Welcome to Triple-S Interoperability
API Gateway Developer Portal!
Enabling APIs to leverage access to a patient’s clinical and administrative data.
Welcome to Triple-S Interoperability
Sign up Explore APIs
Data APIs available
APIs for interoperability comprised of USCDI clinical data, CARIN administrative data, Da Vinci Formulary Drug data and Da Vinci Provider Directory data
How Do I Start?
The APIs of Triple-S Connected Interoperability Solution provide the basis for building healthcare applications, such as mobile, that deliver HL7® FHIR® data to members and providers on demand. Some example applications use cases could be to view test results, check on medications, and review recent office visits.
Our APIs allow access to clinical, administrative and formulary drug plan information about a patient, as well as provide detailed provider directory information. Applications will securely interact with this data on behalf of the patient in order to deliver patients real-time access to their healthcare data.
Key third party resources and links:
Patient Access API
United States Core Data for Interoperability (USCDI)
Definition for the clinical data implementation guide
Da Vinci Payer Data Exchange US Drug Formulary*
Definition for Drug Formulary implementation guide
Consumer Directed Payer Data Exchange (CARIN IG for Blue Button)**
Definition for administrative data implementation guide
Provider Directory API
Da Vinci Payer Data Exchange Plan Net Directory*
Definition for provider directory implementation guide
Our APIs
Administrative
APIs that will connect a patient to their administrative data such as claim, explanation of benefits, member and coverage information that supports the Carin Consumer Directed Payer Data Exchange implementation guide
Clinical
APIs that will connect a patient to their clinical data, such as lab/diagnostic results, medications and more that support the USCDI implementation guide.
Provider Directory
APIs that will give detailed information about a payer’s network of physicians and facilities with the goal of connecting patients to care providers that supports the Da Vinci Payer Data Exchange Plan Net Directory implementation guide.
Drug Formulary
APIs that will allow a patient to explore their drug plan and understand drug tiers and cost sharing information that support the Da Vinci Payer Data Exchange US Drug Formulary implementation guide
As an example, you can obtain member profile data based on tenant enrollment ID, subscriber ID and profile group by making an API call to
/profile-fxi-data/get-member-tenantenrollmentid().
On the API page, you can test-execute this operation by clicking the “Try it” link and following the instructions. In this case, you’ll receive an example set of member profile data in the returned response.
GET /member/{tenantenrollmentid}
{
"type": "object",
"properties": {
"tenantEnrollmentId": {
"type": "string",
"description": "Unique ID assigned."
},
"subscriberId": {
"type": "string",
"description": "The subscriber's ID."
},
"profileGroups": {
"$ref": "#/definitions/profileGroups"
}
}
}About us
Triple-S Salud is the leader in health insurance and the largest health insurance company in Puerto Rico. For over 55 years we have focused on giving special attention to quality to keep the company at the leading edge of health and technology to assure our present and future. We were the first company to offer a health plan with an open access network. We work hard to fulfill our commitment of providing services to all market segments and feel proud that in our hands lies the responsibility of taking care of 1.2 million members.
_____________________
© 2020 Cognizant. All rights reserved.
HL7® and FHIR® are the registered trademarks of Health Level Seven International and the use does not constitute endorsement by HL7.
*HL7 Da Vinci Project: Da Vinci is a private sector initiative that addresses the needs of the Value Based Care Community by leveraging the HL7 FHIR platform.
**The CARIN alliance: https://www.carinalliance.com/about-us/