Centene

Centene Search Healow Member CG API

The SearchHealowMemberCG API from Centene — 4 operation(s) for searchhealowmembercg.

GitHub OpenAPI

Operations 4

GET /api/SearchHealowMemberCG/HealowMemberCGDetails Search healow member CG healow member CG details #
POST /api/searchhealowmembercg/v41searchhlmemberwithgapincare Search healow member CG V41 search hl member with gap in care #
POST /api/searchhealowmembercg/v52searchhlMembegapincarehccsc Search healow member CG V52 search hl membe gap in care HCCSC #
POST /api/searchhealowmembercg/searchhlmemberwithcaregap Search healow member CG search hl member with care gap #

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-searchhealowmembercg-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-searchhealowmembercg-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  version: v1
  title: HealowHealthApi Search Healow Member CG API
servers:
- url: https://cdaxwu01.devad.devcorp.wellcare.com:4433
tags:
- name: SearchHealowMemberCG
paths:
  /api/SearchHealowMemberCG/HealowMemberCGDetails:
    get:
      tags:
      - SearchHealowMemberCG
      operationId: SearchHealowMemberCG_HealowMemberCGDetails
      parameters:
      - name: reqHeader.applicationId
        in: query
        required: false
        schema:
          type: string
      - name: reqHeader.channelId
        in: query
        required: false
        schema:
          type: string
      - name: reqHeader.interactionId
        in: query
        required: false
        schema:
          type: string
      - name: reqHeader.entityInfos.entityId
        in: query
        required: false
        schema:
          type: string
      - name: reqHeader.entityInfos.entityType
        in: query
        required: false
        schema:
          type: string
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                type: boolean
            text/json:
              schema:
                type: boolean
            application/xml:
              schema:
                type: boolean
            text/xml:
              schema:
                type: boolean
      summary: Search healow member CG healow member CG details
      x-summary-source: derived
  /api/searchhealowmembercg/v41searchhlmemberwithgapincare:
    post:
      tags:
      - SearchHealowMemberCG
      operationId: SearchHealowMemberCG_V41SearchHlMemberWithGapInCare
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/WellCareHlMemberVer41Response'
            text/json:
              schema:
                $ref: '#/components/schemas/WellCareHlMemberVer41Response'
            application/xml:
              schema:
                $ref: '#/components/schemas/WellCareHlMemberVer41Response'
            text/xml:
              schema:
                $ref: '#/components/schemas/WellCareHlMemberVer41Response'
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/Hl41Request'
          text/json:
            schema:
              $ref: '#/components/schemas/Hl41Request'
          application/xml:
            schema:
              $ref: '#/components/schemas/Hl41Request'
          text/xml:
            schema:
              $ref: '#/components/schemas/Hl41Request'
          application/x-www-form-urlencoded:
            schema:
              $ref: '#/components/schemas/Hl41Request'
        required: true
      summary: Search healow member CG V41 search hl member with gap in care
      x-summary-source: derived
  /api/searchhealowmembercg/v52searchhlMembegapincarehccsc:
    post:
      tags:
      - SearchHealowMemberCG
      operationId: SearchHealowMemberCG_V52SearchHlMembeGapInCareHCCSC
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
            text/json:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
            application/xml:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
            text/xml:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/V52HLReqMember'
          text/json:
            schema:
              $ref: '#/components/schemas/V52HLReqMember'
          application/xml:
            schema:
              $ref: '#/components/schemas/V52HLReqMember'
          text/xml:
            schema:
              $ref: '#/components/schemas/V52HLReqMember'
          application/x-www-form-urlencoded:
            schema:
              $ref: '#/components/schemas/V52HLReqMember'
        required: true
      summary: Search healow member CG V52 search hl membe gap in care HCCSC
      x-summary-source: derived
  /api/searchhealowmembercg/searchhlmemberwithcaregap:
    post:
      tags:
      - SearchHealowMemberCG
      operationId: SearchHealowMemberCG_SearchHlMemberWithCareGap
      responses:
        '200':
          description: OK
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
            text/json:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
