curl --request POST \
  --url https://healthcare.us.stedi.com/2024-04-01/insurance-discovery/check/v1 \
  --header 'Authorization: <api-key>' \
  --header 'Content-Type: application/json' \
  --data '{
  "provider": {
    "npi": "1999999984"
  },
  "subscriber": {
    "firstName": "John",
    "lastName": "Smith",
    "middleName": "Robert",
    "dateOfBirth": "19800101",
    "ssn": "123456789",
    "gender": "M",
    "address": {
      "address1": "123 Main St",
      "city": "Springfield",
      "state": "IL",
      "postalCode": "62701"
    }
  },
  "encounter": {
    "beginningDateOfService": "20240326",
    "endDateOfService": "20240326"
  }
}'

{
  "discoveryId": "12345678-abcd-4321-efgh-987654321abc",
  "items": [
    {
      "provider": {
        "providerName": "provider",
        "entityType": "Non-Person Entity",
        "npi": "1999999984"
      },
      "subscriber": {
        "memberId": "987654321000",
        "firstName": "John",
        "lastName": "Doe",
        "middleName": "Smith",
        "gender": "M",
        "dateOfBirth": "19900115",
        "groupNumber": "123456-78",
        "planNumber": "123456-EXMPL9876",
        "groupDescription": "Individual On-Exchange",
        "address": {
          "address1": "123 Main Street",
          "city": "ANYTOWN",
          "state": "CA",
          "postalCode": "12345"
        }
      },
      "payer": {
        "name": "EXAMPLE INSURANCE CO"
      },
      "planInformation": {
        "planNumber": "123456-EXMPL9876",
        "groupNumber": "123456-78",
        "groupDescription": "Individual On-Exchange"
      },
      "planDateInformation": {
        "planBegin": "20250101",
        "eligibilityBegin": "20250101",
        "service": "20250301"
      },
      "benefitsInformation": [
        {
          "inPlanNetworkIndicatorCode": "W",
          "benefitsRelatedEntities": [
            {
              "entityIdentifier": "Primary Care Provider",
              "entityIdentification": "XX",
              "entityName": "Dough",
              "entityIdentificationValue": "1234567890",
              "entityFirstname": "Jane",
              "entityType": "Person"
            }
          ],
          "additionalInformation": [
            {
              "description": "To determine if a prior authorization is required, please check the health plan's website."
            }
          ],
          "serviceTypeCodes": [
            "30"
          ],
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "inPlanNetworkIndicator": "Not Applicable",
          "name": "Active Coverage",
          "code": "1",
          "planCoverage": "Gold Plan"
        },
        {
          "serviceTypes": [
            "Medical Care"
          ],
          "name": "Active Coverage",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "W",
          "serviceTypeCodes": [
            "1"
          ],
          "inPlanNetworkIndicator": "Not Applicable",
          "code": "1"
        },
        {
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "code": "1",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "4"
          ],
          "serviceTypes": [
            "Diagnostic X-Ray"
          ],
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan"
        },
        {
          "inPlanNetworkIndicator": "Yes",
          "code": "A",
          "serviceTypeCodes": [
            "4"
          ],
          "name": "Co-Insurance",
          "coverageLevel": "Family",
          "serviceTypes": [
            "Diagnostic X-Ray"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "benefitPercent": "0.5",
          "planCoverage": "Gold Plan",
          "timeQualifierCode": "27",
          "timeQualifier": "Visit",
          "coverageLevelCode": "FAM"
        },
        {
          "name": "Non-Covered",
          "serviceTypeCodes": [
            "4"
          ],
          "serviceTypes": [
            "Diagnostic X-Ray"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "code": "I"
        },
        {
          "code": "1",
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "Diagnostic Lab"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "5"
          ]
        },
        {
          "code": "B",
          "name": "Co-Payment",
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan",
          "coverageLevelCode": "FAM",
          "benefitAmount": "20",
          "coverageLevel": "Family",
          "serviceTypeCodes": [
            "5"
          ],
          "serviceTypes": [
            "Diagnostic Lab"
          ],
          "timeQualifier": "Visit",
          "timeQualifierCode": "27",
          "inPlanNetworkIndicatorCode": "Y",
          "additionalInformation": [
            {
              "description": "per visit"
            }
          ]
        },
        {
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "serviceTypeCodes": [
            "5"
          ],
          "name": "Non-Covered",
          "code": "I",
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "Diagnostic Lab"
          ]
        },
        {
          "serviceTypeCodes": [
            "12"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "Durable Medical Equipment Purchase"
          ],
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y",
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "code": "1"
        },
        {
          "serviceTypes": [
            "Durable Medical Equipment Purchase"
          ],
          "benefitPercent": "0.5",
          "inPlanNetworkIndicator": "Yes",
          "timeQualifierCode": "27",
          "coverageLevelCode": "FAM",
          "coverageLevel": "Family",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "Y",
          "code": "A",
          "timeQualifier": "Visit",
          "name": "Co-Insurance",
          "serviceTypeCodes": [
            "12"
          ]
        },
        {
          "name": "Non-Covered",
          "serviceTypes": [
            "Durable Medical Equipment Purchase"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "code": "I",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "serviceTypeCodes": [
