

Sample:

Request sample for request 

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{
  "TargetEntity": 0,
  "MemberID": "sample string 1",
  "HICNumber": "sample string 2",
  "DateOfService": "2026-06-03T09:19:53.6148095-07:00",
  "CompanyID": 0
}

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text/xml, application/xml

Sample:

Request sample for request 

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<BenefitRequestDTO xmlns="http://schemas.datacontract.org/2004/07/AHC.WebServices.WebAPI.DTOs" xmlns:i="http://www.w3.org/2001/XMLSchema-instance">
  <CompanyID>None</CompanyID>
  <DateOfService>2026-06-03T09:19:53.6304344-07:00</DateOfService>
  <HICNumber>sample string 2</HICNumber>
  <MemberID>sample string 1</MemberID>
  <TargetEntity>None</TargetEntity>
</BenefitRequestDTO>

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Response Information

Resource Description

IHttpActionResult

None.

Response Formats

text/json, application/json

Sample:


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{
  "MemberPersonalInfo": {
    "DateOfBirth": "sample string 1",
    "Sex": "sample string 2",
    "ID": "sample string 3",
    "GenderSelfIdentificationCode": "sample string 4",
    "FirstName": "sample string 5",
    "LastName": "sample string 6",
    "MI": "sample string 7",
    "Suffix": "sample string 8",
    "Prefix": "sample string 9",
    "Ethnicity": [
      {
        "Label": "sample string 1",
        "Value": "sample string 2"
      },
      {
        "Label": "sample string 1",
        "Value": "sample string 2"
      }
    ],
    "Race": [
      {
        "Label": "sample string 1",
        "Value": "sample string 2"
      },
      {
        "Label": "sample string 1",
        "Value": "sample string 2"
      }
    ]
  },
  "EffectiveDate": "2026-06-03T09:19:53.7204493-07:00",
  "TermDate": "2026-06-03T09:19:53.7204493-07:00",
  "PlanDetails": {
    "PBP": "sample string 1",
    "ContractCode": "sample string 2",
    "SupplementalBuyup": true,
    "SupplementalEffectiveDate": "2026-06-03T09:19:53.7204493-07:00",
    "SupplementalEndDate": "2026-06-03T09:19:53.7204493-07:00",
    "PBPDesc": "sample string 4"
  },
  "OPT": "sample string 1",
  "OPTDesc": "sample string 2",
  "County": "sample string 3",
  "IPA": {
    "Code": "sample string 1",
    "Description": "sample string 2",
    "Phone": "sample string 3"
  },
  "PCP": {
    "Id": "sample string 1",
    "Name": "sample string 2",
    "EffectivePeriod": "sample string 3"
  },
  "MemberAccumulator": {
    "HIC": "sample string 1",
    "MedicalOOP": "sample string 2",
    "InNtwkCopayAmt": "sample string 3",
    "InNtwkCoInsuranceAmt": "sample string 4",
    "InNtwkDeductibleAmt": "sample string 5",
    "OutNtwkCopayAmt": "sample string 6",
    "OutNtwkCoInsuranceAmt": "sample string 7",
    "OutNtwkDeductibleAmt": "sample string 8",
    "InNetworkMedicalOOP": "sample string 9",
    "OutNetworkMedicalOOP": "sample string 10",
    "CombinedCopayAmt": "sample string 11",
    "CombinedCoInsuranceAmt": "sample string 12",
    "CombinedDeductibleAmt": "sample string 13",
    "CombinedOOP": "sample string 14"
  },
  "Benefits": [
    {
      "Name": "sample string 1",
      "Description": "sample string 2",
      "Attributes": "sample string 3"
    },
    {
      "Name": "sample string 1",
      "Description": "sample string 2",
      "Attributes": "sample string 3"
    }
  ],
  "HICNumber": "sample string 4",
  "MedicareId": "sample string 5",
  "QMBStatus": "sample string 6",
  "COBInsuranceInfo": {
    "InsurerName": "sample string 1",
    "InsurerType": "sample string 2",
    "Address": "sample string 3",
    "PhoneNo": "sample string 4",
    "PolicyNo": "sample string 5",
    "COBStatus": "sample string 6",
    "COBEffectiveDate": "2026-06-03T09:19:53.7204493-07:00",
    "COBTermDate": "2026-06-03T09:19:53.7204493-07:00",
    "EffDtofOtherDrugCoverage": "2026-06-03T09:19:53.7204493-07:00"
  },
  "MediCal": "sample string 7",
  "MedicaidEffectiveDate": "2026-06-03T09:19:53.7204493-07:00",
  "MedicaidEndDate": "2026-06-03T09:19:53.7204493-07:00",
  "MedicaidLevel": "sample string 8",
  "ShareOfCost": "sample string 9",
  "ConfirmationNumber": "sample string 10",
  "Notes": "sample string 11",
  "ProcessingStatusList": [
    {
      "StatusCode": "sample string 1",
      "StatusDescription": "sample string 2"
    },
    {
      "StatusCode": "sample string 1",
      "StatusDescription": "sample string 2"
    }
  ]
}

