Payerset Payers API

Payer reference metadata and payer listings.

OpenAPI Specification

payerset-payers-api-openapi.yml Raw ↑
openapi: 3.0.1
info:
  title: Payerset Data Lake Billing Codes Payers API
  description: The Payerset Data Lake API provides programmatic access to U.S. healthcare price transparency data parsed from payer Transparency in Coverage (TiC) machine-readable files and hospital price transparency MRFs, enriched with provider, payer, and billing-code reference metadata. Endpoints support payer/provider negotiated rate lookups, NPI and TIN provider mapping, billing-code classification, and hospital MRF discovery. Authentication is via an API key supplied in the x-api-key header.
  contact:
    name: Payerset Support
    email: support@payerset.com
    url: https://www.payerset.com
  version: '2024-10-31'
servers:
- url: https://api.payerset.com
  description: Payerset Data Lake production API
security:
- api_key: []
tags:
- name: Payers
  description: Payer reference metadata and payer listings.
paths:
  /v1/metadata/payers/payer_detail:
    get:
      operationId: getPayerDetail
      tags:
      - Payers
      summary: Get payer detail
      description: Returns descriptive metadata for payers, including region, category, friendly name, and system name.
      responses:
        '200':
          description: 200 response
          headers:
            Access-Control-Allow-Origin:
              schema:
                type: string
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/payerDetail'
      security:
      - api_key: []
  /v1/metadata/payers/payer_list:
    get:
      operationId: getPayerList
      tags:
      - Payers
      summary: Get payer list
      description: Returns the list of payer system names available in the Data Lake.
      responses:
        '200':
          description: 200 response
          headers:
            Access-Control-Allow-Origin:
              schema:
                type: string
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/payerList'
      security:
      - api_key: []
components:
  schemas:
    payerList:
      required:
      - payers
      type: object
      properties:
        payers:
          type: array
          items:
            type: string
    payerDetail:
      type: object
      properties:
        items:
          type: array
          items:
            type: object
            properties:
              payer_region:
                type: string
              payer_category:
                type: string
              payer_friendly_name:
                type: string
              payer_system_name:
                type: string
  securitySchemes:
    api_key:
      type: apiKey
      name: x-api-key
      in: header