Cigna Provider Directory API

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.

OpenAPI Specification

cigna-provider-directory-api-openapi.yml Raw ↑
openapi: 3.1.0
info:
  title: Cigna Provider Directory API
  description: >-
    Public FHIR-based Provider Directory API listing Cigna's contracted
    practitioners, organizations, locations, healthcare services, networks, and
    insurance plans. Implements the HL7 Da Vinci PDex Plan Network IG and the
    CMS Provider Directory API requirements.
  version: '1.0'
  contact:
    name: Cigna Developer Support
    url: https://developer.cigna.com/support
externalDocs:
  description: Provider Directory Implementation Guide
  url: https://developer.cigna.com/docs/service-apis/provider-directory/implementation-guide
servers:
  - url: https://fhir.cigna.com/ProviderDirectory/v1
    description: Cigna Provider Directory Production
tags:
  - name: Practitioner
  - name: Organization
  - name: Location
  - name: HealthcareService
  - name: PractitionerRole
  - name: Network
  - name: InsurancePlan
paths:
  /metadata:
    get:
      operationId: getCapabilityStatement
      summary: Retrieve the FHIR capability statement
      tags: [Practitioner]
      responses:
        '200':
          description: FHIR CapabilityStatement
  /Practitioner:
    get:
      operationId: searchPractitioner
      summary: Search practitioners in the Cigna network
      tags: [Practitioner]
      parameters:
        - name: name
          in: query
          schema:
            type: string
        - name: identifier
          in: query
          schema:
            type: string
      responses:
        '200':
          description: FHIR Bundle of Practitioner resources
  /Organization:
    get:
      operationId: searchOrganization
      summary: Search organizations in the Cigna network
      tags: [Organization]
      responses:
        '200':
          description: FHIR Bundle of Organization resources
  /Location:
    get:
      operationId: searchLocation
      summary: Search locations of Cigna network providers
      tags: [Location]
      parameters:
        - name: address
          in: query
          schema:
            type: string
        - name: address-postalcode
          in: query
          schema:
            type: string
      responses:
        '200':
          description: FHIR Bundle of Location resources
  /HealthcareService:
    get:
      operationId: searchHealthcareService
      summary: Search healthcare services offered by Cigna network providers
      tags: [HealthcareService]
      responses:
        '200':
          description: FHIR Bundle of HealthcareService resources
  /PractitionerRole:
    get:
      operationId: searchPractitionerRole
      summary: Search practitioner roles within Cigna networks
      tags: [PractitionerRole]
      responses:
        '200':
          description: FHIR Bundle of PractitionerRole resources
  /InsurancePlan:
    get:
      operationId: searchInsurancePlan
      summary: List Cigna insurance plans and the networks associated with each
      tags: [InsurancePlan]
      responses:
        '200':
          description: FHIR Bundle of InsurancePlan resources