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text/xml, application/xml

Sample:


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<BenefitResponseDTO xmlns="http://schemas.datacontract.org/2004/07/AHC.WebServices.WebAPI.DTOs" xmlns:i="http://www.w3.org/2001/XMLSchema-instance">
  <ProcessingStatusList xmlns="http://schemas.datacontract.org/2004/07/AHC.Core.Web.DTOs" xmlns:a="http://schemas.datacontract.org/2004/07/AHC.Core">
    <a:ProcessingStatus>
      <a:StatusCode>sample string 1</a:StatusCode>
      <a:StatusDescription>sample string 2</a:StatusDescription>
    </a:ProcessingStatus>
    <a:ProcessingStatus>
      <a:StatusCode>sample string 1</a:StatusCode>
      <a:StatusDescription>sample string 2</a:StatusDescription>
    </a:ProcessingStatus>
  </ProcessingStatusList>
  <ConfirmationNumber xmlns="http://schemas.datacontract.org/2004/07/AHC.Core.Web.DTOs">sample string 10</ConfirmationNumber>
  <EstimatedFulfillmentDate xmlns="http://schemas.datacontract.org/2004/07/AHC.Core.Web.DTOs">2026-06-03T09:19:53.7204493-07:00</EstimatedFulfillmentDate>
  <Notes xmlns="http://schemas.datacontract.org/2004/07/AHC.Core.Web.DTOs">sample string 11</Notes>
  <Benefits>
    <Benefit>
      <Attributes>sample string 3</Attributes>
      <Description>sample string 2</Description>
      <Name>sample string 1</Name>
    </Benefit>
    <Benefit>
      <Attributes>sample string 3</Attributes>
      <Description>sample string 2</Description>
      <Name>sample string 1</Name>
    </Benefit>
  </Benefits>
  <COBInsuranceInfo>
    <Address>sample string 3</Address>
    <COBEffectiveDate>2026-06-03T09:19:53.7204493-07:00</COBEffectiveDate>
    <COBStatus>sample string 6</COBStatus>
    <COBTermDate>2026-06-03T09:19:53.7204493-07:00</COBTermDate>
    <EffDtofOtherDrugCoverage>2026-06-03T09:19:53.7204493-07:00</EffDtofOtherDrugCoverage>
    <InsurerName>sample string 1</InsurerName>
    <InsurerType>sample string 2</InsurerType>
    <PhoneNo>sample string 4</PhoneNo>
    <PolicyNo>sample string 5</PolicyNo>
  </COBInsuranceInfo>
  <County>sample string 3</County>
  <EffectiveDate>2026-06-03T09:19:53.7204493-07:00</EffectiveDate>
  <HICNumber>sample string 4</HICNumber>
  <IPA>
    <Code>sample string 1</Code>
    <Description>sample string 2</Description>
    <Phone>sample string 3</Phone>
  </IPA>
  <MediCal>sample string 7</MediCal>
  <MedicaidEffectiveDate>2026-06-03T09:19:53.7204493-07:00</MedicaidEffectiveDate>
  <MedicaidEndDate>2026-06-03T09:19:53.7204493-07:00</MedicaidEndDate>
  <MedicaidLevel>sample string 8</MedicaidLevel>
  <MedicareId>sample string 5</MedicareId>
  <MemberAccumulator>
    <CombinedCoInsuranceAmt>sample string 12</CombinedCoInsuranceAmt>
