Claim.MD

Claim.MD is a medical-claims clearinghouse that connects healthcare providers and software vendors to thousands of payers. Its REST API (authenticated with an AccountKey) supports electronic claim submission (837P/837I), claim status tracking, electronic remittance advice (835 ERA), real-time eligibility (270/271), and file upload/download workflows.

Claim.MD publishes 5 APIs on the APIs.io network, including Claim Status API, Claims API, Eligibility API, and 2 more. Tagged areas include Healthcare, Medical Claims, Clearinghouse, EDI, and X12.

Claim.MD’s developer surface includes authentication, documentation, engineering blog, and 7 more developer resources.

🌐 Visit website 📡 Source on GitHub

32.7/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-07-28 · rubric v0.6

AccessSelf serve

5 APIs

HealthcareMedical ClaimsClearinghouseEDIX12Revenue Cycle

Kin Score

Kin Score How this is scored →
scored 2026-07-28 · rubric v0.6

Composite quality — 32.7/100 · thin

Contract Quality 14.2 / 25

Developer Ergonomics 4.3 / 20

Commercial Clarity 5.8 / 20

Operational Transparency 4.1 / 13

Governance 0.0 / 12

Discoverability 7.4 / 10

Agent readiness — 31/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

MCP Server 0 / 12

Machine-Readable Auth 10 / 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/claim-md: 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 5

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

Rate Limits 1

Documented rate limits and quota policies.

Claim Md Rate Limits

4 limits

RATE LIMITS

FinOps 1

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

Documentation 1

Reference material describing how the API behaves

Documentation

Documentation

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Access & Security 2

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

Operate 1

Status, limits, changes, and where to get help

RateLimits

RateLimits

Commercial 2

Pricing, plans, and the legal terms of use

Plans

Plans

FinOps

FinOps

Company 3

The organization behind the API

LinkedIn

Website

Website

Blog

Blog

Source (apis.yml)

aid: claim-md
url: https://raw.githubusercontent.com/api-evangelist/claim-md/refs/heads/main/apis.yml
name: Claim.MD
kind: company
description: Claim.MD is a medical-claims clearinghouse that connects healthcare providers and software vendors to thousands
  of payers. Its REST API (authenticated with an AccountKey) supports electronic claim submission (837P/837I), claim status
  tracking, electronic remittance advice (835 ERA), real-time eligibility (270/271), and file upload/download workflows.
accessModel:
  pricing: unknown
  onboarding: self-serve
  trial: false
  try_now: false
  public: false
  label: Self-serve signup
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/claim-md.png
tags:
- Healthcare
- Medical Claims
- Clearinghouse
- EDI
- X12
- Revenue Cycle
created: '2026-06-21'
modified: '2026-06-21'
specificationVersion: '0.19'
apis:
- aid: claim-md:claim-md-claim-status-api
  name: Claim.MD Claim Status API
  description: Claim status responses, modifications, and notes.
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  tags:
  - Claim Status
  properties:
  - type: OpenAPI
    url: openapi/claim-md-claim-status-api-openapi.yml
  - type: Documentation
    url: https://docs.claim.md/docs/api
  - type: APIReference
    url: https://api.claim.md/
  - type: PostmanCollection
    url: collections/claim-md.postman_collection.json
  - type: OpenCollection
    url: collections/claim-md.opencollection.json
- aid: claim-md:claim-md-claims-api
  name: Claim.MD Claims API
  description: Claim file upload and reconciliation.
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  tags:
  - Claims
  properties:
  - type: OpenAPI
    url: openapi/claim-md-claims-api-openapi.yml
  - type: Documentation
    url: https://docs.claim.md/docs/api
  - type: APIReference
    url: https://api.claim.md/
  - type: PostmanCollection
    url: collections/claim-md.postman_collection.json
  - type: OpenCollection
    url: collections/claim-md.opencollection.json
- aid: claim-md:claim-md-eligibility-api
  name: Claim.MD Eligibility API
  description: Real-time eligibility and benefit verification (270/271).
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  tags:
  - Eligibility
  properties:
  - type: OpenAPI
    url: openapi/claim-md-eligibility-api-openapi.yml
  - type: Documentation
    url: https://docs.claim.md/docs/api
  - type: APIReference
    url: https://api.claim.md/
  - type: PostmanCollection
    url: collections/claim-md.postman_collection.json
  - type: OpenCollection
    url: collections/claim-md.opencollection.json
- aid: claim-md:claim-md-era-api
  name: Claim.MD ERA API
  description: Electronic remittance advice (835) listing and retrieval.
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  tags:
  - ERA
  properties:
  - type: OpenAPI
    url: openapi/claim-md-era-api-openapi.yml
  - type: Documentation
    url: https://docs.claim.md/docs/api
  - type: APIReference
    url: https://api.claim.md/
  - type: PostmanCollection
    url: collections/claim-md.postman_collection.json
  - type: OpenCollection
    url: collections/claim-md.opencollection.json
- aid: claim-md:claim-md-reference-api
  name: Claim.MD Reference API
  description: Payer directory, enrollment, appeals, and webhooks.
  humanURL: https://docs.claim.md/docs/api
  baseURL: https://svc.claim.md/services
  tags:
  - Reference
  properties:
  - type: OpenAPI
    url: openapi/claim-md-reference-api-openapi.yml
  - type: Documentation
    url: https://docs.claim.md/docs/api
  - type: APIReference
    url: https://api.claim.md/
  - type: PostmanCollection
    url: collections/claim-md.postman_collection.json
  - type: OpenCollection
    url: collections/claim-md.opencollection.json
common:
- type: AgenticAccess
  url: agentic-access/claim-md-agentic-access.yml
- type: DomainSecurity
  url: security/claim-md-domain-security.yml
- type: Authentication
  url: authentication/claim-md-authentication.yml
- type: LinkedIn
  url: https://www.linkedin.com/company/claim.md
- type: Website
  url: https://www.claim.md
- type: Documentation
  url: https://docs.claim.md/docs/index
- type: Plans
  url: plans/claim-md-plans-pricing.yml
- type: RateLimits
  url: rate-limits/claim-md-rate-limits.yml
- type: FinOps
  url: finops/claim-md-finops.yml
- url: https://www.claim.md/news
  type: Blog
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com

Claim.MD

Kin Score

APIs 5

Claim.MD Claim Status API

Claim.MD Claims API

Claim.MD Eligibility API

Claim.MD ERA API

Claim.MD Reference API

Open Collections 1

Claim.MD API

Pricing Plans 1

Claim Md Plans Pricing

Rate Limits 1

Claim Md Rate Limits

FinOps 1

Claim Md Finops

Security Posture 2

Claim Md Authentication

Claim Md Domain Security

Agentic Access 1

Claim Md Agentic Access

Resources