Fast Healthcare Interoperability Resources (FHIR) APIs enable secure, standards-driven data exchange across payers, providers, and members.
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides enterprise FHIR-based APIs to support secure, interoperable healthcare data exchange for Medicare and Affordable Care Act (ACA) plans. Learn how our APIs work, who they’re intended for, and which data they provide access to.
Members with Medicare or ACA plans can securely connect apps like Apple Health to view health information from Blue Cross NC.
Members, providers, and organizations can access up‑to‑date information about in‑network doctors, hospitals, and pharmacies through this publicly available API.
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.
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.
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.
Register for API access, explore our developer sandbox, and test integrations using sample member data.
As a payer or a developer working on a third-party app, you can register to access information about the Blue Cross NC provider network and the resources needed to build applications that connect to a member’s health data.
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.
Try our APIs in the developer sandbox and find step-by-step instructions to retrieve member data for a sample patient ID.
Yes. Once approved, Blue Cross NC reserves the right to suspend or terminate your application’s access based on Blue Cross NC security concerns. If your API access application is suspended or terminated, the application’s owner should log in to the registration portal and communicate with Blue Cross NC to request a review of the status.
As part of the API access registration process, Blue Cross NC asks for a contact email and phone number. We will send an email requesting additional information, expecting that your application’s owner will respond. Any additional responses should be updated in the registration portal by the application’s owner.
Approved: The application is approved and is allowed to use Blue Cross NC APIs.
Pending: The application request is submitted and being reviewed by Blue Cross NC.
Suspended: There is an issue with the application's security and how it is interacting with Blue Cross NC infrastructure. Blue Cross NC is blocking the application's access to its APIs.
Terminated: Blue Cross NC has determined that the application's security is an issue to Blue Cross NC. Access has been revoked. To regain access, the application's owner will have to re-register.
Send an email outlining your issues to Cms-AppRegistration@bcbsnc.com.
Review our policies about how we handle our members' personal information.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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