The Provider Access Application Programming Interface (API) allows you to securely request and receive electronic data about your patients who are covered by one of our plans1,2.
The data exchanged through this API offers in-network contracted providers a more complete picture of your patients' health to help you better coordinate their care and reduce administrative tasks.
Through the API, you’ll be able to access:
Your electronic health record (EHR) or electronic medical record (EMR) systems need to be connected to our API to request and receive secure patient data electronically.
To get started, your Information Technology team may need to do this set up. Share this Developer Portal with them for technical specifications and implementation guides:
Health information is shared only with the in-network providers who are actively involved in the member’s care to safeguard member privacy. We will only share data when we've verified this treatment relationship3.
After connecting to the API, you will be able to view secure data for patients if:
Members have access to their information through a Patient Access API4. They can opt out of us sharing data with their providers or other health plans at any time. They can manage their preferences online or by calling Member Service at the number listed on their ID card.
Learn more by going to our Allowing Access to Your Private Health Information page on our member website.
An API is a set of rules or protocols that enable software applications to talk with each other and exchange data, features, or other functionality.
We follow HIPPA and other interoperability standards to protect data and member privacy.
It's refreshed daily.