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API Gateway Developer Portal!

Enabling APIs to leverage access to a patient’s clinical and administrative data.

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Data APIs available

APIs for interoperability comprised of USCDI clinical data, CARIN administrative data, Da Vinci Formulary Drug data and Da Vinci Provider Directory data

How Do I Start?

The APIs of the Connected Interoperability Solution provide the basis for building healthcare applications, such as mobile, that deliver HL7® FHIR® data to members and providers on demand.  Some example applications use cases could be to view test results, check on medications, and review recent office visits.  

Our APIs allow access to clinical, administrative and formulary drug plan information about a patient, as well as provide detailed provider directory information.  Applications will securely interact with this data on behalf of the patient in order to deliver patients real-time access to their healthcare data. 

Key third party resources and links:

Our APIs

Administrative

APIs that will connect a patient to their administrative data such as claim, explanation of benefits, member and coverage information that supports the Carin Consumer Directed Payer Data Exchange implementation guide

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Clinical

APIs that will connect a patient to their clinical data, such as lab/diagnostic results, medications and more that support the USCDI implementation guide.

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Provider Directory

APIs that will give detailed information about a payer’s network of physicians and facilities with the goal of connecting patients to care providers that supports the Da Vinci Payer Data Exchange Plan Net Directory implementation guide.

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Drug Formulary

APIs that will allow a patient to explore their drug plan and understand drug tiers and cost sharing information that support the Da Vinci Payer Data Exchange US Drug Formulary implementation guide

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As an example, you can obtain member profile data based on tenant enrollment ID, subscriber ID and profile group by making an API call to
/profile-fxi-data/get-member-tenantenrollmentid(). 

On the API page, you can test-execute this operation by clicking the “Try it” link and following the instructions.  In this case, you’ll receive an example set of member profile data in the returned response.

GET /member/{tenantenrollmentid}
{
    "type": "object",
    "properties": {
        "tenantEnrollmentId": {
            "type": "string",
            "description": "Unique ID assigned."
        },
        "subscriberId": {
            "type": "string",
            "description": "The subscriber's ID."
        },
        "profileGroups": {
            "$ref": "#/definitions/profileGroups"
        }
    }
}
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About us

Aspirus Health Plan promotes good health in Wisconsin.

You know the Aspirus name. In Wisconsin, it stands for trust. It stands for care. And it stands for community. And while the name Aspirus Health Plan is new, our commitment to our state and our people is not.

Aspirus Health Plan was founded on, and builds on, the commitment to bettering the health of the communities we serve. This local collaboration between the health insurer and Aspirus Health system is designed to improve the overall health and wellbeing of the population by providing high-quality products that cater to the needs of the community.

Aspirus Health Plan is a Wausau-based company that offers Wisconsinites a more cost-effective choice for health care coverage— whether you are an individual consumer or a business owner with hundreds of employees.

You can place your confidence in Aspirus Health Plan to provide you with affordable local health insurance you and your family or business deserve.

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Cognizant Supplemental Terms

*HL7 Da Vinci Project: Da Vinci is a private sector initiative that addresses the needs of the Value Based Care Community by leveraging the HL7 FHIR platform.

**The CARIN alliance:  https://www.carinalliance.com/about-us/

HL7® and FHIR® are the registered trademarks of Health Level Seven International and the use does not constitute endorsement by HL7.

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