Independence Blue Cross

Independence Blue Cross Provider Directory FHIR API

HL7 FHIR R4 (4.0.1) Provider Directory API satisfying the CMS Provider Directory requirement of the Interoperability and Patient Access final rule. Published as a Da Vinci PDex Plan-Net server (CapabilityStatement id `ibc-plan-net-metadata`, published 2021-05-28). Publishes Practitioner, PractitionerRole, Organization, OrganizationAffiliation, Location, HealthcareService, InsurancePlan, and Endpoint resources for the Independence Blue Cross provider and pharmacy network. Publicly queryable; no authentication or member consent required.

Independence Blue Cross Provider Directory FHIR API is one of 5 APIs that Independence Blue Cross publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

This API exposes 1 machine-runnable capability that can be deployed as REST, MCP, or Agent Skill surfaces via Naftiko and 3 JSON Schema definitions.

Tagged areas include Provider Directory, FHIR, Da Vinci, Plan-Net, and CMS. The published artifact set on APIs.io includes API documentation, an OpenAPI specification, 1 Naftiko capability spec, and 3 JSON Schemas.

Documentation GitHub OpenAPI

OpenAPI Specification

openapi: 3.0.3
info:
  title: Independence Blue Cross Provider Directory FHIR API
  version: 1.0.0
  description: HL7 FHIR R4 (4.0.1) Provider Directory API satisfying the CMS Interoperability Provider Directory requirement,
    published as a Da Vinci PDex Plan-Net server. Publicly queryable, no authentication required. Surfaces Practitioner, PractitionerRole,
    Organization, OrganizationAffiliation, Location, HealthcareService, InsurancePlan, and Endpoint resources for the Independence
    Blue Cross provider and pharmacy network across southeastern Pennsylvania.
  contact:
    name: Independence Interoperability Support
    email: [email protected]
    url: https://devportal.ibx.com/
  license:
    name: Independence Developer Portal Terms & Conditions
    url: https://www.ibx.com/htdocs/custom/tnc/Developer%20Portal%20TandC.pdf
servers:
- url: https://eapics.ibx.com/provider/v1/fhir
  description: Production FHIR endpoint
tags:
- name: Provider Directory
  description: Public Da Vinci Plan-Net FHIR R4 provider directory resources.
paths:
  /metadata:
    get:
      summary: Get Capability Statement
      operationId: get_metadata
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /Location:
    get:
      summary: Search Location
      operationId: get_Location
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /Location/{rid}:
    get:
      summary: Read Location By ID
      operationId: get_Location_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /Practitioner:
    get:
      summary: Search Practitioner
      operationId: get_Practitioner
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /Practitioner/{rid}:
    get:
      summary: Read Practitioner By ID
      operationId: get_Practitioner_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /InsurancePlan:
    get:
      summary: Search InsurancePlan
      operationId: get_InsurancePlan
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /InsurancePlan/{rid}:
    get:
      summary: Read InsurancePlan By ID
      operationId: get_InsurancePlan_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /HealthcareService:
    get:
      summary: Search HealthcareService
      operationId: get_HealthcareService
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /HealthcareService/{rid}:
    get:
      summary: Read HealthcareService By ID
      operationId: get_HealthcareService_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /OrganizationAffiliation:
    get:
      summary: Search OrganizationAffiliation
      operationId: get_OrganizationAffiliation
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /OrganizationAffiliation/{rid}:
    get:
      summary: Read OrganizationAffiliation By ID
      operationId: get_OrganizationAffiliation_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /Organization:
    get:
      summary: Search Organization
      operationId: get_Organization
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /Organization/{rid}:
    get:
      summary: Read Organization By ID
      operationId: get_Organization_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /PractitionerRole:
    get:
      summary: Search PractitionerRole
      operationId: get_PractitionerRole
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /PractitionerRole/{rid}:
    get:
      summary: Read PractitionerRole By ID
      operationId: get_PractitionerRole_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /Endpoint:
    get:
      summary: Search Endpoint
      operationId: get_Endpoint
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /Endpoint/{rid}:
    get:
      summary: Read Endpoint By ID
      operationId: get_Endpoint_rid
      tags:
      - Provider Directory
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string

Independence Blue Cross Provider Directory FHIR API

Documentation

Specifications

Schemas & Data

Other Resources

OpenAPI Specification