wellcare-health-plans

opencollection: 1.0.0
info:
  name: WellCare FHIR Provider Directory API
  version: '1.0'
items:
- info:
    name: Practitioner
    type: folder
  items:
  - info:
      name: Search Practitioners
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/Practitioner
      params:
      - name: name
        value: ''
        type: query
        description: Practitioner name (partial match supported).
      - name: identifier
        value: ''
        type: query
        description: NPI or other practitioner identifier.
      - name: specialty
        value: ''
        type: query
        description: NUCC taxonomy code or specialty name.
      - name: _count
        value: ''
        type: query
        description: Number of results per page.
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Searches for healthcare practitioners in the WellCare provider directory by name, specialty, NPI, or location. Returns
      practitioner demographic information, credentials, and specialties.
  - info:
      name: Get Practitioner
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/Practitioner/:id
      params:
      - name: id
        value: ''
        type: path
        description: The FHIR Practitioner resource ID.
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Retrieves a specific practitioner resource by FHIR ID, returning full demographic and credential information.
- info:
    name: Organization
    type: folder
  items:
  - info:
      name: Search Organizations
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/Organization
      params:
      - name: name
        value: ''
        type: query
        description: Organization name (partial match supported).
      - name: identifier
        value: ''
        type: query
        description: NPI or other organization identifier.
      - name: type
        value: ''
        type: query
        description: Organization type (e.g., hospital, clinic, pharmacy).
      - name: _count
        value: ''
        type: query
        description: Number of results per page.
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Searches for healthcare organizations, hospitals, clinics, and facilities in the WellCare provider network by name,
      type, or NPI.
  - info:
      name: Get Organization
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/Organization/:id
      params:
      - name: id
        value: ''
        type: path
        description: The FHIR Organization resource ID.
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Retrieves a specific organization resource by FHIR ID.
- info:
    name: Location
    type: folder
  items:
  - info:
      name: Search Locations
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/Location
      params:
      - name: address-postalcode
        value: ''
        type: query
        description: ZIP code for location search.
      - name: near
        value: ''
        type: query
        description: Coordinate-based proximity search (latitude|longitude|distance|units).
      - name: _count
        value: ''
        type: query
        description: Number of results per page.
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Searches for care delivery locations by address, ZIP code, or proximity to a given coordinate. Returns location
      details, hours, accessibility, and available services.
- info:
    name: Practitioner Role
    type: folder
  items:
  - info:
      name: Search Practitioner Roles
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/PractitionerRole
      params:
      - name: practitioner
        value: ''
        type: query
        description: FHIR Practitioner ID.
      - name: organization
        value: ''
        type: query
        description: FHIR Organization ID.
      - name: specialty
        value: ''
        type: query
        description: Specialty taxonomy code.
      - name: location
        value: ''
        type: query
        description: FHIR Location ID.
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Searches for practitioner roles defining a practitioner's relationship with a healthcare organization and network,
      including specialties, accepted insurance plans, and care location affiliations.
- info:
    name: Insurance Plan
    type: folder
  items:
  - info:
      name: Search Insurance Plans
      type: http
    http:
      method: GET
      url: https://partners.centene.com/fhir/r4/InsurancePlan
      params:
      - name: name
        value: ''
        type: query
        description: Insurance plan name.
      - name: type
        value: ''
        type: query
        description: Plan type (e.g., HMO, PPO, SNP).
      auth:
        type: bearer
        token: '{{bearerToken}}'
    docs: Retrieves WellCare insurance plan details including plan types, network coverage areas, benefit categories, and
      cost-sharing information for Medicaid and Medicare Advantage plans.
bundled: true