For application developers

Developing FHIR^® resources to deliver clear, standardized data formats to registered application, or app, developers.

Sharp Health Plan has created a portal for third-party app developers to access application programming interfaces, known as APIs, documentation and registration services pursuant to the Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule,
CMS-9115-F.

Sharp’s developer portal

The following is intended for app developers only.

Support

If you have technical questions or concerns, please call Sharp HealthCare’s Technical Assistance Center at 1-858-627-5201.

API documentation

• Provider Directory API documentation

Retrieve, as applicable, certain Sharp Direct Advantage^® and Covered California provider and pharmacy directory information.

• Patient Access API documentation

Retrieve, as applicable and with the approval of the requesting Covered California^™ or Medicare enrollee or personal representative, certain data concerning adjudicated claims, encounter data from capitated providers, formulary data and certain clinical data, if Sharp Health Plan maintains any such data.

Machine-readable files

Pursuant to CMS regulations under the Transparency in Coverage rule, developers may access Sharp Health Plan’s machine-readable files using the links below.

These files are in JSON format and are updated monthly as required by CMS. Visit our frequently asked questions for more information about Transparency in Coverage.

Files

• Table of Contents
• Allowed Amounts
• In-Network - CAP
• In-Network - FFS (March 2023)
• In-Network - FFS (Part 1)
• In-Network - FFS (Part 2)
• In-Network - FFS (Part 3)
• In-Network - FFS (Part 4)
• In-Network - FFS (Part 5)
• In-Network - FFS (Part 6)
• In-Network - FFS (Part 7)
• In-Network - FFS (Part 8)
• Provider References