# Clever Care

**Canonical:** https://apis.io/providers/clever-care/  
**Website:** https://clevercarehealthplan.com  
**APIs profiled:** 13

Clever Care Health Plan is a California Medicare Advantage (HMO and HMO C-SNP) plan headquartered in Huntington Beach, CA, that blends the healing therapies of Eastern medicine with the innovative practices of Western medicine to serve Los Angeles, Orange, San Diego, Riverside, and San Bernardino counties. In compliance with the CMS Interoperability and Patient Access rule (CMS-9115-F), Clever Care operates a secure, standards-based HL7 FHIR R4 API surface (WSO2 gateway) spanning 13 published resource APIs across three domains: Patient Access (CARIN Blue Button), Provider Directory (Da Vinci PDex Plan-Net), and Drug Formulary (Da Vinci US Drug Formulary). Patient Access resources are secured with SMART on FHIR OAuth 2.0 / OpenID Connect; directory and formulary resources are public and rate-limited. Provider Access, Payer-to-Payer, and Prior Authorization APIs are planned for January 1, 2027.

## Kin Score — 39.5 / 100 (developing)

Scored 2026-08-20 under rubric 0.12.0. Trend: flat (+0.0 from 39.5).

| Facet | Score |
|---|---|
| Discoverability | 81.5 |
| Contract Quality | 45.3 |
| Governance | 30.3 |
| Contract Governance | 30.3 |
| Operational Transparency | 0.0 |
| Developer Ergonomics | 30.4 |
| Commercial Clarity | 13.2 |
| Access Clarity | 13.2 |

Regulatory layer — **Health**: 70.0 (matched via tags).

## Agent readiness — 36.5 (agent-ready)

| Dimension | Value |
|---|---|
| Spec Presence | yes |
| Agentic Access | derived |
| Reversibility Documented | na |
| MCP Server | no |
| Auth Clarity | yes |
| Idempotency | na |
| Error Semantics | documented |
| OpenAPI Examples | no |
| Rate Limit Signal | no |
| Event Surface Described | no |
| Agent Skills | derived |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | na |

## Access

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

## APIs (13)

- **Clever Care Coverage API** — The Coverage API from Clever Care — 2 operation(s) for coverage.
- **Clever Care Endpoint API** — The Endpoint API from Clever Care — 2 operation(s) for endpoint.
- **Clever Care ExplanationOfBenefit API** — The ExplanationOfBenefit API from Clever Care — 2 operation(s) for explanationofbenefit.
- **Clever Care HealthcareService API** — The HealthcareService API from Clever Care — 2 operation(s) for healthcareservice.
- **Clever Care InsurancePlan API** — The InsurancePlan API from Clever Care — 2 operation(s) for insuranceplan.
- **Clever Care List API** — The List API from Clever Care — 2 operation(s) for list.
- **Clever Care Location API** — The Location API from Clever Care — 2 operation(s) for location.
- **Clever Care MedicationKnowledge API** — The MedicationKnowledge API from Clever Care — 2 operation(s) for medicationknowledge.
- **Clever Care Organization API** — The Organization API from Clever Care — 2 operation(s) for organization.
- **Clever Care OrganizationAffiliation API** — The OrganizationAffiliation API from Clever Care — 2 operation(s) for organizationaffiliation.
- **Clever Care Patient API** — The Patient API from Clever Care — 2 operation(s) for patient.
- **Clever Care Practitioner API** — The Practitioner API from Clever Care — 2 operation(s) for practitioner.
- **Clever Care PractitionerRole API** — The PractitionerRole API from Clever Care — 2 operation(s) for practitionerrole.

## MCP servers (1)

- **Clever Care MCP Server**

## Agentic access (1)

- **Clever Care Agentic Access** — 26 operations

## Security (2)

- **Clever Care Authentication** — oauth2/openIdConnect · 3 schemes
- **Clever Care Domain Security** — TLSv1.3 · HSTS · DMARC

## Tags

Company, Life Sciences, Health Insurance, Medicare Advantage, Healthcare, FHIR, Healthcare Interoperability, Patient Access, Provider Directory, CMS-9115-F

---

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