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  • BC Patient Access API
  • FC Provider Directory API
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Provider Directory API
Provider Directory API enables the patients (consumers) access via third-party consumer applications to the data related to insurance plans, associated networks and the organizations and providers that participate in these networks. The Provider Directory API leverages the DaVinci PDEX Plan Net Implementation Guide (IG) that focuses on Payer Provider Directories.
Capability Statement
Developers can access the Acentra’s FHIR server capabilities for Provider Directory API using the CapabilityStatement endpoint:
Download
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The capability statement describes the set of capabilities (behaviors) implemented by the FHIR Server to enable the Provider Directory API. For example, it describes the enabled profiles, interactions, search parameters and provides information about the authorize and token endpoints.
Getting Started
The application owner is not required to register to access this API. Similarly the Patient Directory API does not require authentication/authorization.
Resources:
Acentra Interoperability Solution’s Patient Access API supports following resources
Practitioner
PractitionerRole
Organization
OrganizationAffiliation
Location
InsurancePlan
HealthcareService
Endpoint
Request Headers:
All requests for Patient Access API resources require the following headers:
content-type application/json
accept application/json
Sample Data:
Acentra’s Interoperability Solution’s Sandbox environment provides de-identified but reliable dataset for Provider Directory to facilitate testing Provider Directory APIs. The sandbox dataset is representative of real data and ensures consistency across the dataset.
Important information for Application Owners
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
Best Practices for Payers and App Developers
Federal Trade Commission’s (FTC) Act

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