Provider Directory
APIs
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The Florida Blue Provider Directory 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 current Florida Blue network provider and pharmacy directory information conformant with CMS requirements. The Provider Directory API is an open access service that does not require registration. Florida Blue's Provider Directory API conforms to the FHIR R4 standard and the Da Vinci Payer Data Exchange (PDex) Plan Net Implementation Guide.
Please use the below Endpoint URL details to
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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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FHIR-Plan
12 calls per second
FHIR Plan
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CMS Interoperability Provider Directory Metadata 1.0.0
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Provider Directory API 1.1.0