Aetna

Aetna Provider Directory API

The Provider Directory API from Aetna — 9 operation(s) for provider directory.

Documentation GitHub OpenAPI

Operations 9

GET /v1/providerdirectory/InsurancePlan Retrieve InsurancePlan resource based on Coverage Area (Coverage area is a… #

GET /v1/providerdirectory/Location Search all resources of type Location based on postalCode or (State and City) #

GET /v1/providerdirectory/Location/{id} Retrieves a Location Resource based on the Unique Logical ID #

GET /v1/providerdirectory/Organization Retrieves Organization resources based on search criteria(name, location) #

GET /v1/providerdirectory/OrganizationAffiliation Retrieves the OrganizationAffiliation resource based on : Specialty + Location #

GET /v1/providerdirectory/Organization/{id} Retrieves details of a Plannet Organization Resource based on a logical id #

GET /v1/providerdirectory/Practitioner Retrieve a bundle of Practitioner records based on the search criteria #

GET /v1/providerdirectory/PractitionerRole Retrieves list of Practitioner(s) that meets specialty and location parameters #

GET /v1/providerdirectory/Practitioner/{id} Retrieves details of individual Practitioner(s) by Logical ID #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Aetna Providerdirectory Provider Directory API
  version: 1.0.0
  description: 'Retrieve Insurance Plan resource based on Coverage Area (Coverage area is a 2-digit state abbreviation).

    Both Provider and Pharmacy data are available on this resource.'
  contact:
    name: Aetna Interoperability Developer Support
    email: InteroperabilityDeveloperSupport@aetna.com
    url: https://developerportal.aetna.com/
  x-assembled-by: API Evangelist enrichment pipeline
  x-assembly-note: 'Assembled from 16 single-operation Swagger 2.0 documents that Aetna publishes itself at https://developerportal.aetna.com/managedcontent/yaml/<file>, listed in the portal''s own API catalog at https://developerportal.aetna.com/assets/Data/Fhir.json. Every path, parameter, description, schema, example and security definition below is Aetna''s verbatim content; the union, the Swagger 2.0 -> OpenAPI 3.0.3 structural conversion, and the operationIds are ours (Aetna sets every operationId to the literal string "GET", which is not unique across a merged document). The unmodified sources are archived in openapi/_original/. NOTE ON MERGE FIDELITY: where two source documents define a schema of the same name with different content (FHIR profile variants), the first definition encountered wins and that divergence is not represented here; the per-operation source of truth is always the archived original named in each operation''s x-source-file.'
servers:
- url: https://apif1.aetna.com/fhir
- url: https://qapif1.aetna.com/fhir
tags:


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# Full source: https://raw.githubusercontent.com/api-evangelist/aetna/refs/heads/main/openapi/aetna-provider-directory-api-openapi.yml