Aetna · Example Payload
Aetna V1 Providerdirectorydata Insuranceplan 200 Example
Health InsuranceHealthcareFHIRPatient AccessProvider DirectoryDrug FormularyPrior AuthorizationCMS InteroperabilitySMART on FHIRCARIN Blue ButtonDa VinciPayerFortune 100CVS Health
Aetna V1 Providerdirectorydata Insuranceplan 200 Example is an example object payload from Aetna, with 2 top-level fields. It illustrates the shape of data this provider's APIs accept or return.
Top-level fields
x-sourceexample
Example Payload
{
"x-source": {
"spec": "openapi/aetna-provider-directory-api-openapi.yml",
"operationId": "get_v1_providerdirectorydata_InsurancePlan",
"path": "/v1/providerdirectorydata/InsurancePlan",
"status": "200",
"media_type": "application/json",
"note": "Response example published verbatim by Aetna in its own Swagger document; extracted, not authored."
},
"example": {
"entry": [
{
"search": {
"mode": "match"
},
"resource": {
"identifier": [
{
"use": "official",
"assigner": {
"display": "Aetna Medicare"
},
"type": {
"coding": [
{
"code": "XV",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Health Plan Identifier"
}
]
},
"value": "H5521122"
},
{
"use": "official",
"assigner": {
"display": "Aetna Medicare"
},
"type": {
"coding": [
{
"code": "XV",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Health Plan Identifier"
}
]
},
"value": "H5521263"
},
{
"use": "official",
"type": {
"coding": [
{
"code": "XX",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Organization Identifier"
}
]
},
"value": "I"
}
],
"period": {
"start": "2023-01-01",
"end": "2023-12-31"
},
"language": "en",
"administeredBy": {
"display": "AetnaMedicare"
},
"type": [
{
"coding": [
{
"code": "mediadvppo",
"system": "http://aetna.com/InsuranceProductType"
}
],
"text": "Medicare Advantage PPO"
}
],
"network": [
{
"reference": "Organization/plannet-network-f0f9ad3d9b83d94f7080386074dffe13",
"display": "Broad National with preferred pharmacies"
},
{
"reference": "Organization/plannet-network-85c2a896a433b4104b0de39ce06bda77",
"display": "National ANC Medicare PPO - Medicare Advantage AHP 12236"
},
{
"reference": "Organization/plannet-network-2346ae7d8cf4d8749a549cf255531a70",
"display": "myNEXUS HHC Natl MEPPO 12283"
},
{
"reference": "Organization/plannet-network-eee5e087511188b15c1418485963fbf9",
"display": "Central PA Medicare PPO 3399"
},
{
"reference": "Organization/plannet-network-d22427a4ccefd7edccfbcfa2ad6afc19",
"display": "Western PA Medicare PPO 3400"
},
{
"reference": "Organization/plannet-network-0e6d91af1cd85da5cb71beddece9e9e2",
"display": "SEPA Medicare PPO 3401"
},
{
"reference": "Organization/plannet-network-077aa75bbc91d501cae87815968182f2",
"display": "PA BrksCnty Medicare PPO 3402"
},
{
"reference": "Organization/plannet-network-2d51199967fa2eaddd4c44cb42b4e276",
"display": "NEPA Medicare PPO 3404"
},
{
"reference": "Organization/plannet-network-ea38bf5f73a8c66d3013a7827a09fda9",
"display": "Walk In Clinic - Medicare PPO"
},
{
"reference": "Organization/plannet-network-bb3a0ffe2328fd9a462aae509f1b8707",
"display": "Aetna Health Plans - DPPO"
}
],
"meta": {
"lastUpdated": "2023-02-08T13:51:18.825873+00:00",
"versionId": "MTY3NTg2NDI3ODgyNTg3MzAwMA",
"profile": [
"http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan"
]
},
"contact": [
{
"name": {
"text": "AetnaMedicare"
},
"telecom": [
{
"system": "phone",
"use": "work",
"rank": 1,
"value": "1-833-570-6670"
}
]
}
],
"name": "Aetna Medicare Gold Plan (PPO)",
