Policies and Best Practices

Interoperability APIs

Fast Healthcare Interoperability Resources (FHIR) APIs enable secure, standards-driven data exchange across payers, providers, and members.
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Available APIs

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Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides enterprise FHIR-based APIs to support secure, interoperable healthcare data exchange. Learn how our APIs work, who they’re intended for, and which data they provide access to.
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Patient Access
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Members with Medicare or ACA plans can securely connect apps like Apple Health to view health information from Blue Cross NC.
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Explore Patient Access API
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Explore Patient Access API
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https://developer.bcbsnc.com/fhir/bcbsnc/product/36/api/15#/PatientAccessAPI_100/overview
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Provider Directory
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Members, providers, and organizations can access up‑to‑date information about in‑network doctors, hospitals, and pharmacies through this publicly available API.
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Explore Provider Directory API
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Explore Provider Directory API
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https://developer.bcbsnc.com/fhir/bcbsnc/product/18/api/9#/ProviderDirectoryAPI_100/overview
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Payer-to-Payer
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When members with Medicare or ACA plans switch health insurance companies, Blue Cross NC can securely send or receive health information with another plan to help create a more complete picture of care history.
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Explore Payer-to-Payer API
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Explore Payer-to-Payer API
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https://developer.bcbsnc.com/fhir/bcbsnc/product/57/api/12#/PayertoPayerAPI_100/overview
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Provider Access
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Providers will be able to securely view patient health information from Blue Cross NC to help fill in missing details across a patient’s history of care for all lines of business.
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Explore Provider Access API
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Explore Provider Access API
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https://developer.bcbsnc.com/fhir/bcbsnc/product/69/api/63#/ProviderAccessAPI_100/overview
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Prior Authorization
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Providers will be able to securely submit and manage prior authorization requests with Blue Cross NC, including coverage checks, required documentation, and real‑time status updates.
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Explore Prior Authorization API
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Explore Prior Authorization API
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https://developer.bcbsnc.com/fhir/bcbsnc/product/87/api/75#/PriorAuthorizationAPI_100/overview
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Register for API access

As a payer or provider, or a developer working on a third-party app, you can register to access information about the Blue Cross NC provider network and member health data to get complete care history and better coordinate care.

We review API access requests in 10 business days. Once approved, you’ll receive an email within five business days with instructions for obtaining authentication tokens.
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Start Registration Process
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Start Registration Process
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https://appregister.bluecrossnc.com/s/create-account-bluecrossnc
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Log in
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Log in to the app registration portal
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https://appregister.bluecrossnc.com/s/login/?startURL=%2Fs%2Fcreate-account-bluecrossnc%3Ft%3D1770400166921
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Frequently asked questions

Need help getting started? Explore frequently asked questions and resources to support you as you register for and use our APIs.
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Review More API Questions
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Review API questions
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/content/bcbsnc/us/en/policies-best-practices/api-access/questions
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Review our policies about how we handle our members' personal information.
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Privacy and notifications for linked apps
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How medical information may be accessed, used, and disclosed.
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Sharing your health care data with insurers and providers
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What members should know when they allow personal information to be shared.
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