Patient Access API for Developers

As mandated by the U.S. Centers for Medicare & Medicaid Services (CMS), the Avera Health Plans Patient Access API meets the specification as outlined in the CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button) Implementation Guide and the DaVinci Payer Data Exchange (PDex) US Drug Formulary Implementation Guide and conforms to the technical standard for data exchange via secure API.

Avera Health Plans has contracted with HealthTrio to manage and support the Patient Access API. After you have reviewed the Interoperability API Terms of Service, you can obtain instructions on how to get started by clicking the FHIR API link. Developers should be familiar with HL7 FHIR APIs and have an understanding of how APIs work.

Please note that the mandate requires this information to be publicly available. Should you have questions regarding the HL7 FHIR API standards or requirements, please refer to CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button) Implementation Guide and DaVinci Payer Data Exchange (PDex) US Drug Formulary Implementation Guide. Should you have questions regarding the Avera Health Plans FHIR API, please contact HealthTrio by clicking the FHIR API link and following instructions. Avera Health Plans does not support developer-specific questions.