APIs for interoperability comprised of USCDI clinical data, CARIN administrative data, Da Vinci Formulary Drug data and Da Vinci Provider Directory data
The APIs of MMM Interoperability Solution provide the basis for building healthcare applications, such as mobile, that deliver HL7® FHIR® data to members and providers on demand. Some example applications use cases could be to view test results, check on medications, and review recent office visits.
Our APIs allow access to clinical, administrative and formulary drug plan information about a patient, as well as provide detailed provider directory information. Applications will securely interact with this data on behalf of the patient in order to deliver patients real-time access to their healthcare data.
Key third party resources and links:
Patient Access API
Definition for the clinical data implementation guide
Definition for Drug Formulary implementation guide
Definition for administrative data implementation guide
Provider Directory API
Definition for provider directory implementation guide
APIs that will connect a patient to their administrative data such as claim, explanation of benefits, member and coverage information that supports the Carin Consumer Directed Payer Data Exchange implementation guide
APIs that will give detailed information about a payer’s network of physicians and facilities with the goal of connecting patients to care providers that supports the Da Vinci Payer Data Exchange Plan Net Directory implementation guide.
APIs that will allow a patient to explore their drug plan and understand drug tiers and cost sharing information that support the Da Vinci Payer Data Exchange US Drug Formulary implementation guide
As an example, you can obtain member profile data based on tenant enrollment ID, subscriber ID and profile group by making an API call to
On the API page, you can test-execute this operation by clicking the “Try it” link and following the instructions. In this case, you’ll receive an example set of member profile data in the returned response.
"description": "Unique ID assigned."
"description": "The subscriber's ID."
MMM Healthcare, LLC es un plan de salud que ofrece mucho más que beneficios de Medicare original. Nuestro servicio nos ha ayudado a conseguir el respaldo de la población Medicare Advantage en Puerto Rico, y hoy somos líderes en el cuidado de salud para este segmento. Nos caracteriza una amplia oferta de ventajas e iniciativas ajustadas a la necesidad de cada afiliado. Además, expandimos nuestras operaciones para atender a la población beneficiaria de Medicaid en Puerto Rico, a través de su afiliada, MMM Multi Health, LLC, para el Plan de Salud del Gobierno, también conocido como el “Plan Vital”. Durante los pasados 20 años, nuestro compromiso se ha mantenido firme al mejorar la calidad de vida de miles de afiliados mediante modelos vanguardistas que combinan cuidado coordinado eficiente y programas de bienestar integral. Vamos de la mano con nuestros afiliados para garantizar su salud, y mucho más. ¡Caminamos juntos!
MMM Healthcare, LLC is a state-of-the-art managed healthcare plan that offers much more than just original Medicare benefits. Our service has helped us to gain the support of the Medicare Advantage population in Puerto Rico, therefore today we are leaders in health care services for this segment. We offer a wide range of advantages and initiatives to meet the needs of each of our members. In addition, we expanded our operations to cover the Medicaid beneficiary population in the island, through its affiliate company, MMM Multi Health, LLC, for Puerto Rico’s Government Health Insurance Plan, also known as “Plan Vital”. Over the past 20 years, our commitment has remained steadfast in improving the quality of life of thousands of members through innovative service models that combine efficient coordinated care and comprehensive wellness programs. We go hand in hand with our members to ensure their health, and much more. We walk together!
MMM of Florida, Inc. es un plan médico independiente de las operaciones de MMM Healthcare, LLC en Puerto Rico, que ofrece servicios de cuidado de salud para residentes en los condados de Miami-Dade, Broward, y Palm Beach (localizados en el Estado de Florida).
MMM of Florida, Inc. is a managed healthcare company, independent of MMM Healthcare, LLC’s operations in Puerto Rico, that provides health care services for residents in Miami-Dade, Broward, and Palm Beach counties (located in Florida, USA).
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HL7® and FHIR® are the registered trademarks of Health Level Seven International and the use does not constitute endorsement by HL7.
*HL7 Da Vinci Project: Da Vinci is a private sector initiative that addresses the needs of the Value Based Care Community by leveraging the HL7 FHIR platform.
**The CARIN alliance: https://www.carinalliance.com/about-us/