            "12"
          ]
        },
        {
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "Ambulatory Service Center Facility"
          ],
          "code": "1",
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "13"
          ]
        },
        {
          "coverageLevel": "Family",
          "inPlanNetworkIndicator": "Yes",
          "benefitPercent": "0.5",
          "timeQualifier": "Visit",
          "serviceTypes": [
            "Ambulatory Service Center Facility"
          ],
          "code": "A",
          "coverageLevelCode": "FAM",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "13"
          ],
          "timeQualifierCode": "27",
          "name": "Co-Insurance",
          "inPlanNetworkIndicatorCode": "Y"
        },
        {
          "inPlanNetworkIndicator": "No",
          "code": "I",
          "name": "Non-Covered",
          "serviceTypeCodes": [
            "13"
          ],
          "serviceTypes": [
            "Ambulatory Service Center Facility"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "18"
          ],
          "name": "Active Coverage",
          "inPlanNetworkIndicator": "Yes",
          "code": "1",
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "Durable Medical Equipment Rental"
          ]
        },
        {
          "serviceTypes": [
            "Durable Medical Equipment Rental"
          ],
          "serviceTypeCodes": [
            "18"
          ],
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "name": "Co-Insurance",
          "coverageLevel": "Family",
          "inPlanNetworkIndicatorCode": "Y",
          "code": "A",
          "inPlanNetworkIndicator": "Yes",
          "benefitPercent": "0.5",
          "timeQualifierCode": "27",
          "coverageLevelCode": "FAM"
        },
        {
          "serviceTypeCodes": [
            "18"
          ],
          "serviceTypes": [
            "Durable Medical Equipment Rental"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "code": "I",
          "name": "Non-Covered"
        },
        {
          "serviceTypeCodes": [
            "33"
          ],
          "serviceTypes": [
            "Chiropractic"
          ],
          "planCoverage": "Gold Plan",
          "additionalInformation": [
            {
              "description": "Limited to 26 visits per year (visits in excess of 26 require prior authorization)."
            }
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "inPlanNetworkIndicator": "Yes",
          "code": "1"
        },
        {
          "coverageLevel": "Family",
          "planCoverage": "Gold Plan",
          "timeQualifierCode": "27",
          "benefitPercent": "0.5",
          "inPlanNetworkIndicator": "Yes",
          "code": "A",
          "name": "Co-Insurance",
          "serviceTypes": [
            "Chiropractic"
          ],
          "serviceTypeCodes": [
            "33"
          ],
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "Y",
          "coverageLevelCode": "FAM"
        },
        {
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "Chiropractic"
          ],
          "inPlanNetworkIndicator": "No",
          "inPlanNetworkIndicatorCode": "N",
          "name": "Non-Covered",
          "code": "I",
          "serviceTypeCodes": [
            "33"
          ]
        },
        {
          "code": "1",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "48"
          ],
          "inPlanNetworkIndicator": "Yes",
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "serviceTypes": [
            "Hospital - Inpatient"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "planCoverage": "Gold Plan"
        },
        {
          "code": "A",
          "coverageLevel": "Family",
          "benefitPercent": "0.5",
          "timeQualifierCode": "27",
          "name": "Co-Insurance",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevelCode": "FAM",
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypes": [
            "Hospital - Inpatient"
          ],
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "48"
          ]
        },
        {
          "serviceTypeCodes": [
            "48"
          ],
          "serviceTypes": [
            "Hospital - Inpatient"
          ],
          "code": "I",
          "name": "Non-Covered",
          "inPlanNetworkIndicatorCode": "N",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No"
        },
        {
          "serviceTypes": [
            "Hospital - Outpatient"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "code": "1",
          "planCoverage": "Gold Plan",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "50"
          ]
        },
        {
          "timeQualifier": "Visit",
          "coverageLevelCode": "FAM",
          "code": "A",
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Co-Insurance",
          "serviceTypeCodes": [
            "50"
          ],
          "coverageLevel": "Family",
          "planCoverage": "Gold Plan",
          "benefitPercent": "0.5",
          "serviceTypes": [
            "Hospital - Outpatient"
          ],
          "inPlanNetworkIndicator": "Yes",
          "timeQualifierCode": "27"
        },
        {
          "serviceTypeCodes": [
            "50"
          ],
          "serviceTypes": [
            "Hospital - Outpatient"
          ],
          "planCoverage": "Gold Plan",
          "code": "I",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "name": "Non-Covered"
        },
        {
          "inPlanNetworkIndicatorCode": "Y",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "51"
          ],
          "serviceTypes": [
            "Hospital - Emergency Accident"
          ],
          "inPlanNetworkIndicator": "Yes",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "code": "1",
          "name": "Active Coverage"
        },
        {
          "timeQualifierCode": "27",
          "coverageLevel": "Family",
          "planCoverage": "Gold Plan",
          "name": "Co-Insurance",
