The Capability Statement describes the capabilities of this Server, which is responsible for providing responses when Pharmacy Claims are provided by a business partner and not incorporated into the Medical Claims feeds. The ExplanationOfBenefit (EOB) Resource is the focal Consumer-Directed Payer Data Exchange (CDPDE) Resource. Several Reference Resources are defined directly/indirectly from the...

This Capability Statement describes the capabilities of the US Drug Formulary Server which is responsible for providing responses to the US Drug Formulary queries submitted by registered Consumer Applications. This version of the Formulary Server requires a Plan Member to grant access to the drug formulary information that is applicable to their current prescription drug plan coverage. The complet...

The Capability Statement describes the capabilities of this Plan-Net Server which provides responses to queries submitted by Consumer Applications. The complete list of FHIR profiles, RESTful operations, and search parameters supported by the Server are defined. This capability statement should meet the CMS Interoperability and Patient Access Final Rule requirement for provider directory access. ...

This Payer Data Exchange (PDex) Capability Statement describes the clinical data available to registered Consumer applications that have received approval from a health plan member to receive their data. The Capability Statement embraces all of the US Core 3.1.1 profiles and adds additional profiles to support Health Plan needs.

This Capability Statement describes the features of the US Core Server which is responsible for providing responses to the queries submitted by the US Core Requestors. This instance of the Capability Statement and API provide access to Pharmacy data managed by a Health Plan's business partner. The complete list of FHIR profiles, RESTful operations, and search parameters supported by this server ar...

The Capability Statement describes the capabilities of this Server, which is responsible for providing Medical Claims information. A separate Pharmacy Claims Capability Statement may be provided to access Pharmacy Claims when those claims are provided by a business partner and not incorporated into the Medical Claims feed. The ExplanationOfBenefit (EOB) Resource is the focal Consumer-Directed Pa...

The Capability Statement describes the capabilities of this Plan-Net Server which provides responses to queries submitted by Consumer Applications. The complete list of FHIR profiles, RESTful operations, and search parameters supported by the Server are defined. This capability statement should meet the CMS Interoperability and Patient Access Final Rule requirement for provider directory access. ...