Requesting production access

  • As BCDA launches into our production beta, we are slowly onboarding small groups of Shared Savings Program ACOs into the production environment. To put your ACO in the queue for access, please fill out the BCDA Production Onboarding Request Form. ACOs will be onboarded to production in the order in which requests are received. While you wait, you can get familiar with the API in the sandbox environment, review the data structure, and join the BCDA Google Group, to have your questions answered.
  • Note: some of our early production beta partners have encountered issues accessing the API due to internal firewalls. If your corporate IT uses an internal DNS server, you may not be able to access the API. As you request production access, you may want to check in with your internal IT team to discuss your company’s network structure.

This page is intended for a user who has little to no experience with APIs, and provides a guided walkthrough for working with BCDA using our interactive documentation. More advanced API users may be better served by the Advanced User Guide. If you’re not sure where to go, start here!

Getting started with APIs

  • What’s an API?
    • An API (Application Programming Interface) is a set of features and rules that exist inside a software program that allows other software programs to interact with it. For example, you can build an app that uses the Twitter API to get information or data from a user’s Twitter account. APIs are used in a wide variety of ways, but for our purposes, you can think of an API as a pipeline that can allow your ACO’s computer systems to receive data directly from CMS’ databases.
    • Need more information about APIs? Here are some great introductions:
  • Do I need to know how to code to use BCDA?
    • You do not need to know how to code! Our documentation is written so that everyone – regardless of technical exposure – can access beneficiary data. For this walkthrough, we’ll be using a platform called Swagger, where you’ll be able to interact with the API through a web interface.

Setting up your credentials in Swagger

To get to BCDA’s Swagger page for production data, click on the following link, or copy and paste it into your web browser:

https://api.bcda.cms.gov/api/v1/swagger

Walk-through: from credentials to token

Once the page is open, your first step will be getting an access token. You’ll use this access token later to prove you are allowed to use the API.

  • Find the section of the page shown below, in the auth category.
  • Click the lock icon.

Swagger: Auth category

When you enrolled in BCDA, you received credentials, which included a client ID and secret. Here you’ll enter the client ID as the username, and the secret as the password.

  • Click the “Authorize” button when you’ve entered your credentials, then “Close”

Swagger: Authorize (1)

Now you’re ready to get a token!

  • To show more information about the /auth/token API endpoint, click on it (this time, away from the lock icon).
  • Click “Try it out”

Swagger: Token endpoint (1)

  • Click “Execute” to get your token

Swagger: Token endpoint (2)

If all is well, the Server response section will look similar to the following snapshot: it will have a response code of 200, and give an “access_token” in the response body.

  • Copy the access token. It will not have any spaces or newlines; the hyphens at the end of the lines are indicating that the line continues unbroken.

Swagger: Access token response

Now that you have a token, you can tell Swagger to use it for your future requests.

  • Return to the top of the Swagger page
  • Click on the lock icon

Swagger: Go back to Authorize

In the “Value” box:

  • Type the word “Bearer” followed by a space (This step is critical!)
  • Paste your token
  • Click “Authorize” and then “Close”

Swagger: Authorizing with token

Follow-up questions about authorization

Q: Will I always use this token with the BCDA API?

A: The token will expire after twenty minutes. The next time you use the BCDA API after that time, you can follow the same steps to get a fresh token.

Making your first requests for data

1. Getting comfortable in Swagger

There are two categories of information that you can retrieve through BCDA: metadata and bulk beneficiary data.

swagger intro

Metadata in BCDA includes information about the platform that is making, storing, and verifying credentials and tokens (the auth provider); information about the API’s version; and information about the actions you can perform using the API itself (also duplicatively termed metadata). There is no PII or PHI in the metadata endpoint, so you can access this endpoint without having to be authorized.

swagger metadata intro

2. Looking at BCDA Metadata

We’ll use auth as an example here.

Under the Metadata endpoint, click on /_auth to expand that section. After the information field expands, as shown below, click Try it out.

swagger metadata usage

Then, as shown below, click Execute to run the process of getting details about auth.

Screenshot of swagger metadata usage

As shown below, clicking Execute returns details about the authorization and authentication provider BCDA is using.

swagger metadata usage

You can repeat this process with the /_version and /api/v1/metadata endpoints as well.

If you’d like to do this from the command line or implement this API call in code, look in the Curl section for the request you just made.

3. Learning about the Bulk Data Resource Types

The bulkData category provides information about beneficiaries. As shown below, there are three pieces of information within the bulkData category. The first one – the Patient endpoint – is an endpoint that returns information about your ACO’s assigned or assignable beneficiaries. The last two pieces of information – jobId and filename – return information about the request you’re making.

Within the Patient endpoint, you can make requests for up to three resource types:

  • Explanation of Benefit data includes claims data for your beneficiaries.
  • Patient data includes identification information about your assigned or assignable beneficiaries.
  • Coverage data includes each beneficiary’s Medicare coverage plan.