          "serviceTypeCodes": [
            "51"
          ],
          "timeQualifier": "Visit",
          "serviceTypes": [
            "Hospital - Emergency Accident"
          ],
          "benefitPercent": "0.5",
          "code": "A",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevelCode": "FAM"
        },
        {
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "Hospital - Emergency Accident"
          ],
          "code": "1",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "serviceTypeCodes": [
            "51"
          ]
        },
        {
          "coverageLevel": "Family",
          "code": "A",
          "benefitPercent": "0.5",
          "serviceTypeCodes": [
            "51"
          ],
          "planCoverage": "Gold Plan",
          "timeQualifierCode": "27",
          "name": "Co-Insurance",
          "serviceTypes": [
            "Hospital - Emergency Accident"
          ],
          "coverageLevelCode": "FAM",
          "inPlanNetworkIndicator": "No",
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "planCoverage": "Gold Plan",
          "name": "Active Coverage",
          "code": "1",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "serviceTypes": [
            "Hospital - Emergency Medical"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "52"
          ],
          "inPlanNetworkIndicator": "Yes"
        },
        {
          "inPlanNetworkIndicatorCode": "Y",
          "timeQualifier": "Visit",
          "benefitPercent": "0.5",
          "serviceTypes": [
            "Hospital - Emergency Medical"
          ],
          "code": "A",
          "serviceTypeCodes": [
            "52"
          ],
          "coverageLevelCode": "FAM",
          "planCoverage": "Gold Plan",
          "name": "Co-Insurance",
          "timeQualifierCode": "27",
          "coverageLevel": "Family",
          "inPlanNetworkIndicator": "Yes"
        },
        {
          "serviceTypes": [
            "Hospital - Emergency Medical"
          ],
          "serviceTypeCodes": [
            "52"
          ],
          "name": "Active Coverage",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "inPlanNetworkIndicatorCode": "N",
          "code": "1"
        },
        {
          "timeQualifierCode": "27",
          "timeQualifier": "Visit",
          "name": "Co-Insurance",
          "inPlanNetworkIndicator": "No",
          "inPlanNetworkIndicatorCode": "N",
          "coverageLevel": "Family",
          "coverageLevelCode": "FAM",
          "serviceTypeCodes": [
            "52"
          ],
          "serviceTypes": [
            "Hospital - Emergency Medical"
          ],
          "code": "A",
          "planCoverage": "Gold Plan",
          "benefitPercent": "0.5"
        },
        {
          "inPlanNetworkIndicator": "Yes",
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "53"
          ],
          "code": "1",
          "serviceTypes": [
            "Hospital - Ambulatory Surgical"
          ]
        },
        {
          "timeQualifier": "Visit",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "53"
          ],
          "coverageLevelCode": "FAM",
          "benefitPercent": "0.5",
          "timeQualifierCode": "27",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevel": "Family",
          "serviceTypes": [
            "Hospital - Ambulatory Surgical"
          ],
          "code": "A",
          "name": "Co-Insurance"
        },
        {
          "name": "Non-Covered",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "inPlanNetworkIndicatorCode": "N",
          "serviceTypeCodes": [
            "53"
          ],
          "code": "I",
          "serviceTypes": [
            "Hospital - Ambulatory Surgical"
          ]
        },
        {
          "serviceTypeCodes": [
            "62"
          ],
          "name": "Active Coverage",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "MRI/CAT Scan"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "code": "1"
        },
        {
          "timeQualifierCode": "27",
          "code": "A",
          "name": "Co-Insurance",
          "coverageLevelCode": "FAM",
          "coverageLevel": "Family",
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "MRI/CAT Scan"
          ],
          "serviceTypeCodes": [
            "62"
          ],
          "benefitPercent": "0.5",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "timeQualifier": "Visit"
        },
        {
          "serviceTypes": [
            "MRI/CAT Scan"
          ],
          "serviceTypeCodes": [
            "62"
          ],
          "code": "I",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "name": "Non-Covered"
        },
        {
          "planCoverage": "Gold Plan",
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "code": "1",
          "serviceTypeCodes": [
            "65"
          ],
          "serviceTypes": [
            "Newborn Care"
          ],
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ]
        },
        {
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "65"
          ],
          "benefitPercent": "0.5",
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "Y",
          "coverageLevelCode": "FAM",
          "serviceTypes": [
            "Newborn Care"
          ],
          "coverageLevel": "Family",
          "code": "A",
          "inPlanNetworkIndicator": "Yes",
          "timeQualifierCode": "27",
          "name": "Co-Insurance"
        },
        {
          "name": "Non-Covered",
          "code": "I",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "65"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "serviceTypes": [
            "Newborn Care"
          ]
        },
        {
          "planCoverage": "Gold Plan",
          "code": "1",
          "serviceTypes": [
            "Well Baby Care"
          ],
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y",
          "additionalInformation": [
            {
              "description": "Covered in accordance with ACA guidelines."
