Centers for Medicare and Medicaid Services

The Centers for Medicare and Medicaid Services (CMS) is the federal agency that provides health coverage to more than 160 million Americans through Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the Health Insurance Marketplace. CMS operates one of the largest public API programs in the U.S. government, including the FHIR-based Blue Button 2.0, Beneficiary Claims Data API (BCDA), and Data at the Point of Care (DPC); the data.cms.gov Socrata Open Data API covering Medicare claims, provider, and enrollment datasets; the Medicare Provider Data Catalog (Hospital Compare, Nursing Home Compare); the Healthcare.gov Marketplace API; NPPES and NPI Registry APIs; the QPP Measures API; and Medicaid Transformed Medicaid Statistical Information System (T-MSIS) resources.

9 APIs 0 Features

BCDABlue ButtonCMSClaimsDPCFHIRFederal GovernmentHealthcareInteroperabilityMarketplaceMedicaidMedicareOpen DataProvider DataSocrata

GitHubOrganization

Sources

opencollection: 1.0.0
info:
  name: CMS Blue Button 2.0 API
  version: v2
request:
  auth:
    type: oauth2
    flow: authorization_code
    authorizationUrl: https://api.bluebutton.cms.gov/v2/o/authorize/
    accessTokenUrl: https://api.bluebutton.cms.gov/v2/o/token/
    credentials:
      clientId: '{{clientId}}'
      clientSecret: '{{clientSecret}}'
items:
- info:
    name: Capability
    type: folder
  items:
  - info:
      name: Get Capability Statement
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/metadata
    docs: Returns the FHIR CapabilityStatement describing supported resources and operations.
- info:
    name: Patient
    type: folder
  items:
  - info:
      name: Search Patient
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/Patient
    docs: Returns the authenticated Medicare beneficiary as a FHIR Patient resource.
  - info:
      name: Read Patient
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/Patient/:id
      params:
      - name: id
        value: ''
        type: path
        description: FHIR Patient resource ID.
    docs: Returns a single Patient resource by ID.
- info:
    name: Coverage
    type: folder
  items:
  - info:
      name: Search Coverage
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/Coverage
      params:
      - name: beneficiary
        value: ''
        type: query
        description: Beneficiary patient reference.
    docs: Returns Medicare coverage records for the authenticated beneficiary.
  - info:
      name: Read Coverage
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/Coverage/:id
      params:
      - name: id
        value: ''
        type: path
        description: FHIR Coverage resource ID.
    docs: Returns a single Coverage resource by ID.
- info:
    name: ExplanationOfBenefit
    type: folder
  items:
  - info:
      name: Search ExplanationOfBenefit
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/ExplanationOfBenefit
      params:
      - name: patient
        value: ''
        type: query
        description: Patient resource reference.
      - name: _lastUpdated
        value: ''
        type: query
        description: Filter by last-updated timestamp.
    docs: Returns ExplanationOfBenefit (claims) records for the authenticated beneficiary.
  - info:
      name: Read ExplanationOfBenefit
      type: http
    http:
      method: GET
      url: https://api.bluebutton.cms.gov/v2/fhir/ExplanationOfBenefit/:id
      params:
      - name: id
        value: ''
        type: path
        description: FHIR ExplanationOfBenefit resource ID.
    docs: Returns a single ExplanationOfBenefit resource by ID.
bundled: true

Centers for Medicare and Medicaid Services

APIs

CMS Blue Button 2.0 API

CMS Beneficiary Claims Data API (BCDA)

CMS Data at the Point of Care (DPC) API

CMS Socrata Open Data API (data.cms.gov)

CMS Provider Data Catalog API (Care Compare)

NPPES NPI Registry API

Healthcare.gov Marketplace API

CMS Quality Payment Program (QPP) Measures API

Medicare Coverage Database (MCD) API

Collections

CMS Blue Button 2.0 API

Pricing Plans

Centers For Medicare And Medicaid Services Plans Pricing

Rate Limits

Centers For Medicare And Medicaid Services Rate Limits

FinOps

Centers For Medicare And Medicaid Services Finops

Resources

Sources