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Medigo

Medigo tpa API

Insurance TPA service APIs

Documentation Provider Profile APIs.io OpenAPI GitHub

Medigo tpa API is one of 6 APIs that Medigo publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

Tagged areas include TPA. The published artifact set on APIs.io includes an OpenAPI specification, an API reference, and API documentation.

This API exposes 14 operations across 11 paths, and defines 11 schemas. It is described by OpenAPI 2.0, at version 2.0.0.

Requests are made against the base URL https://api.medigo.com/v2.

14 operations 11 paths 11 schemas 1 DELETE5 GET3 PATCH5 POST

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 2.0
API Version
2.0.0
Base URL
https://api.medigo.com/v2
Authentication
API Key
Contact
the API Support
Resource Areas
1

Authentication & Security 1

Medigo tpa API declares 1 security scheme for authenticating requests. An API key is passed in the header as Authorization (partner_token).

  • partner_token — Authentication done is via an API token provided by MEDIGO. The token should be provided as a bearer in the Authorization header of every request Note that the…

Paths & Operations 14

Across 11 paths, the API surfaces 14 operations — 1 DELETE, 5 GET, 3 PATCH, 5 POST. Each is listed below with its method, path, parameters, and response codes.

tpa 14

Insurance TPA service APIs

POST
/members
Enrol a new Member
createMember 1 param → 201
GET
/members/{partner_member_id}
Get a Member
getMember 1 param → 200
PATCH
/members/{partner_member_id}
Update a Member
updateMember 2 params → 200
POST
/insurance-policies
Create a Policy for a Member
createInsurancePolicy 1 param → 201
GET
/insurance-policies/{policy_number}
Get an InsurancePolicy
getInsurancePolicy 1 param → 200
PATCH
/insurance-policies/{policy_number}
Update an InsurancePolicy
updateInsurancePolicy 2 params → 200
POST
/terms
Create a policy coverage term for a Member
createTerm 1 param → 201
GET
/insurance-policies/{policy_number}/terms
Get all Terms for a Policy
getTermsByPolicyNumber 1 param → 200
GET
/terms/{external_id}
Get a Term
getTerm 1 param → 200
PATCH
/terms/{external_id}
Update a Term
updateTerm 2 params → 200
POST
/terms/{external_id}/insured-members
Add a dependent to the Policy coverage period
createInsuredMember 2 params → 201
DELETE
/terms/{external_id}/insured-members/{partner_member_id}
Remove a dependent to the Policy coverage period
removeInsuredMember 3 params → 200
POST
/tpa/claims
Submit a claim for a member
submitClaim 1 param → 201403422500
GET
/tpa/claims/{id}
Retrieve the details of a claim submitted to Medigo
getClaim 1 param → 200400403404500

Schemas 11

The contract defines 11 schemas that model the data the API accepts and returns. The most detailed are Member (13 properties), Term (11 properties), Claim (9 properties), InsurancePolicy (8 properties). Each schema is shown below with its type and property counts.

Term
object
11 properties 7 required
NotFoundApiResponse
object
2 properties
Claim
object
9 properties 3 required
InvalidApiResponse
object
2 properties
UnauthorizedApiResponse
object
2 properties
BadRequestApiResponse
object
2 properties
ApiResponse
object
2 properties
InsurancePolicy
object
8 properties 7 required
Member
object
13 properties 5 required
InsuredMember
object
3 properties 3 required
InternalApiResponse
object
2 properties

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

medigo-tpa-api-openapi.yml Raw ↑

Other APIs Medigo publishes across the network.

Medigo attachments API
AE Profile APIs.io
Medigo inquiries API
AE Profile APIs.io
Medigo search API
AE Profile APIs.io
Medigo second-opinions API
AE Profile APIs.io
Medigo webhooks API
AE Profile APIs.io
#TPA
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API Details
ID
medigo:medigo-tpa-api
Base URL
https://api.medigo.com/v2
Docs
https://api.medigo.com/docs/v2/
Provider
Medigo
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