Swagger: Learning about the Bulk Data Resource Types

4. Making your first request for beneficiary data

To get any bulk beneficiary data, you must first be authorized with BCDA. Make sure you’ve followed the steps above for Setting up your credentials in Swagger before moving forward.

Retrieving beneficiary data comprises two steps:

  1. Starting a job to acquire data from the Patient endpoint
  2. Retrieving data via a job request

a. Making a request for all three resource types

In this example, we’ll show a request for all three resource types in the Patient endpoint. If you want to learn how to make a request for data from one resource type, jump to step 4b: Making a Request for One Resource Type.

First, click on GET /api/v1/Patient/$export, then click Try it out.

Swagger: Starting a request from Patient endpoint

Then, as shown below, click Execute to start the process of requesting data from the Patient endpoint. Make sure you note the job number (also known as jobId) in the response header, since you’ll need this job number to track the status of your data request.

Swagger: Requesting all resource types from Patient endpoint

Swagger: Requesting all resource types from Patient endpoint

If you’d like to use the command line or implement this API call in code, look in the Curl section (shown in the image above) for the request you just made. Not far below that, you can see the response: an HTTP 202 Accepted giving a link in the content-location header for status information on your job.

b. Making a request for one resource type

Next, we’ll show a specific example of requesting only the Coverage resource type from the Patient endpoint. You can follow the same steps for ExplanationOfBenefit or Patient data from the Patient endpoint, or any combination of the three.

First, click on GET /api/v1/Patient/$export, then click Try it out.

Swagger: Requesting Coverage resource from Patient endpoint (1)

As shown above, in the field labeled “Resource types requested,” type “Coverage.” Then click Execute to start the process of requesting Coverage data. Make sure you note the job number (also known as jobId) in the response header, since you’ll need this job number to track the status of your data request.

Swagger: Requesting Coverage resource from Patient endpoint (2)

If you’d like to use the command line or implement this API call in code, look in the Curl section (shown in the image above) for the request you just made. Not far below that, you can see the response: an HTTP 202 Accepted giving a link in the content-location header for status information on your Coverage job.

5. Getting your data

There are two steps to retrieving the requested Coverage data:

  1. Checking the status of your job
  2. Downloading your bulk data file

Depending on the number of beneficiaries prospectively assigned or assignable to your ACO, it may take a while for your data file to be ready to download. While you wait, you can check the status of your job to find out when the file is ready.

You can check the status of the job by entering the job number into the jobId text field, as shown in the image below.

Screenshot of bulk data usage

The X-Progress header indicates the job’s workflow status (Pending, In Progress, Completed, Archived, Expired, Failed). When in the In Progress state, an estimated completion percentage is appended to the X-Progress value (e.g., “In Progress (10%)”).

Once the job is completed, you will receive a HTTP 200 Complete response, which includes a URL ending in .ndjson. You’ll need the end of the URL in order to retrieve your data.

Swagger: retrieving your job info data

To retrieve your data, open the GET /data/{jobId}/{filename} endpoint. Copy the jobId into the jobId field, and the last string of the URL received in the previous step (highlighted in green and dashed lines above) into the filename field, then hit Execute.

Swagger: requesting your files

The Response Body contains the requested claims data in NDJSON format. Click the Download button that appears in the lower right corner of the response section. Note that a large file may take a while to download.

Swagger: downloading your file

If you have requested data related to more than one Resource Type, the files related to each Resource Type will appear separately.

You will have twenty minutes before your token expires, and you will need to get another from /auth/token if it expires before you are finished interacting with the API.

Once you’ve downloaded the file, you’ll want to know what to do with the data. We’ve provided a guide to working with BCDA data to help you, including a crosswalk between CCLF fields and the corresponding sections of the NDJSON files.

Frequently asked questions about making requests

  • How often can I request data from BCDA?

    BCDA data will be updated weekly, so you will be able to make requests and expect to retrieve new data on a weekly basis. If you’re already requesting data from one endpoint and try to request data from that endpoint again while the first request is processing, you’ll receive a 429 Too Many Requests error.

  • How will I know when my data is ready?

    The X-Progress header indicates the job’s workflow status (Pending, In Progress, Completed, Archived, Expired, Failed). When in the In Progress state, an estimated completion percentage is appended to the X-Progress value (e.g., “In Progress (10%)”).

  • How long do I have before my file is deleted?

    You will need to download the data file within 24 hours of starting the request to a specific endpoint.

  • Why is this data file so large?

    In the sandbox environment, we can only provide synthetic data up to an equivalent of 30,000 beneficiaries. Your ACO may be larger, in which case the production file will be larger and take longer to process.

    Additionally, in the first iteration of BCDA in production, each request to a bulk data endpoint sends back seven years of historical data for your beneficiaries. In future iterations, we’ll add a way for you to limit the data to a specific date range.

Have questions?

The BCDA Google Group is the best place to get your questions answered by the BCDA team. In this community you can sign up for feedback session opportunities, get answers to your questions, share your feedback and ideas, and get updates on the project.

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