Public surface / Payer Patient Access APIs
Blue Cross and Blue Shield of Nebraska Patient Access API
This endpoint declares a solid public surface with minor gaps.
Observed surface
- Base URL
https://api.bcbsnefhir.com/r4- Category
- Payer Patient Access APIs
- Availability
- answered 16 of the last 16 daily checks (100%)
- Last answered
- 2026-10-03 (answered on this run)
- Vantage agreement
- reachable from all 3 vantages, which are 3 hosts on one network (github-actions): one network's view sampled 3 times, not 3 independent networks
What each vantage saw
| Vantage | Result | What it saw | Condition |
|---|---|---|---|
github-actions/macos-latest | reached | answered in 324 ms | HTTP 200 |
github-actions/ubuntu-latest | reached | answered in 754 ms | HTTP 200 |
github-actions/windows-latest | reached | answered in 469 ms | HTTP 200 |
Vantages on one network are one network’s view sampled several times. A rule applied to that network’s address space reaches every one of them at once and reads exactly like agreement.
Interpretation
A grade describes two public discovery documents at one point in time. It does not inspect patient data, authenticated behavior, or clinical quality.
Read the scoring method →This endpoint's full report: what was observed, what was not, and what would change it →
What its CapabilityStatement declares, resource by resource →
Findings
Declared capability changes
- 2026-10-02: software_version: '4.0.1 3.11.1 v1.0.0-rc+202609141200 4c9554d' -> '4.0.1 3.11.2 v1.0.0-rc+202609291200 22bf7ee'
Declared app-to-server access
What the endpoint's own documents declare about app-to-server access, observed on this run. Nothing here was requested or exercised, and none of it is graded. An absent field is reported as absent, not as a refusal: a document that does not mention a field has not said anything about it.
| Question | Answer | What the document says | Where it is declared |
|---|---|---|---|
| Declares private_key_jwt client authentication at the token endpoint | not retrieved on this run | the SMART discovery document was requested and not served on this run | SMART discovery: token_endpoint_auth_methods_supported |
| Declares the client_credentials grant, which SMART Backend Services uses | not retrieved on this run | the SMART discovery document was requested and not served on this run | SMART discovery: grant_types_supported |
| Declares the client-confidential-asymmetric capability | not retrieved on this run | the SMART discovery document was requested and not served on this run | SMART discovery: capabilities |
| Declares system-level scopes | not retrieved on this run | the SMART discovery document was requested and not served on this run | SMART discovery: scopes_supported |
| Declares an export operation | declared | export is declared on Account, ActivityDefinition, AdverseEvent, AllergyIntolerance, Appointment, AppointmentResponse, AuditEvent, Basic, BodyStructure, Bundle, CapabilityStatement, CarePlan, CareTeam, ChargeItem, ChargeItemDefinition, Claim, ClaimResponse, ClinicalImpression, CodeSystem, Communication, CommunicationRequest, CompartmentDefinition, Composition, ConceptMap, Condition, Consent, Contract, Coverage, CoverageEligibilityRequest, CoverageEligibilityResponse, DetectedIssue, Device, DeviceDefinition, DeviceMetric, DeviceRequest, DeviceUseStatement, DiagnosticReport, DocumentManifest, DocumentReference, EffectEvidenceSynthesis, Encounter, Endpoint, EnrollmentRequest, EnrollmentResponse, EpisodeOfCare, EventDefinition, Evidence, EvidenceVariable, ExampleScenario, ExplanationOfBenefit, FamilyMemberHistory, Flag, Goal, GraphDefinition, Group, GuidanceResponse, HealthcareService, ImagingStudy, Immunization, ImmunizationEvaluation, ImmunizationRecommendation, ImplementationGuide, InsurancePlan, Invoice, Library, Linkage, List, Location, Measure, MeasureReport, Media, Medication, MedicationAdministration, MedicationDispense, MedicationKnowledge, MedicationRequest, MedicationStatement, MedicinalProduct, MedicinalProductAuthorization, MedicinalProductContraindication, MedicinalProductIndication, MedicinalProductInteraction, MedicinalProductPackaged, MedicinalProductPharmaceutical, MedicinalProductUndesirableEffect, MessageDefinition, MessageHeader, MolecularSequence, NamingSystem, NutritionOrder, Observation, OperationDefinition, Organization, OrganizationAffiliation, Patient, PaymentNotice, PaymentReconciliation, Person, PlanDefinition, Practitioner, PractitionerRole, Procedure, Provenance, Questionnaire, QuestionnaireResponse, RelatedPerson, RequestGroup, ResearchDefinition, ResearchElementDefinition, ResearchStudy, ResearchSubject, RiskAssessment, RiskEvidenceSynthesis, Schedule, SearchParameter, ServiceRequest, Slot, Specimen, SpecimenDefinition, StructureDefinition, StructureMap, Subscription, Substance, SubstanceSpecification, SupplyDelivery, SupplyRequest, Task, TerminologyCapabilities, TestReport, TestScript, ValueSet, VerificationResult, VisionPrescription | CapabilityStatement: rest.operation and rest.resource.operation |
| Instantiates the Bulk Data Access implementation guide | not listed | 0 canonicals are instantiated and none is Bulk Data's | CapabilityStatement: instantiates |
Registry provenance
How this entry was verified
base URL taken from the metadata URL Blue Cross and Blue Shield of Nebraska prints verbatim on its own Interoperability Resources page, https://api.bcbsnefhir.com/r4/metadata, which the page tells developers to visit to learn the API's syntax and parameters. Live CapabilityStatement retrieved unauthenticated from the davis-ca residential vantage: fhirVersion 4.0.1, 144 resource types, 37 supportedProfile canonicals including the CARIN Blue Button Coverage and ExplanationOfBenefit profiles. The document names the platform operator, not the payer - publisher '1upHealth', software '1up FHIR Server' - so attribution rests on BCBSNE publishing that exact address in its own materials, on a bcbsnefhir.com host, which is the second basis docs/SAMPLING-FRAME.md allows for a vendor-named document. The page scopes the API to BCBSNE's Medicare Advantage and Qualified Health Plan lines and prints no Provider Directory base URL, so no provider-directory entry is claimed for this issuer (recorded 2026-09-13). No later re-check is recorded, so the date above is the last time anyone checked this entry against the live endpoint.
Share this endpoint's grade
Link the badge back to this evidence page so readers can inspect the current findings.
<a href="https://fhir.chelseakr.com/endpoint/bcbsne-patient-access/">
<img src="https://fhir.chelseakr.com/badge/bcbsne-patient-access.svg"
alt="FHIR Scorecard: grade B"></a>This is an observational snapshot of a public, unauthenticated surface. It is not an audit, a ranking of care quality, or a statement about anyone's regulatory compliance. See how we grade.
Every observation on record for this endpoint, with the dates it answered and the dates it did not.