{ "$schema": "https://uipkge.dev/schema/registry-item.json", "name": "insurance-eligibility-checker", "title": "Insurance Eligibility Checker", "type": "registry:block", "files": [ { "path": "packages/registry-angular/blocks/insurance-eligibility-checker/insurance-eligibility-checker.component.ts", "content": "// Real-time health insurance eligibility and benefits verification dashboard: patient member\n// demographics, active payer status, individual deductible and out-of-pocket maximum progress\n// trackers, primary care and specialist copay benefit cards, category-level coverage breakdown\n// table with in/out-of-network rates, and Medicare secondary coordination of benefits.\n// Port of the React block 1:1.\nimport { ChangeDetectionStrategy, Component, DestroyRef, Input, inject, signal } from '@angular/core'\nimport {\n Activity,\n AlertCircle,\n Building2,\n CheckCircle2,\n CreditCard,\n FileCheck,\n FileText,\n Hospital,\n Info,\n LucideAngularModule,\n Pill,\n RefreshCw,\n ShieldCheck,\n Stethoscope,\n User,\n} from 'lucide-angular'\nimport { cn } from '@/lib/utils'\nimport { UiBadgeComponent } from '@/ui/badge/badge.component'\nimport { UiButtonComponent } from '@/ui/button/button.component'\nimport {\n UiCardComponent,\n UiCardContentComponent,\n UiCardDescriptionComponent,\n UiCardHeaderComponent,\n UiCardTitleComponent,\n} from '@/ui/card/card.component'\nimport { UiProgressComponent } from '@/ui/progress/progress.component'\nimport { UiSeparatorComponent } from '@/ui/separator/separator.component'\nimport {\n UiTableBodyComponent,\n UiTableCellComponent,\n UiTableComponent,\n UiTableHeadComponent,\n UiTableHeaderComponent,\n UiTableRowComponent,\n} from '@/ui/table/table.component'\n\n@Component({\n changeDetection: ChangeDetectionStrategy.Eager,\n selector: 'ui-insurance-eligibility-checker, [ui-insurance-eligibility-checker]',\n standalone: true,\n // React renders the root
itself: the host stays out of layout and `class` goes to the root.\n host: { '[attr.class]': '\"contents\"' },\n imports: [\n LucideAngularModule,\n UiBadgeComponent,\n UiButtonComponent,\n UiCardComponent,\n UiCardContentComponent,\n UiCardDescriptionComponent,\n UiCardHeaderComponent,\n UiCardTitleComponent,\n UiProgressComponent,\n UiSeparatorComponent,\n UiTableBodyComponent,\n UiTableCellComponent,\n UiTableComponent,\n UiTableHeadComponent,\n UiTableHeaderComponent,\n UiTableRowComponent,\n ],\n template: `\n
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\n Insurance Eligibility & Benefits Verifier\n

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\n Real-time EDI 270/271 electronic benefit eligibility inquiry, deductible accumulators, and coverage\n limits.\n

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\n \n \n {{ isVerifying() ? 'Verifying EDI 270...' : 'Re-verify Real-time' }}\n \n
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\n \n Patient Name & DOB\n
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David Chen

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DOB: 1978-10-14 (48 yrs · Male)

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\n \n Insurance Payer & Plan\n
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BlueCross BlueShield

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PPO - Choice Plus Network

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\n \n Member & Policy ID\n
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#BCBS-98421094

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Group: GRP-88204-01 · Plan #902

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\n \n Verification Status\n
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\n \n \n {{ lastVerifiedText() }}\n \n
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\n Trace: EDI-271-99842 · Effective: Jan 01, 2026 – Dec 31, 2026\n

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\n Individual Deductible\n

\n In-Network\n
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\n $1,200.00\n / $2,500.00 met\n
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\n $1,300.00 remaining in plan year\n

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\n Accumulator Met\n 48%\n
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\n Family Deductible: $2,400.00 / $5,000.00 met (48%)\n

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\n Out-of-Pocket Maximum\n

\n Annual Max\n
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\n $2,800.00\n / $6,000.00 met\n
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\n $3,200.00 until 100% plan liability\n

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\n Accumulator Met\n 46%\n
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\n Includes deductibles, copays & Rx coinsurance\n

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\n Primary Care Copay\n

\n \n No Deductible\n \n
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\n $25.00\n copay\n
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No deductible required prior to copay benefit

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\n \n Designated PCP In-Network\n
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$0.00 copay for annual preventive wellness checkups

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\n Specialist Copay\n

\n \n PA Required\n \n
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\n $50.00\n copay\n
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Prior authorization required for select procedures

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\n \n Direct Specialist Access\n
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No primary care physician (PCP) referral required

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Detailed Coverage Category Breakdown

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\n Schedule of in-network vs out-of-network patient cost-sharing, authorization rules, and annual benefit\n limits.\n

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\n \n Updated via ANSI 835/271\n \n
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Service CategoryIn-Network CoverageOut-of-Network CoveragePrior Authorization (PA)Annual Limits & Copay
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Preventive Care

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\n Annual wellness exams, biometric screenings, routine adult & pediatric immunizations,\n mammograms.\n

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\n 100% covered\n \n $0 Deductible & Copay\n \n
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\n 60% of UCR\n

