Centene

Centene Insurance Plan API

The Insurance Plan API from Centene — 2 operation(s) for insurance plan.

GitHub OpenAPI

Operations 2

GET /InsurancePlan Search all resources of type InsurancePlan based on a set of criteria #
GET /InsurancePlan/{id} Read the current state of the resource #

Documentation

📖
Documentation
https://partners.centene.com/apiDetail/2718669d-6e2e-42b5-8c90-0a82f13a30ba
📖
GettingStarted
https://partners.centene.com/apiDetail/2718669d-6e2e-42b5-8c90-0a82f13a30ba
📖
Documentation
https://partners.centene.com/apiDetail/8122bc9c-43d6-4a2a-b6be-2272df8b8566
📖
GettingStarted
https://partners.centene.com/apiDetail/8122bc9c-43d6-4a2a-b6be-2272df8b8566
📖
APIReference
https://iopc-pd.api.centene.com/iopc/pd/fhir/providerdirectory/metadata
📖
Documentation
https://partners.centene.com/apiDetail/6b5c0001-8b47-4f1c-864f-9193971f5c62
📖
Documentation
https://partners.centene.com/apiDetail/fa62cad4-34be-4b39-b599-30d8a8b7163b
📖
Documentation
https://partners.centene.com/apiDetail/a3cbbe9e-c2fe-4460-a248-6599e8b746be
📖
Documentation
https://partners.centene.com/apiDetail/badcf145-cbcb-4163-bace-bcadc1da3554
📖
Documentation
https://partners.centene.com/apiDetail/ee19c28c-cc90-4ea7-8181-512be50f210d
📖
Documentation
https://partners.centene.com/apiDetail/97211dcb-047f-4f94-94b9-bb15376eb6ef
📖
Documentation
https://partners.centene.com/apiDetail/c921dd2a-ed7a-40ca-9324-803c7f65c374
📖
Documentation
https://partners.centene.com/apiDetail/0a778592-13dd-447b-80b3-c39539d7a993
📖
Documentation
https://partners.centene.com/apiDetail/6868b4d9-c336-4f02-bfb6-3886215b5564
📖
Documentation
https://partners.centene.com/apiDetail/b795fc7e-44ab-4e11-a99e-9f261c1d48e9

Specifications

⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/centene/refs/heads/main/openapi/centene-insurance-plan-api-openapi.yml

Other Resources

🔗
Catalog
https://partners.centene.com/apis
🔗
Sandbox
https://raw.githubusercontent.com/api-evangelist/centene/refs/heads/main/sandbox/centene-sandbox.yml
🔗
Webhooks
https://raw.githubusercontent.com/api-evangelist/centene/refs/heads/main/asyncapi/centene-webhooks.yml

