Payer2Payer OutBound
APIs
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The Payer-to-Payer Data Exchange API is conformant to the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule (CMS-9115-F). Payers may retrieve enrollee's previous health plan information, if Florida Blue maintains such data and subject to a live payer-to-payer connection, at the direction of the enrollee or enrollee's personal representative. This Payer-to-Payer Data Exchange API enables payers acting upon the authorization of an enrollee or an enrollee's personal representative to retrieve a sub-set of historical clinical data and encounter
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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.
Plans
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Default Plan
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8 calls per second
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GET
/P2P/R4/metadata
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8 calls per second
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GET
/Patient/{FHIRID}/{everything}
GET
/Patient/{FHIRID}
GET
/{resourceType}
GET
/
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Requires subscription approval