Change Healthcare website screenshot

Change Healthcare

Change Healthcare was one of the largest healthcare technology and clearinghouse companies in the United States, moving eligibility, claim, remittance and prior-authorization transactions between providers and payers over X12 EDI. UnitedHealth Group acquired it in October 2022 and folded it into Optum, and the brand has since been retired: www.changehealthcare.com redirects to business.optum.com, developers.changehealthcare.com redirects path-for-path to developer.optum.com, and the apis.changehealthcare.com API gateway is decommissioned and documented by Optum as "an old domain and no longer supported". The Change Healthcare Medical Network APIs — Eligibility v3, Professional Claims v3, Institutional Claims v1, Claim Status v2, Claims Responses and Reports v2, Attachments, PayerList v1 and Prior Authorization v1 — are still operated and documented, but on Optum infrastructure and under Optum hosts.

Change Healthcare publishes 1 API on the APIs.io network: Medical Network API. Tagged areas include Healthcare, Technology, Analytics, EDI, and Claims.

18.8/100 emerging ▬ flat Agent 3/100 human only Full breakdown ↓
scored 2026-08-20 · rubric v0.12.0
1 APIs
HealthcareTechnologyAnalyticsEDIClaimsEligibilityClearinghouseRevenue Cycle ManagementPrior Authorization

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-08-20 · rubric v0.12.0
Composite quality — 18.8/100 · emerging
Contract Quality 0.0 / 21
Developer Ergonomics 0.8 / 17
Access Clarity 4.9 / 17
Operational Transparency 1.7 / 11
Contract Governance 1.9 / 10
Discoverability 6.5 / 9
Regulatory Posture 4.3 / 15
Agent readiness — 3/100 · human only
Machine-Readable Contract 0 / 18
Agentic Access Contract 0 / 10
Documented Reversibility 0 / 6
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
Regulatory Posture applies to this provider. Its tags matched the Insurance regime, so Regulatory Posture carries 15 points of the composite. If this regime is wrong for your business, say so on your provider repo — the applicability map is public and we will correct it.
The six quality facets above are damped to 85 points between them, because the conditional facet above carries the other 15. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 85% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.
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/change-healthcare: 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 1

Individual APIs this provider publishes, each with its own machine-readable definition.

Change Healthcare Medical Network API

JSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status, 837P/837I claim submission and validation, 835/277 claims responses an...

Pricing Plans 1

Published pricing tiers and plan structures.

Rate Limits 1

Documented rate limits and quota policies.

Change Healthcare Rate Limits

0 limits

RATE LIMITS

FinOps 1

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

Security Posture 1

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

Change Healthcare Domain Security

TLSv1.3 · HSTS · DNSSEC · DMARC

SECURITY

Resources

Get Started 1

Portal, sign-up, and the first successful call

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

Design & Contract 2

Pagination, idempotency, versioning, errors, and events

Build 1

SDKs, sample code, and the tooling you integrate with

Access & Security 1

Authentication, authorization, and security posture

Operate 1

Status, limits, changes, and where to get help

Commercial 2

Pricing, plans, and the legal terms of use

Company 2

The organization behind the API

Source (apis.yml)

