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 Health FHIR server capabilities for Provider Directory API using the CapabilityStatement endpoint:
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 and search parameters.
Open API Access
The application owner is not required to register to access this API. Hence the Provider Directory API does not require authentication/authorization.
Profiles
Acentra Health Interoperability Solution's Provider Directory API supports the following profiles
| Profile | Endpoint |
|---|---|
| Practitioner | https://sb.fhir.mhbapp.com/pd/api/v1/Practitioner |
| PractitionerRole | https://sb.fhir.mhbapp.com/pd/api/v1/PractitionerRole |
| Organization | https://sb.fhir.mhbapp.com/pd/api/v1/Organization |
| OrganizationAffiliation | https://sb.fhir.mhbapp.com/pd/api/v1/OrganizationAffiliation |
| Location | https://sb.fhir.mhbapp.com/pd/api/v1/Location |
| InsurancePlan | https://sb.fhir.mhbapp.com/pd/api/v1/InsurancePlan |
| HealthcareService | https://sb.fhir.mhbapp.com/pd/api/v1/HealthcareService |
| Endpoint | https://sb.fhir.mhbapp.com/pd/api/v1/Endpoint |
| Network | https://sb.fhir.mhbapp.com/pd/api/v1/Network |
Request Headers
All requests for Provider Directory API profiles require the following headers
| Header | Value |
|---|---|
| content-type | application/json |
| accept | application/json |
Sample Queries and Data
Acentra Health Interoperability Solution’s Sandbox environment provides de-identified but reliable dataset for Provider Directory to facilitate testing Provider Directory API. The sandbox dataset is representative of real data and ensures consistency across the dataset.
Important information for Application Owners
| Topic | Reference |
|---|---|
| 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 |