providers

Resolve a place/clinician into locations, billing entities and hospital ownership

Workflows

Workflow estimate-visit-cost, step 2/4 resolve-provider: Estimate what a visit will cost a person before care, under their plan, at a specific place.

  • Purpose: Turns the place into billing entities (TINs), including related entities such as an owning hospital.
  • Call after: find_plan
  • Next: find_codes

Workflow check-a-bill, step 2/3 resolve-billing-entity: Check whether a received bill or EOB matches the plan's published negotiated prices.

  • Purpose: Includes related_entities, since a hospital-owned clinic's labs/imaging are often billed by the hospital.
  • Call after: find_plan
  • Next: price_claim
get/v1/providers

Request

  • Base URL: https://api.ticexplorer.com
  • URL: https://api.ticexplorer.com/v1/providers
  • Auth: HTTP bearer

Query parameters

qstring nullable

Name or street address, e.g. "uchealth urgent care" or "1635 Aurora Ct"

zipstring nullable

5-digit ZIP to search near

milesnumber
npistring nullable
tinstring nullable

Billing entity tax ID

plan_idstring nullable

From find_plan: needed for billing entities (TINs)

codesstring nullable

Comma-separated codes: Medicare billing evidence, or list who near the ZIP bills them when q is empty

limitinteger
cursorinteger

Response

Successful Response

next_cursorinteger nullable
sitesobject[]

Best sites across billing entities: a city named in the query first, then entity rank, service fit and distance to the site.

other_name_matchesobject[]

Same-word names of a different specialty (dental, eye, …) set aside.

next_stepsstring[]

Changes

No recorded changes to this operation across all 1 revision of this API.