Search for In-Network Providers
Search for in-network providers that meet given search criteria
Ideon's APIs also support care navigation - the process of searching for providers that are in-network for a user's health plan. This can also be simplified to a single question: "can you show me providers that are in-network with my health plan?". Ideon's datasets support this across all major markets: ACA Medical, Large Group, Medicare Advantage, and Medicaid.
Ideon's "Provider Search" endpoint (API docs) can be used to search for healthcare providers that participate in given plans or networks as well as that meet various search criteria.
To be able to use the "Provider Search" endpoint to search for in-network providers, users must first find the plan or network IDs for provider participation to be evaluated against. This section details the various supported methods to find plan or network IDs based on user knowledge, available data, and user interface requirements. These methodologies include the following:
Network Search Endpoint
Plan Inventory for ACA Medical and Medicare Advantage
Custom Network Mapping for Large Group Medical
This section includes recommendations for structuring integrations to optimize for the requirements of your specific use case. The "Provider Search" endpoint supports various request parameters for filtering of responses. Following best practices when using this endpoint improve result accuracy and end-user experience. Deep dives into the following search criteria are included.
Recommended Search Structure
Plan or Network Identifiers
Filtering by Geographies
Filtering by Provider Specialty
Provider Type
This section details various aspects of the "Provider Search" endpoint responses, how to best present data in front-end interfaces, and how to interpret various search scenarios. The following topics are covered.
Result Schema and Data Dictionary
Last Imported Date
Provider Address Filtering
Ranking and Sorting of Results
Last updated
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