            }
          ],
          "inPlanNetworkIndicator": "Yes",
          "serviceTypeCodes": [
            "68"
          ]
        },
        {
          "code": "B",
          "serviceTypes": [
            "Well Baby Care"
          ],
          "benefitAmount": "0",
          "coverageLevel": "Family",
          "coverageLevelCode": "FAM",
          "timeQualifierCode": "27",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "68"
          ],
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "name": "Co-Payment"
        },
        {
          "serviceTypeCodes": [
            "68"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "name": "Non-Covered",
          "code": "I",
          "serviceTypes": [
            "Well Baby Care"
          ],
          "planCoverage": "Gold Plan"
        },
        {
          "serviceTypeCodes": [
            "69"
          ],
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "code": "1",
          "serviceTypes": [
            "Maternity"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "Yes"
        },
        {
          "serviceTypeCodes": [
            "69"
          ],
          "benefitPercent": "0.5",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "Y",
          "code": "A",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevelCode": "FAM",
          "serviceTypes": [
            "Maternity"
          ],
          "timeQualifier": "Visit",
          "coverageLevel": "Family",
          "name": "Co-Insurance",
          "timeQualifierCode": "27"
        },
        {
          "serviceTypeCodes": [
            "69"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "code": "I",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "name": "Non-Covered",
          "serviceTypes": [
            "Maternity"
          ]
        },
        {
          "code": "1",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "86"
          ],
          "name": "Active Coverage",
          "serviceTypes": [
            "Emergency Services"
          ]
        },
        {
          "benefitPercent": "0.5",
          "code": "A",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "86"
          ],
          "coverageLevel": "Family",
          "timeQualifierCode": "27",
          "serviceTypes": [
            "Emergency Services"
          ],
          "name": "Co-Insurance",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevelCode": "FAM",
          "timeQualifier": "Visit"
        },
        {
          "inPlanNetworkIndicator": "No",
          "code": "1",
          "name": "Active Coverage",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "86"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "serviceTypes": [
            "Emergency Services"
          ]
        },
        {
          "coverageLevelCode": "FAM",
          "coverageLevel": "Family",
          "code": "A",
          "serviceTypeCodes": [
            "86"
          ],
          "serviceTypes": [
            "Emergency Services"
          ],
          "timeQualifier": "Visit",
          "benefitPercent": "0.5",
          "inPlanNetworkIndicatorCode": "N",
          "timeQualifierCode": "27",
          "inPlanNetworkIndicator": "No",
          "name": "Co-Insurance",
          "planCoverage": "Gold Plan"
        },
        {
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "serviceTypes": [
            "Pharmacy"
          ],
          "inPlanNetworkIndicator": "Yes",
          "serviceTypeCodes": [
            "88"
          ],
          "code": "1",
          "planCoverage": "Gold Plan"
        },
        {
          "serviceTypeCodes": [
            "88"
          ],
          "coverageLevel": "Family",
          "name": "Co-Payment",
          "serviceTypes": [
            "Pharmacy"
          ],
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "timeQualifierCode": "27",
          "code": "B",
          "benefitAmount": "10",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevelCode": "FAM",
          "additionalInformation": [
            {
              "description": "per prescription"
            }
          ]
        },
        {
          "inPlanNetworkIndicatorCode": "N",
          "name": "Non-Covered",
          "serviceTypeCodes": [
            "88"
          ],
          "inPlanNetworkIndicator": "No",
          "code": "I",
          "serviceTypes": [
            "Pharmacy"
          ],
          "planCoverage": "Gold Plan"
        },
        {
          "serviceTypes": [
            "Professional (Physician) Visit - Office"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "code": "1",
          "serviceTypeCodes": [
            "98"
          ],
          "additionalInformation": [
            {
              "description": "PCP"
            }
          ],
          "name": "Active Coverage"
        },
        {
          "additionalInformation": [
            {
              "description": "per visit"
            },
            {
              "description": "PCP"
            }
          ],
          "inPlanNetworkIndicator": "Yes",
          "coverageLevel": "Family",
          "inPlanNetworkIndicatorCode": "Y",
          "coverageLevelCode": "FAM",
          "timeQualifierCode": "27",
          "serviceTypeCodes": [
            "98"
          ],
          "benefitAmount": "15",
          "serviceTypes": [
            "Professional (Physician) Visit - Office"
          ],
          "timeQualifier": "Visit",
          "name": "Co-Payment",
          "planCoverage": "Gold Plan",
          "code": "B"
        },
        {
          "code": "I",
          "serviceTypeCodes": [
            "98"
          ],
          "planCoverage": "Gold Plan",
          "name": "Non-Covered",
          "inPlanNetworkIndicatorCode": "N",
          "serviceTypes": [
            "Professional (Physician) Visit - Office"
          ],
          "inPlanNetworkIndicator": "No",
          "additionalInformation": [
            {
              "description": "PCP"
            }
          ]
        },
        {
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "planCoverage": "Gold Plan",
          "additionalInformation": [
            {
              "description": "Specialist"
            },
            {
              "description": "Covered No Limit."
