# Claim.MD

**Canonical:** https://apis.io/providers/claim-md/  
**Website:** https://www.claim.md  
**APIs profiled:** 5

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.

## Kin Score — 34.6 / 100 (thin)

Scored 2026-08-20 under rubric 0.12.0. Trend: flat (+0.0 from 34.6).

| Facet | Score |
|---|---|
| Discoverability | 74.1 |
| Contract Quality | 52.4 |
| Governance | 0.0 |
| Contract Governance | 0.0 |
| Operational Transparency | 31.6 |
| Developer Ergonomics | 23.8 |
| Commercial Clarity | 28.9 |
| Access Clarity | 28.9 |

Regulatory layer — **Health**: 15.0 (matched via tags).

## Agent readiness — 29.1 (agent-aware)

| Dimension | Value |
|---|---|
| Spec Presence | yes |
| Agentic Access | derived |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | yes |
| 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

Self-serve signup — onboarding: self-serve, pricing: unknown, trial: no (confidence: high).

## APIs (5)

- **Claim.MD Claim Status API** — Claim status responses, modifications, and notes.
- **Claim.MD Claims API** — Claim file upload and reconciliation.
- **Claim.MD Eligibility API** — Real-time eligibility and benefit verification (270/271).
- **Claim.MD ERA API** — Electronic remittance advice (835) listing and retrieval.
- **Claim.MD Reference API** — Payer directory, enrollment, appeals, and webhooks.

## Agentic access (1)

- **Claim Md Agentic Access** — 15 operations · 15 acting

## Security (2)

- **Claim Md Authentication** — apiKey · 1 scheme
- **Claim Md Domain Security** — TLSv1.3 · HSTS · DNSSEC · DMARC

## Plans (1)

- **Claim Md Plans Pricing**

## Tags

Healthcare, Medical Claims, Clearinghouse, EDI, X12, Revenue Cycle

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