<?xml version="1.0" encoding="utf-8"?>
<feed xmlns="http://www.w3.org/2005/Atom">
  <id>tag:fhir.chelseakr.com,2026:feed/cohort/ohio-marketplace</id>
  <title type="text">Ohio marketplace issuer cohort: recorded changes</title>
  <subtitle type="text">Every event the observation record holds for the 8 distinct listed endpoints of Ohio marketplace issuer cohort. It carries 24 of 24 recorded events, covering 2026-08-19 to 2026-10-03. The record holds dates, not times of day; Atom requires an instant, so each date is encoded as midnight UTC and no entry states an observed time.</subtitle>
  <updated>2026-10-03T00:00:00Z</updated>
  <author><name>FHIR Scorecard</name><uri>https://fhir.chelseakr.com/</uri></author>
  <link rel="self" type="application/atom+xml" href="https://fhir.chelseakr.com/ohio-marketplace/feed.xml"/>
  <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/ohio-marketplace/"/>
  <generator uri="https://github.com/ChelseaKR/fhir-scorecard">FHIR Scorecard</generator>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:paramount-interoperability/declaration-return/2026-10-03/4139d6f01474d9b7</id>
    <title type="text">Paramount Health Care Interoperability API returned to a declaration already on record</title>
    <updated>2026-10-03T00:00:00Z</updated>
    <published>2026-10-03T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-return"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/paramount-interoperability/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/paramount-interoperability.json"/>
    <summary type="text">Over 2026-09-22 to 2026-10-03 this endpoint returned 2 times to a declaration first seen 2026-09-11. One address can sit in front of more than one backend, so this is counted as a return and is not a change the publisher made.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:paramount-interoperability/declaration-return/2026-10-01/9d5eb825cad4cc43</id>
    <title type="text">Paramount Health Care Interoperability API returned to a declaration already on record</title>
    <updated>2026-10-01T00:00:00Z</updated>
    <published>2026-10-01T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-return"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/paramount-interoperability/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/paramount-interoperability.json"/>
    <summary type="text">Over 2026-09-16 to 2026-10-01 this endpoint returned 2 times to a declaration first seen 2026-09-04. One address can sit in front of more than one backend, so this is counted as a return and is not a change the publisher made.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:unitedhealthcare-provider-directory/declaration-change/2026-09-23/7391ea958a950cba</id>
    <title type="text">UnitedHealthcare Provider Directory API changed what it declares</title>
    <updated>2026-09-23T00:00:00Z</updated>
    <published>2026-09-23T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/unitedhealthcare-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/unitedhealthcare-provider-directory.json"/>
    <summary type="text">On 2026-09-23 the declared capability facts moved: software_version: &#x27;4.5.0.9&#x27; -&gt; &#x27;4.6.1.7&#x27;. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:caresource-provider-directory/declaration-change/2026-09-22/4d48d8a61db8646b</id>
    <title type="text">CareSource Provider Directory API changed what it declares</title>
    <updated>2026-09-22T00:00:00Z</updated>
    <published>2026-09-22T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/caresource-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/caresource-provider-directory.json"/>
    <summary type="text">On 2026-09-22 the declared capability facts moved: software_version: &#x27;0.56.0&#x27; -&gt; &#x27;0.58.0&#x27;. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:caresource-patient-access/declaration-change/2026-09-22/7e057798fab3913c</id>
    <title type="text">CareSource Patient Access API changed what it declares</title>
    <updated>2026-09-22T00:00:00Z</updated>
    <published>2026-09-22T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/caresource-patient-access/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/caresource-patient-access.json"/>
    <summary type="text">On 2026-09-22 the declared capability facts moved: software_version: &#x27;0.56.0&#x27; -&gt; &#x27;0.58.0&#x27;. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:ambetter-centene-provider-directory/availability-change/2026-09-21/affbcebf03b53398</id>
    <title type="text">Centene Provider Directory API (Ambetter) stopped answering</title>
    <updated>2026-09-21T00:00:00Z</updated>
    <published>2026-09-21T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="availability-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/ambetter-centene-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/ambetter-centene-provider-directory.json"/>
    <summary type="text">The observation recorded on 2026-09-21 did not answer; the one before it, on 2026-09-20, answered. The record retains the reconciled observation only, not the vantages that reported it, so no entry here names one.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:ambetter-centene-provider-directory/availability-change/2026-09-19/d91ae516438e69cd</id>
    <title type="text">Centene Provider Directory API (Ambetter) answered again</title>
    <updated>2026-09-19T00:00:00Z</updated>
    <published>2026-09-19T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="availability-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/ambetter-centene-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/ambetter-centene-provider-directory.json"/>