            }
          ],
          "code": "1",
          "serviceTypes": [
            "Professional (Physician) Visit - Office"
          ],
          "inPlanNetworkIndicator": "Yes",
          "serviceTypeCodes": [
            "98"
          ]
        },
        {
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "additionalInformation": [
            {
              "description": "per visit"
            },
            {
              "description": "Specialist"
            }
          ],
          "benefitAmount": "30",
          "coverageLevel": "Family",
          "code": "B",
          "serviceTypes": [
            "Professional (Physician) Visit - Office"
          ],
          "timeQualifierCode": "27",
          "coverageLevelCode": "FAM",
          "name": "Co-Payment",
          "serviceTypeCodes": [
            "98"
          ]
        },
        {
          "additionalInformation": [
            {
              "description": "Specialist"
            }
          ],
          "serviceTypes": [
            "Professional (Physician) Visit - Office"
          ],
          "inPlanNetworkIndicator": "No",
          "serviceTypeCodes": [
            "98"
          ],
          "planCoverage": "Gold Plan",
          "code": "I",
          "name": "Non-Covered",
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "name": "Active Coverage",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypeCodes": [
            "A4"
          ],
          "planCoverage": "Gold Plan",
          "code": "1",
          "serviceTypes": [
            "Psychiatric"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit. (Primary Care Provider (PCP) and other practitioner office visits do not require prior authorization.) Note| Services (excluding Emergency Room Care / Emergency Services) rendered by an out-of-network provider"
            }
          ]
        },
        {
          "coverageLevelCode": "FAM",
          "inPlanNetworkIndicator": "Yes",
          "coverageLevel": "Family",
          "serviceTypes": [
            "Psychiatric"
          ],
          "timeQualifierCode": "27",
          "name": "Co-Insurance",
          "serviceTypeCodes": [
            "A4"
          ],
          "benefitPercent": "0.5",
          "inPlanNetworkIndicatorCode": "Y",
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "code": "A"
        },
        {
          "serviceTypeCodes": [
            "A4"
          ],
          "name": "Non-Covered",
          "serviceTypes": [
            "Psychiatric"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "code": "I",
          "inPlanNetworkIndicator": "No"
        },
        {
          "name": "Active Coverage",
          "code": "1",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "A6"
          ],
          "serviceTypes": [
            "Psychotherapy"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes"
        },
        {
          "timeQualifierCode": "27",
          "inPlanNetworkIndicatorCode": "Y",
          "benefitPercent": "0.5",
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "name": "Co-Insurance",
          "coverageLevelCode": "FAM",
          "serviceTypeCodes": [
            "A6"
          ],
          "serviceTypes": [
            "Psychotherapy"
          ],
          "inPlanNetworkIndicator": "Yes",
          "coverageLevel": "Family",
          "code": "A"
        },
        {
          "inPlanNetworkIndicator": "No",
          "inPlanNetworkIndicatorCode": "N",
          "code": "I",
          "planCoverage": "Gold Plan",
          "name": "Non-Covered",
          "serviceTypeCodes": [
            "A6"
          ],
          "serviceTypes": [
            "Psychotherapy"
          ]
        },
        {
          "planCoverage": "Gold Plan",
          "code": "1",
          "serviceTypes": [
            "Psychiatric - Inpatient"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "A7"
          ],
          "inPlanNetworkIndicator": "Yes",
          "name": "Active Coverage"
        },
        {
          "timeQualifier": "Visit",
          "coverageLevelCode": "FAM",
          "coverageLevel": "Family",
          "inPlanNetworkIndicator": "Yes",
          "inPlanNetworkIndicatorCode": "Y",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "A7"
          ],
          "timeQualifierCode": "27",
          "name": "Co-Insurance",
          "code": "A",
          "serviceTypes": [
            "Psychiatric - Inpatient"
          ],
          "benefitPercent": "0.5"
        },
        {
          "code": "I",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "serviceTypeCodes": [
            "A7"
          ],
          "serviceTypes": [
            "Psychiatric - Inpatient"
          ],
          "name": "Non-Covered",
