operator_profile
Retrieves ANS data for a single health-plan operator—registration, complaints, IDSS quality, access bands, fines, and readjustments—to help judge whether it is a good choice.
Instructions
Everything ANS publishes about one health-plan operator, to judge whether it is a good choice.
Use for "is Hapvida good?", "how does Unimed Campinas rank on complaints?", "has SulAmérica been fined?". Returns:
registration: legal name, CNPJ, modality, head office, phone, status (active or cancelled, with date and reason), beneficiaries and size class;
complaints (IGR): latest month, 12-month average, the median of operators of the same size, the operator's position among them, and the monthly series;
quality (IDSS, 0-1, higher is better) for the last 5 years with its four dimensions;
access-to-care monitoring band (0 best, 3 worst) for the last published quarters;
fines applied by ANS: totals, last 5 years, status and the most recent cases;
the readjustment applied to its small-group pool (contracts with < 30 lives).
Args: operator: Name (or part of it), CNPJ, or ANS registry number. If the name matches several operators, the largest active one is used and the others are listed in outras_operadoras_com_nome_parecido: check it is the one the user meant (Unimed, for example, is hundreds of separate cooperatives). coverage: "medica" or "odonto". Default: every coverage the operator has.
Always quote the month/year of each figure and explain that IGR is lower-is-better and IDSS higher-is-better (see como_ler in the result).
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| coverage | No | ||
| operator | Yes |
Output Schema
| Name | Required | Description | Default |
|---|---|---|---|
No arguments | |||