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Centene

Centene Provider Network API

RESTful API endpoints for search Providers' network related information. More information can be found on the corresponding Alation page: https://alation.centene.com/table/538089/

Documentation Provider Profile APIs.io OpenAPI GitHub

Centene Provider Network API is one of 58 APIs that Centene publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

Tagged areas include Provider-Network-API. The published artifact set on APIs.io includes an OpenAPI specification, API documentation, a getting-started guide, and an API reference.

This API exposes 19 operations across 19 paths, and defines 101 schemas. It is described by OpenAPI 3.2.0, at version 2.0.

Requests are made against 3 base URLs: https://dev-int-api-gw.centene.com/provider-rtr/demographics/, https://test-int-api-gw.centene.com/provider-rtr/demographics/, https://api-gateway-01.centene.com/provider-rtr/demographics/.

19 operations 19 paths 101 schemas 19 GET

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.2.0
API Version
2.0
Base URL
https://iopc-pa.api.centene.com/iopc/pa
Authentication
OAuth 2.0
Resource Areas
1

Authentication & Security 1

Centene Provider Network API declares 1 security scheme for authenticating requests. It supports OAuth 2.0 (oauth2) using the clientCredentials flow, exposing 1 scope. By default, every request must be authenticated.

Paths & Operations 19

Across 19 paths, the API surfaces 19 operations — 19 GET. Each is listed below with its method, path, parameters, and response codes.

Provider-Network-API 19

RESTful API endpoints for search Providers' network related information. More information can be found on the corresponding Alation page: https://alation.centene.com/table/538089/

GET
/provRTR/v2/provider/network
Get provider network plan
GetProviderNetworkPlan 8 params → 200400403500504
GET
/provRTR/v2/provider/network/businessunit
Get provider network business unit network id
GetProviderNetworkBusinessUnitNetworkId 9 params → 200400403500504
GET
/provRTR/v2/provider/network/businessunit/search
Get provider network business unit search
GetProviderNetworkBusinessUnitSearch 5 params → 200400403500504
GET
/provRTR/v2/provider/network/carrier
Get provider network carrier network id
GetProviderNetworkCarrierNetworkId 10 params → 200400403500504
GET
/provRTR/v2/provider/network/carrier/search
Get provider network carrier search
GetProviderNetworkCarrierSearch 5 params → 200400403500504
GET
/provRTR/v2/provider/network/health
Get provider network health
GetProviderNetworkHealth → 200403424500504
GET
/provRTR/v2/provider/network/healthplan
Get provider network health plan network id
GetProviderNetworkHealthPlanNetworkId 9 params → 200400403500504
GET
/provRTR/v2/provider/network/healthplan/search
Get provider network health plan search
GetProviderNetworkHealthPlanSearch 5 params → 200400403500504
GET
/provRTR/v2/provider/network/plans
Get provider network plans path
GetProviderNetworkPlansPath 5 params → 200400403500504
GET
/provRTR/v2/provider/network/product
Get provider network product network id
GetProviderNetworkProductNetworkId 9 params → 200400403500504
GET
/provRTR/v2/provider/network/product/search
Get provider network product search
GetProviderNetworkProductSearch 5 params → 200400403500504
GET
/provRTR/v2/provider/network/version
Get provider network version
GetProviderNetworkVersion → 200403500504
GET
/provRTR/v2/provider/network/{PROV_ID}/businessunit
Get provider by id business unit network
GetProviderByIdBusinessUnitNetwork 5 params → 200400403500504
GET
/provRTR/v2/provider/network/{PROV_ID}/carrier
Get provider by id carrier network id
GetProviderByIdCarrierNetworkId 5 params → 200400403500504
GET
/provRTR/v2/provider/network/{PROV_ID}/healthplan
Get provider by id health plan network
GetProviderByIdHealthPlanNetwork 5 params → 200400403500504
GET
/provRTR/v2/provider/network/{PROV_ID}/product
Get provider by id product network
GetProviderByIdProductNetwork 5 params → 200400403500504
GET
/provRTR/v2/provider/network/{{businessUnitCode}}
Get provider network business unit code
GetProviderNetworkBusinessUnitCode 9 params → 200400403500504
GET
/provRTR/v2/provider/network/{{businessUnitCode}}/{{healthPlanCode}}
Get provider network health plan code
GetProviderNetworkHealthPlanCode 10 params → 200400403500504
GET
/provRTR/v2/provider/network/{{businessUnitCode}}/{{healthPlanCode}}/{{productCode}}
Get provider network product code
GetProviderNetworkProductCode 11 params → 200400403500504

Schemas 101

The contract defines 101 schemas that model the data the API accepts and returns. The most detailed are Provider (72 properties), Affiliation (60 properties), ProviderLocation (40 properties), Location (38 properties). Each schema is shown below with its type and property counts.

