Transcarent × Vapi

\n Transcarent sandbox · synthetic data\n

\n\n

Members

Provider directory

MCP tools the agent discovered

Appointments booked by the voice agent

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What Vapi sends your systems when a call ends

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\n\n\n\n`;\n",[],[101],["D",1787003984634],[],[19],"78521cd9-4adc-4ffc-bc9e-0486d2e34028","data.ts","01a011bc-7f64-7568-99c3-6ebeed37bec0",["D",1787003961031],"/**\n * ALL DATA HERE IS SYNTHETIC AND INVENTED FOR A SALES DEMO.\n * No real member, provider, claim, or plan information appears in this file.\n * Names, NPIs, member IDs, and addresses are fabricated.\n */\n\nexport type Benefit = {\n name: string;\n covered: boolean;\n requiresPriorAuth: boolean;\n memberCostShare: string;\n notes: string;\n /** The whole point of the demo: what else the member is entitled to but did not ask about. */\n relatedBenefits: string[];\n};\n\nexport type Member = {\n memberId: string;\n firstName: string;\n lastName: string;\n dateOfBirth: string;\n phone: string;\n zip: string;\n planName: string;\n /** Provider name from PROVIDERS, when claims history establishes a regular doctor. */\n primaryCareProviderName?: string;\n deductibleTotal: number;\n deductibleMet: number;\n outOfPocketMax: number;\n outOfPocketMet: number;\n benefits: Record;\n};\n\nexport type Provider = {\n npi: string;\n name: string;\n specialty: string;\n practice: string;\n addressLine: string;\n city: string;\n state: string;\n zip: string;\n distanceMiles: number;\n inNetwork: boolean;\n acceptingNewPatients: boolean;\n /** Recurring weekly openings; concrete dated slots are computed at request time in slots.ts. */\n weeklySlots: { weekday: string; time: string }[];\n virtualVisits: boolean;\n};\n\nexport type Claim = {\n claimId: string;\n memberId: string;\n serviceDate: string;\n provider: string;\n serviceDescription: string;\n billedAmount: number;\n planPaid: number;\n memberResponsibility: number;\n status: \"paid\" | \"processing\" | \"denied\";\n statusDetail: string;\n};\n\nconst GLP1_RELATED = [\n \"Registered dietician visits (6 per plan year, $0 copay)\",\n \"Nutrition counseling through the care team\",\n \"Weight management coaching program\",\n];\n\nexport const MEMBERS: Member[] = [\n {\n memberId: \"AC123\",\n firstName: \"Dana\",\n lastName: \"Whitfield\",\n dateOfBirth: \"1984-03-11\",\n phone: \"+16145550142\",\n zip: \"43215\",\n planName: \"Horizon Select PPO\",\n // Matches her 2026-08-04 annual preventive visit claim at Short North Family Medicine.\n primaryCareProviderName: \"Dr. Samir Bhatt\",\n deductibleTotal: 2000,\n deductibleMet: 1450,\n outOfPocketMax: 6000,\n outOfPocketMet: 2310,\n benefits: {\n \"glp-1\": {\n name: \"GLP-1 weight management medication\",\n covered: true,\n requiresPriorAuth: true,\n memberCostShare: \"$25 copay per 30-day supply\",\n notes:\n \"Covered when BMI criteria are met and prior authorization is approved. Approval typically takes 3 to 5 business days.\",\n relatedBenefits: GLP1_RELATED,\n },\n \"dermatology\": {\n name: \"Dermatology specialist visit\",\n covered: true,\n requiresPriorAuth: false,\n memberCostShare: \"$40 specialist copay, no referral required\",\n notes: \"In-network specialist visits do not require a referral on this plan.\",\n relatedBenefits: [\"Annual skin cancer screening at $0 cost share\"],\n },\n \"mental-health\": {\n name: \"Outpatient mental health\",\n covered: true,\n requiresPriorAuth: false,\n memberCostShare: \"$0 for the first 8 visits per plan year, then $30 per visit\",\n notes: \"Includes virtual therapy through the plan's behavioral health network.\",\n relatedBenefits: [\n \"24/7 behavioral health crisis line\",\n \"Digital cognitive behavioral therapy program at no cost\",\n ],\n },\n \"physical-therapy\": {\n name: \"Physical therapy\",\n covered: true,\n requiresPriorAuth: true,\n memberCostShare: \"$35 per visit, up to 20 visits per plan year\",\n notes: \"Prior authorization required after the 6th visit.\",\n relatedBenefits: [\"At-home guided exercise program at no cost\"],\n },\n },\n },\n {\n memberId: \"HZ-2298104\",\n firstName: \"Marcus\",\n lastName: \"Elder\",\n dateOfBirth: \"1971-09-02\",\n phone: \"+16145550188\",\n zip: \"43004\",\n planName: \"Horizon Core HDHP\",\n deductibleTotal: 3500,\n deductibleMet: 500,\n outOfPocketMax: 7000,\n outOfPocketMet: 500,\n benefits: {\n \"glp-1\": {\n name: \"GLP-1 weight management medication\",\n covered: false,\n requiresPriorAuth: false,\n memberCostShare: \"Not covered under this plan's formulary\",\n notes:\n \"This plan excludes weight management medication. Coverage is available when prescribed for type 2 diabetes.\",\n relatedBenefits: GLP1_RELATED,\n },\n \"cardiology\": {\n name: \"Cardiology specialist visit\",\n covered: true,\n requiresPriorAuth: false,\n memberCostShare: \"20% coinsurance after deductible\",\n notes: \"Deductible applies first on this high deductible plan.