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The Provider Directory & Patient Access Application Program Interface (API)

Provider Directory

This API emerged as a response to the CMS Interoperability and Patient Access Final Rule. This regulation mandates health plans to furnish beneficiaries with access to precise and promptly updated provider directory information through an API. The rule's objective is to enhance access to care and guarantee that beneficiaries possess the necessary information to make well-informed decisions concerning their healthcare.

API Description

The Provider Directory guide is built on the Fast Healthcare Interoperability Resources (FHIR) STU3 API and serves as the cornerstone of a comprehensive provider directory. It delineates the scenarios and search criteria for locating a practitioner or organization, while also specifying the essential data elements and offering fundamental query instructions. The elements outlined in this guide aim to establish a groundwork for a centralized Provider Directory. 

For more information about how to use the API, please refer to the API’s Documentation: NDE | API Methods (netsmartcloud.com) 

Click here to access the Developer’s Portal

Patient Access

As part of The Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access Rule, BHSD implemented a Patient Access as publicly available API which seeks to establish beneficiaries as the owners of their health information with the right to direct its transmission to third-party applications.

API Description

The Patient Access API allows members to access their personal health information through a third-party application of their choosing. This API implements the HL7 FHIR implementation guides listed below. 

For more information about how to use the API, please refer to the API’s Documentation: NDE | API Methods (netsmartcloud.com) 

Click here to access the Developer’s Portal

For additional details regarding safeguarding your data,  please visit Member Health Data.