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "code": "1",
          "serviceTypes": [
            "Psychiatric - Outpatient"
          ],
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "A8"
          ],
          "inPlanNetworkIndicator": "Yes",
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y"
        },
        {
          "timeQualifierCode": "27",
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "Y",
          "coverageLevel": "Family",
          "coverageLevelCode": "FAM",
          "serviceTypeCodes": [
            "A8"
          ],
          "benefitPercent": "0.5",
          "name": "Co-Insurance",
          "planCoverage": "Gold Plan",
          "code": "A",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "Psychiatric - Outpatient"
          ]
        },
        {
          "serviceTypes": [
            "Psychiatric - Outpatient"
          ],
          "inPlanNetworkIndicator": "No",
          "name": "Non-Covered",
          "serviceTypeCodes": [
            "A8"
          ],
          "code": "I",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "AD"
          ],
          "serviceTypes": [
            "Occupational Therapy"
          ],
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan",
          "code": "1"
        },
        {
          "inPlanNetworkIndicator": "Yes",
          "serviceTypeCodes": [
            "AD"
          ],
          "planCoverage": "Gold Plan",
          "coverageLevel": "Family",
          "timeQualifierCode": "27",
          "serviceTypes": [
            "Occupational Therapy"
          ],
          "code": "A",
          "timeQualifier": "Visit",
          "coverageLevelCode": "FAM",
          "inPlanNetworkIndicatorCode": "Y",
          "benefitPercent": "0.5",
          "name": "Co-Insurance"
        },
        {
          "code": "I",
          "serviceTypeCodes": [
            "AD"
          ],
          "serviceTypes": [
            "Occupational Therapy"
          ],
          "name": "Non-Covered",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No"
        },
        {
          "code": "1",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "Speech Therapy"
          ],
          "serviceTypeCodes": [
            "AF"
          ],
          "planCoverage": "Gold Plan",
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y"
        },
        {
          "benefitPercent": "0.5",
          "inPlanNetworkIndicator": "Yes",
          "timeQualifierCode": "27",
          "coverageLevel": "Family",
          "serviceTypeCodes": [
            "AF"
          ],
          "coverageLevelCode": "FAM",
          "serviceTypes": [
            "Speech Therapy"
          ],
          "code": "A",
          "planCoverage": "Gold Plan",
          "name": "Co-Insurance",
          "timeQualifier": "Visit",
          "inPlanNetworkIndicatorCode": "Y"
        },
        {
          "planCoverage": "Gold Plan",
          "name": "Non-Covered",
          "code": "I",
          "serviceTypeCodes": [
            "AF"
          ],
          "serviceTypes": [
            "Speech Therapy"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No"
        },
        {
          "serviceTypeCodes": [
            "AG"
          ],
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Limited to 150 days per year."
            }
          ],
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan",
          "code": "1",
          "name": "Active Coverage",
          "serviceTypes": [
            "Skilled Nursing Care"
          ],
          "inPlanNetworkIndicatorCode": "Y"
        },
        {
          "serviceTypeCodes": [
            "AG"
          ],
          "serviceTypes": [
            "Skilled Nursing Care"
          ],
          "planCoverage": "Gold Plan",
          "name": "Co-Insurance",
          "coverageLevelCode": "FAM",
          "code": "A",
          "coverageLevel": "Family",
          "benefitPercent": "0.5",
          "inPlanNetworkIndicator": "Yes",
          "timeQualifierCode": "27",
          "inPlanNetworkIndicatorCode": "Y",
          "timeQualifier": "Visit"
        },
        {
          "inPlanNetworkIndicatorCode": "N",
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "AG"
          ],
          "serviceTypes": [
            "Skilled Nursing Care"
          ],
          "inPlanNetworkIndicator": "No",
          "name": "Non-Covered",
          "code": "I"
        },
        {
          "name": "Active Coverage",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "Physician Visit - Office: Well"
          ],
          "serviceTypeCodes": [
            "BZ"
          ],
          "planCoverage": "Gold Plan",
          "additionalInformation": [
            {
              "description": "Covered in accordance with ACA guidelines."
