{ "opencollection": "1.0.0", "info": { "name": "WellCare FHIR Patient Access Condition Explanation of Benefits API", "version": "1.0" }, "items": [ { "info": { "name": "Explanation of Benefits", "type": "folder" }, "items": [ { "info": { "name": "List Explanation of Benefit", "type": "http" }, "http": { "method": "GET", "url": "https://partners.centene.com/fhir/r4/ExplanationOfBenefit", "params": [ { "name": "patient", "value": "", "type": "query", "description": "The FHIR Patient ID to retrieve EOBs for." }, { "name": "service-date", "value": "", "type": "query", "description": "Filter by service date range (format YYYY-MM-DD or YYYY-MM-DD,YYYY-MM-DD)." }, { "name": "type", "value": "", "type": "query", "description": "Filter by claim type (e.g., pharmacy, oral, vision, institutional, professional)." }, { "name": "_count", "value": "", "type": "query", "description": "Number of results per page." } ], "auth": { "type": "oauth2", "flow": "authorization_code", "authorizationUrl": "https://partners.centene.com/oauth2/authorize", "accessTokenUrl": "https://partners.centene.com/oauth2/token", "credentials": { "clientId": "{{clientId}}", "clientSecret": "{{clientSecret}}" } } }, "docs": "Retrieves Explanation of Benefit (EOB) resources representing adjudicated medical, pharmacy, dental, and vision claims for a member. Supports up to 5 years of historical claims data as required by CMS interoperability rules." } ] } ], "bundled": true }