    <summary type="text">The observation recorded on 2026-09-19 answered; the one before it, on 2026-09-18, did not answer. The record retains the reconciled observation only, not the vantages that reported it, so no entry here names one.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:caresource-provider-directory/declaration-change/2026-09-16/e0d3e61c1fc1c7ee</id>
    <title type="text">CareSource Provider Directory API changed what it declares</title>
    <updated>2026-09-16T00:00:00Z</updated>
    <published>2026-09-16T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/caresource-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/caresource-provider-directory.json"/>
    <summary type="text">On 2026-09-16 the declared capability facts moved: software_version: &#x27;0.55.3&#x27; -&gt; &#x27;0.56.0&#x27;. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:caresource-patient-access/declaration-change/2026-09-16/440ba48f1a1257e1</id>
    <title type="text">CareSource Patient Access API changed what it declares</title>
    <updated>2026-09-16T00:00:00Z</updated>
    <published>2026-09-16T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/caresource-patient-access/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/caresource-patient-access.json"/>
    <summary type="text">On 2026-09-16 the declared capability facts moved: software_version: &#x27;0.55.3&#x27; -&gt; &#x27;0.56.0&#x27;. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:paramount-interoperability/declaration-change/2026-09-11/35a1ec069bd7d14a</id>
    <title type="text">Paramount Health Care Interoperability API changed what it declares</title>
    <updated>2026-09-11T00:00:00Z</updated>
    <published>2026-09-11T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/paramount-interoperability/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/paramount-interoperability.json"/>
    <summary type="text">On 2026-09-11 the declared capability facts moved: resource_count: 157 -&gt; 195; resources_with_interactions: 157 -&gt; 195. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:elevance-shared-provider-directory/availability-change/2026-09-09/9b9a452575a8e019</id>
    <title type="text">Elevance Health shared Provider Directory API answered again</title>
    <updated>2026-09-09T00:00:00Z</updated>
    <published>2026-09-09T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="availability-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/elevance-shared-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/elevance-shared-provider-directory.json"/>
    <summary type="text">The observation recorded on 2026-09-09 answered; the one before it, on 2026-09-08, did not answer. The record retains the reconciled observation only, not the vantages that reported it, so no entry here names one.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:elevance-shared-provider-directory/availability-change/2026-09-08/b8d681bb2f3dc9fa</id>
    <title type="text">Elevance Health shared Provider Directory API stopped answering</title>
    <updated>2026-09-08T00:00:00Z</updated>
    <published>2026-09-08T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="availability-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/elevance-shared-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/elevance-shared-provider-directory.json"/>
    <summary type="text">The observation recorded on 2026-09-08 did not answer; the one before it, on 2026-09-07, answered. The record retains the reconciled observation only, not the vantages that reported it, so no entry here names one.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:ambetter-centene-provider-directory/availability-change/2026-09-07/6b30017f9d0ec7f3</id>
    <title type="text">Centene Provider Directory API (Ambetter) stopped answering</title>
    <updated>2026-09-07T00:00:00Z</updated>
    <published>2026-09-07T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="availability-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/ambetter-centene-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/ambetter-centene-provider-directory.json"/>
    <summary type="text">The observation recorded on 2026-09-07 did not answer; the one before it, on 2026-09-06, answered. The record retains the reconciled observation only, not the vantages that reported it, so no entry here names one.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:ambetter-centene-provider-directory/availability-change/2026-09-06/d14efd85662ac9e4</id>
    <title type="text">Centene Provider Directory API (Ambetter) answered again</title>
    <updated>2026-09-06T00:00:00Z</updated>
    <published>2026-09-06T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="availability-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/ambetter-centene-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/ambetter-centene-provider-directory.json"/>
    <summary type="text">The observation recorded on 2026-09-06 answered; the one before it, on 2026-09-05, did not answer. The record retains the reconciled observation only, not the vantages that reported it, so no entry here names one.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:paramount-interoperability/entered-record/2026-09-04/66e32233fada25ef</id>
    <title type="text">Paramount Health Care Interoperability API entered the observation record</title>
    <updated>2026-09-04T00:00:00Z</updated>