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OpenAPI Specification

centene-insurance-plan-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: Provider Directory Insurance Plan API
  description: Provider directory endpoints for FHIR resources
  version: '1.0'
servers:
- url: https://dev-int-api-gw.centene.com/fhir/v4/providerdirectory
tags:
- name: Insurance Plan
paths:
  /InsurancePlan:
    get:
      tags:
      - Insurance Plan
      summary: Search all resources of type InsurancePlan based on a set of criteria
      operationId: searchInsurancePlan
      parameters:
      - name: administered-by
        in: query
        description: Product administrator
        schema:
          type: string
      - name: coverage-area
        in: query
        schema:
          type: string
      - name: identifier
        in: query
        description: Any identifier for the organization (not the accreditation issuer's identifier)
        schema:
          type: string
      - name: _lastUpdated
        in: query
        schema:
          type: string
          format: date
      - name: name
        in: query
        description: A portion of the organization's name or alias
        schema:
          type: string
      - name: name:contains
        in: query
        description: Contains a portion of the organization's name or alias
        schema:
          type: string
      - name: name:exact
        in: query
        description: An exact organization's name or alias
        schema:
          type: string
      - name: owned-by
        in: query
        description: An organization of which this organization forms a part
        schema:
          type: string
      - name: plan-type
        in: query
        schema:
          type: string
      - name: plan-type:text
        in: query
        schema:
          type: string
      - name: type
        in: query
        description: A code for the type of organization
        schema:
          type: string
      - name: identifier:text
        in: query
        schema:
          type: string
      - name: type:text
        in: query
        schema:
          type: string
      - name: _id
        in: query
        description: The ID of the resource
        schema:
          type: string
      - name: _include
        in: query
        schema:
          type: string
          x-consoleDefault: application/json
        x-consoleDefault: application/json
      - name: _source
        in: query
        schema:
          type: string
      - name: _next
        in: query
        schema:
          type: string
      - name: _page
        in: query
        schema:
          type: number
      responses:
        '200':
          description: Success
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/InsurancePlan-search'
        '400':
          description: Bad request
          content:
            '*/*':
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: invalid
                  details:
                    text: Invalid or badly formed InsurancePlan ID .
              schema:
                $ref: '#/components/schemas/GeneralError'
        '401':
          description: Unauthorized
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Unauthorized
                  details:
                    text: You are not authorized to view this InsurancePlan.
        '403':
          description: Forbidden
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: forbidden
                  details:
                    text: You are not allowed to view this InsurancePlan.
        '404':
          description: Not Found
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Not Found
                  details:
                    text: No InsurancePlan found with the provided ID.
        '500':
          description: InternalServerError
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: fatal
                  code: exception
                  details:
                    text: Internal server error. Please try again later
        '429':
          description: Too Many Requests
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Too Many Requests
                  details:
                    text: Too Many Requests for InsurancePlan with the provided ID.
        '501':
          description: Not Implemented
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Not Implemented
                  details:
                    text: The request for InsurancePlan is Not Implemented
        '502':
          description: Bad gateway
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Bad gateway
                  details:
                    text: Bad gateway
        '503':
          description: Service Unavailable
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Service Unavailable
                  details:
                    text: Service Unavailable
        '504':
          description: Gateway Timeout
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Gateway Timeout
                  details:
                    text: Gateway Timeout
      security:
      - Basic: []
  /InsurancePlan/{id}:
    get:
      tags:
      - Insurance Plan
      summary: Read the current state of the resource
      operationId: readInsurancePlan
      parameters:
      - name: id
        in: path
        required: true
        schema:
          type: string
      responses:
        '200':
          description: Success
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/InsurancePlan'
        '400':
          description: Bad request
          content:
            '*/*':
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: invalid
                  details:
                    text: Invalid or badly formed InsurancePlan ID .
              schema:
                $ref: '#/components/schemas/GeneralError'
        '401':
          description: Unauthorized
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Unauthorized
                  details:
                    text: You are not authorized to view this InsurancePlan.
        '403':
          description: Forbidden
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: forbidden
                  details:
                    text: You are not allowed to view this InsurancePlan.
        '404':
          description: Not Found
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Not Found
                  details:
                    text: No InsurancePlan found with the provided ID.
        '500':
          description: InternalServerError
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: fatal
                  code: exception
                  details:
                    text: Internal server error. Please try again later
        '429':
          description: Too Many Requests
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Too Many Requests
                  details:
                    text: Too Many Requests for InsurancePlan with the provided ID.
        '501':
          description: Not Implemented
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Not Implemented
                  details:
                    text: The request for InsurancePlan is Not Implemented
        '502':
          description: Bad gateway
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Bad gateway
                  details:
                    text: Bad gateway
        '503':
          description: Service Unavailable
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Service Unavailable
                  details:
                    text: Service Unavailable
        '504':
          description: Gateway Timeout
          content:
            '*/*':
              schema:
                $ref: '#/components/schemas/GeneralError'
              example:
                resourceType: OperationOutcome
                issue:
                - severity: error
                  code: Gateway Timeout
                  details:
                    text: Gateway Timeout
      security:
      - Basic: []
components:
  schemas:
    InsurancePlan-search:
      required:
      - entry
      - id
      - link
      - meta
      - resourceType
      - total
      - type
      type: object
      properties:
        resourceType:
          minLength: 1
          type: string
        id:
          minLength: 1
          type: string
        meta:
          required:
          - lastUpdated
          type: object
          properties:
            lastUpdated:
              minLength: 1
              type: string
        type:
          minLength: 1
          type: string
        total:
          type: number
        link:
          minItems: 1
          uniqueItems: true
          type: array
          items:
            required:
            - relation
            - url
            type: object
            properties:
              relation:
                minLength: 1
                type: string
              url:
                minLength: 1
                type: string
        entry:
          minItems: 1
          uniqueItems: true
          type: array
          items:
            required:
            - fullUrl
            type: object
            properties:
              fullUrl:
                minLength: 1
                type: string
              resource:
                required:
                - administeredBy
                - coverageArea
                - id
                - language
                - meta
                - name
                - network
                - ownedBy
                - plan
