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Endpoint registry / 40 surfaces

Payer Patient Access APIs

Patient Access APIs let a member pull their own claims and coverage data into an app they choose. These grades describe what each endpoint publicly declares.

33answered on this run

11A17B5C7not observed
40 graded payer patient access apis
EndpointGrade Availability
Blue Cross Blue Shield of Minnesota Patient Access API (preview)Aanswered 58 of the last 58 daily checks (100%)
CareSource Patient Access APIAanswered 30 of the last 30 daily checks (100%)
Cigna Patient Access APIAanswered 58 of the last 58 daily checks (100%)
Group Health Cooperative-SCW Patient Access APIAanswered 30 of the last 30 daily checks (100%)
HealthPartners Patient Access APIAanswered 58 of the last 58 daily checks (100%)
Humana Patient Access APIAanswered 53 of the last 58 daily checks (91%)
Louisiana Blue Patient Access APIAanswered 30 of the last 30 daily checks (100%)
MercyCare Health Plans Patient Access APIAanswered 30 of the last 30 daily checks (100%)
Network Health Patient Access APIAanswered 30 of the last 30 daily checks (100%)
Premera Blue Cross Patient Access APIAanswered 16 of the last 16 daily checks (100%)
Quartz Patient Access APIAanswered 30 of the last 30 daily checks (100%)
AmeriHealth Caritas Next (Delaware) Patient Access APIBanswered 16 of the last 16 daily checks (100%)
AmeriHealth Caritas Next (Florida) Patient Access APIBanswered 45 of the last 45 daily checks (100%)
AmeriHealth Caritas Next North Carolina Patient Access APIBanswered 30 of the last 30 daily checks (100%)
Blue Cross and Blue Shield of Alabama Patient Access APIBanswered 16 of the last 16 daily checks (100%)
Blue Cross and Blue Shield of Nebraska Patient Access APIBanswered 16 of the last 16 daily checks (100%)
Blue Cross and Blue Shield of North Carolina Patient Access APIBanswered 30 of the last 30 daily checks (100%)
Blue KC Patient Access APIBanswered 30 of the last 30 daily checks (100%)
CMS Blue Button 2.0 (Medicare)Banswered 58 of the last 58 daily checks (100%)
Capital Blue Cross Patient Access APIBanswered 58 of the last 58 daily checks (100%)
Cox HealthPlans Interoperability APIBanswered 30 of the last 30 daily checks (100%)
Florida Blue Patient Access API (CMS Interoperability conformance endpoint)Banswered 45 of the last 45 daily checks (100%)
Health Plan of San Mateo Patient Access APIBanswered 56 of the last 56 daily checks (100%)
Inland Empire Health Plan Patient Access APIBanswered 54 of the last 56 daily checks (96%)
Paramount Health Care Interoperability APIBanswered 30 of the last 30 daily checks (100%)
Priority Health Patient Access APIBanswered 30 of the last 30 daily checks (100%)
Santa Clara Family Health Plan Patient Access APIBanswered 56 of the last 56 daily checks (100%)
Wellmark Patient Access APIBanswered 30 of the last 30 daily checks (100%)
22 Health (Community Care Plan) Patient Access APICanswered 44 of the last 45 daily checks (98%)
Aetna Patient Access (public demo instance)Canswered 58 of the last 58 daily checks (100%)
AvMed Patient Access APICanswered 45 of the last 45 daily checks (100%)
Kaiser Permanente Health Plan Patient Access APICanswered 50 of the last 56 daily checks (89%)
Security Health Plan Member APICanswered 30 of the last 30 daily checks (100%)
AmeriHealth Caritas Next Louisiana Patient Access APInot observedanswered 26 of the last 30 daily checks (87%)
Anthem Blue Cross Blue Shield Patient Access API (Elevance)not observedanswered 0 of the last 30 daily checks (0%)
Aspirus Health Plan Patient Access APInot observedanswered 0 of the last 30 daily checks (0%)
Blue Cross Blue Shield of Arizona Patient Access APInot observedanswered 0 of the last 30 daily checks (0%)
Imperial Health Plan Patient Access APInot observedanswered 0 of the last 46 daily checks (0%)
Sharp Health Plan Patient Access APInot observedanswered 41 of the last 56 daily checks (73%)
Wellpoint Patient Access APInot observedanswered 0 of the last 46 daily checks (0%)

Grades are comparable within this category only. A payer Patient Access API and an EHR vendor sandbox answer to different implementation guides, so they are never ranked against each other.