{ "opencollection": "1.0.0", "info": { "name": "Payerset Data Lake API", "version": "2024-10-31" }, "request": { "auth": { "type": "apikey", "key": "x-api-key", "value": "{{apiKey}}", "in": "header" } }, "items": [ { "info": { "name": "Rates", "type": "folder" }, "items": [ { "info": { "name": "Query negotiated rate", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/rates/rate_query?billing_code=27447&payer=Aetna&npi=1234567890" }, "docs": "Returns the negotiated rate for a given billing code, payer, and provider NPI from Transparency in Coverage MRFs." } ] }, { "info": { "name": "Payers", "type": "folder" }, "items": [ { "info": { "name": "Get payer detail", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/payers/payer_detail" }, "docs": "Returns payer metadata including region, category, friendly name, and system name." }, { "info": { "name": "Get payer list", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/payers/payer_list" }, "docs": "Returns the list of payer system names available in the Data Lake." } ] }, { "info": { "name": "Providers", "type": "folder" }, "items": [ { "info": { "name": "Get NPI detail", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/providers/npi_detail?npi=1234567890" }, "docs": "Returns enriched provider metadata for an NPI, including NPPES details, taxonomy, EIN, and Medicare enrollment." }, { "info": { "name": "Get NPI to TIN", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/providers/npi_to_tin" }, "docs": "Returns the TIN value(s) associated with provider NPIs." }, { "info": { "name": "Get TIN to NPI", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/providers/tin_to_npi" }, "docs": "Returns the provider NPI(s) associated with a given TIN." }, { "info": { "name": "Get NPI to parent", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/providers/npi_to_parent" }, "docs": "Returns the parent organization NPI and TIN associated with provider NPIs." }, { "info": { "name": "Get NPI parent", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/providers/npi_parent" }, "docs": "Returns parent organization NPI relationships for providers." } ] }, { "info": { "name": "Billing Codes", "type": "folder" }, "items": [ { "info": { "name": "Get billing code detail", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/billing_codes/code_detail?billing_code=99213" }, "docs": "Returns metadata for a billing code, including code type, name, category, and subcategory." }, { "info": { "name": "Get billing code types", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/metadata/billing_codes/code_types" }, "docs": "Returns the list of supported billing code types (e.g., CPT, HCPCS, MS-DRG)." } ] }, { "info": { "name": "Hospital MRF", "type": "folder" }, "items": [ { "info": { "name": "Get hospital list", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/hospital_mrf/hospital_list" }, "docs": "Returns the list of hospitals with published price transparency MRFs." }, { "info": { "name": "Get system list", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/hospital_mrf/system_list" }, "docs": "Returns the list of hospital systems in the hospital MRF dataset." }, { "info": { "name": "Get hospital payer list", "type": "http" }, "http": { "method": "GET", "url": "https://api.payerset.com/v1/hospital_mrf/payer_list" }, "docs": "Returns the list of payers present in the hospital price transparency MRF dataset." } ] } ] }