Centers for Medicare and Medicaid Services · Schema

ProviderCoverage

Schema for ProviderCoverage from CMS Marketplace API

MedicareMedicaidHealthcareHealth InsuranceFHIRFederal GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data

Properties

Name	Type	Description
npi	object
plan_id	object
coverage	object
addresses	array	at which addresses this provider is covered by the plan, if any
accepting	string

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "ProviderCoverage",
  "description": "Schema for ProviderCoverage from CMS Marketplace API",
  "properties": {
    "npi": {
      "$ref": "#/definitions/NPI"
    },
    "plan_id": {
      "$ref": "#/definitions/PlanID"
    },
    "coverage": {
      "$ref": "#/definitions/Coverage"
    },
    "addresses": {
      "description": "at which addresses this provider is covered by the plan, if any",
      "type": "array",
      "items": {
        "$ref": "#/definitions/Address"
      }
    },
    "accepting": {
      "type": "string",
      "enum": [
        "accepting",
        "not accepting",
        "accepting in some locations",
        "unknown"
      ]
    }
  }
}