Search Member

post

https://clientuatgateway.rxsense.com/core/api/member/search

Searches for members using Member Attributes (name, cardholder ID) OR OCAG Hierarchy values. By default, if GroupNumber is included, it takes priority over Member Attributes (FirstName/LastName). To reverse this, set IsHierarchySP=false.

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Body Params

Search by Member Attributes (name/ID) OR OCAG values (hierarchy). Validation requirements vary by search type: - Name search: FirstName+LastName required; IsPartialNameSP=true for partial match. - Cardholder ID: CardholderID or GroupNumber required; hierarchy flags false. - Hierarchy: OrganizationName/Number or Carrier/Account/Group; IsHierarchySP=true; EligibilityStartDate required. - Benefit Group: BenefitGroupNumber required; IsBenefitGroupNumberSP=true.

DOB

date

Member's date of birth.

FirstName

string

Member's first name.

LastName

string

Member's last name.

GroupNumber

string

Patient's group number.

MemberNumber

string

The CardholderID for the Member.

ZipCode

string

Patient's address ZIP code.

MemRxNumber

string

Member's prescription number for searching claims.

EligibilityStartDate

date-time

Start date range for member eligibility.

EligibilityEndDate

date-time

End date range for member eligibility.

MemberId

integer

Internal primary key for the member record in RxIQ.

ReqType

string

Unused.

OrganizationNumber

string

Organization number. Used when IsHierarchySP is true.

OrganizationName

string

Organization name. Used when IsHierarchySP is true.

CarrierNumber

string

Carrier number. Used when IsHierarchySP is true.

CarrierName

string

Carrier name. Used when IsHierarchySP is true.

AccountNumber

string

Account number. Used when IsHierarchySP is true.

AccountName

string

Account name. Used when IsHierarchySP is true.

BenefitGroupNumber

string

Benefit group number. Used when IsBenefitGroupNumberSP is true.

GroupName

string

Group name. Used when IsHierarchySP is true.

IsHierarchySP

boolean

Indicates if the hierarchy stored procedure is used. Overrides IsBenefitGroupNumberSP.

IsBenefitGroupNumberSP

boolean

If true, only BenefitGroupNumber is used; all other fields are ignored.

IsPartialNameSP

boolean

Indicates if partial name search is used.

PageNumber

integer

Page number for paginated results.

PageSize

integer

Number of records per page.

Headers

X-Api-Key

string

required

Unique API Key provided by RxSense.

Responses

400

Bad request (insufficient search parameters).

401

Unauthorized.

200Member search results.