# Anthem

**Canonical:** https://apis.io/providers/anthem/  
**Website:** https://www.anthem.com  
**APIs profiled:** 3

Anthem, Inc. (now operating as Elevance Health) is one of the largest health benefits companies in the United States, serving members through affiliated Blue Cross and Blue Shield health plans across multiple states including California, New York, Virginia, Georgia, and others. Anthem provides health insurance, pharmacy benefits, and behavioral health services to over 40 million members. Under CMS interoperability rules (CMS-9115-F), Anthem offers FHIR- based Patient Access and Provider Directory APIs.

## Kin Score — 16.4 / 100 (emerging)

Scored 2026-08-20 under rubric 0.12.0. Trend: flat (+0.0 from 16.4).

| Facet | Score |
|---|---|
| Discoverability | 74.1 |
| Contract Quality | 0.0 |
| Governance | 0.0 |
| Contract Governance | 0.0 |
| Operational Transparency | 5.3 |
| Developer Ergonomics | 9.5 |
| Commercial Clarity | 36.8 |
| Access Clarity | 36.8 |

Regulatory layer — **Health**: 12.5 (matched via tags).

## Agent readiness — 3.0 (human-only)

| Dimension | Value |
|---|---|
| Spec Presence | no |
| Agentic Access | no |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | no |
| Idempotency | no |
| Error Semantics | no |
| OpenAPI Examples | no |
| Rate Limit Signal | documented |
| Event Surface Described | no |
| Agent Skills | no |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |

## Access

Unknown — onboarding: unknown, pricing: unknown, trial: no (confidence: low).

## APIs (3)

- **Anthem Patient Access API** — The Anthem Patient Access API provides members access to their personal health data via HL7 FHIR R4, as required by the CMS Interoperability and Patient Access Final Rule (CMS-9...
- **Anthem Provider Directory API** — The Anthem Provider Directory API provides public access to provider directory information via HL7 FHIR R4, as required by CMS interoperability rules. Supports searching for in-...
- **Anthem Drug Formulary API** — The Anthem Drug Formulary API provides access to prescription drug formulary data via HL7 FHIR R4, including covered medications, cost tiers, prior authorization requirements, a...

## Security (1)

- **Anthem Domain Security** — TLSv1.3 · HSTS · DMARC

## Plans (1)

- **Anthem Plans Pricing**

## Use cases (3)

- **Member Health Apps** — Enable member-authorized third-party health apps to aggregate claims, clinical, and formulary data from Anthem plans.
- **Care Coordination** — Allow care coordinators and providers to access member health history with member authorization for improved care transitions.
- **Provider Lookup** — Enable applications to search Anthem's provider directory for in-network physicians, hospitals, and specialists.

## Tags

Blue Cross Blue Shield, FHIR, Health Benefits, Health Insurance, Healthcare, Interoperability, Fortune 100

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/anthem/). Scores are computed from the provider's own public artifacts under a published rubric.