    <published>2026-09-04T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/paramount-interoperability/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/paramount-interoperability.json"/>
    <summary type="text">First observed on 2026-09-04. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:medmutual-provider-directory/entered-record/2026-09-04/4411c76da926b15c</id>
    <title type="text">Medical Mutual of Ohio Provider Directory API entered the observation record</title>
    <updated>2026-09-04T00:00:00Z</updated>
    <published>2026-09-04T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/medmutual-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/medmutual-provider-directory.json"/>
    <summary type="text">First observed on 2026-09-04. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:elevance-anthem-bcbs-patient-access/entered-record/2026-09-04/640e2ec97fa26b3f</id>
    <title type="text">Anthem Blue Cross Blue Shield Patient Access API (Elevance) entered the observation record</title>
    <updated>2026-09-04T00:00:00Z</updated>
    <published>2026-09-04T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/elevance-anthem-bcbs-patient-access/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/elevance-anthem-bcbs-patient-access.json"/>
    <summary type="text">First observed on 2026-09-04. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:caresource-provider-directory/entered-record/2026-09-04/e11930c1d6f5f266</id>
    <title type="text">CareSource Provider Directory API entered the observation record</title>
    <updated>2026-09-04T00:00:00Z</updated>
    <published>2026-09-04T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/caresource-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/caresource-provider-directory.json"/>
    <summary type="text">First observed on 2026-09-04. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:caresource-patient-access/entered-record/2026-09-04/855236d9db495cd3</id>
    <title type="text">CareSource Patient Access API entered the observation record</title>
    <updated>2026-09-04T00:00:00Z</updated>
    <published>2026-09-04T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/caresource-patient-access/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/caresource-patient-access.json"/>
    <summary type="text">First observed on 2026-09-04. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:ambetter-centene-provider-directory/entered-record/2026-09-04/c9565a4c066ef01a</id>
    <title type="text">Centene Provider Directory API (Ambetter) entered the observation record</title>
    <updated>2026-09-04T00:00:00Z</updated>
    <published>2026-09-04T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/ambetter-centene-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/ambetter-centene-provider-directory.json"/>
    <summary type="text">First observed on 2026-09-04. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:elevance-shared-provider-directory/declaration-change/2026-09-02/59f2c01adaacc6e0</id>
    <title type="text">Elevance Health shared Provider Directory API changed what it declares</title>
    <updated>2026-09-02T00:00:00Z</updated>
    <published>2026-09-02T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/elevance-shared-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/elevance-shared-provider-directory.json"/>
    <summary type="text">On 2026-09-02 the declared capability facts moved: resource_count: 7 -&gt; 8; resources_with_interactions: 7 -&gt; 8. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:unitedhealthcare-provider-directory/declaration-change/2026-08-25/3ebdbe413aa59469</id>
    <title type="text">UnitedHealthcare Provider Directory API changed what it declares</title>
    <updated>2026-08-25T00:00:00Z</updated>
    <published>2026-08-25T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="declaration-change"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/unitedhealthcare-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/unitedhealthcare-provider-directory.json"/>
    <summary type="text">On 2026-08-25 the declared capability facts moved: software_version: &#x27;4.4.2.4&#x27; -&gt; &#x27;4.5.0.9&#x27;. Recorded, not scored: a capability change is often a legitimate upgrade.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:unitedhealthcare-provider-directory/entered-record/2026-08-19/413527de7c03974e</id>
    <title type="text">UnitedHealthcare Provider Directory API entered the observation record</title>
    <updated>2026-08-19T00:00:00Z</updated>
    <published>2026-08-19T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/unitedhealthcare-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/unitedhealthcare-provider-directory.json"/>
    <summary type="text">First observed on 2026-08-19. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
  <entry>
    <id>tag:fhir.chelseakr.com,2026:elevance-shared-provider-directory/entered-record/2026-08-19/1bb8ec3b3e9f695b</id>
    <title type="text">Elevance Health shared Provider Directory API entered the observation record</title>
    <updated>2026-08-19T00:00:00Z</updated>
    <published>2026-08-19T00:00:00Z</published>
    <category scheme="tag:fhir.chelseakr.com,2026:kind" term="entered-record"/>
    <link rel="alternate" type="text/html" href="https://fhir.chelseakr.com/history/elevance-shared-provider-directory/"/>
    <link rel="via" type="application/json" href="https://fhir.chelseakr.com/api/history/elevance-shared-provider-directory.json"/>
    <summary type="text">First observed on 2026-08-19. Nothing before that date is recorded for this endpoint, here or anywhere else in this project.</summary>
  </entry>
</feed>
