NextGen Healthcare

NextGen Healthcare Coverage API

https://hl7.org/fhir/R4/coverage.html

Documentation GitHub OpenAPI

Operations 2

GET /fhir/r4/Coverage/{id}

GET /fhir/r4/Coverage

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OpenAPI Specification

openapi: 3.2.0
info:
  version: 1.0.0
  title: NextGen Office FHIR Coverage API
  description: 'Our API is coded against the US Core Specification (FHIR Version: 4.0.0) https://hl7.org/fhir/us/core/CapabilityStatement-server.html'
  contact:
    email: nextgen-office-api@nextgen.com
servers:
- url: https://fhir.meditouchehr.com/api/
security:
- OauthSecurity:
  - patient/*.read
tags:
- name: Coverage
  description: https://hl7.org/fhir/R4/coverage.html
paths:
  /fhir/r4/Coverage/{id}:
    get:
      tags:
      - Coverage
      description: "Fetches a Coverage by id.  \n \n FHIR Resource: Coverage \n * Coverage resource represents insurance coverage details for a patient \n"
      parameters:
      - $ref: '#/components/parameters/id'
      responses:
        '200':
          description: Success
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Coverage'
        '404':
          $ref: '#/components/responses/ResourceNotFound404'
        '401':
          $ref: '#/components/responses/ResourceNotAuthorized401'
  /fhir/r4/Coverage:
    get:
      tags:
      - Coverage
      description: "Fetches a bundled resource containing Coverage data based on the provided parameters.\n\n - If `patient` is provided, a bundle containing the coverages is returned.\n\n FHIR Resource: Coverage \n * Coverage resource represents insurance coverage details for a patient \n"
      parameters:
      - $ref: '#/components/parameters/patient_id'
      responses:
        '200':
          description: success
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/CoverageBundled'
        '404':
          $ref: '#/components/responses/ResourceNotFound404'
        '401':
          $ref: '#/components/responses/ResourceNotAuthorized401'
components:
  responses:
    ResourceNotFound404:
      description: Resource not found
    ResourceNotAuthorized401:
      description: Resource not authorized to be viewed by this user
  parameters:
    id:
      description: The id of the resource
      name: id
      in: path
      required: true
      schema:
        type: string
    patient_id:
      description: The id of the patient
      name: patient
      in: query
      required: true
      schema:
        type: string
  schemas:
    Coverage:
      type: object
      properties:
        resourceType:
          type: string
          example: Coverage
        id:
          type: string
          minLength: 1
          description: ID of the resource
        meta:
          type: object
          description: Metadata about the resource
          properties:
            profile:
              type: array
              items:
                type: string
          required:
          - profile
        identifier:
          type: array
          description: Business identifier for the coverage
          items:
            type: object
            properties:
              type:
                type: object
                properties:
                  coding:
                    type: array
                    items:
                      type: object
                      properties:
                        system:
                          type: string
                        code:
                          type: string
              value:
                type: string
        status:
          type: string
          description: Status of the coverage (e.g., active)
        type:
          type: object
          description: Type of coverage (e.g., PPO, HMO)
          properties:
            coding:
              type: array
              items:
                type: object
                properties:
                  system:
                    type: string
                  code:
                    type: string
                  display:
                    type: string
            text:
              type: string
        subscriberId:
          type: string
          description: Identifier of the subscriber
        beneficiary:
          type: object
          description: Patient covered by the policy
          properties:
            reference:
              type: string
        relationship:
          type: object
          description: Relationship of beneficiary to subscriber
          properties:
            coding:
              type: array
              items:
                type: object
                properties:
                  system:
                    type: string
                  code:
                    type: string
            text:
              type: string
        payor:
          type: array
          description: Payor responsible for the coverage
          items:
            type: object
            properties:
              reference:
                type: string
        class:
          type: array
          description: Plan or group classification
          items:
            type: object
            properties:
              type:
                type: object
                properties:
                  coding:
                    type: array
                    items:
                      type: object
                      properties:
                        system:
                          type: string
                        code:
                          type: string
              value:
                type: string
              name:
                type: string
        period:
          type: object
          description: Coverage period
          properties:
            start:
              type: string
            end:
              type: string
      required:
      - resourceType
      - id
      - meta
      - beneficiary
      - payor
    CoverageBundled:
      type: object
      properties:
        resourceType:
          type: string
          example: Bundle
        id:
          type: string
        meta:
          type: object
          properties:
            lastUpdated:
              type: string
              description: Date in format - YYYY-MM-DDThh:mm:ss+zz
        type:
          type: string
          description: Type of search
        total:
          type: integer
          description: Number of Coverage records in entry
        link:
          type: array
          items:
            type: object
            properties:
              relation:
                type: string
                minLength: 1
                description: Relation to the resource
              url:
                type: string
                minLength: 1
                description: FHIR URI of the request
            required:
            - relation
            - url
        entry:
          type: array
          items:
            type: object
            properties:
              fullUrl:
                type: string
                minLength: 1
                description: FHIR URI of the respective Coverage resource
              resource:
                $ref: '#/components/schemas/Coverage'
      required:
      - resourceType
      - id
      - meta
      - type
      - link
  securitySchemes:
    OauthSecurity:
      type: oauth2
      flows:
        authorizationCode:
          scopes:
            openid: Open ID scope
            launch/patient: Used by clients to request a patient-scoped access token
            offline_access: Request a refresh_token that can be used to obtain a new access token to replace an expired one, and that will be usable for as long as the end-user remains online.
            patient/*.read: Read access to all Patient Resources
          authorizationUrl: https://idp-prod.prod.ngo.nextgenaws.net/auth/realms/nextgen/protocol/openid-connect/auth?aud=https://fhir.meditouchehr.com/api/fhir/r4
          tokenUrl: https://idp-prod.prod.ngo.nextgenaws.net/auth/realms/nextgen/protocol/openid-connect/token
      description: Access code based oauth authentication
externalDocs:
  description: Find out more about NextGen Office FHIR API
  url: https://www.nextgen.com/products-and-services/nextgen-office