Carrier Census

Ideon returns the data the Carrier has in their system on any given day so we can fully close the loop on the state of enrollment transactions.

One of the biggest challenges in this space is the inability to know if and when an election was processed. It's relatively easy to know when something goes wrong, but how about when something goes right? To do that, one would either have to reach out to the Carrier or acquire portal access and check each Members information. Ideon created the Census Requests API to make this a whole lot easier.

Ideon periodically retrieves and standardizes the demographic and enrollment data from the Carrier , and then returns that information to you through our Census Requests API. The API allows you to check in on what the Carrier had for a Group's enrollment on any given day.

The Census Requests API

The API allows you to verify what the Carrier has in their system on any given day. Ideon works with the Carrier to build the pipes needed to acquire the information. That data is then surfaced to you in a structured, easy to process schema. The API is used for automatic reconciliation by Ideon, but can be used by your system for your own reconciliation or simply for piece of mind.

GET coverage_periods/:id/census_requests?as_of=2021-05-01

{
  "census_request": {
    "id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
    "status": "synced",
    "errors": [],
    "coverage_period_id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
    "created_at": "2021-04-31T14:34:56.231Z"
  }
}

GET /census_requests/:id/subscribers

{
  "subscribers": [
    {
      "subscriber": {
        "location_id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
        "class": {
          "employment_classification_id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
          "effective_date": "2021-01-01"
        },
        "social_security_number": "222222222",
        "first_name": "John",
        "middle_name": "M",
        "last_name": "Smith",
        "birth_date": "1980-05-10",
        "marital_status": "single",
        "gender": "male",
        "dependents": [],
        "emails": [
          {
            "contact": "[e-mail]",
            "type": "personal"
          }
        ],
        "employment_details": {
          "start_date": "2021-01-01",
          "status": "full_time"
        },
        "external_identifier": "ABC-132A54",
        "id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
        "phone_numbers": [
          {
            "contact": "2025551234",
            "type": "home"
          }
        ],
        "residential_address": {
          "address_line_1": "50 Orchard Street",
          "address_line_2": "Apt 4H",
          "city": "Kansas City",
          "state": "MO",
          "zip": "64108"
        },
        "current_qualifying_life_events": [
          {
            "event": "initial_enrollment",
            "date": "2021-05-10",
            "external_identifier": "ABC-132A54",
            "eligibility_start_date": "2021-05-10",
            "coverage_period_id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
            "plan_elections": {
              "medical": {
                "plan_id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
                "type": "election",
                "coverages": [
                  {
                    "member_id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f",
                    "start_date": "2020-01-01",
                    "status": "employer_sponsored"
                  }
                ]
              }
            },
            "id": "a37ecd06-5d97-46e4-9b4e-dcde6a03246f"
          }
        ]
      }
    }
  ]
}