Clever Care Health Plan website screenshot

Clever Care Health Plan

Clever Care Health Plan is a California Medicare Advantage (HMO and HMO C-SNP) insurer that blends Eastern and Western medicine for seniors. For developers it publishes an HL7 FHIR R4 (4.0.1) API implementing the CMS Interoperability and Patient Access final rule (CMS-9115-F): a secured Patient Access API (Patient, Coverage, and CARIN Blue Button ExplanationOfBenefit) protected with SMART-on-FHIR OAuth 2.0 / OpenID Connect, plus public, rate-limited Provider Directory and Drug Formulary APIs. The FHIR server runs on WSO2 Open Healthcare with a developer portal for app registration and API subscription.

Clever Care Health Plan publishes 3 APIs on the APIs.io network: Drug Formulary API, Patient Access API, and Provider Directory API. Tagged areas include Company, Healthcare, Health Insurance, Medicare Advantage, and FHIR.

Clever Care Health Plan’s developer surface includes getting-started guide, documentation, API reference, signup flow, authentication, and 17 more developer resources.

🌐 Visit website 📡 Source on GitHub
50.5/100 developing ▬ flat Agent 39/100 agent ready Full breakdown ↓
scored 2026-08-10 · rubric v0.9.1
AccessSelf serve
3 APIs 1 MCP Servers
CompanyHealthcareHealth InsuranceMedicare AdvantageFHIRInteroperabilityPatient AccessProvider DirectoryDrug Formulary

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-08-10 · rubric v0.9.1
Composite quality — 50.5/100 · developing
Contract Quality 14.1 / 25
Developer Ergonomics 9.9 / 20
Commercial Clarity 8.4 / 20
Operational Transparency 0.0 / 13
Governance 2.5 / 12
Discoverability 9.3 / 10
Agent readiness — 39/100 · agent ready
Machine-Readable Contract 18 / 18
Agentic Access Contract 10 / 10
MCP Server 12 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 9
Stable Error Semantics 8 / 8
Request/Response Examples 0 / 7
Rate-Limit Signaling 0 / 7
Typed Event Surface 0 / 6
Agent Skills 5 / 5
Well-Known Catalog 4 / 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/clevercarehealthplan: 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 3

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

Clever Care Health Plan Drug Formulary API

Public (rate limited) drug formulary resources

Clever Care Health Plan Patient Access API

Secured (OpenID Connect / OAuth 2.0) member data resources

Clever Care Health Plan Provider Directory API

Public (rate limited) provider directory resources

MCP Servers 1

Model Context Protocol servers that expose these APIs to AI agents.

clevercarehealthplan-mcp.yml

MCP SERVER

Security Posture 2

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

Clevercarehealthplan Authentication

oauth2 · 1 scheme

SECURITY

Clevercarehealthplan Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Scopes 1

OAuth scopes governing access to this provider's APIs.

Clevercarehealthplan Scopes

4 scopes · authorizationCode/clientCredentials

4 scopes

SCOPES

Agentic Access 1

Recommended x-agentic-access execution contracts for AI agents.

Clevercarehealthplan Agentic Access

27 operations

27 operations · 0 acting

AGENTIC

Resources

Get Started 3

Portal, sign-up, and the first successful call

DeveloperPortal
DeveloperPortal
 GettingStarted
GettingStarted
 SignUp
SignUp

Documentation 2

Reference material describing how the API behaves

Documentation
Documentation
 APIReference
APIReference

Agent Surfaces 5

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess
AgenticAccess
 MCPServer
MCPServer
 AgentSkill
AgentSkill
 WellKnown
WellKnown
 LLMsTxt
LLMsTxt

Design & Contract 5

Pagination, idempotency, versioning, errors, and events

Conformance
Conformance
 ErrorCatalog
ErrorCatalog
 Conventions
Conventions
 Lifecycle
Lifecycle
 DataModel
DataModel

Access & Security 4

Authentication, authorization, and security posture

Authentication
Authentication
 OAuthScopes
OAuthScopes
 Compliance
Compliance
 DomainSecurity
DomainSecurity

