Payer to payer API

Utah Medicaid's Payer to Payer API is an enterprise API that implements the HL7 FHIR standard and provides the ability for Utah Medicaid to exchange member data bi-directional with other payers upon member's consent. Member’s consent will be given through our MyBenefits portal through the Opt-in process. This electronic exchange of a patient's health data will happen between their current and previous, or concurrent health insurance plans. The Payer to Payer API implements the FHIR clinical resources as defined by the HL7 FHIR standards.

Payer to Payer Data Exchange will allow the patients to take their information with them as they move from payer to payer over time to help create a cumulative health record with their current payer. Having a patient’s health information in one place will facilitate informed decision-making, efficient care, and ultimately can lead to better health outcomes.

The Payer to Payer API follows the SMART Backend Services security model.

In order to access the API, application owners will need to register their PHR application by completing the form found on the PHR App Registration page.

Authorize URL format:

https://sso.mylogin.utah.gov:443/am/oauth2/authorize?client_id={your_client_id}&redirect_uri={your_redirect_url}&response_type=code

Getting access token:

HTTP method: POST

URL: https://sso.mylogin.utah.gov:443/am/oauth2/access_token

HTTP headers:

HTTP body: