# Centene

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

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.

## Kin Score — 8.8 / 100 (minimal)

Scored 2026-08-20 under rubric 0.12.0. Trend: flat (+0.0 from 8.8).

| Facet | Score |
|---|---|
| Discoverability | 64.8 |
| Contract Quality | 0.0 |
| Governance | 0.0 |
| Contract Governance | 0.0 |
| Operational Transparency | 10.5 |
| Developer Ergonomics | 0.0 |
| Commercial Clarity | 13.2 |
| Access Clarity | 13.2 |

Regulatory layer — **Health**: 7.5 (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

Free — onboarding: unknown, pricing: free, trial: no (confidence: medium).

## APIs (3)

- **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.

## Security (1)

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

## Plans (1)

- **Centene Plans Pricing**

## Tags

CMS Interoperability, FHIR, Formulary, Healthcare, Insurance, Interoperability, Managed Care, Patient Access, Provider Directory, Fortune 500

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