Subject to out-of-network deductible

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\n \n Not Required\n
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Direct access without pre-certification

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$0.00 copay

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Unlimited annual wellness visits

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Specialist Visits

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\n Cardiology, neurology, physical & occupational therapy, diagnostic imaging, and outpatient\n consultations.\n

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\n 80% after deductible\n

$50.00 office visit copay

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\n 60% of UCR\n

Balance billing applies above UCR

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\n \n Required for Procedures\n
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PA required for MRI, CT scans & surgery

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$50.00 copay

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Max 30 PT visits / calendar year

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Urgent Care & ER

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\n Emergency department trauma evaluation, hospital triage, advanced imaging, and walk-in urgent\n clinics.\n

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\n 100% after copay\n

$100 Urgent / $350 ER + 20%

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\n Emergency: In-Network Rate\n

Prudent Layperson Standard (ACA)

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\n \n Exempt for Emergency\n
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Notification requested within 48h

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$100.00 / $350.00

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ER copay waived if admitted

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Prescription Drug Tiers

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\n Tier 1 Generic, Tier 2 Preferred Brand, Tier 3 Non-Preferred Brand, Tier 4 Specialty\n Biologics.\n

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\n Tier 1–3 Copay / T4 20%\n

T1: $10 · T2: $35 · T3: $70

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\n Not Covered\n

Participating retail & mail order only

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\n \n Step Therapy / PA\n
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Mandatory PA for Tier 4 Specialty

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$10.00 – $70.00

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$3,500.00 Rx Annual OOP Max

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Secondary Insurance & Coordination of Benefits (COB)

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\n Medicare secondary payor rules and automated electronic crossover claims coordination.\n

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\n \n Automatic Crossover Active\n \n
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Secondary Payer

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Medicare Part B (CMS)

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Medical Insurance

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Secondary Policy / MBI

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#MED-9023411-B

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Coordination: Secondary Payor

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Medicare Part B Deductible

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$240.00 / $240.00 met

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100% Deductible Satisfied

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Secondary Cost Sharing

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20% Coinsurance Balance

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Covers patient gap liability

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Automated 837P / EDI-271 Crossover Agreement (COBA)

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\n Primary claims processed by BlueCross BlueShield automatically transmit to Medicare for secondary\n adjudication. No manual paper secondary submission is required for eligible in-network clinical\n encounters.\n

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\n `,\n})\nexport class UiInsuranceEligibilityCheckerComponent {\n protected readonly Activity = Activity\n protected readonly AlertCircle = AlertCircle\n protected readonly Building2 = Building2\n protected readonly CheckCircle2 = CheckCircle2\n protected readonly CreditCard = CreditCard\n protected readonly FileCheck = FileCheck\n protected readonly FileText = FileText\n protected readonly Hospital = Hospital\n protected readonly Info = Info\n protected readonly Pill = Pill\n protected readonly RefreshCw = RefreshCw\n protected readonly ShieldCheck = ShieldCheck\n protected readonly Stethoscope = Stethoscope\n protected readonly User = User\n\n @Input('class') className?: string\n\n readonly isVerifying = signal(false)\n readonly lastVerifiedText = signal('Active Coverage · Verified Today at 09:15 AM')\n private verifyTimer: ReturnType | undefined\n\n constructor() {\n inject(DestroyRef).onDestroy(() => clearTimeout(this.verifyTimer))\n }\n\n get rootClass(): string {\n return cn('bg-background text-foreground w-full space-y-6', this.className)\n }\n\n handleReverify(): void {\n if (this.isVerifying()) return\n this.isVerifying.set(true)\n this.verifyTimer = setTimeout(() => {\n this.isVerifying.set(false)\n const now = new Intl.DateTimeFormat('en-US', {\n hour: '2-digit',\n minute: '2-digit',\n second: '2-digit',\n hour12: true,\n }).format(new Date())\n this.lastVerifiedText.set(`Active Coverage · Verified Real-time at ${now}`)\n }, 750)\n }\n}\n", "type": "registry:block", "target": "~/src/app/components/blocks/insurance-eligibility-checker/insurance-eligibility-checker.component.ts" }, { "path": "packages/registry-angular/blocks/insurance-eligibility-checker/index.ts", "content": "export { UiInsuranceEligibilityCheckerComponent } from './insurance-eligibility-checker.component'\n", "type": "registry:block", "target": "~/src/app/components/blocks/insurance-eligibility-checker/index.ts" } ], "dependencies": [ "lucide-angular" ], "devDependencies": [], "registryDependencies": [ "https://uipkge.dev/r/angular/badge.json", "https://uipkge.dev/r/angular/button.json", "https://uipkge.dev/r/angular/card.json", "https://uipkge.dev/r/angular/progress.json", "https://uipkge.dev/r/angular/separator.json", "https://uipkge.dev/r/angular/table.json" ], "description": "Real-time health insurance eligibility and benefits verification dashboard: patient member demographics, active payer status, individual deductible and out-of-pocket maximum progress trackers, primary care and specialist copay benefit cards, category-level coverage breakdown table with in/out-of-network rates, and Medicare secondary coordination of benefits.", "categories": [ "healthcare", "app" ] }