"alias": [
"Aetna Medicare Value (PPO)"
],
"id": "plannet-insuranceplan-b905bacf4dbba560e758d719e97d003a",
"ownedBy": {
"display": "Aetna"
},
"resourceType": "InsurancePlan",
"status": "active"
},
"fullUrl": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/InsurancePlan/plannet-insuranceplan-b905bacf4dbba560e758d719e97d003a"
},
{
"search": {
"mode": "match"
},
"resource": {
"identifier": [
{
"use": "official",
"assigner": {
"display": "Aetna Medicare"
},
"type": {
"coding": [
{
"code": "XX",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"display": "Organization Identifier"
}
]
},
"value": "G"
}
],
"period": {
"start": "2023-01-01",
"end": "2023-12-31"
},
"language": "en",
"administeredBy": {
"display": "AetnaRetireePlans"
},
"type": [
{
"coding": [
{
"code": "mediadvppo",
"system": "http://aetna.com/InsuranceProductType"
}
],
"text": "Medicare Advantage PPO"
}
],
"network": [
{
"reference": "Organization/plannet-network-f0f9ad3d9b83d94f7080386074dffe13",
"display": "Broad National with preferred pharmacies"
},
{
"reference": "Organization/plannet-network-b0c122e633d57dda4ed5dae528bcc787",
"display": "Medicare PPO Group Plans 11558"
},
{
"reference": "Organization/plannet-network-85c2a896a433b4104b0de39ce06bda77",
"display": "National ANC Medicare PPO - Medicare Advantage AHP 12236"
},
{
"reference": "Organization/plannet-network-2346ae7d8cf4d8749a549cf255531a70",
"display": "myNEXUS HHC Natl MEPPO 12283"
},
{
"reference": "Organization/plannet-network-64511dfe1a9dad1715b1c102ac693f97",
"display": "AmericanSpecHlthNatlMEPPO 12744"
},
{
"reference": "Organization/plannet-network-c469c0d967656b617b513b277b194d5e",
"display": "Dallas TX Medicare PPO 3395"
},
{
"reference": "Organization/plannet-network-41515d34f21ab4a417e532fb9ad91b9b",
"display": "San Antonio TX Medicare PPO 3406"
},
{
"reference": "Organization/plannet-network-1df06d19fff9dc5d5d5a871ffbf9db22",
"display": "Austin TX Medicare PPO 3407"
},
{
"reference": "Organization/plannet-network-591ef6a733f42575543bb3b8ba7e80ab",
"display": "Houston TX Medicare PPO 3414"
},
{
"reference": "Organization/plannet-network-224973ff8ec174cd683bdeb67f995926",
"display": "Corpus Christi TX Medicare PPO 3510"
},
{
"reference": "Organization/plannet-network-de7835377a9459101c526968f5684e3f",
"display": "El Paso Medicare PPO 3516"
},
{
"reference": "Organization/plannet-network-ea38bf5f73a8c66d3013a7827a09fda9",
"display": "Walk In Clinic - Medicare PPO"
},
{
"reference": "Organization/plannet-network-3fc9811a23adda89508a49b7a3b86556",
"display": "Rio Grande Valley TX Medicare PPO 4069"
},
{
"reference": "Organization/plannet-network-d8ea6a48e90c55cba4a3d6681e551c92",
"display": "Hill Country TX Medicare PPO 4232"
},
{
"reference": "Organization/plannet-network-7fae8280ca667594ed9c223ef2754ba1",
"display": "Lubbock TX Medicare PPO 4243"
},
{
"reference": "Organization/plannet-network-56d4d90dfcf4029bd8d96188236f29e4",
"display": "E. TX Medicare PPO 4245"
},
{
"reference": "Organization/plannet-network-e0806de79227b8d11df2d7fa3d46a6d8",
"display": "Amarillo TX Medicare PPO 4247"
},
{
"reference": "Organization/plannet-network-bb3a0ffe2528fd9a462aae509f1b899b",
"display": "Aetna Health Plans - DPPO"
}
],
"meta": {
"lastUpdated": "2023-02-17T08:48:45.812139+00:00",
"versionId": "MTY3NjYyMzcyNTgxMjEzOTAwMA",
"profile": [
"http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan"
]
},
"contact": [
{
"name": {
