Interoperability
Provider Directory API Digital EndPoint Access
Overview
Advantage MD offers a Provider Directory service utilizing API technology, which helps applications share data and work better together. This Provider Directory API enables third-party applications to retrieve up-to-date information about Johns Hopkins Health Plans’ (JHHP) in-network providers, facilities, pharmacies and insurance plans. This API is built using FHIR standards and is designed to meet CMS-9115 requirements for payer data interoperability and public access.
These APIs follow the HL7 R4 FHIR specification, as well as the DaVinci PDEX Plan Net Implementation Guide.
Questions?
For questions or issues related to the information on this page, please contact the Help Center.
What’s the purpose?
As part of the CMS-9115 rule, payers like Advantage MD are required to expose provider network information through a standards-based FHIR API. The Provider Directory API enables developers to build applications that allow users to search for and filter health care providers by location, specialty, plan network and more, all using machine-readable data that stays up to date.
Why it matters for developers
This API allows developers to create directories, search tools, care navigation apps and other use cases that require timely, reliable access to provider network information. The use of FHIR ensures interoperability with other health care APIs.
Davinci FHIR (HL7® FHIR® Standard) R4
Healthcare Service API Digital Endpoint
The Healthcare Service resource defines the specific health care services offered by a provider or organization at a particular location. This API functions in accordance with R4 FHIR specification.
https://api.jhhpfhir.com/r4/public-ma/HealthcareService
Questions? Send us an email.
Insurance Plan API Digital Endpoint
The Insurance Plan resource returns metadata about Advantage MD’s plans, including coverage areas, network affiliations and identifiers. This API functions in accordance with R4 FHIR specification.
https://api.jhhpfhir.com/r4/public-ma/InsurancePlan
Questions? Send us an email.
Practicioner API Digital Endpoint
The Practitioner resource provides demographic and professional details about individual health care professionals, such as names, specialties and credentials.
https://api.jhhpfhir.com/r4/public-ma/Practitioner
Questions? Send us an email.
Organization API Digital Endpoint
The Organization resource provides information about health care organizations (e.g., hospitals, group practices, pharmacies), including names, contact info and identifiers.
https://api.jhhpfhir.com/r4/public-ma/Organization
Questions? Send us an email.
Location API Digital Endpoint
The Location resource describes physical sites where care is delivered, including address, hours of operation and contact details.
https://api.jhhpfhir.com/r4/public-ma/Location
Questions? Send us an email.
Organization Affiliation API Digital Endpoint
The Organization Affiliation resource presents relationships between organizations, i.e., which organizations operate under a parent health system, share services or collaborate.
https://api.jhhpfhir.com/r4/public-ma/OrganizationAffiliation
Questions? Send us an email.
Practitioner Role API Digital Endpoint
The Practitioner Role resource represents the relationship between a provider or pharmacy and an insurance plan. It links to the Practitioner, Organization and Location resources and gives a complete view of who delivers care, under what plan and where.
https://api.jhhpfhir.com/r4/public-ma/PractitionerRole
Questions? Send us an email.
