Centene
Centene Corporation is a Fortune 500 managed care organization delivering government-sponsored healthcare to roughly one in fifteen Americans through Medicaid, Medicare Advantage, TRICARE and Health Insurance Marketplace plans, operating under brands including Ambetter Health, Wellcare, Superior HealthPlan and Fidelis Care. Its public API surface exists to satisfy the 21st Century Cures Act and the CMS Interoperability and Patient Access Rule: HL7 FHIR R4 APIs for member record access (US Core 6.1.0, CARIN Blue Button 2.0.0, Da Vinci US Drug Formulary 2.0.1) and for provider directory (Da Vinci PDEX Plan Net 1.2.0), plus payer-to-payer PDEX exchange. Centene publishes twenty APIs through a partner portal at partners.centene.com, whose catalogue and OpenAPI documents are served anonymously; the FHIR Provider Directory is callable in production with no credential at all. Member data uses SMART on FHIR 2.0.0 standalone launch against a Ping Identity authorization server branded EntryKey ID; partner surfaces use OAuth client credentials with a per-API audience. Beyond the mandated interoperability estate Centene also publishes X12 / CAQH CORE EDI transaction, provider-search, product-mapping and care-management APIs.
Centene publishes 12 APIs on the APIs.io network, including FHIR Patient Access API, FHIR Provider Directory API, Provider RTR - FHIR PDEX Directory API, and 9 more. Tagged areas include Healthcare, Insurance, Managed Care, FHIR, and HL7.
The Centene catalog on APIs.io includes 1 event-driven AsyncAPI specification.
Centene’s developer surface includes authentication, sandbox, documentation, API reference, getting-started guide, signup flow, support, and 30 more developer resources.
Kin Score
APIs 12
Individual APIs this provider publishes, each with its own machine-readable definition.
Centene FHIR Patient Access API
The Centene FHIR Patient Access API lets members of Centene health plans access their clinical, financial, and formulary data through third-party applications, as required by th...
Centene FHIR Provider Directory API
The Centene FHIR Provider Directory API exposes in-network provider information for Centene members and the public via HL7 FHIR PDEX Provider Directory resources.
Centene Provider RTR - FHIR PDEX Directory API
The Provider RTR FHIR Payer Data Exchange (PDEX) Directory API delivers provider directory data between payers and authorized external partners using HL7 FHIR PDEX profiles.
Centene Provider RTR Demographics API
The Provider RTR Demographics API exposes Centene’s provider record — credentialing, accreditation, contracting, network participation and business identifiers — across 67 read ...
Centene Provider Carrier Entity Search (PCES) API
A search-index query API over Centene carrier entities, shaped like Elasticsearch — aggregations, buckets, bounding boxes and geo coordinates across 85 schemas. Carries query an...
Centene Provider Carrier Entity Search (PCES) Extract API
Scroll-based bulk extract over the Provider Carrier Entity Search index. POST /extract/initiate opens a scroll context and returns a scrollId; DELETE /extract/clear/{scrollId} r...
Centene Provider Search Suggest API
A single typeahead suggestion operation backing Centene’s member-facing provider search experiences. OAuth client credentials with audience ewsext.
Centene Product Mapping V2 API
Resolves Centene plan networks and counties for a given address — the geography layer behind plan shopping and eligibility. Supports authorization_code, PKCE and client_credenti...
Centene LWC EDI CORE Real Time Service
Centene’s CAQH CORE Connectivity envelope over ASC X12 healthcare transactions — RealTimeTransaction plus six batch submission, acknowledgement and retrieval operations. This is...
Centene CCM Communication API
Care and campaign management communication records — insert, update and merge operations over member communications. OAuth client credentials with audience CCMAPIUSER. No delete...
Centene CCM SMS User Response Webhook
An INBOUND receiver endpoint Centene exposes for its SMS vendor to post member replies onto the care-management queue. Despite the name it does not send callbacks to third-party...
Centene Healow Health API
Member gap-in-care search operations backing Centene’s integration with the Healow patient platform. Published by Centene under its WellCare subsidiary; the OpenAPI still carrie...
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Pricing Plans 1
Published pricing tiers and plan structures.
Rate Limits 1
Documented rate limits and quota policies.
Centene Rate Limits
RATE LIMITSFinOps 1
Cost, billing, and metering signals for API financial operations.
Centene Finops
FINOPSEvent Specifications 1
AsyncAPI definitions for this provider's event-driven and streaming APIs.
Centene Webhooks
ASYNCAPISecurity Posture 4
Authentication, domain security, vulnerability disclosure, and trust-center signals.
Scopes 1
OAuth scopes governing access to this provider's APIs.
Press 5
Recent news and press coverage referencing this provider.
Centene Signs Definitive Agreement to Acquire Apixio
Healthcare Innovation and Thought Leadership
CENTENE CORPORATION REPORTS 2025 RESULTS ...
CENTENE CORPORATION WITHDRAWS 2025 GUIDANCE
Apixio Acquisition by Centene Corporation
Resources
Get Started 4
Portal, sign-up, and the first successful call
Documentation 2
Reference material describing how the API behaves
Agent Surfaces 4
MCP servers, agent skills, and machine-readable catalogs
Design & Contract 5
Pagination, idempotency, versioning, errors, and events
Build 1
SDKs, sample code, and the tooling you integrate with
Access & Security 7
Authentication, authorization, and security posture
Scroll for all 7
Operate 2
Status, limits, changes, and where to get help
Commercial 4
Pricing, plans, and the legal terms of use
Company 3
The organization behind the API
Other 5
Properties that don't map to a standard resource type
Source (apis.yml)
Work with this as data
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