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THE RIGHT DATA TO THE RIGHT PEOPLE AT THE RIGHT TIME.
The Beneficiary Claims Data API (BCDA) enables Accountable Care Organizations (ACOs) to retrieve Medicare Part A, Part B, and Part D claims data for their assigned beneficiaries. BCDA is currently serving ACOs participating in the Medicare Shared Savings Program and other eligible CMS Alternative Payment Models.
BCDA logo
How can ACOs benefit from BCDA?
Improve
Supplement Insights

BCDA supplements ACOs' insight into their assigned beneficiary populations with Medicare claims data.

Decrease Time
Enable ACOs

BCDA enables ACOs to make claims data requests more often - once a week.

Accessibility
Standardize Claims Format

BCDA offers Medicare claims data in a format that is aligned with a healthcare interoperability standard and the CMS interoperability rule.

Frequently Asked Questions

1. Are Claim and Claim Line Feed (CCLF) files going away?

No, CCLF files are not going away. BCDA is meant to supplement the data that ACOs already receive for the Shared Savings Program or other eligible model participation, which may include CCLF files. Please contact SharedSavingsProgram@cms.hhs.gov or your respective model with questions about CCLF files.

2. Can my ACO use BCDA?

  • Currently, all Medicare Shared Savings Program ACOs are able to use BCDA. Please generate BCDA credentials using the ACO Management System (ACO-MS).
  • BCDA is evaluating support for models developed by the Center for Medicare and Medicaid Innovation. If your ACO is interested in using BCDA, please contact your respective model. As additional ACO models are able to use the API, we will share information on this website and in BCDA's Google Group.
  • You don't need credentials to use the sandbox environment. All ACOs and their vendor partners are encouraged to try the API in the sandbox environment with synthetic data.

3. How can I share my feedback?

BCDA is built in accordance with feedback from ACOs and their vendor partners. You are invited and encouraged to share feedback with CMS when using BCDA in sandbox or production to ensure we are creating an API that meets your organization’s needs. Join BCDA’s Google Group to connect with other participating organizations and BCDA’s research and development team.

The Latest & Greatest from BCDA!

Version 2 of BCDA is now live, conforming with the FHIR R4 specification!
July 14, 2021

Version 2 of the Beneficiary Claims Data API (BCDA V2) is now live for production use. BCDA will support all functionality for both V1 and V2 of the API for the foreseeable future. However, because BCDA V2 conforms to the FHIR R4 specification and follows the CARIN Implementation Guide, your organization may want to switch over to ensure you’re aligned with the latest industry standard.

If you wish to transition your implementation to utilize BCDA V2 endpoints instead of V1, simply replace ‘v1’ in API call URLs with ‘v2’. For more information, see the Building Your Application page or explore the CMS V2 API FAQ Documentation. The BCDA Data Dictionary has also been updated with V2 FHIR data mapping information. For more information, please visit the Understand the Data Page.

CMS Claims-Based FHIR APIs
BCDA is one of several CMS APIs that offer Medicare claims data sharing in FHIR format.
Check out these other CMS APIs for more information:
Data at the Point of Care API logo
The Data at the Point of Care API enables healthcare providers with claims data to fill-in gaps in patient history at the point of care and deliver high quality care to Medicare beneficiaries.
DPC
Blue Button 2.0 API logo
The Blue Button 2.0 API enables beneficiaries to connect their Medicare claims data to the applications, services, and research programs they trust.
AB2D API logo
The AB2D API provides stand-alone PDP sponsors with Medicare Parts A and B claims data for their active enrollees.