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CMS — Centers for Medicare & Medicaid Services Coverage API

The Coverage API from CMS — Centers for Medicare & Medicaid Services — 2 operation(s) for coverage.

CMS — Centers for Medicare & Medicaid Services Coverage API is one of 25 APIs that CMS — Centers for Medicare & Medicaid Services publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

This API exposes 3 JSON Schema definitions.

Tagged areas include Coverage. The published artifact set on APIs.io includes an OpenAPI specification, API documentation, a JSON-LD context, and 3 JSON Schemas.

This API exposes 2 operations across 2 paths, and defines 2 schemas. It is described by OpenAPI 3.2.0, at version 2.0.

Requests are made against 4 base URLs: https://prod.bfd.cms.gov/v2/fhir, https://sandbox.bfd.cms.gov/v2/fhir, https://api.bluebutton.cms.gov/v2/fhir, https://sandbox.bluebutton.cms.gov/v2/fhir.

2 operations 2 paths 2 schemas 2 GET

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.2.0
API Version
2.0
Base URL
https://api.bluebutton.cms.gov/v2/fhir
Authentication
Mutual TLS, OAuth 2.0
Resource Areas
1

Authentication & Security 2

CMS — Centers for Medicare & Medicaid Services Coverage API declares 2 security schemes for authenticating requests. It requires mutual TLS (MutualTLS). It supports OAuth 2.0 (OAuth2) using the authorizationCode flow, exposing 4 scopes.

  • MutualTLS — BFD requires X.509 client certificates issued by the CMS PKI; access is restricted to peering applications.

Paths & Operations 2

Across 2 paths, the API surfaces 2 operations — 2 GET. Each is listed below with its method, path, parameters, and response codes.

Coverage 2
GET
/Coverage
Search Coverage Resources
searchCoverage 1 param → 200
GET
/Coverage/{id}
Read Coverage by ID
readCoverage 1 param → 200

Schemas 2

The contract defines 2 schemas that model the data the API accepts and returns. The most detailed are Coverage (8 properties), Bundle (5 properties). Each schema is shown below with its type and property counts.

Coverage
object
8 properties
Bundle
object
5 properties

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

cms-gov-coverage-api-openapi.yml Raw ↑

Other APIs CMS — Centers for Medicare & Medicaid Services publishes across the network.

CMS — Centers for Medicare & Medicaid Services Articles API
CMS — Centers for Medicare & Medicaid Services Auth API
CMS — Centers for Medicare & Medicaid Services Benchmarks API
CMS — Centers for Medicare & Medicaid Services Bulk Export API
CMS — Centers for Medicare & Medicaid Services Catalog API
CMS — Centers for Medicare & Medicaid Services Data API
CMS — Centers for Medicare & Medicaid Services Drugs API
CMS — Centers for Medicare & Medicaid Services Eligibility API
CMS — Centers for Medicare & Medicaid Services ExplanationOfBenefit API
CMS — Centers for Medicare & Medicaid Services Geography API
CMS — Centers for Medicare & Medicaid Services Group API
CMS — Centers for Medicare & Medicaid Services Issuers API
Where this information came from

This is an independent, third-party profile of CMS — Centers for Medicare & Medicaid Services Coverage API, published by API Evangelist. We do not operate, host, resell, or support these APIs, and we are not affiliated with or endorsed by the company unless stated above. Everything here is built from publicly available information — the company's own site, developer portal, documentation, public repositories, and the specifications it publishes for public use. Nothing is obtained by breaching a system, defeating an access control, or using credentials.

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