Commercial 2

Pricing, plans, and the legal terms of use

PrivacyPolicy
PrivacyPolicy
 TermsOfService
TermsOfService

Company 1

The organization behind the API

Website
Website

Source (apis.yml)

apis.yml Raw ↑ 
aid: clevercarehealthplan
accessModel:
  pricing: unknown
  onboarding: self-serve
  trial: false
  try_now: false
  public: false
  label: Self-serve signup
  confidence: medium
  source:
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/clevercarehealthplan.png
name: Clever Care Health Plan
description: 'Clever Care Health Plan is a California Medicare Advantage (HMO and HMO C-SNP) insurer that blends Eastern and
  Western medicine for seniors. For developers it publishes an HL7 FHIR R4 (4.0.1) API implementing the CMS Interoperability
  and Patient Access final rule (CMS-9115-F): a secured Patient Access API (Patient, Coverage, and CARIN Blue Button ExplanationOfBenefit)
  protected with SMART-on-FHIR OAuth 2.0 / OpenID Connect, plus public, rate-limited Provider Directory and Drug Formulary
  APIs. The FHIR server runs on WSO2 Open Healthcare with a developer portal for app registration and API subscription.'
url: https://raw.githubusercontent.com/api-evangelist/clevercarehealthplan/refs/heads/main/apis.yml
x-type: company
x-source: vc-portfolio
x-backed-by:
- norwest-venture-partners
x-tier: enriched
x-tier-reason: fhir-api-found
specificationVersion: '0.20'
created: '2026-07-17'
modified: '2026-07-18'
tags:
- Company
- Healthcare
- Health Insurance
- Medicare Advantage
- FHIR
- Interoperability
- Patient Access
- Provider Directory
- Drug Formulary
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
- FN: APIs.json
  email: info@apis.io
apis:
- aid: clevercarehealthplan:clevercarehealthplan-drug-formulary-api
  name: Clever Care Health Plan Drug Formulary API
  description: Public (rate limited) drug formulary resources
  humanURL: https://clevercarehealthplan.com/fhir-api-developer-resources/
  baseURL: https://fhir.clevercarehealthplan.com/r4
  tags:
  - Drug Formulary
  properties:
  - type: OpenAPI
    url: openapi/clevercarehealthplan-drug-formulary-api-openapi.yml
  - type: Documentation
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
  - type: APIReference
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
- aid: clevercarehealthplan:clevercarehealthplan-patient-access-api
  name: Clever Care Health Plan Patient Access API
  description: Secured (OpenID Connect / OAuth 2.0) member data resources
  humanURL: https://clevercarehealthplan.com/fhir-api-developer-resources/
  baseURL: https://fhir.clevercarehealthplan.com/r4
  tags:
  - Patient Access
  properties:
  - type: OpenAPI
    url: openapi/clevercarehealthplan-patient-access-api-openapi.yml
  - type: Documentation
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
  - type: APIReference
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
- aid: clevercarehealthplan:clevercarehealthplan-provider-directory-api
  name: Clever Care Health Plan Provider Directory API
  description: Public (rate limited) provider directory resources
  humanURL: https://clevercarehealthplan.com/fhir-api-developer-resources/
  baseURL: https://fhir.clevercarehealthplan.com/r4
  tags:
  - Provider Directory
  properties:
  - type: OpenAPI
    url: openapi/clevercarehealthplan-provider-directory-api-openapi.yml
  - type: Documentation
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
  - type: APIReference
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
common:
- type: DeveloperPortal
  url: https://fhir-portal.clevercarehealthplan.com/devportal
- type: GettingStarted
  url: https://clevercarehealthplan.com/fhir-api-developer-resources/
- type: Documentation
  url: https://fhir-portal.clevercarehealthplan.com/api-docs/
- type: APIReference
  url: https://fhir-portal.clevercarehealthplan.com/api-docs/
- type: SignUp
  url: https://fhir-portal.clevercarehealthplan.com/devportal
- type: Authentication
  url: authentication/clevercarehealthplan-authentication.yml
- type: OAuthScopes
  url: scopes/clevercarehealthplan-scopes.yml
- type: AgenticAccess
  url: agentic-access/clevercarehealthplan-agentic-access.yml
- type: MCPServer
  url: mcp/clevercarehealthplan-mcp.yml
- type: AgentSkill
  url: skills/_index.yml
- type: WellKnown
  url: well-known/clevercarehealthplan-well-known.yml
- type: LLMsTxt
  url: llms/clevercarehealthplan-llms.txt
- type: Conformance
  url: conformance/clevercarehealthplan-conformance.yml
- type: Compliance
  url: https://clevercarehealthplan.com/medicare-compliance/
- type: ErrorCatalog
  url: errors/clevercarehealthplan-problem-types.yml
- type: Conventions
  url: conventions/clevercarehealthplan-conventions.yml
- type: Lifecycle
  url: lifecycle/clevercarehealthplan-lifecycle.yml
- type: DataModel
  url: data-model/clevercarehealthplan-data-model.yml
- type: DomainSecurity
  url: security/clevercarehealthplan-domain-security.yml
- type: PrivacyPolicy
  url: https://clevercarehealthplan.com/privacy-practices/
- type: TermsOfService
  url: https://clevercarehealthplan.com/terms-of-use/
- type: Website
  url: https://clevercarehealthplan.com
x-enrichment:
  date: '2026-07-19'
  status: backfilled
  pass: local-v1
  note: backfilled from .gitignore signal + verified work evidence