Flexpa Claims Data API

openapi: 3.0.1
info:
  title: Flexpa API
  description: >-
    Flexpa lets applications connect a patient to their health insurance plan and
    retrieve claims and clinical data as normalized FHIR R4 resources. Patients
    authorize access through Flexpa Link using OAuth 2.0 with PKCE, producing a
    Patient Access Token. Server-to-server Application Access Tokens are minted
    with the client_credentials grant using publishable and secret keys. The FHIR
    API is served under https://api.flexpa.com/fhir.
  termsOfService: https://www.flexpa.com/legal/terms
  contact:
    name: Flexpa Support
    url: https://www.flexpa.com/docs
  version: '1.0'
servers:
  - url: https://api.flexpa.com
paths:
  /oauth/authorize:
    get:
      operationId: authorize
      tags:
        - Link
      summary: Start the Flexpa Link OAuth 2.0 PKCE authorization flow.
      description: >-
        Redirects the patient into the Flexpa Link experience to select their
        health plan and authorize access. On success Flexpa redirects back to the
        application's redirect_uri with an authorization code.
      parameters:
        - name: response_type
          in: query
          required: true
          schema:
            type: string
            enum:
              - code
        - name: client_id
          in: query
          required: true
          description: Your publishable key.
          schema:
            type: string
        - name: redirect_uri
          in: query
          required: true
          schema:
            type: string
            format: uri
        - name: scope
          in: query
          required: false
          schema:
            type: string
        - name: state
          in: query
          required: false
          schema:
            type: string
        - name: code_challenge
          in: query
          required: true
          schema:
            type: string
        - name: code_challenge_method
          in: query
          required: true
          schema:
            type: string
            enum:
              - S256
      responses:
        '302':
          description: Redirect back to redirect_uri with an authorization code.
  /oauth/token:
    post:
      operationId: token
      tags:
        - Access Tokens
      summary: Exchange a code, refresh a token, or mint an Application Access Token.
      description: >-
        The token endpoint supports the authorization_code grant (with PKCE
        code_verifier) to obtain a Patient Access Token, the refresh_token grant to
        renew it, and the client_credentials grant (Basic auth with
        publishable_key:secret_key) to mint a server-to-server Application Access
        Token. Application Access Tokens are JWTs signed with ES256 and live for 30
        minutes.
      requestBody:
        required: true
        content:
          application/x-www-form-urlencoded:
            schema:
              $ref: '#/components/schemas/TokenRequest'
      responses:
        '200':
          description: A token response.
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/TokenResponse'
  /fhir/metadata:
    get:
      operationId: getCapabilityStatement
      tags:
        - FHIR
      summary: FHIR capability statement.
      description: Returns the FHIR CapabilityStatement describing supported resources and operations.
      responses:
        '200':
          description: A FHIR CapabilityStatement resource.
  /fhir/Patient:
    get:
      operationId: searchPatient
      tags:
        - FHIR
      summary: Search Patient resources.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/identifier'
      responses:
        '200':
          description: A FHIR Bundle of Patient resources.
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/Bundle'
        '429':
          $ref: '#/components/responses/Syncing'
        '422':
          $ref: '#/components/responses/SyncFailed'
  /fhir/Patient/{id}:
    get:
      operationId: readPatient
      tags:
        - FHIR
      summary: Read a single Patient resource.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          description: A FHIR Patient resource.
  /fhir/Patient/{id}/$everything:
    get:
      operationId: patientEverything
      tags:
        - Claims Data
      summary: Return all resources in the patient compartment.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          description: A FHIR Bundle of all patient compartment resources.
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/Bundle'
  /fhir/Patient/{id}/$summary:
    get:
      operationId: patientSummary
      tags:
        - Claims Data
      summary: Generate an International Patient Summary (IPS) document.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          description: A FHIR IPS Bundle.
  /fhir/Patient/{id}/$pdf:
    get:
      operationId: patientPdf
      tags:
        - Claims Data
      summary: Export comprehensive patient health data as a PDF.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          description: A PDF document.
          content:
            application/pdf:
              schema:
                type: string
                format: binary
  /fhir/Coverage:
    get:
      operationId: searchCoverage
      tags:
        - FHIR
      summary: Search Coverage resources.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/patient'
        - $ref: '#/components/parameters/status'
      responses:
        '200':
          description: A FHIR Bundle of Coverage resources.