            }
          ],
          "code": "1"
        },
        {
          "coverageLevelCode": "FAM",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "BZ"
          ],
          "inPlanNetworkIndicator": "Yes",
          "name": "Co-Payment",
          "coverageLevel": "Family",
          "timeQualifierCode": "27",
          "code": "B",
          "serviceTypes": [
            "Physician Visit - Office: Well"
          ],
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "benefitAmount": "0"
        },
        {
          "serviceTypes": [
            "Physician Visit - Office: Well"
          ],
          "code": "I",
          "serviceTypeCodes": [
            "BZ"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "name": "Non-Covered",
          "inPlanNetworkIndicator": "No"
        },
        {
          "code": "1",
          "inPlanNetworkIndicatorCode": "Y",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "Yes",
          "name": "Active Coverage",
          "serviceTypes": [
            "Mental Health"
          ],
          "additionalInformation": [
            {
              "description": "Prior authorization may be required. Covered No Limit."
            }
          ],
          "serviceTypeCodes": [
            "MH"
          ]
        },
        {
          "serviceTypeCodes": [
            "MH"
          ],
          "code": "A",
          "serviceTypes": [
            "Mental Health"
          ],
          "coverageLevel": "Family",
          "coverageLevelCode": "FAM",
          "planCoverage": "Gold Plan",
          "timeQualifier": "Visit",
          "benefitPercent": "0.5",
          "name": "Co-Insurance",
          "inPlanNetworkIndicator": "Yes",
          "inPlanNetworkIndicatorCode": "Y",
          "timeQualifierCode": "27"
        },
        {
          "inPlanNetworkIndicator": "No",
          "planCoverage": "Gold Plan",
          "serviceTypes": [
            "Mental Health"
          ],
          "name": "Non-Covered",
          "code": "I",
          "serviceTypeCodes": [
            "MH"
          ],
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "code": "1",
          "serviceTypes": [
            "Physical Therapy"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "PT"
          ]
        },
        {
          "additionalInformation": [
            {
              "description": "per visit"
            }
          ],
          "name": "Co-Payment",
          "timeQualifierCode": "27",
          "coverageLevel": "Family",
          "planCoverage": "Gold Plan",
          "coverageLevelCode": "FAM",
          "benefitAmount": "15",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "code": "B",
          "serviceTypeCodes": [
            "PT"
          ],
          "serviceTypes": [
            "Physical Therapy"
          ],
          "timeQualifier": "Visit"
        },
        {
          "serviceTypeCodes": [
            "PT"
          ],
          "name": "Non-Covered",
          "serviceTypes": [
            "Physical Therapy"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "code": "I",
          "inPlanNetworkIndicatorCode": "N"
        },
        {
          "serviceTypeCodes": [
            "UC"
          ],
          "serviceTypes": [
            "Urgent Care"
          ],
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Active Coverage",
          "inPlanNetworkIndicator": "Yes",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "code": "1",
          "planCoverage": "Gold Plan"
        },
        {
          "serviceTypes": [
            "Urgent Care"
          ],
          "timeQualifierCode": "27",
          "serviceTypeCodes": [
            "UC"
          ],
          "coverageLevelCode": "FAM",
          "timeQualifier": "Visit",
          "benefitAmount": "10",
          "inPlanNetworkIndicatorCode": "Y",
          "name": "Co-Payment",
          "planCoverage": "Gold Plan",
          "coverageLevel": "Family",
          "additionalInformation": [
            {
              "description": "per visit"
            }
          ],
          "code": "B",
          "inPlanNetworkIndicator": "Yes"
        },
        {
          "name": "Active Coverage",
          "serviceTypeCodes": [
            "UC"
          ],
          "serviceTypes": [
            "Urgent Care"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicatorCode": "N",
          "additionalInformation": [
            {
              "description": "Covered No Limit."