apis.yml Raw ↑
aid: change-healthcare
url: https://raw.githubusercontent.com/api-evangelist/change-healthcare/refs/heads/main/apis.yml
name: Change Healthcare
type: Index
accessModel:
  pricing: unknown
  onboarding: request
  trial: false
  try_now: false
  public: false
  label: Contact Sales
  confidence: high
  source:
  - plans
  - https://developer.optum.com/eligibilityandclaims/docs/create-a-sandbox-account
  generated: '2026-08-15'
  method: searched
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/change-healthcare.png
tags:
- Healthcare
- Technology
- Analytics
- EDI
- Claims
- Eligibility
- Clearinghouse
- Revenue Cycle Management
- Prior Authorization
description: 'Change Healthcare was one of the largest healthcare technology and clearinghouse companies in the United States,
  moving eligibility, claim, remittance and prior-authorization transactions between providers and payers over X12 EDI. UnitedHealth
  Group acquired it in October 2022 and folded it into Optum, and the brand has since been retired: www.changehealthcare.com
  redirects to business.optum.com, developers.changehealthcare.com redirects path-for-path to developer.optum.com, and the
  apis.changehealthcare.com API gateway is decommissioned and documented by Optum as "an old domain and no longer supported".
  The Change Healthcare Medical Network APIs — Eligibility v3, Professional Claims v3, Institutional Claims v1, Claim Status
  v2, Claims Responses and Reports v2, Attachments, PayerList v1 and Prior Authorization v1 — are still operated and documented,
  but on Optum infrastructure and under Optum hosts.'
created: '2026-04-19'
modified: '2026-08-15'
specificationVersion: '0.23'
apis:
- aid: change-healthcare:change-healthcare-api
  name: Change Healthcare Medical Network API
  tags:
  - Healthcare
  - EDI
  - Eligibility
  - Claims
  - Prior Authorization
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  baseURL: https://apigw.optum.com/medicalnetwork/
  humanURL: https://developers.changehealthcare.com/
  description: JSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status,
    837P/837I claim submission and validation, 835/277 claims responses and reports, 278 prior authorization and referrals,
    claim attachments, and the payer list. OAuth 2.0 client credentials against apip/auth/v2/token, one-hour bearer tokens,
    versioning carried in the URL path.
  properties:
  - url: https://developer.optum.com/eligibilityandclaims/docs
    type: Documentation
    name: 'Successor documentation. developers.changehealthcare.com CNAMEs to developer.optum.com and 301s path-for-path (verified:
      /eligibilityandclaims/docs/api-urls on the changehealthcare.com host lands on the identical Optum page), so this is
      the Change Healthcare Medical Network reference under its acquirer.'
  - url: https://developer.optum.com/eligibilityandclaims/reference/api-overview
    type: APIReference
  - url: https://developer.optum.com/eligibilityandclaims/docs/get-started-with-optum-api
    type: GettingStarted
  - url: https://developer.optum.com/eligibilityandclaims/docs/create-a-sandbox-account
    type: SignUp
    name: Request sandbox access — there is no self-serve signup.
  - url: https://developer.optum.com/eligibilityandclaims/docs/eligibility-release-notes
    type: ChangeLog
    name: Dated release notes for Medical Network Eligibility.
  - url: https://www.postman.com/changehealthcare-cdp-dev/workspace/change-healthcare-medical-network-apis/overview
    type: Postman
    name: Public Postman workspace published by the changehealthcare-cdp-dev team, carrying the Medical Network Eligibility
      v3, Professional Claims v3, Institutional Claims v1, Claim Status v2 and Claims Responses and Reports collections. Note
      postman.com soft-200s every URL, so presence was established from indexed collection pages under the workspace, not
      from the status code.
  - url: lifecycle/change-healthcare-lifecycle.yml
    type: Lifecycle
  - url: conformance/change-healthcare-conformance.yml
    type: Conformance
common:
- type: Website
  url: https://www.changehealthcare.com
- type: DeveloperPortal
  url: https://developer.optum.com/
- type: StatusPage
  url: https://status.changehealthcare.com
  name: Live on a changehealthcare.com host; CNAMEs into Atlassian Statuspage and serves a machine-readable /api/v2/summary.json.
    Branded "Optum Solutions".
- type: TermsOfService
  url: https://www.optum.com/en/terms-of-use.html
- type: PrivacyPolicy
  url: https://www.optum.com/en/privacy-policy.html
- type: LLMsTxt
  url: llms/change-healthcare-llms.txt
  name: Served verbatim at https://www.changehealthcare.com/llms.txt (HTTP 200, text/plain). It is an AI-usage POLICY, not
    a docs index — every usage class is marked disallowed.
- type: Lifecycle
  url: lifecycle/change-healthcare-lifecycle.yml
- type: Conformance
  url: conformance/change-healthcare-conformance.yml
- type: Packages
  url: packages/change-healthcare-packages.yml
  name: Zero first-party SDKs. The three RubyGems recorded are customer-written wrappers, so no SDKs pointer is emitted.
- type: DomainSecurity
  url: security/change-healthcare-domain-security.yml
- type: LinkedIn
  url: https://www.linkedin.com/company/change-healthcare
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
x-enrichment:
  date: '2026-08-15'
  status: minimal
  artifacts_added: 5
  pass: local-v1
x-coverage:
  state: none
  reason: defunct
  detail: Change Healthcare no longer operates a developer surface of its own — UnitedHealth Group absorbed it into Optum,
    www.changehealthcare.com 301s to business.optum.com, developers.changehealthcare.com 301s to developer.optum.com, and
    Optum's own documentation tells integrators "Do not use the https://apis.changehealthcare.com as it is an old domain and
    no longer supported"; the surviving Medical Network API contracts are served from apigw.optum.com and are catalogued under
    all/optum rather than duplicated here.
  evidence:
  - url: https://www.changehealthcare.com/
    status: 301
  - url: https://developers.changehealthcare.com/
    status: 301
  - url: https://apis.changehealthcare.com/openapi.json
    status: 400
  - url: https://api.changehealthcare.com/
    status: 0
  - url: https://developer.optum.com/eligibilityandclaims/docs/api-urls
    status: 200
  checked: '2026-08-15'