    <CombinedCopayAmt>sample string 11</CombinedCopayAmt>
    <CombinedDeductibleAmt>sample string 13</CombinedDeductibleAmt>
    <CombinedOOP>sample string 14</CombinedOOP>
    <HIC>sample string 1</HIC>
    <InNetworkMedicalOOP>sample string 9</InNetworkMedicalOOP>
    <InNtwkCoInsuranceAmt>sample string 4</InNtwkCoInsuranceAmt>
    <InNtwkCopayAmt>sample string 3</InNtwkCopayAmt>
    <InNtwkDeductibleAmt>sample string 5</InNtwkDeductibleAmt>
    <MedicalOOP>sample string 2</MedicalOOP>
    <OutNetworkMedicalOOP>sample string 10</OutNetworkMedicalOOP>
    <OutNtwkCoInsuranceAmt>sample string 7</OutNtwkCoInsuranceAmt>
    <OutNtwkCopayAmt>sample string 6</OutNtwkCopayAmt>
    <OutNtwkDeductibleAmt>sample string 8</OutNtwkDeductibleAmt>
  </MemberAccumulator>
  <MemberPersonalInfo xmlns:a="http://schemas.datacontract.org/2004/07/AHC.WebServices.WebAPI.CommonDTOs">
    <a:Ethnicity>
      <EthnicityInfo>
        <Label>sample string 1</Label>
        <Value>sample string 2</Value>
      </EthnicityInfo>
      <EthnicityInfo>
        <Label>sample string 1</Label>
        <Value>sample string 2</Value>
      </EthnicityInfo>
    </a:Ethnicity>
    <a:FirstName>sample string 5</a:FirstName>
    <a:LastName>sample string 6</a:LastName>
    <a:MI>sample string 7</a:MI>
    <a:Prefix>sample string 9</a:Prefix>
    <a:Race>
      <RaceInfo>
        <Label>sample string 1</Label>
        <Value>sample string 2</Value>
      </RaceInfo>
      <RaceInfo>
        <Label>sample string 1</Label>
        <Value>sample string 2</Value>
      </RaceInfo>
    </a:Race>
    <a:Suffix>sample string 8</a:Suffix>
    <a:DateOfBirth>sample string 1</a:DateOfBirth>
    <a:GenderSelfIdentificationCode>sample string 4</a:GenderSelfIdentificationCode>
    <a:ID>sample string 3</a:ID>
    <a:Sex>sample string 2</a:Sex>
  </MemberPersonalInfo>
  <OPT>sample string 1</OPT>
  <OPTDesc>sample string 2</OPTDesc>
  <PCP>
    <EffectivePeriod>sample string 3</EffectivePeriod>
    <Id>sample string 1</Id>
    <Name>sample string 2</Name>
  </PCP>
  <PlanDetails>
    <ContractCode>sample string 2</ContractCode>
    <PBP>sample string 1</PBP>
    <PBPDesc>sample string 4</PBPDesc>
    <SupplementalBuyup>true</SupplementalBuyup>
    <SupplementalEffectiveDate>2026-06-03T09:19:53.7204493-07:00</SupplementalEffectiveDate>
    <SupplementalEndDate>2026-06-03T09:19:53.7204493-07:00</SupplementalEndDate>
  </PlanDetails>
  <QMBStatus>sample string 6</QMBStatus>
  <ShareOfCost>sample string 9</ShareOfCost>
  <TermDate>2026-06-03T09:19:53.7204493-07:00</TermDate>
</BenefitResponseDTO>

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