APIs for interoperability comprised of USCDI clinical data, CARIN administrative data, Da Vinci Formulary Drug data and Da Vinci Provider Directory data
The APIs of MyHealth Connections Solutions provide the basis for building healthcare applications, such as mobile, that deliver HL7® FHIR® data to members and providers on demand. Some example applications use cases could be to view test results, check on medications, and review recent office visits.
Our APIs allow access to clinical, administrative and formulary drug plan information about a patient, as well as provide detailed provider directory information. Applications will securely interact with this data on behalf of the patient in order to deliver patients real-time access to their healthcare data.
Key third party resources and links:
Patient Access API
Definition for the clinical data implementation guide
Definition for Drug Formulary implementation guide
Definition for administrative data implementation guide
Provider Directory API
Definition for provider directory implementation guide
APIs that will connect a patient to their administrative data such as claim, explanation of benefits, member and coverage information that supports the Carin Consumer Directed Payer Data Exchange implementation guide
APIs that will give detailed information about a payer’s network of physicians and facilities with the goal of connecting patients to care providers that supports the Da Vinci Payer Data Exchange Plan Net Directory implementation guide.
APIs that will allow a patient to explore their drug plan and understand drug tiers and cost sharing information that support the Da Vinci Payer Data Exchange US Drug Formulary implementation guide
As an example, you can obtain member profile data based on tenant enrollment ID, subscriber ID and profile group by making an API call to
On the API page, you can test-execute this operation by clicking the “Try it” link and following the instructions. In this case, you’ll receive an example set of member profile data in the returned response.
"description": "Unique ID assigned."
"description": "The subscriber's ID."
Molina Healthcare, Inc., a FORTUNE 500 company, provides managed healthcare services under the Medicaid and Medicare programs, and through the state insurance marketplaces. Through its locally operated health plans in 15 states, Molina Healthcare served approximately 4.0 million members as of December 31, 2020. In addition, in connection with the acquisition of Magellan Complete Care on December 31, 2020, Molina Healthcare added approximately 200,000 members, and now operates health plans in 18 states. These health plans are generally operated by Molina Healthcare’s respective wholly owned subsidiaries in those states.
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*HL7 Da Vinci Project: Da Vinci is a private sector initiative that addresses the needs of the Value Based Care Community by leveraging the HL7 FHIR platform.
**The CARIN alliance: https://www.carinalliance.com/about-us/