Cigna

aid: cigna
name: Cigna
description: Cigna Healthcare is a leading global health services company offering
  medical, dental, behavioral, and pharmacy plans for individuals, families, and employers.
  The Cigna Developer Portal exposes CMS-mandated FHIR APIs for Patient Access, Provider
  Directory, Drug Formulary, and Provider Access, along with member and provider service
  APIs that enable third-party applications, electronic health record systems, and
  partners to access member health data with consent and look up Cigna network providers
  and formulary information.
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
url: https://raw.githubusercontent.com/api-evangelist/cigna/refs/heads/main/apis.yml
type: Index
access: 3rd-Party
position: Consumer
tags:
- CMS Interoperability
- Da Vinci
- Drug Formulary
- FHIR
- Health Insurance
- Healthcare
- Patient Access
- Provider Directory
- SMART on FHIR
- Fortune 100
created: '2025-02-21'
modified: '2026-05-19'
specificationVersion: '0.20'
apis:
- aid: cigna:patient-access-api
  name: Cigna Patient Access API
  description: FHIR R4 API that allows authorized third-party applications to access
    a Cigna member's claims, encounters, clinical data, coverage, and pharmacy information
    after the member completes SMART on FHIR authorization. Conforms to the CMS Interoperability
    and Patient Access final rule and the HL7 Da Vinci PDex implementation guide.
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://developer.cigna.com/docs/service-apis/patient-access/implementation-guide
  baseURL: https://fhir.cigna.com/PatientAccess/v1
  tags:
  - CMS Interoperability
  - FHIR
  - Patient Access
  - SMART on FHIR
  properties:
  - type: Documentation
    url: https://developer.cigna.com/docs/service-apis/patient-access/implementation-guide
  - type: OpenAPI
    url: openapi/cigna-patient-access-api-openapi.yml
  - url: graphql/cigna-graphql.md
    type: GraphQL
- aid: cigna:provider-directory-api
  name: Cigna Provider Directory API
  description: Public FHIR-based Provider Directory API listing Cigna's contracted
    network providers, organizations, locations, healthcare services, and practitioner
    roles. Conforms to the HL7 Da Vinci PDex Plan Network implementation guide and
    the CMS Provider Directory API requirements.
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://developer.cigna.com/docs/service-apis/provider-directory/implementation-guide
  baseURL: https://fhir.cigna.com/ProviderDirectory/v1
  tags:
  - CMS Interoperability
  - FHIR
  - Provider Directory
  - Public API
  properties:
  - type: Documentation
    url: https://developer.cigna.com/docs/service-apis/provider-directory/implementation-guide
  - type: OpenAPI
    url: openapi/cigna-provider-directory-api-openapi.yml
- aid: cigna:drug-formulary-api
  name: Cigna Drug Formulary API
  description: Public FHIR-based Drug Formulary API exposing Cigna's covered drug
    lists, formulary tiers, prior authorization requirements, step therapy, and quantity
    limits. Implements the HL7 Da Vinci PDex US Drug Formulary implementation guide
    required by the CMS Interoperability and Patient Access rule.
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://developer.cigna.com/docs/service-apis
  baseURL: https://fhir.cigna.com/DrugFormulary/v1
  tags:
  - CMS Interoperability
  - Drug Formulary
  - FHIR
  - Public API
  properties:
  - type: Documentation
    url: https://developer.cigna.com/docs/service-apis
  - type: OpenAPI
    url: openapi/cigna-drug-formulary-api-openapi.yml
- aid: cigna:provider-access-api
  name: Cigna Provider Access API
  description: FHIR API that allows in-network providers, with appropriate authorization,
    to retrieve a Cigna member's clinical and claims data to support care coordination.
    Implements the HL7 Da Vinci PDex Provider Access implementation guide and conforms
    to the CMS Interoperability and Prior Authorization final rule.
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://developer.cigna.com/docs/service-apis
  baseURL: https://fhir.cigna.com/ProviderAccess/v1
  tags:
  - CMS Interoperability
  - FHIR
  - Provider Access
  properties:
  - type: Documentation
    url: https://developer.cigna.com/docs/service-apis
  - type: OpenAPI
    url: openapi/cigna-provider-access-api-openapi.yml
common:
- type: GitHubOrganization
  url: https://github.com/Cigna
- type: LinkedIn
  url: https://www.linkedin.com/company/the-cigna-group
- type: Website
  url: https://www.cigna.com/
- type: DeveloperPortal
  url: https://developer.cigna.com/
- type: Portal
  url: https://developer.cigna.com/
- type: Documentation
  url: https://developer.cigna.com/docs/service-apis
- type: Support
  url: https://developer.cigna.com/support
- type: TermsOfService
  url: https://www.cigna.com/legal/terms-of-use
- type: PrivacyPolicy
  url: https://www.cigna.com/legal/privacy
- type: JSONLDContext
  url: json-ld/cigna-context.jsonld
- type: JSONSchema
  url: json-schema/cigna-patient-schema.json
- type: Spectral
  url: spectral/cigna-spectral.yml
- type: LLMsTxt
  url: https://developer.cigna.com/llms.txt
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com