Centene

aid: centene
url: https://raw.githubusercontent.com/api-evangelist/centene/refs/heads/main/apis.yml
name: Centene
type: Index
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
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: 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