Cigna Provider Access API

openapi: 3.1.0
info:
  title: 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 IG and the
    CMS Interoperability and Prior Authorization final rule (CMS-0057-F).
  version: '1.0'
  contact:
    name: Cigna Developer Support
    url: https://developer.cigna.com/support
externalDocs:
  description: Cigna Service APIs
  url: https://developer.cigna.com/docs/service-apis
servers:
  - url: https://fhir.cigna.com/ProviderAccess/v1
    description: Cigna Provider Access Production
tags:
  - name: Patient
  - name: Coverage
  - name: ExplanationOfBenefit
  - name: Bulk Data
security:
  - bulkData: []
paths:
  /metadata:
    get:
      operationId: getCapabilityStatement
      summary: Retrieve the FHIR capability statement
      tags: [Patient]
      responses:
        '200':
          description: FHIR CapabilityStatement
  /Group/{groupId}/$export:
    get:
      operationId: bulkExportGroup
      summary: Initiate a bulk data export for a panel of attributed members
      tags: [Bulk Data]
      parameters:
        - name: groupId
          in: path
          required: true
          schema:
            type: string
      responses:
        '202':
          description: Bulk export accepted
  /Patient/{patientId}/$everything:
    get:
      operationId: getPatientEverything
      summary: Retrieve a complete clinical record for an attributed member
      tags: [Patient]
      parameters:
        - name: patientId
          in: path
          required: true
          schema:
            type: string
      responses:
        '200':
          description: FHIR Bundle for the patient
components:
  securitySchemes:
    bulkData:
      type: oauth2
      description: SMART Backend Services authorization for bulk FHIR export
      flows:
        clientCredentials:
          tokenUrl: https://r-hi2.cigna.com/mga/sps/oauth/oauth20/token
          scopes:
            'system/*.read': System-level read access to FHIR resources