Patient Access
APIs
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API Documentation
The Florida Blue Patient Access API is conformant to the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule (CMS-9115-F). Third-party applications may retrieve enrollee information, if Florida Blue maintains such data, as well as any enrollee data Florida Blue is authorized to retrieve and make available from enrollee's previous payer(s) subject to both historical data availability and the presence of a live payer-to-payer connection, at the direction of the enrollee or enrollee's personal representative. This Patient Access
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The Capability Statement is a key part of the overall conformance framework in FHIR. It is used as a statement of the features of actual software, or of a set of rules for an application to provide. The Florida Blue Capability Statement endpoint for the CMS Interoperability API’s can be accessed below and use the route /R4/metadata to the left.
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The Florida Blue Pharmacy API is conformant to the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule (CMS-9115-F). Third-party applications can retrieve enrollee information, if Florida Blue maintains such data, at the direction of the enrollee or enrollee's personal representative. This Pharmacy API enables enrollees or an enrollee's personal representative to access their health data through authentication for drug formulary information covered by their Florida Blue health plan conformant with CMS requirements. Florida Blue's Pharmacy API
Plans
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Patient Access Plan
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2 rate limits *
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GET
/ExplanationOfBenefit
GET
/Coverage
GET
/List
GET
/MedicationKnowledge
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2 rate limits *
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GET
/R4/metadata
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2 rate limits *
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GET
/{resourceType}
GET
/
GET
/Patient/{FHIRID}
GET
/Patient/{FHIRID}/{everything}
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Requires subscription approval