Provider Directory API
Public access to insurance plans, networks, and the organizations and providers that participate in them - based on the Da Vinci PDEX Plan Net IG.
Overview
The Provider Directory API enables patients (consumers) - via third-party applications - to access data related to insurance plans, their associated networks, and the organizations and providers that participate in those networks.
The API leverages the Da Vinci PDEX Plan Net Implementation Guide, which focuses on payer provider directories.
Capability Statement
Developers can access the Acentra FHIR server capabilities for the Provider Directory API using the CapabilityStatement endpoint:
View JSONThe CapabilityStatement describes the supported profiles, interactions, and search parameters implemented by the FHIR Server.
Open API Access
Resources
FHIR R4 resource profiles and endpoint paths. No authentication required - open access API.
Request Headers
All requests for Provider Directory API profiles require the following headers:
| Header | Value |
|---|---|
| content-type | application/json |
| accept | application/json |
Sample Responses & Data
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 |