\",\n relatedBenefits: [\"Cardiac nutrition counseling\", \"Blood pressure monitoring program\"],\n },\n },\n },\n];\n\nexport const PROVIDERS: Provider[] = [\n {\n npi: \"1000000001\",\n name: \"Priya Raman, RD\",\n specialty: \"registered dietician\",\n practice: \"Scioto Nutrition Partners\",\n addressLine: \"88 East Rich Street\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43215\",\n distanceMiles: 1.2,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Thursday\", time: \"14:30\" }, { weekday: \"Friday\", time: \"11:00\" }],\n virtualVisits: true,\n },\n {\n npi: \"1000000002\",\n name: \"Alan Petrosky, RD\",\n specialty: \"registered dietician\",\n practice: \"Olentangy Wellness Group\",\n addressLine: \"2140 North High Street\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43201\",\n distanceMiles: 3.4,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Monday\", time: \"09:00\" }, { weekday: \"Wednesday\", time: \"16:15\" }],\n virtualVisits: true,\n },\n {\n npi: \"1000000003\",\n name: \"Hollis Bergen, MS, RDN\",\n specialty: \"nutrition counseling\",\n practice: \"Franklin Metabolic Health\",\n addressLine: \"1500 West Broad Street\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43222\",\n distanceMiles: 4.8,\n inNetwork: true,\n acceptingNewPatients: false,\n weeklySlots: [],\n virtualVisits: false,\n },\n {\n npi: \"1000000004\",\n name: \"Dr. Neena Okafor\",\n specialty: \"dermatology\",\n practice: \"Capitol Square Dermatology\",\n addressLine: \"22 South Third Street\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43215\",\n distanceMiles: 0.8,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Tuesday\", time: \"11:15\" }, { weekday: \"Friday\", time: \"09:30\" }],\n virtualVisits: false,\n },\n {\n npi: \"1000000005\",\n name: \"Dr.Wes Lindquist\",\n specialty: \"dermatology\",\n practice: \"Grandview Skin Institute\",\n addressLine: \"901 Grandview Avenue\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43212\",\n distanceMiles: 5.1,\n inNetwork: false,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Monday\", time: \"13:00\" }, { weekday: \"Wednesday\", time: \"08:45\" }],\n virtualVisits: true,\n },\n {\n npi: \"1000000006\",\n name: \"Dr. Ruth Camden\",\n specialty: \"cardiology\",\n practice: \"Central Ohio Heart Associates\",\n addressLine: \"410 West Tenth Avenue\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43210\",\n distanceMiles: 2.6,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Tuesday\", time: \"15:30\" }, { weekday: \"Friday\", time: \"13:00\" }],\n virtualVisits: true,\n },\n {\n npi: \"1000000007\",\n name: \"Dr. Samir Bhatt\",\n specialty: \"primary care\",\n practice: \"Short North Family Medicine\",\n addressLine: \"630 North High Street\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43215\",\n distanceMiles: 1.6,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Monday\", time: \"15:45\" }, { weekday: \"Tuesday\", time: \"11:15\" }, { weekday: \"Thursday\", time: \"14:00\" }],\n virtualVisits: true,\n },\n {\n npi: \"1000000009\",\n name: \"Dr. Lena Marsh\",\n specialty: \"primary care\",\n practice: \"German Village Medical Group\",\n addressLine: \"745 Mohawk Street\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43206\",\n distanceMiles: 2.9,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Tuesday\", time: \"10:15\" }, { weekday: \"Friday\", time: \"10:15\" }],\n virtualVisits: true,\n },\n {\n npi: \"1000000008\",\n name: \"Dr. Corinne Adeyemi\",\n specialty: \"behavioral health\",\n practice: \"Riverside Behavioral Care\",\n addressLine: \"3535 Olentangy River Road\",\n city: \"Columbus\",\n state: \"OH\",\n zip: \"43214\",\n distanceMiles: 6.2,\n inNetwork: true,\n acceptingNewPatients: true,\n weeklySlots: [{ weekday: \"Monday\", time: \"11:30\" }, { weekday: \"Thursday\", time: \"16:00\" }],\n virtualVisits: true,\n },\n];\n\nexport const CLAIMS: Claim[] = [\n {\n claimId: \"CLM-88214470\",\n memberId: \"AC123\",\n serviceDate: \"2026-06-18\",\n provider: \"Capitol Square Dermatology\",\n serviceDescription: \"Specialist office visit\",\n billedAmount: 310,\n planPaid: 270,\n memberResponsibility: 40,\n status: \"paid\",\n statusDetail: \"Processed on 2026-06-29. Member responsibility is the $40 specialist copay.\",\n },\n {\n claimId: \"CLM-88310952\",\n memberId: \"AC123\",\n serviceDate: \"2026-07-22\",\n provider: \"Scioto Imaging Center\",\n serviceDescription: \"Diagnostic imaging, lower back\",\n billedAmount: 1240,\n planPaid: 0,\n memberResponsibility: 0,\n status: \"denied\",\n statusDetail:\n \"Denied because prior authorization was not on file at the time of service. This can be appealed, and the provider can submit a retroactive authorization request within 90 days of the service date.\",\n },\n {\n claimId: \"CLM-88402118\",\n memberId: \"AC123\",\n serviceDate: \"2026-08-04\",\n provider: \"Short North Family Medicine\",\n serviceDescription: \"Annual preventive visit\",\n billedAmount: 285,\n planPaid: 285,\n memberResponsibility: 0,\n status: \"processing\",\n statusDetail: \"Received on 2026-08-06 and currently in processing. 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