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Health care benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company^®, Capital Advantage Assurance Company^® and Keystone Health Plan^® Central. Independent licensees of the BlueCross BlueShield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies.

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Developer resources

This page provides instructions for app developers to connect to Capital Blue Cross’ Application Programming Interfaces (APIs).

Developer guides

Provider directory endpoints

Medicare

https://api.capitalbluecrossfhir.com/r4/public-ma

CHIP

https://api.capitalbluecrossfhir.com/r4/public-chip

Capital Blue Cross (Capital) is working with 1upHealth to create applications that interact with Capital’s electronic health data, using the Fast Healthcare Interoperability Resources (FHIR) standard. 1upHealth provides a common RESTful API with access to 10,000+ health centers within their growing network.

The 1upHealth platform is HIPAA compliant and is used by some of the largest hospital systems. Review 1upHealth's info for third-party developers for more information.

Contact

For any Provider Directory or Patient Access API technical support, please submit your questions or concerns to CBCContactFHIRAPIAdmin@CapBlueCross.com.

1upHealth, an independent company, provides Capital Blue Cross members access to personal healthcare data as required under applicable law.

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