Centene

Centene query v2 API

The query v2 API from Centene — 1 operation(s) for query v2.

Documentation GitHub OpenAPI

Operations 1

POST /v2/query Search for a particular set of active networks and retrieve their names and… #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Product Mapping V2 query v2 API
  description: Application to get network data and active networks based on location.
  version: 2.0.0
servers:
- url: https://dev-int-api-gw.centene.com/productmapping/v2/
  description: Dev Internal
- url: https://prod.api.centene.com/incoming/dev/productmapping/v2
  description: Dev DMZ External
- url: https://test-int-api-gw.centene.com/productmapping/v2/
  description: Test Internal
- url: https://prod.api.centene.com/incoming/test/productmapping/v2
  description: Test DMZ External
- url: https://api-gateway-01.centene.com/productmapping/v2/
  description: Prod Internal
- url: https://prod.api.centene.com/incoming/productmapping/v2
  description: Prod DMZ External
security:
- basicAuth: []
tags:
- name: query v2
paths:
  /v2/query:
    post:
      tags:
      - query v2
      summary: Search for a particular set of active networks and retrieve their names and…
      operationId: postQueryV2Networks
      requestBody:
        description: Accepted parameters.
        content:
          application/json:
            schema:
              anyOf:
              - $ref: '#/components/schemas/query'
              - $ref: '#/components/schemas/queryWithAddress'
              - $ref: '#/components/schemas/queryWithFapNetworkTypeCode'
              - $ref: '#/components/schemas/queryV2ResponseNetworkObject'
            examples:
              Network Query:
                description: Query legacy Centene plans without county code restrictions.
                value:
                  url: cahealthwellness.com
                  displayDate: '2020-12-02'
              Network with Address Query:
                description: Query legacy Centene plans WITH county code restrictions.
                value:
                  url: cahealthwellness.com
                  displayDate: '2020-12-02'
                  streetAddress: 1 infinite loop
                  city: cupertino
                  state: CA
                  zip: '95014'
              Network with fapNetworkTypeCode Query:
                description: Query legacy Centene plans WITH fapNetworkTypeCode restrictions.
                value:
                  url: https://healthnetcalifornia.com
                  city: Santa Clara
                  zip: '95050'
                  state: CA
                  effectiveDate: '2020-08-01'
                  countyFIPSCode: '06011'
                  fapNetworkTypeCode: Commercial Group Off Exchange
              Network with includeProviderProgramCodesAggs Query:
                description: Query legacy Centene plans to include Provider Program Codes.
                value:
                  url: https://healthnetcalifornia.com
                  city: Santa Clara
                  zip: '95050'
                  state: CA
                  effectiveDate: '2020-08-01'
                  countyFIPSCode: '06011'
                  fapNetworkTypeCode: Commercial Group Off Exchange
                  includeProviderProgramCodesAggs: Y
        required: false
      responses:
        200:
          description: successful operation
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/networkResults'
components:
  schemas:
    fapNetworkServiceAreaWithoutMemberOrProvider:
      type: object
      properties:
        dataSourceIdentifier:
          type: string
          example: 259
        fapNetworkCode:
          type: string
          example: 558103
        fapNetworkDisplayEndDate:
          type: string
          example: '4000-01-01'
        fapNetworkDisplayStartDate:
          type: string
          format: date
          example: '2020-07-01'
        fapNetworkEndDate:
          type: string
          example: '4000-01-01'
        fapNetworkStartDate:
          type: string
          format: date
          example: '2020-07-01'
        fapNetworkIdentifier:
          type: string
          example: 558103
        fapNetworkName:
          type: string
          example: Seniority Plus Sapphire Premier II (HMO)
        fapNetworkStatusCode:
          type: string
          example: ACTIVE
        fapNetworkTypeCode:
          type: string
          example: Medicaid
        fapNetworkURLText:
          type: string
          example: healthnetadvantage.com
        serviceAreaRestrictionFlag:
          type: string
          example: Y
        ppgIndicator:
          type: string
          example: Y
        noteText:
          type: string
          example: Initial Load 07282020
        stateCode:
          type: string
          example: CA
    queryV2ResponseNetworkObject:
      $ref: '#/components/schemas/fapNetworkServiceAreaWithoutMemberOrProvider'
    networkResults:
      type: object
      properties:
        network:
          items:
            $ref: '#/components/schemas/queryV2ResponseNetworkObject'
        providerProgramCodes:
          items:
            $ref: '#/components/schemas/providerProgramCodes'
    queryWithAddress:
      type: object
      properties:
        streetAddress:
          type: string
          example: 1261 W 76th St
        url:
          type: string
          example: sunshinehealth.com
        city:
          type: string
          example: Los Angeles
        state:
          type: string
          example: CA
        zip:
          type: string
          example: 90044
        effectiveDate:
          type: string
          format: date
          example: '2020-09-01'
    queryWithFapNetworkTypeCode:
      type: object
      required:
      - url
      - city
      - state
      - zip
      - effectiveDate
      - countyFIPSCode
      - fapNetworkTypeCode
      properties:
        url:
          type: string
          example: https://healthnetcalifornia.com
        city:
          type: string
          example: Santa Clara
        state:
          type: string
          example: CA
        zip:
          type: string
          example: 95050
        effectiveDate:
          type: string
          format: date
          example: '2020-08-01'
        countyFIPSCode:
          type: string
          example: 3081
        fapNetworkTypeCode:
          type: string
          example: Commercial Group Off Exchange
        includeProviderProgramCodesAggs:
          type: string
          enum:
          - Y
          - N
          example: Y
    query:
      type: object
      properties:
        streetAddress:
          type: string
          example: 1261 W 76th St
        url:
          type: string
          example: sunshinehealth.com
    providerProgramCodes:
      type: object
      properties:
        providerProgramCode:
          type: string
          example: 1234
        fapNetworkIdentifier:
          type: string
          example:
          - '123401'
          - '123402'
          - '123403'
  securitySchemes:
    basicAuth:
      type: http
      scheme: basic