            }
          ],
          "inPlanNetworkIndicator": "No",
          "code": "1"
        },
        {
          "benefitAmount": "10",
          "inPlanNetworkIndicator": "No",
          "additionalInformation": [
            {
              "description": "per visit"
            }
          ],
          "code": "B",
          "inPlanNetworkIndicatorCode": "N",
          "timeQualifier": "Visit",
          "serviceTypeCodes": [
            "UC"
          ],
          "coverageLevelCode": "FAM",
          "planCoverage": "Gold Plan",
          "name": "Co-Payment",
          "serviceTypes": [
            "Urgent Care"
          ],
          "coverageLevel": "Family",
          "timeQualifierCode": "27"
        },
        {
          "name": "Deductible",
          "serviceTypeCodes": [
            "30"
          ],
          "timeQualifierCode": "23",
          "timeQualifier": "Calendar Year",
          "benefitAmount": "0",
          "code": "C",
          "inPlanNetworkIndicatorCode": "Y",
          "inPlanNetworkIndicator": "Yes",
          "planCoverage": "Gold Plan",
          "coverageLevel": "Individual",
          "coverageLevelCode": "IND",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ]
        },
        {
          "planCoverage": "Gold Plan",
          "serviceTypeCodes": [
            "30"
          ],
          "name": "Deductible",
          "code": "C",
          "timeQualifierCode": "29",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "inPlanNetworkIndicator": "Yes",
          "coverageLevel": "Individual",
          "coverageLevelCode": "IND",
          "timeQualifier": "Remaining",
          "benefitAmount": "0",
          "inPlanNetworkIndicatorCode": "Y"
        },
        {
          "coverageLevelCode": "FAM",
          "name": "Deductible",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "coverageLevel": "Family",
          "inPlanNetworkIndicatorCode": "Y",
          "timeQualifier": "Calendar Year",
          "benefitAmount": "0",
          "serviceTypeCodes": [
            "30"
          ],
          "code": "C",
          "inPlanNetworkIndicator": "Yes",
          "timeQualifierCode": "23",
          "planCoverage": "Gold Plan"
        },
        {
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "30"
          ],
          "code": "C",
          "name": "Deductible",
          "timeQualifierCode": "29",
          "inPlanNetworkIndicator": "Yes",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "planCoverage": "Gold Plan",
          "coverageLevelCode": "FAM",
          "timeQualifier": "Remaining",
          "coverageLevel": "Family",
          "benefitAmount": "0"
        },
        {
          "serviceTypeCodes": [
            "30"
          ],
          "name": "Deductible",
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "coverageLevelCode": "IND",
          "timeQualifierCode": "23",
          "timeQualifier": "Calendar Year",
          "coverageLevel": "Individual",
          "code": "C",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "inPlanNetworkIndicatorCode": "N",
          "benefitAmount": "0"
        },
        {
          "timeQualifierCode": "29",
          "benefitAmount": "0",
          "name": "Deductible",
          "coverageLevel": "Individual",
          "planCoverage": "Gold Plan",
          "code": "C",
          "inPlanNetworkIndicatorCode": "N",
          "inPlanNetworkIndicator": "No",
          "timeQualifier": "Remaining",
          "coverageLevelCode": "IND",
          "serviceTypeCodes": [
            "30"
          ],
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ]
        },
        {
          "benefitAmount": "0",
          "inPlanNetworkIndicatorCode": "N",
          "coverageLevelCode": "FAM",
          "code": "C",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "planCoverage": "Gold Plan",
          "inPlanNetworkIndicator": "No",
          "timeQualifierCode": "23",
          "name": "Deductible",
          "serviceTypeCodes": [
            "30"
          ],
          "timeQualifier": "Calendar Year",
          "coverageLevel": "Family"
        },
        {
          "coverageLevel": "Family",
          "serviceTypeCodes": [
            "30"
          ],
          "timeQualifierCode": "29",
          "benefitAmount": "0",
          "inPlanNetworkIndicatorCode": "N",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "name": "Deductible",
          "inPlanNetworkIndicator": "No",
          "coverageLevelCode": "FAM",
          "timeQualifier": "Remaining",
          "planCoverage": "Gold Plan",
          "code": "C"
        },
        {
          "coverageLevel": "Individual",
          "inPlanNetworkIndicator": "Yes",
          "benefitAmount": "3000",
          "name": "Out of Pocket (Stop Loss)",
          "serviceTypeCodes": [
            "30"
          ],
          "planCoverage": "Gold Plan",
          "timeQualifier": "Calendar Year",
          "code": "G",
          "timeQualifierCode": "23",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "coverageLevelCode": "IND"
        },
        {
          "code": "G",
          "coverageLevel": "Individual",
          "timeQualifier": "Remaining",
          "planCoverage": "Gold Plan",
          "name": "Out of Pocket (Stop Loss)",
          "timeQualifierCode": "29",
          "coverageLevelCode": "IND",
          "inPlanNetworkIndicator": "Yes",
          "inPlanNetworkIndicatorCode": "Y",
          "serviceTypeCodes": [
            "30"
          ],
          "benefitAmount": "2000",
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ]
        },
        {
          "serviceTypeCodes": [
            "30"
          ],
          "serviceTypes": [
            "Health Benefit Plan Coverage"
          ],
          "code": "G",
          "name": "Out of Pocket (Stop Loss)",
          "inPlanNetworkIndicatorCode": "Y",
          "timeQualifier": "Calendar Year",
          "timeQualifierCode": "23",
          "benefitAmount": "6000",
          "coverageLevelCode": "FAM",
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