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EligibilityService- MemberDemographic Service (Functional (PlanMember…
EligibilityService- MemberDemographic Service
Response Header
Non-Mandatory
message
description
Mandatory
TransactionNotification
RequestHeader issue
Status
Failure
StatusCode
403
Description
based upon the Request Header Missing value:
Request Header is missing
One or more of the following mandatory field is missing in the request header's consumer.
Pass name
id
type
businessTransactionType
hostName
Pass valid token
Message
Forbidden
Technical issue occurred
Failure
StatusCode
code
500
Description
Internal Server Error
Message
EPR....
sucess
Status
Success
StatusCode
200
Description
Message
Data Not found
Status
Failure
StatusCode
404
Description
Data not found
Message
Demographic information not found for the given request
When there is more than one planMember.planMemberIdentifierSuffixNumber in the request
Status
Failure
StatusCode
603
code
Description
Not supported
Message
Service does not support more than one PlanMember search
transactionId
EPR......
ResponseDateTime
missing subscriberSystemIdentifiers
Status
Failure
StatusCode
600
code
Description
Pass systemIdentifier, systemIdentifierType in the request
Message
Missing Mandatory Input Parameter
transactionId
ResponseDateTime
More than one subscriberSystemIdentifer
Status
Failure
StatusCode
601
code
Description
Not supported
Message
Service does not support more than one subscriberSystemIdentifier search
transactionId
EPR......
ResponseDateTime
systemIdentifierType is present but systemIdentifer value is missing
Status
Failure
StatusCode
602
code
Descriptiion
Missing Mandatory Input Parameter
Message
Invalid systemIdentifierType or empty systemIdentifier in the request
transactionId
EPR......
ResponseDateTime
planMemberIdentifierSuffixNumber is not numeric
Status
Failure
StatusCode
604
code
Description
Invalid Request
Message
planMemberIdentifierSuffixNumber should be numeric
transactionId
EPR......
ResponseDateTime
Request Mandatory
RequestBody
subscriber.subscriberSystemIdentifiers.subscriberSystemIdentifier.systemIdentifierType
Null
Invalid (99999)
Valid
HIX Id, Family Link Id
subscriber.subscriberSystemIdentifiers.subscriberSystemIdentifier.systemIdentifier
Valid
alpha-numeric
Null (error)
invalid (error)
planMemberIdentifierSuffixNumber (CY)
null
all policies per member
not null
Return specific member policy
Request Header
Name of Consumer
null
not null
Member Portal
Id of Consumer
null
not null
member_portal
consumer Type
null
not null
web
businessTransactionType
Valid
834
270
271
null
invalid
token
valid
production value
non-production value
invalid
null
type
valid
oauth, basic_auth, plain_token
invalid
null
hostName
null
not null
Host Server Name or URL
Non-Mandatory
Request Header
requestDateTime
userName
password
transaction Id
if provided, responds back with this
if not present, will be generated
invalid if something failed prior to this piece
clientVersion
businessUnit of consumer
contextId
secondContextId
thirdContextId
Functional
Backend (DB) Validation
Subscriber
FirstName
Identifier
MiddleName
LastName
GenderCode
BirthDate
SubscriberAddress
CityName
AddressLine2
AddressLIne1
StateCode
ZipCode
CountryCode
WorkPhoneNumber
HomePhoneNumber
FaxNumber
EmailAddress
PlanMember
planMemberIdentifier
planMemberFirstName
planMemberMiddleName
planMemberLastName
planMemberBirthDate
planMemberGenderCode
relationshipToSubscriberCode
relationshiptToSubscriberDescription
groupNumber
groupName
alternatePlanMemberIdenifier
planMemberLineofBusinessCode
subgroupIdentifier
subgroupName
exchangeIndicator
aptcSubsidyIndicator
planMemberMaritalStatus
planMemberAddressLine1
planMemberAddressLine2
planMemberCityName
planMemberStateCode
planMemberZipCode
planMemberCountryCode
planMemberWorkPhoneNumber
planMemberHomePhoneNumber
planMemberFaxNumber
planMemberEmailAddress
planMemberActiveIndicator
grandFatherPlanIndicator
ResponseFormat
Format Follows Spec
LOB
LOB based on Group
CCPOA
FEPPPO
IFP
FEHBP
CALPERS
LOB based on Product
IMEDSUPP
GMEDSUPP
IPDP
IMAPD
GMAPD
ASOFF
ASO
SA
SA+
GPDP
unknown
Group&Product
_IMEDSUPP
_GMEDSUPP