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---
layout: default
title: "Beneficiary Claims Data API"
date: 2020-10-07 09:21:12 -0500
description: Shared Savings Program ACOs can use this FHIR-based API to retrieve bulk Medicare claims data related to their assignable or prospectively assigned beneficiaries.
landing-page: live
nav_link: home
id: home
---
<!-- Hero Banner -->
<section role="region" aria-label="hero-banner" class="ds-u-padding--1 ds-u-sm-padding--2 ds-u-md-padding--3 ds-u-lg-padding--4 ds-u-xl-padding--5 ds-l-container">
<div class="ds-l-row">
<div class="ds-l-sm-col--12 ds-l-md-col--4 ds-l-lg-col--4 ds-u-text-align--center">
<div class="ds-u-font-size--h3 ds-u-leading--base ds-u-font-weight--bold ds-u-text-transform--uppercase">
THE RIGHT DATA TO THE RIGHT PEOPLE AT THE RIGHT TIME.
</div>
<div class="ds-u-font-size--base ds-u-padding-y--3 ds-u-text-align--left">
The Beneficiary Claims Data API (BCDA) gives organizations the insights they need to provide high quality, coordinated
care. BCDA uses the FHIR® standard as a simple, flexible, and effective way to receive Medicare Part A, B, and D claims.
</div>
<div class="ds-u-padding-bottom--3">
<a class="ds-c-button ds-c-button--primary in-text__link" href="guide.html#try-the-api">Try the API</a>
</div>
</div>
<div class="ds-l-sm-col--12 ds-l-md-col--4 ds-l-lg-col--4 ds-u-align--center">
<div class="ds-u-justify-content--center ds-u-display--flex">
<img class="ds-u-padding-bottom--4" src="/assets/img/homepage/Static_Header.svg" width="200px" height="200px" alt="BCDA logo">
</div>
</div>
<div class="ds-l-sm-col--12 ds-l-md-col--4 ds-l-lg-col--4 ds-u-text-align--center ds-u-padding-bottom--4">
<div class="ds-u-font-size--h3 ds-u-leading--base ds-u-font-weight--bold ds-u-text-transform--uppercase">
Currently Available To:
</div>
<div class="ds-u-text-align--left">
<ul>
<li>ACO REACH</li>
<li>Kidney Care Choices (KCC)</li>
<li>Medicare Shared Savings Program ACOs</li>
</ul>
</div>
</div>
</div>
</section>
<main id="main">
<!-- Features -->
<div class="ds-u-fill--primary-darker">
<section class="ds-l-container ds-u-padding--1 ds-u-sm-padding--2 ds-u-md-padding--3 ds-u-lg-padding--4 ds-u-xl-padding--5 ds-u-color--white">
<div class="ds-l-row">
<div class="ds-l-col--12">
<div class="ds-u-font-size--h1 ds-u-color--white ds-u-font-weight--semibold"> How does BCDA benefit participants? </div>
</div>
</div>
<div class="ds-l-row ds-u-margin-top--5">
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--4 benefit-prop">
<div class="ds-u-font-size--lead ds-u-font-weight--semibold">BCDA boosts your data insights</div>
<img src="/assets/img/homepage/ValueProp_1.svg" width="50%" height="50%" alt="Improve">
<div class="benefit-prop__body ds-u-padding-y--1">
<p>BCDA expands insight into assigned beneficiary populations with Medicare claims data.</p>
</div>
</div>
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--4 benefit-prop">
<div class="ds-u-font-size--lead ds-u-font-weight--semibold">BCDA increases claims requests</div>
<img src="/assets/img/homepage/ValueProp_4.svg" width="50%" height="50%" alt="Decrease Time">
<div class="benefit-prop__body ds-u-padding-y--1">
<p>BCDA enables automated claims data updates at least 1x/week.</p>
</div>
</div>
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--4 benefit-prop">
<div class="ds-u-font-size--lead ds-u-font-weight--semibold">BCDA standardizes the claims format</div>
<img src="/assets/img/homepage/ValueProp_3.svg" width="50%" height="50%" alt="Accessibility">