            application/xml:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
            text/xml:
              schema:
                $ref: '#/components/schemas/WellcareHlMemberInsighsResponse'
      requestBody:
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/RequestHealowMember'
          text/json:
            schema:
              $ref: '#/components/schemas/RequestHealowMember'
          application/xml:
            schema:
              $ref: '#/components/schemas/RequestHealowMember'
          text/xml:
            schema:
              $ref: '#/components/schemas/RequestHealowMember'
          application/x-www-form-urlencoded:
            schema:
              $ref: '#/components/schemas/RequestHealowMember'
        required: true
      summary: Search healow member CG search hl member with care gap
      x-summary-source: derived
components:
  schemas:
    Hlmember_data:
      type: object
      properties:
        hI_request_Id:
          type: string
        txn_id:
          type: string
        code:
          format: int32
          type: integer
        member:
          $ref: '#/components/schemas/memberinfo'
        Insurance_name:
          type: string
        Ins_subscriberid:
          type: string
        Ins_id_suffix:
          type: string
        matched_flag:
          type: string
        matched_flag_msg_code:
          type: string
        enrollment_end_date:
          format: date-time
          type: string
        records_processed:
          format: int32
          type: integer
    Gic_data:
      type: object
      properties:
        gic_data_infotext:
          type: string
        gic_data_list:
          type: array
          items:
            $ref: '#/components/schemas/Gic_info'
    Hl41Request:
      type: object
      properties:
        resourceType:
          type: string
        identifier:
          type: string
        parameter:
          type: array
          items:
            $ref: '#/components/schemas/HlParameter'
    entityInfo:
      type: object
      properties:
        entityId:
          type: string
        entityType:
          type: string
    Pce_sc_info:
      type: object
      properties:
        pce_sc_record_id:
          type: string
        pce_sc_description:
          type: string
        pce_sc_onset_date:
          format: date-time
          type: string
        pce_sc_supporting_evidence:
          type: string
    WellcareHlMemberInsighsResponse:
      type: object
      properties:
        member_data:
          $ref: '#/components/schemas/Hlmember_data'
        gic_data:
          $ref: '#/components/schemas/Gic_data'
        general_alert_data:
          $ref: '#/components/schemas/General_alert_dataInfo'
        pce_hcc_data:
          $ref: '#/components/schemas/Pce_hcc_data'
        pce_sc_data:
          $ref: '#/components/schemas/Pce_sc_data'
    Pce_sc_data:
      type: object
      properties:
        pce_sc_infotext:
          type: string
        sc_data:
          type: array
          items:
            $ref: '#/components/schemas/Pce_sc_info'
    Gic_info:
      type: object
      properties:
        gic_id:
          type: string
        gic_code:
          type: string
        gic_name:
          type: string
        gic_due_date:
          format: date-time
          type: string
        measurement_period_start:
          format: date-time
          type: string
        measurement_period_end:
          format: date-time
          type: string
        gic_last_done_date:
          format: date-time
          type: string
        gic_status:
          type: string
        gic_satisfier_value:
          type: string
        gic_satisfier_type:
          type: string
    memberinfo:
      type: object
      properties:
        uid:
          type: string
        zip:
          type: string
        date_of_birth:
          format: date-time
          type: string
        gender:
          type: string
        first_name:
          type: string
        last_name:
          type: string
    General_alert_dataInfo:
      type: object
      properties:
        alert_infotext:
          type: string
        general_alert_data:
          type: array
          items:
            $ref: '#/components/schemas/Alerts_data_info'
    V52HLReqMember:
      type: object
      properties:
        member_request:
          $ref: '#/components/schemas/RequestMember'
    Hcc_data_info:
      type: object
      properties:
        pce_hcc_record_id:
          type: string
        pce_hcc_cat_code:
          type: string
        pce_hcc_description:
          type: string
        pce_hcc_period1_start:
          format: date-time
          type: string
        pce_hcc_period1_end:
          format: date-time
          type: string