PPGRiskTypes
object
3 properties
Address
object
18 properties
PhoneNumber
object
7 properties
GeoCoords
object
3 properties
CBAS
object
1 property
NetworkTermReasons
object
3 properties
Affiliation
object
60 properties
versionResponse
object
Version response containing build information of the current api
3 properties
Provider
object
72 properties
OneCareKansas
object
6 properties
PanelQuestion
object
5 properties
IndependentPhysicianAssociation
object
3 properties
BusinessIdentifiers
object
2 properties
NetworkResponse
object
2 properties
OfficeHours
object
10 properties
BusinessEntityAffiliations
object
4 properties
MedicareAdvantageRequired
object
7 properties
EligibleForDisplay
object
7 properties
PPG
object
5 properties
NetworkCycle
object
9 properties
Assessment
object
6 properties
VendorInformation
object
3 properties
EssentialCommunityProviderTypes
object
7 properties
AdditionalAddresses
object
15 properties
ProviderRelationships
object
7 properties
BillingPhoneNumbers
object
7 properties
ClinicallyIntegratedNetworks
object
5 properties
Service
object
3 properties
ExtenderInformation
object
6 properties
ProviderResponse
object
2 properties
Location
object
38 properties
PPECCsk
object
2 properties
CertificationIssue
object
9 properties
ResilienceIntegratedSystemsExcellence
object
4 properties
ProvPrisonIndicator
object
6 properties
PnlcTerminationReason
object
3 properties
IndianHealthCareProvider
object
4 properties
MasterProviderKeys
object
5 properties
VFCProgram
object
3 properties
HealthHomeIds
object
4 properties
LocationProvider
object
10 properties
LegacyIds
object
4 properties
ProviderLocationLegacy
object
4 properties
AscensionOwnership
object
5 properties
MedicaidInfo
object
4 properties
CaveatMessages
object
2 properties
OfficeHourComponent
object
3 properties
Termination
object
3 properties
PPGPanelStatuses
object
4 properties
PhoneNumbers
object
7 properties
Panel
object
15 properties
MedicareAdvantage
object
8 properties
MedicareClaimsOptOuts
object
3 properties
NetworkComponent
object
3 properties
Certification
object
5 properties
GeoJSONPoint
object
2 properties
NetworkLocationAttributes
object
4 properties
PharmacyService
object
3 properties
OtherLicenseCertification
object
6 properties
CHDPCertificate
object
4 properties
DisclosureOfOwnership
object
8 properties
Phone
object
6 properties
ProgramEnrollment
object
5 properties
Accreditations
object
6 properties
NCAdvancedMedicaidHomeClinicallyIntegratedNetworkDataSharing
object
4 properties
Network
object
9 properties
NPI
object
5 properties
ProviderSpecialty
object
3 properties
Audit
object
2 properties
AmisysGroupRecord
object
2 properties
Taxonomies
object
3 properties
Metadata
object
3 properties
ProviderKansasIdentifiers
object
15 properties
CredentialingCycleInformation
object
6 properties
ProvNetLocSpecialties
object
2 properties
DEAInformation
object
3 properties
DirectoryDisplay
object
3 properties
ProviderType
object
7 properties
Attributes
object
3 properties
AdvancedMedicalHomeTier
object
5 properties
healthResponse
object
Health response containing the status of the mongo database
3 properties
AmisysProviderRecord
object
2 properties
ECMAssignmentType
object
2 properties
Insurance
object
8 properties
Agreement
object
10 properties
CCSCertificate
object
4 properties
EssentialCommunityProviderTypesProvLoc
object
7 properties
CLIAAccreditation
object
1 property
License
object
5 properties
Accreditation
object
7 properties
Specialty
object
14 properties
Specialties
object
3 properties
MedicalHome
object
23 properties
EssentialProviderIndicator
object
2 properties
Taxonomy
object
5 properties
ProviderLocation
object
40 properties
ProviderLocationTelemedicine
object
2 properties
ProviderInMedicaidLocation
object
2 properties
HCBSAccreditation
object
4 properties
ADAIndicator
object
14 properties
MessageHeader4
object
7 properties

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

centene-provider-network-api-api-openapi.yml Raw ↑

Other APIs Centene publishes across the network.

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Centene Batch Submit Ack Retrieval Transaction API
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Centene Batch Submit Transaction API
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Centene Care Team API
AE Profile APIs.io
Centene Communication API
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Centene Condition API
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Centene Coverage API
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Centene Custom Mapping API
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Centene Custom Query Validator API
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Centene Device API
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Centene Diagnostic Report API
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#Provider-Network-API
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API Details
ID
centene:centene-provider-network-api-api
Base URL
https://iopc-pa.api.centene.com/iopc/pa
Docs
https://partners.centene.com/apiDetail/2718669d-6e2e-42b5-8c90-0a82f13a30ba
Provider
Centene
APIs.io →  GitHub →
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