Sharp Health Plan has created a portal for third-party app developers to access application programming interfaces (“APIs”), documentation and registration services pursuant to the Centers for Medicare & Medicaid Services (“CMS”)
Interoperability and Patient Access Final Rule (CMS-9115-F).
Currently, developers may access the Sharp Direct Advantage Provider Directory API. This will allow developers to retrieve, as applicable, certain Sharp Direct Advantage provider and directory information.
The Patient Access API will become available later this summer and will allow developers to retrieve, as applicable and with the approval of the requesting Sharp Direct Advantage 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.