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/Bundle'
        '429':
          $ref: '#/components/responses/Syncing'
  /fhir/Coverage/{id}:
    get:
      operationId: readCoverage
      tags:
        - FHIR
      summary: Read a single Coverage resource.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          description: A FHIR Coverage resource.
  /fhir/ExplanationOfBenefit:
    get:
      operationId: searchExplanationOfBenefit
      tags:
        - Claims Data
      summary: Search ExplanationOfBenefit (claims) resources.
      description: >-
        Returns health-insurance claims as FHIR ExplanationOfBenefit resources.
        Supports FHIR R4 search parameters including patient, created, provider,
        coverage, status, and identifier.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/patient'
        - name: created
          in: query
          schema:
            type: string
        - name: provider
          in: query
          schema:
            type: string
        - name: coverage
          in: query
          schema:
            type: string
        - $ref: '#/components/parameters/status'
        - $ref: '#/components/parameters/identifier'
      responses:
        '200':
          description: A FHIR Bundle of ExplanationOfBenefit resources.
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/Bundle'
        '429':
          $ref: '#/components/responses/Syncing'
        '422':
          $ref: '#/components/responses/SyncFailed'
  /fhir/ExplanationOfBenefit/{id}:
    get:
      operationId: readExplanationOfBenefit
      tags:
        - Claims Data
      summary: Read a single ExplanationOfBenefit resource.
      security:
        - bearerAuth: []
      parameters:
        - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          description: A FHIR ExplanationOfBenefit resource.
  /fhir/Practitioner:
    get:
      operationId: searchPractitioner
      tags:
        - FHIR
      summary: Search individual providers by NPI, name, or specialty.
      security:
        - bearerAuth: []
      responses:
        '200':
          description: A FHIR Bundle of Practitioner resources.
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/Bundle'
  /fhir/Organization:
    get:
      operationId: searchOrganization
      tags:
        - FHIR
      summary: Search healthcare organizations by NPI, name, or location.
      security:
        - bearerAuth: []
      responses:
        '200':
          description: A FHIR Bundle of Organization resources.
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/Bundle'
  /fhir/ViewDefinition/$run:
    post:
      operationId: runViewDefinition
      tags:
        - FHIR
      summary: Extract structured (tabular) data using a SQL-on-FHIR ViewDefinition.
      security:
        - bearerAuth: []
      requestBody:
        required: true
        content:
          application/fhir+json:
            schema:
              type: object
      responses:
        '200':
          description: Structured extraction output.
components:
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
      description: >-
        A Patient Access Token (from the authorization_code flow) or an Application
        Access Token (from the client_credentials flow), sent as
        Authorization: Bearer {access_token}.
  parameters:
    resourceId:
      name: id
      in: path
      required: true
      schema:
        type: string
    patient:
      name: patient
      in: query
      schema:
        type: string
    status:
      name: status
      in: query
      schema:
        type: string
    identifier:
      name: identifier
      in: query
      schema:
        type: string
  responses:
    Syncing:
      description: >-
        The patient's data is still being synchronized from the payer (typically
        under one minute). Retry after a short delay.
    SyncFailed:
      description: Synchronization with the payer failed.
  schemas:
    TokenRequest:
      type: object
      required:
        - grant_type
      properties:
        grant_type:
          type: string
          enum:
            - authorization_code
            - refresh_token
            - client_credentials
        code:
          type: string
          description: The authorization code (authorization_code grant).
        code_verifier:
          type: string
          description: The PKCE verifier (authorization_code grant).
        redirect_uri:
          type: string
          format: uri
        client_id:
          type: string
          description: Your publishable key.
        refresh_token:
          type: string
          description: The refresh token (refresh_token grant).
    TokenResponse:
      type: object
      properties:
        access_token:
          type: string
        token_type:
          type: string
          example: Bearer
        expires_in:
          type: integer
          description: Token lifetime in seconds.
        refresh_token:
          type: string
          description: Present when the offline_access scope was granted.
        scope:
          type: string
    Bundle:
      type: object
      description: A FHIR R4 Bundle of resources.
      properties:
        resourceType:
          type: string
          example: Bundle
        type:
          type: string
          example: searchset
        total:
          type: integer
        entry:
          type: array
          items:
            type: object