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Provider List & Individual API Overview

1. Purpose​

The Provider Search service helps users find medical professionals and facilities based on general criteria. It offers a searchable directory of healthcare providers and allows users to view high-level details about individual practitioners or locations. This helps people make informed decisions about where to seek care.

2. Who can use this service​

This service is designed for:

  • Partner organizations integrating provider lookup into websites or apps.
  • Business teams building customer-facing tools.
  • Agencies or brokers assembling lists of in-network providers.
  • Other authorized collaborators in the healthcare ecosystem.

3. What information is available​

The service provides access to broad categories of provider information, including:

  • Directory Details: Names, addresses, proximity to a location, patient acceptance status, and group affiliations.
  • Network Participation: Inclusion in specific health plans or quality programs.
  • Descriptive Information: Languages spoken, practice characteristics, and contact details.

4. Benefits of this service​

  • Efficient Provider Discovery: Quickly build accurate lists of providers without maintaining your own database.
  • Enhanced Customer Experience: Help users find nearby, in-network providers who meet their needs.
  • Support for Sales and Planning: Prepare proposals or benefit comparisons with confidence in provider availability.
  • Shared Source of Truth: Ensure consistency across teams and tools using the same provider data.
  • Simplified Integration: Focus on presenting useful information, not on technical setup or data formats.

5. Example uses​

  • Web or Mobile App: Users enter a zip code to find nearby providers sorted by distance or quality.
  • Call Center Tool: Agents search for providers who speak a specific language or accept new patients.
  • Sales Preparation: Brokers gather provider lists before meetings to support benefit discussions.
  • Marketing Insights: Display general statistics like the number of specialists in a region.
  • Partner Onboarding: Share what the service offers without diving into technical documentation.

6. Important notes​

  • This overview is for informational purposes only and does not include technical specifications.
  • Access to the service requires proper agreements and adherence to privacy and security standards.
  • Provider data may change over time; users should plan for regular updates.
  • Proprietary details such as authentication methods, endpoint URLs, and data schemas are intentionally excluded.
  • Respect intellectual property and branding guidelines when using this information in public materials.