THE RIGHT DATA TO THE RIGHT PEOPLE AT THE RIGHT TIME.
Currently Available To:
- ACO REACH
- Kidney Care Choices (KCC)
- Medicare Shared Savings Program ACOs
How does BCDA benefit participants?
BCDA boosts your data insights
BCDA expands insight into assigned beneficiary populations with Medicare claims data.
BCDA increases claims requests
BCDA enables automated claims data updates at least 1x/week.
BCDA standardizes the claims format
BCDA offers Medicare claims data in the FHIR® format, an HL7® healthcare interoperability standard referenced in the CMS interoperability rule.
The Latest & Greatest from BCDA!
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the initial production release of the Beneficiary Claims Data Application Programming Interface (BCDA) Partially Adjudicated Enhancement on May 16th, 2023. This initial release was designed as an expansion of the data available to Medicare providers from BCDA and is available to Accountable Care Organizations (ACOs) participating in the ACO Realizing Equity, Access, and Community Health (ACO REACH) Model.
For more information on partially adjudicated claims, the User Guide can be found here and the Data Dictionary can be found here.
Frequently Asked Questions
1. Are Claim and Claim Line Feed (CCLF) files going away?
2. How can BCDA eligible participants generate credentials?
- ACOs can generate BCDA credentials using the ACO Management System (ACO-MS).
- KCC and ACO REACH models can generate BCDA credentials using the 4innovation portal.
If you are interested in using BCDA, contact your respective model. As additional models are able to use the API, we'll share updates with you here and in BCDA's Google Group.
We encourage participants and their vendor partners to try the API in the sandbox environment with synthetic data. You don't need credentials to use the sandbox.
3. How can I share my feedback?
CMS Claims-Based FHIR APIs
