Endpoint registry / 37 surfaces
Payer Provider Directory APIs
Provider Directory APIs are meant to be readable by anyone - required to be, for Medicare Advantage organizations under 42 CFR 422.120, with parallel provisions for Medicaid and CHIP - so they are not graded on an authorization surface they should not have.
28answered on this run
14A1B11C2D9not observed
| Endpoint | Grade | Availability |
|---|---|---|
| 22 Health (Community Care Plan) Provider Directory API | A | answered 45 of the last 45 daily checks (100%) |
| Blue Cross and Blue Shield of Alabama Provider Directory API | A | answered 16 of the last 16 daily checks (100%) |
| Blue Cross and Blue Shield of Kansas Provider Directory API | A | answered 26 of the last 30 daily checks (87%) |
| Blue Cross and Blue Shield of North Carolina Provider Directory API | A | answered 30 of the last 30 daily checks (100%) |
| CareSource Provider Directory API | A | answered 30 of the last 30 daily checks (100%) |
| Central California Alliance for Health Provider Directory API | A | answered 56 of the last 56 daily checks (100%) |
| Cigna Provider Directory API | A | answered 58 of the last 58 daily checks (100%) |
| Community Health Group Provider Directory API | A | answered 56 of the last 56 daily checks (100%) |
| CommunityCare Provider Directory API (commercial) | A | answered 30 of the last 30 daily checks (100%) |
| CommunityCare Provider Directory API (marketplace) | A | answered 30 of the last 30 daily checks (100%) |
| Florida Blue Provider Directory API (CMS Interoperability conformance endpoint) | A | answered 45 of the last 45 daily checks (100%) |
| L.A. Care Health Plan Provider Directory API | A | answered 56 of the last 56 daily checks (100%) |
| Medical Mutual of Ohio Provider Directory API | A | answered 30 of the last 30 daily checks (100%) |
| Premera Blue Cross Provider Directory API | A | answered 16 of the last 16 daily checks (100%) |
| Blue KC Provider Directory API | B | answered 30 of the last 30 daily checks (100%) |
| AmeriHealth Caritas Next (Delaware) Provider Directory API | C | answered 16 of the last 16 daily checks (100%) |
| AmeriHealth Caritas Next (Florida) Provider Directory API | C | answered 45 of the last 45 daily checks (100%) |
| AmeriHealth Caritas Next Louisiana Provider Directory API | C | answered 30 of the last 30 daily checks (100%) |
| AmeriHealth Caritas Next North Carolina Provider Directory API | C | answered 30 of the last 30 daily checks (100%) |
| Blue Cross Blue Shield of Michigan Provider Directory API | C | answered 30 of the last 30 daily checks (100%) |
| Elevance Health shared Provider Directory API | C | answered 45 of the last 46 daily checks (98%) |
| Imperial Health Plan Provider Directory API | C | answered 45 of the last 46 daily checks (98%) |
| MercyCare Health Plans Provider Directory API | C | answered 30 of the last 30 daily checks (100%) |
| Quartz Provider Directory API | C | answered 30 of the last 30 daily checks (100%) |
| Security Health Plan Provider Directory API | C | answered 30 of the last 30 daily checks (100%) |
| UnitedHealthcare Provider Directory API | C | answered 46 of the last 46 daily checks (100%) |
| Inland Empire Health Plan Provider Directory API | D | answered 51 of the last 56 daily checks (91%) |
| Santa Clara Family Health Plan Provider Directory API | D | answered 56 of the last 56 daily checks (100%) |
| Aspirus Health Plan Provider Directory API | not observed | answered 0 of the last 30 daily checks (0%) |
| AvMed Provider Directory API | not observed | answered 0 of the last 45 daily checks (0%) |
| CHRISTUS Health Plan Provider Directory API | not observed | answered 0 of the last 46 daily checks (0%) |
| Centene Provider Directory API (Ambetter) | not observed | answered 3 of the last 30 daily checks (10%) |
| Group Health Cooperative-SCW Provider Directory API | not observed | answered 0 of the last 30 daily checks (0%) |
| Health Care Service Corporation Provider Directory API | not observed | answered 0 of the last 46 daily checks (0%) |
| Network Health Provider Directory API | not observed | answered 0 of the last 30 daily checks (0%) |
| Priority Health Provider Directory API | not observed | answered 0 of the last 30 daily checks (0%) |
| Sharp Health Plan Provider Directory API | not observed | answered 41 of the last 56 daily checks (73%) |
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.