                - resourceType
                - status
                - text
                - type
                type: object
                properties:
                  resourceType:
                    minLength: 1
                    type: string
                  id:
                    minLength: 1
                    type: string
                  meta:
                    required:
                    - lastUpdated
                    - profile
                    type: object
                    properties:
                      lastUpdated:
                        minLength: 1
                        type: string
                      profile:
                        type: array
                        items:
                          type: object
                          properties: {}
                  language:
                    minLength: 1
                    type: string
                  text:
                    required:
                    - div
                    - status
                    type: object
                    properties:
                      status:
                        minLength: 1
                        type: string
                      div:
                        minLength: 1
                        type: string
                  status:
                    minLength: 1
                    type: string
                  type:
                    minItems: 1
                    uniqueItems: true
                    type: array
                    items:
                      type: object
                      properties:
                        coding:
                          minItems: 1
                          uniqueItems: true
                          type: array
                          items:
                            required:
                            - code
                            - display
                            - system
                            type: object
                            properties:
                              system:
                                minLength: 1
                                type: string
                              code:
                                minLength: 1
                                type: string
                              display:
                                minLength: 1
                                type: string
                  name:
                    minLength: 1
                    type: string
                  ownedBy:
                    required:
                    - reference
                    type: object
                    properties:
                      reference:
                        minLength: 1
                        type: string
                  administeredBy:
                    required:
                    - reference
                    type: object
                    properties:
                      reference:
                        minLength: 1
                        type: string
                  coverageArea:
                    minItems: 1
                    uniqueItems: true
                    type: array
                    items:
                      required:
                      - reference
                      type: object
                      properties:
                        reference:
                          minLength: 1
                          type: string
                  network:
                    minItems: 1
                    uniqueItems: true
                    type: array
                    items:
                      required:
                      - reference
                      type: object
                      properties:
                        reference:
                          minLength: 1
                          type: string
                  plan:
                    minItems: 1
                    uniqueItems: true
                    type: array
                    items:
                      type: object
                      properties:
                        type:
                          required:
                          - coding
                          type: object
                          properties:
                            coding:
                              minItems: 1
                              uniqueItems: true
                              type: array
                              items:
                                required:
                                - code
                                - display
                                - system
                                type: object
                                properties:
                                  system:
                                    minLength: 1
                                    type: string
                                  code:
                                    minLength: 1
                                    type: string
                                  display:
                                    minLength: 1
                                    type: string
      description: ''
    InsurancePlan:
      required:
      - administeredBy
      - coverageArea
      - id
      - language
      - meta
      - name
      - network
      - ownedBy
      - plan
      - resourceType
      - status
      - text
      - type
      type: object
      properties:
        resourceType:
          minLength: 1
          type: string
        id:
          minLength: 1
          type: string
        meta:
          required:
          - lastUpdated
          - profile
          type: object
          properties:
            lastUpdated:
              minLength: 1
              type: string
            profile:
              type: array
              items:
                type: object
                properties: {}
        language:
          minLength: 1
          type: string
        text:
          required:
          - div
          - status
          type: object
          properties:
            status:
              minLength: 1
              type: string
            div:
              minLength: 1
              type: string
        status:
          minLength: 1
          type: string
        type:
          minItems: 1
          uniqueItems: true
          type: array
          items:
            type: object
            properties:
              coding:
                minItems: 1
                uniqueItems: true
                type: array
                items:
                  required:
                  - code
                  - display
                  - system
                  type: object
                  properties:
                    system:
                      minLength: 1
                      type: string
                    code:
                      minLength: 1
                      type: string
                    display:
                      minLength: 1
                      type: string
        name:
          minLength: 1
          type: string
        ownedBy:
          required:
          - reference
          type: object
          properties:
            reference:
              minLength: 1
              type: string
        administeredBy:
          required:
          - reference
          type: object
          properties:
            reference:
              minLength: 1
              type: string
        coverageArea:
          minItems: 1
          uniqueItems: true
          type: array
          items:
            required:
            - reference
            type: object
            properties:
              reference:
                minLength: 1
                type: string
        network:
          minItems: 1
          uniqueItems: true
          type: array
          items:
            required:
            - reference
            type: object
            properties:
              reference:
                minLength: 1
                type: string
        plan:
          minItems: 1
          uniqueItems: true
          type: array
          items:
            type: object
            properties:
              type:
                required:
                - coding
                type: object
                properties:
                  coding:
                    minItems: 1
                    uniqueItems: true
                    type: array
                    items:
                      required:
                      - code
                      - display
                      - system
                      type: object
                      properties:
                        system:
                          minLength: 1
                          type: string
                        code:
                          minLength: 1
                          type: string
                        display:
                          minLength: 1
                          type: string
      description: ''
    GeneralError:
      required:
      - resourceType
      - issue
      type: object
      properties:
        resourceType:
          minLength: 1
          type: string
        issue:
          required:
          - severity
          - code
          - details
          type: object
          properties:
            severity:
              minLength: 1
              type: string
            code:
              minLength: 1
              type: string
            details:
              minLength: 1
              type: string
  securitySchemes:
    Basic:
      type: http
      scheme: basic