Elevance Health Coverage API

The Coverage API from Elevance Health — 2 operation(s) for coverage.

Documentation GitHub OpenAPI

Specifications

https://raw.githubusercontent.com/api-evangelist/elevance-health/refs/heads/main/openapi/elevance-health-coverage-api-openapi.yml

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OpenAPI Specification

openapi: 3.1.0
info:
  title: Elevance Health Patient Access FHIR Claims Coverage API
  version: '1.0'
  description: Elevance Health (Anthem) Patient Access API exposes FHIR resources aligned with the CMS Interoperability and Patient Access rule and the CARIN Consumer Directed Payer Data Exchange Implementation Guide. Authentication is via OAuth 2.0 / SMART on FHIR.
  contact:
    name: Elevance Health Developers
    url: https://patient360c.anthem.com/P360Member/fhir/documentation
servers:
- url: https://patient360c.anthem.com/P360Member/api/fhir
  description: Patient360 FHIR (DSTU2)
security:
- oauth2:
  - patient/*.read
tags:
- name: Coverage
paths:
  /Coverage:
    get:
      summary: Search Coverage
      operationId: searchCoverage
      tags:
      - Coverage
      parameters:
      - in: query
        name: patient
        schema:
          type: string
      - in: query
        name: beneficiary
        schema:
          type: string
      responses:
        '200':
          description: Bundle of Coverage
          content:
            application/fhir+json:
              schema:
                type: object
  /Coverage/{id}:
    get:
      summary: Read Coverage
      operationId: readCoverage
      tags:
      - Coverage
      parameters:
      - in: path
        name: id
        required: true
        schema:
          type: string
      responses:
        '200':
          description: Coverage resource
          content:
            application/fhir+json:
              schema:
                type: object
components:
  securitySchemes:
    oauth2:
      type: oauth2
      flows:
        authorizationCode:
          authorizationUrl: https://patient360c.anthem.com/P360Member/oauth2/authorize
          tokenUrl: https://patient360c.anthem.com/P360Member/oauth2/token
          scopes:
            patient/*.read: Read patient-scoped resources
            launch/patient: SMART on FHIR patient launch context
            offline_access: Refresh token access