<div class="benefit-prop__body ds-u-padding-y--1">
<p>BCDA offers Medicare claims data in the FHIR® format, an HL7® healthcare interoperability standard referenced in the CMS interoperability rule.</p>
</div>
</div>
</div>
</section>
</div>
<!-- Get Started -->
<section
class="ds-l-container ds-u-padding--1 ds-u-sm-padding--2 ds-u-md-padding--3 ds-u-lg-padding--4 ds-u-xl-padding--5">
<div class="ds-l-row ds-u-justify-content--end ds-u-align-items--center">
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--6 ds-u-text-align--center">
<img src="/assets/img/homepage/Sounds_Great!.svg" alt="BCDA logo">
</div>
<div class="ds-u-padding--1 ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--6 ds-u-text-align--center">
<div class="ds-u-font-size--title ds-u-padding--1">Sounds Great!</div>
<div class="ds-u-font-size--h1 ds-u-padding--1">Where can I start?</div>
<div class="ds-u-padding--1">
<a class="ds-c-button ds-c-button--primary ds-l-col--8 in-text__link" href="guide.html#try-the-api"
target="_self">Try the API</a>
</div>
<div class="ds-u-padding--1">
<a class="ds-c-button ds-c-button--primary ds-l-col--8 in-text__link" href="data.html" target="_self">Learn
about BCDA Data</a>
</div>
<div class="ds-u-padding--1">
<a class="ds-c-button ds-c-button--primary ds-l-col--8 in-text__link"
href="https://groups.google.com/forum/#!forum/bc-api" target="_blank" rel="noopener">Join our Community for
Updates</a>
</div>
</div>
</div>
</section>
<!-- Updates -->
<div class="ds-u-fill--primary-darker ds-base--inverse">
<section
class="ds-l-container ds-u-padding--1 ds-u-sm-padding--2 ds-u-md-padding--3 ds-u-lg-padding--4 ds-u-xl-padding--5 ds-u-color--white">
<h1 class="ds-u-color--white">The Latest & Greatest from BCDA!</h1>
<div class="ds-u-padding-y--2">
{% include updates/homepage_updates.html %}
</div>
</section>
</div>
<!-- FAQ -->
<div class="ds-u-fill--primary-darkest ds-base--inverse hex_background">
<section class="ds-l-container ds-u-padding--1 ds-u-sm-padding--2 ds-u-md-padding--3 ds-u-lg-padding--4 ds-u-xl-padding--5">
<h1 class="ds-u-color--white">Frequently Asked Questions</h1>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-u-padding-x--3 ds-u-padding-top--3">
<h2 class="ds-u-font-size--h3 ds-u-font-weight--bold faq-question">
1. Are Claim and Claim Line Feed (CCLF) files going away?
</h2>
<div class="ds-u-font-size--base ds-u-padding-top--1 ds-u-color--white">
No, CCLF files are not going away. BCDA supplements the data that participants already receive for the Shared Savings Program (which may include CCLF files). Contact <a href="mailto:[email protected]">[email protected]</a> or your respective model with questions about CCLF files.
</div>
</div>
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-u-padding-x--3 ds-u-padding-top--3">
<h2 class="ds-u-font-size--h3 ds-u-font-weight--bold faq-question" id="faq2">
2. How can BCDA eligible participants generate credentials?
</h2>
<ul class="ds-c-list" aria-labelledby="faq2">
<li class="ds-u-font-weight--bold">ACOs can generate BCDA credentials using the ACO Management System (<a href="https://acoms.cms.gov/" target="_blank" rel="noopener">ACO-MS</a>).</li>
<li class="ds-u-font-weight--bold">KCC and ACO REACH models can generate BCDA credentials using the <a href="https://4innovation.cms.gov/" target="_blank" rel="noopener">4innovation</a> portal.</li>
</ul>
<p>
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 <a href="https://groups.google.com/forum/#!forum/bc-api" target="_blank" rel="noopener">Google Group</a>.
