Is this provider in this plan?
check_networkAnswers whether one plan's network directory lists one provider. answer "listed" (in_network: true) comes with evidence: plan year, network tier and source {type, as_of}. answer "not_found" (in_network: null) means no listing was found in current directory data for this provider and plan; it is NOT a statement that the provider is out of network, so never report it as "out of network". answer "no_provider_network" is a drug-only plan. Directories change; tell users to confirm with the plan before care. Costs 1 call.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| npi | Yes | 10-digit National Provider Identifier, as a string, e.g. "1184617268". | |
| year | No | Plan year, e.g. 2026. Optional; by default all plan years we hold are considered. | |
| plan_id | Yes | Plan ID. Marketplace (ACA) plans: 14 characters like "29276OH0970001" (a 16-character "-01" variant form is accepted). Medicare Advantage plans: "H1234-001-000" (the segment "-000" is optional). |
Output Schema
| Name | Required | Description | Default |
|---|---|---|---|
| data | Yes | The answer. Same shape as the matching InPlan API v1 endpoint. | |
| notes | No | How to read the answer. | |
| sources | Yes | Source types behind the answer (insurer_directory, plan_directory, provider_registry, plan_catalog), each with its as_of date. | |
| data_as_of | Yes | Date (YYYY-MM-DD) of the newest data behind this answer. | |
| request_id | Yes | Request id; quote it when you contact support. |