Provider Access API
Standards-based access for EHR systems to retrieve member, claims and prior authorization data from payer systems using SMART Backend Services and FHIR Bulk Data.
Overview
The Provider Access API enables secure, standards-based access for EHR systems (consumers) to retrieve relevant member, claims, and prior authorization data from payer systems (producers).
It aligns with CMS-recommended implementation guides - the CARIN Common Payer Consumer Dataset (CPCDS), HL7® Da Vinci PDex, and FHIR® Bulk Data - and leverages HL7® FHIR® with SMART Backend Services Authorization.
Capability Statement
Developers can access the Acentra Health FHIR server capabilities for the Provider Access API using the CapabilityStatement endpoint:
View JSONThe CapabilityStatement describes the supported profiles, interactions, search parameters, and authorization and token endpoints.
API Access Setup
Clients can retrieve SMART configuration details by invoking the SMART configuration endpoint at /.well-known/smart-configuration, appended to the FHIR Base URL.
Getting an Access Token
The Provider Access API uses SMART Backend Services authorization. Request an access token from the token endpoint using the client_credentials grant.
| Header | Value |
|---|---|
| content-type | application/x-www-form-urlencoded |
| accept | application/json |
| Parameter | Value |
|---|---|
| scope | {scopes} |
| grant_type | client_credentials |
| client_id | {client_id} |
| client_secret | {client_secret} |
Operations
The Provider Access API supports the following operations.
Resources
$davinci-data-export bulk export operation - individual REST endpoints are not available for these profiles.Request Headers
All requests for Provider Access API profiles require the following headers:
| Header | Value |
|---|---|
| content-type | application/json |
| accept | application/json |
| authorization | Bearer {access_token} |
Sample Responses & Data
Important Information for EHR Systems
| Topic | Reference |
|---|---|
| CARIN Alliance Code of Conduct | https://www.carinalliance.com/our-work/trust-frameworkand-code-of-conduct/ |
| Privacy, Security and HIPAA | https://www.healthit.gov/topic/privacy-security-and-hipaa |
| ONC Model Privacy Notice | https://www.healthit.gov/topic/privacy-security-and-hipaa/model-privacy-notice-mpn |