Aetna Provider Directory FHIR API

FHIR R4 compliant Provider Directory API providing standardized access to in-network provider and facility information. Enables third-party applications to search for providers, verify network participation, and access provider details. Required under CMS Interoperability and Patient Access Final Rule for payer-to-payer data exchange.

API entry from apis.yml

apis.yml Raw ↑
aid: aetna-provider-directory-fhir-api
name: Aetna Provider Directory FHIR API
description: FHIR R4 compliant Provider Directory API providing standardized access to in-network provider
  and facility information. Enables third-party applications to search for providers, verify network participation,
  and access provider details. Required under CMS Interoperability and Patient Access Final Rule for payer-to-payer
  data exchange.
tags:
- FHIR
- Provider Directory
- Network
- Healthcare Providers
- CMS Mandate
properties:
- type: Documentation
  url: https://www.aetna.com/health-care-professionals/working-with-aetna/provider-directory.html