Policies and Best Practices
Interoperability APIs
Fast Healthcare Interoperability Resources (FHIR) APIs enable secure, standards-driven data exchange across payers, providers, and members.
Available APIs
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides enterprise FHIR-based APIs to support secure, interoperable healthcare data exchange for Medicare and Affordable Care Act (ACA) plans. Learn how our APIs work, who they're intended for, and which data they provide access to.
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Patient Access
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Members with Medicare or ACA plans can securely connect apps like Apple Health to view health information from Blue Cross NC.
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Explore Patient Access API
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Provider Directory
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Members, providers, and organizations can access up‑to‑date information about in‑network doctors, hospitals, and pharmacies through this publicly available API.
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Access Provider Directory API
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Payer-to-Payer
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When members with Medicare or ACA plans switch health insurance companies, Blue Cross NC can securely send or receive health information with another plan to help create a more complete picture of care history.
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Access Payer-to-Payer API
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Coming 2027
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Provider Access
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Providers will be able to securely view patient health information from Blue Cross NC to help fill in missing details across a patient’s history of care for all lines of business.
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Coming 2027
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Prior Authorization
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Providers will be able to securely submit and manage prior authorization requests with Blue Cross NC, including coverage checks, required documentation, and real‑time status updates.
Register for access
Register for API access, explore our developer sandbox, and test integrations using sample member data.
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Who should register
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As a payer or a developer working on a third-party app, you can register to access information about the Blue Cross NC provider network and the resources needed to build applications that connect to a member’s health data.
We review API access requests in 10 business days. Once approved, you'll receive an email within five business days with instructions for obtaining authentication tokens.
We review API access requests in 10 business days. Once approved, you'll receive an email within five business days with instructions for obtaining authentication tokens.
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Start Registration Process
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Login
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Developer sandbox
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Try our APIs in the developer sandbox and find step-by-step instructions to retrieve member data for a sample patient ID.
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Learn More
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Frequently asked questions
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- /content/dam/aem-global/content-fragments/faq/faq/api-access/changes-in-registration-status
- /content/dam/aem-global/content-fragments/faq/faq/api-access/questions-about-initial-registration-data
- /content/dam/aem-global/content-fragments/faq/faq/api-access/application-status-meanings
- /content/dam/aem-global/content-fragments/faq/faq/api-access/who-to-contact-if-api-access-tokens-arent-working
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Related policies
Review our policies about how we handle our members' personal information.
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Privacy and notifications for linked apps
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How medical information may be accessed, used, and disclosed.
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Notification of shared information with other payers
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What members should know when they allow personal information to be shared.
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