"text": "AetnaRetireePlans"
},
"telecom": [
{
"system": "phone",
"use": "work",
"rank": 1,
"value": "1-888-267-2637"
}
]
}
],
"name": "Aetna Medicare Plan (PPO)",
"id": "plannet-insuranceplan-55ea4421f0aac570fb46ec06adf08f61",
"ownedBy": {
"display": "Aetna"
},
"coverageArea": [
{
"display": "TX-Anderson; TX-Aransas; TX-Archer; TX-Armstrong; TX-Atascosa; TX-Austin; TX-Bailey; TX-Bandera; TX-Bastrop; TX-Baylor; TX-Bee; TX-Bexar; TX-Blanco; TX-Borden; TX-Bosque; TX-Brazoria; TX-Brazos; TX-Briscoe; TX-Brooks; TX-Burleson; TX-Burnet; TX-Caldwell; TX-Callahan; TX-Cameron; TX-Camp; TX-Carson; TX-Cass; TX-Castro; TX-Chambers; TX-Cherokee; TX-Clay; TX-Cochran; TX-Coke; TX-Coleman; TX-Collin; TX-Comal; TX-Concho; TX-Cooke; TX-Coryell; TX-Crosby; TX-Dallas; TX-Dawson; TX-Deaf Smith; TX-Delta; TX-Denton; TX-DeWitt; TX-Dickens; TX-Dimmit; TX-Donley; TX-Duval; TX-Ector; TX-El Paso; TX-Ellis; TX-Falls; TX-Fannin; TX-Fayette; TX-Fisher; TX-Floyd; TX-Fort Bend; TX-Franklin; TX-Freestone; TX-Galveston; TX-Garza; TX-Gillespie; TX-Glasscock; TX-Goliad; TX-Gonzales; TX-Gray; TX-Grayson; TX-Gregg; TX-Grimes; TX-Guadalupe; TX-Hale; TX-Hall; TX-Hamilton; TX-Hardin; TX-Harris; TX-Harrison; TX-Hartley; TX-Haskell; TX-Hays; TX-Henderson; TX-Hidalgo; TX-Hill; TX-Hockley; TX-Hood; TX-Hopkins; TX-Houston; TX-Hunt; TX-Hutchinson; TX-Irion; TX-Jack; TX-Jefferson; TX-Jim Hogg; TX-Jim Wells; TX-Johnson; TX-Jones; TX-Karnes; TX-Kaufman; TX-Kendall; TX-Kenedy; TX-Kent; TX-Kerr; TX-Kimble; TX-Kleberg; TX-Knox; TX-La Salle; TX-Lamb; TX-Lampasas; TX-Lavaca; TX-Lee; TX-Leon; TX-Liberty; TX-Limestone; TX-Llano; TX-Lubbock; TX-Lynn; TX-Madison; TX-Marion; TX-Martin; TX-Mason; TX-Matagorda; TX-McCulloch; TX-McLennan; TX-McMullen; TX-Medina; TX-Menard; TX-Midland; TX-Milam; TX-Mills; TX-Montague; TX-Montgomery; TX-Moore; TX-Morris; TX-Motley; TX-Nacogdoches; TX-Navarro; TX-Nolan; TX-Nueces; TX-Oldham; TX-Orange; TX-Palo Pinto; TX-Panola; TX-Parker; TX-Polk; TX-Potter; TX-Rains; TX-Randall; TX-Reagan; TX-Real; TX-Red River; TX-Refugio; TX-Roberts; TX-Robertson; TX-Rockwall; TX-Runnels; TX-Rusk; TX-San Jacinto; TX-San Patricio; TX-San Saba; TX-Schleicher; TX-Shackelford; TX-Shelby; TX-Smith; TX-Somervell; TX-Starr; TX-Sterling; TX-Stonewall; TX-Sutton; TX-Swisher; TX-Tarrant; TX-Taylor; TX-Terry; TX-Throckmorton; TX-Travis; TX-Trinity; TX-Tyler; TX-Upshur; TX-Van Zandt; TX-Walker; TX-Waller; TX-Washington; TX-Webb; TX-Wharton; TX-Wheeler; TX-Willacy; TX-Williamson; TX-Wilson; TX-Wise; TX-Wood; TX-Young; TX-Zavala"
}
],
"resourceType": "InsurancePlan",
"status": "active"
},
"fullUrl": "https://apif1.aetna.com/fhir/prod/v1/providerdirectorydata/InsurancePlan/plannet-insuranceplan-55ea4421f0aac570fb46ec06adf08f61"
}
],
"total": 4,
"link": [
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/InsurancePlan?_count=2",
"relation": "search"
},
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/InsurancePlan?_count=2&_page_token=Cjj3YIGJFv%2F%2F%2F%2F%2BABcCQjgd%2BagD%2FAf%2F%2BY2YxNjhhNTcxYzI3ZDQwYTExNzRiMjBjOWZjOWVkM2EAARACIRdZYDGqWfwzOQAAAADpdn6fSAJQAFoLCbGK4RJnYbokEANgxMKh8gM%3D",
"relation": "next"
},
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/InsurancePlan?_count=2",
"relation": "first"
},
{
"url": "https://apif1.aetna.com/fhir/v1/providerdirectorydata/InsurancePlan?_count=2",
"relation": "self"
}
],
"type": "searchset",
"resourceType": "Bundle"
}
}Work with this as data
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