Sharing Health Data with Providers
Provider Access Application Programming Interface (API)
With your permission, your health plan can securely share important digital health data with your providers. Your data is shared with your provider’s electronic health record system using the Provider Access Application Programming Interface (API).
This API gives your care team access to data that can streamline and support your care.
What Can Be Shared
With your consent, you can share:
- Medical claims and visit history
- Clinical data, including conditions, tests, and medications
- Prior authorization status for non-drug services and items
What This Means for You
Sharing health data with your providers can help:
- Providers access important data when they need it
- Providers work together to coordinate your care without unnecessary delays
- Speed up information sharing during health appointments
Your Privacy and Security
Sharing your data is optional. If you choose to share:
- Your data is shared securely
- Only providers involved in your care can access your data
- Data is shared only to support your care
- Your benefits are not affected
How to Manage Your Data Sharing Preferences
You can update your data sharing preferences through the member portal using the Provider Access Consent Management System or by calling the Member Services number on your ID card.
Frequently Asked Questions
No. Sharing your data is always optional.
You can update your data sharing preferences through the member portal using the Provider Access Consent Management System or by calling the Member Services number on your ID card.
Yes. Your prescription medication history will be shared with participating providers to support your care.
Please note: Prior authorization history related to your prescriptions will not be shared.
No. Financial information related to claims, such as payment amounts and cost sharing details, are not shared.
Yes. All data sharing must meet federal privacy and security standards established by the Centers for Medicare & Medicaid Services (CMS).