Elevance Health Plans Pricing
Elevance Health (formerly Anthem) exposes CMS Interoperability and Patient Access FHIR APIs. Per the CMS Interoperability and Patient Access Final Rule, member access to claims and clinical data must be free of charge to members and to consumer-direction app developers; provider directory and formulary endpoints are publicly readable. There is no per-call price list. Plans capture the access channels.
Elevance Health Plans Pricing is the machine-readable pricing-plan profile for Elevance Health on the APIs.io network, conforming to the API Commons Plans specification.
It defines 4 plans, covering freemium and enterprise tiers, with named plans including Patient Access (CMS-Mandated), Provider Directory (Public), Drug Formulary (Public), Payer to Payer.
Tagged areas include Healthcare, Health Insurance, FHIR, and Interoperability.
Plans
Free, member-authorized FHIR access to claims, clinical, pharmacy, dental, and vision data. Up to five years of historical data per CARIN BB IG.
- HL7 FHIR R4
- CARIN Consumer-Directed Payer Data Exchange IG
- SMART-on-FHIR member auth
Publicly readable FHIR Provider Directory; no authentication required.
- DaVinci PDEX Plan Net IG
- Practitioner / PractitionerRole / Organization / Location / InsurancePlan
Publicly readable drug-formulary FHIR API.
- DaVinci PDEX US Drug Formulary IG
- Tier placement and prior-auth flags
Inter-payer FHIR exchange under the CMS Interoperability and Prior Authorization rule. Available to other payers under data-exchange agreements.
- Member coverage and clinical exchange
- HL7 FHIR R4