        pce_hcc_period1_value:
          type: string
        pce_hcc_period2_start:
          format: date-time
          type: string
        pce_hcc_period2_end:
          format: date-time
          type: string
        pce_hcc_period2_value:
          type: string
        pce_hcc_period3_start:
          format: date-time
          type: string
        pce_hcc_period3_end:
          format: date-time
          type: string
        pce_hcc_period3_value:
          type: string
        pce_hcc_period4_start:
          format: date-time
          type: string
        pce_hcc_period4_end:
          format: date-time
          type: string
        pce_hcc_period4_value:
          type: string
        pce_hcc_laststatus_date:
          format: date-time
          type: string
        pce_hcc_supporting_evidence:
          type: string
        pce_hcc_additional_info:
          type: string
        supporting_icd_record_id:
          format: int32
          type: integer
        supporting_icd_code:
          type: string
        supporting_icd_description:
          type: string
        icd_status_date:
          format: date-time
          type: string
        icd_supporting_evidence:
          type: string
    Alerts_data_info:
      type: object
      properties:
        alert_id:
          type: string
        alert_name:
          type: string
        alert_text:
          type: string
        alert_onset_date:
          format: date-time
          type: string
        alert_due_date:
          format: date-time
          type: string
        alert_type:
          type: string
        alert_additional_info:
          type: string
    HLErrors:
      type: object
      properties:
        name:
          type: string
        description:
          type: string
        error_code:
          format: int32
          type: integer
        error_details:
          type: string
    Pce_hcc_data:
      type: object
      properties:
        pce_hcc_data_infotext:
          type: string
        hcc_data:
          type: array
          items:
            $ref: '#/components/schemas/Hcc_data_info'
    RequestHealowMember:
      type: object
      properties:
        requestHeader:
          $ref: '#/components/schemas/requestHeaderInfo'
        member_request:
          $ref: '#/components/schemas/RequestMember'
    ResponseData:
      type: object
      properties:
        member_summary_fhir_doc:
          $ref: '#/components/schemas/FHIR_doc'
    requestHeaderInfo:
      type: object
      properties:
        applicationId:
          type: string
        channelId:
          type: string
        interactionId:
          type: string
        entityInfos:
          $ref: '#/components/schemas/entityInfo'
    RequestMember:
      type: object
      properties:
        hI_request_Id:
          type: string
        providernpi:
          type: string
        providertin:
          type: string
        last_name:
          type: string
        first_name:
          type: string
        date_of_birth:
          format: date-time
          type: string
        gender:
          type: string
        zip:
          type: string
        Insurance_name:
          type: string
        Ins_SubscriberId:
          type: string
        encounterid:
          type: string
        encounterdate:
          format: date-time
          type: string
        apuid:
          type: string
        emrversion:
          type: string
        requestsource:
          type: string
    HlParameter:
      type: object
      properties:
        member_id:
          type: string
        member_dob:
          type: string
        encounter_id:
          type: string
        member_first_name:
          type: string
        member_last_name:
          type: string
        provider_tin:
          type: string
        provider_npi:
          type: string
        provider_name:
          type: string
        scheduled_appointment_date:
          format: date-time
          type: string
        return_doc_data_interchange_format:
          type: string
        apu_id:
          type: string
    WellCareHlMemberVer41Response:
      type: object
      properties:
        data:
          $ref: '#/components/schemas/ResponseData'
        errors:
          type: array
          items:
            $ref: '#/components/schemas/HLErrors'
        success:
          type: boolean
        status:
          type: string
        response_time:
          format: int32
          type: integer
        response_timestamp:
          type: string
        ht_txn_id:
          type: string
    FHIR_doc:
      type: object
      properties:
        resource_type:
          type: string
        id:
          type: string
        content_type:
          type: string
        content:
          type: string