Centene website screenshot

Centene

Centene Corporation is a leading managed care organization providing government-sponsored healthcare programs including Medicaid, Medicare, and Health Insurance Marketplace plans. Centene operates a developer portal at partners.centene.com publishing FHIR-based interoperability APIs under the 21st Century Cures Act and CMS Interoperability and Patient Access Rule, including Patient Access, Provider Directory, and Provider RTR (Payer Data Exchange) APIs.

Centene publishes 3 APIs on the APIs.io network. Tagged areas include CMS Interoperability, FHIR, Formulary, Healthcare, and Insurance.

🌐 Visit website 📡 Source on GitHub
17.1/100 emerging ▬ flat Agent 3/100 human only Full breakdown ↓
scored 2026-07-28 · rubric v0.6
AccessFree
3 APIs
CMS InteroperabilityFHIRFormularyHealthcareInsuranceInteroperabilityManaged CarePatient AccessProvider DirectoryFortune 500

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-07-28 · rubric v0.6
Composite quality — 17.1/100 · emerging
Contract Quality 0.0 / 25
Developer Ergonomics 1.7 / 20
Commercial Clarity 5.8 / 20
Operational Transparency 4.8 / 13
Governance 0.0 / 12
Discoverability 6.5 / 10
Agent readiness — 3/100 · human only
Machine-Readable Contract 0 / 18
Agentic Access Contract 0 / 10
MCP Server 0 / 12
Machine-Readable Auth 0 / 10
Idempotency 0 / 9
Stable Error Semantics 0 / 8
Request/Response Examples 0 / 7
Rate-Limit Signaling 7 / 7
Typed Event Surface 0 / 6
Agent Skills 0 / 5
Well-Known Catalog 0 / 4
Consent & Bot Identity 0 / 3
A2A Agent Card 0 / 8
Dry-Run / Simulate Mode 0 / 4
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/centene: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 3

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.

Pricing Plans 1

Published pricing tiers and plan structures.

Centene Plans Pricing

1 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

Centene Rate Limits

3 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

Centene Finops

FINOPS

Security Posture 1

Authentication, domain security, vulnerability disclosure, and trust-center signals.

Centene Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Press 5

Recent news and press coverage referencing this provider.

Centene Signs Definitive Agreement to Acquire Apixio

2026-05-25

Healthcare Innovation and Thought Leadership

2026-05-25

CENTENE CORPORATION REPORTS 2025 RESULTS ...

2026-05-25

CENTENE CORPORATION WITHDRAWS 2025 GUIDANCE

2026-05-25

Apixio Acquisition by Centene Corporation

2026-05-25

Resources

Get Started 1

Portal, sign-up, and the first successful call

DeveloperPortal
DeveloperPortal

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization
GitHubOrganization

Access & Security 1

Authentication, authorization, and security posture

DomainSecurity
DomainSecurity

Company 2

The organization behind the API

LinkedIn
LinkedIn
 Website
Website

Other 3

Properties that don't map to a standard resource type

API Catalog
API Catalog
 Application Developer
Application Developer
 Interoperability
Interoperability

Source (apis.yml)

apis.yml Raw ↑ 
aid: centene
url: https://raw.githubusercontent.com/api-evangelist/centene/refs/heads/main/apis.yml
name: Centene
type: Index
accessModel:
  pricing: free
  onboarding: unknown
  trial: false
  try_now: false
  public: false
  label: Free
  confidence: medium
  source:
  - plans
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/centene.png
tags:
- CMS Interoperability
- FHIR
- Formulary
- Healthcare
- Insurance
- Interoperability
- Managed Care
- Patient Access
- Provider Directory
- Fortune 500
created: '2024-01-15'
modified: '2026-04-23'
specificationVersion: '0.19'
description: Centene Corporation is a leading managed care organization providing government-sponsored healthcare programs
  including Medicaid, Medicare, and Health Insurance Marketplace plans. Centene operates a developer portal at partners.centene.com
  publishing FHIR-based interoperability APIs under the 21st Century Cures Act and CMS Interoperability and Patient Access
  Rule, including Patient Access, Provider Directory, and Provider RTR (Payer Data Exchange) APIs.
apis:
- aid: centene:centene-fhir-patient-access
  name: Centene FHIR Patient Access API
  tags:
  - FHIR
  - Patient Access
  - CMS Interoperability
  humanURL: https://partners.centene.com/apiDetail/2718669d-6e2e-42b5-8c90-0a82f13a30ba
  properties:
  - url: https://partners.centene.com/apiDetail/2718669d-6e2e-42b5-8c90-0a82f13a30ba
    type: Documentation
  - url: https://partners.centene.com/apis
    type: Catalog
  description: 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 the CMS Interoperability and Patient Access Rule.
- aid: centene:centene-fhir-provider-directory
  name: Centene FHIR Provider Directory API
  tags:
  - FHIR
  - Provider Directory
  - CMS Interoperability
  humanURL: https://partners.centene.com/apiDetail/8122bc9c-43d6-4a2a-b6be-2272df8b8566
  properties:
  - url: https://partners.centene.com/apiDetail/8122bc9c-43d6-4a2a-b6be-2272df8b8566
    type: Documentation
  - url: https://partners.centene.com/apis
    type: Catalog
  description: The Centene FHIR Provider Directory API exposes in-network provider information for Centene members and the
    public via HL7 FHIR PDEX Provider Directory resources.
- aid: centene:centene-fhir-pdex-rtr
  name: Centene Provider RTR - FHIR PDEX Directory API
  tags:
  - FHIR
  - PDEX
  - Payer Data Exchange
  humanURL: https://partners.centene.com/apiDetail/6b5c0001-8b47-4f1c-864f-9193971f5c62
  properties:
  - url: https://partners.centene.com/apiDetail/6b5c0001-8b47-4f1c-864f-9193971f5c62
    type: Documentation
  - url: https://partners.centene.com/apis
    type: Catalog
  description: 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.
common:
- type: DomainSecurity
  url: security/centene-domain-security.yml
- type: GitHubOrganization
  url: https://github.com/Centene
- type: LinkedIn
  url: https://www.linkedin.com/company/centene-corporation
- type: Website
  url: https://www.centene.com
- type: DeveloperPortal
  url: https://partners.centene.com/
- type: API Catalog
  url: https://partners.centene.com/apis
- type: Application Developer
  url: https://partners.centene.com/applicationDeveloper
- type: Interoperability
  url: https://www.superiorhealthplan.com/members/medicaid/resources/interoperability-and-patient-access/interoperability-for-developers.html
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com