</p>
<p>
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.
</p>
</div>
</div>
<div class="ds-l-row">
<div class="ds-l-col--12 ds-u-padding-x--3 ds-u-padding-top--3">
<h2 class="ds-u-font-size--h3 ds-u-font-weight--bold faq-question">
3. How can I share my feedback?
</h2>
<div class="ds-u-font-size--base ds-u-padding-top--1 ds-u-color--white">
Join the BCDA <a href="https://groups.google.com/forum/#!forum/bc-api" target="_blank" rel="noopener">Google Group</a> to share feedback. You can also learn from other participants and talk to the BCDA research
and development team. Your firsthand experience helps shape the API.
</div>
</div>
</div>
</section>
</div>
<!-- Other CMS APIs -->
<div class="ds-u-fill--primary-darkest hex_background">
<section class="ds-l-container ds-u-padding--1 ds-u-sm-padding--2 ds-u-md-padding--3 ds-u-lg-padding--4 ds-u-xl-padding--5">
<div class="ds-l-row">
<div class="ds-l-col--12">
<div class="ds-u-font-size--h1 ds-u-color--white ds-u-text-align--center ds-u-font-weight--bold">CMS Claims-Based FHIR APIs</div>
<div class="ds-u-font-size--h3 ds-u-color--white ds-u-padding-y--4 ds-u-font-weight--semi-bold">BCDA is one of several CMS APIs that offer Medicare claims data sharing in FHIR format.</div>
<div class="ds-u-color--white">Check out these other CMS APIs for more information:</div>
</div>
<div class="ds-l-row ds-u-padding-y--3">
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--4 ds-u-align-items--stretch ds-u-display--flex">
<div class="ds-u-fill--primary-alt ds-u-padding--3 api-card">
<img hspace=0 vspace=8 src="/assets/img/homepage/logos/DPC_Logo.svg" alt="Data at the Point of Care API logo">
<div>
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.
</div>
<div class="ds-l-container ds-u-padding-top--2 ds-u-justify-content--center">
<a class="ds-c-button ds-c-button--primary ds-u-justify-content--center ds-l-col--12 in-text__link" href="https://dpc.cms.gov/" target="_blank" rel="noopener">DPC</a>
</div>
</div>
</div>
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--4 ds-u-align-items--stretch ds-u-display--flex">
<div class="ds-u-fill--gray-lightest ds-u-padding--3 api-card">
<img hspace=0 vspace=0 src="/assets/img/homepage/logos/BB2.0_logo.svg" alt="Blue Button 2.0 API logo">
<div class="ds-u-padding-y--1">
The Blue Button 2.0 API enables beneficiaries to connect their Medicare claims data to the applications, services, and research programs they trust.
</div>
<div class="ds-l-container ds-u-padding-top--5 ds-u-justify-content--center">
<a class="ds-c-button ds-c-button--primary ds-u-justify-content--center ds-l-col--12 in-text__link" href="https://bluebutton.cms.gov/" target="_blank" rel="noopener">BB 2.0</a>
</div>
</div>
</div>
<div class="ds-l-sm-col--12 ds-l-md-col--12 ds-l-lg-col--4 ds-u-align-items--stretch ds-u-display--flex">
<div class="ds-u-fill--warn-lighter ds-u-padding--3 api-card">
<img hspace=0 vspace=108 src="/assets/img/homepage/logos/AB2D_logo.svg" alt="AB2D API logo">
<div>
The AB2D API provides stand-alone PDP sponsors with Medicare Parts A and B claims data for their active enrollees.
</div>
<div class="ds-l-container ds-u-padding-top--7 ds-u-justify-content--center">
<a class="ds-c-button ds-c-button--primary ds-u-justify-content--center ds-l-col--12 in-text__link" href="https://ab2d.cms.gov/" target="_blank" rel="noopener">AB2D</a>
</div>
</div>
</div>
</div>
</section>
</div>
</main>