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 1 API on the APIs.io network: FHIR R4 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
42.6/100 thin Agent 69/100 agent native Full breakdown ↓
scored 2026-07-20 · rubric v0.4
1 APIs 1 MCP Servers 0 Features
CompanyHealthcareHealth InsuranceMedicare AdvantageFHIRInteroperabilityPatient AccessProvider DirectoryDrug Formulary

API Rating

API Evangelist API Evangelist Rating How this is scored →
scored 2026-07-20 · rubric v0.4
Composite quality — 42.6/100 · thin
Contract Quality 13.3 / 25
Developer Ergonomics 12.2 / 20
Commercial Clarity 8.4 / 20
Operational Transparency 0.0 / 13
Governance 0.0 / 12
Discoverability 8.8 / 10
Agent readiness — 69/100 · agent native
Machine-Readable Contract 18 / 18
Agentic Access Contract 15 / 15
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
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

Clever Care Health Plan FHIR R4 API

HL7 FHIR R4 (4.0.1) API implementing CMS-9115-F. Secured Patient Access (Patient, Coverage, ExplanationOfBenefit/CARIN Blue Button) via SMART-on-FHIR OAuth 2.0; public rate-limi...

MCP Servers

clevercarehealthplan-mcp.yml

MCP SERVER

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
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:
- name: Clever Care Health Plan FHIR R4 API
  description: HL7 FHIR R4 (4.0.1) API implementing CMS-9115-F. Secured Patient Access (Patient, Coverage, ExplanationOfBenefit/CARIN
    Blue Button) via SMART-on-FHIR OAuth 2.0; public rate-limited Provider Directory and Drug Formulary resources.
  humanURL: https://clevercarehealthplan.com/fhir-api-developer-resources/
  baseURL: https://fhir.clevercarehealthplan.com/r4
  tags:
  - FHIR
  - Healthcare
  - Interoperability
  - Patient Access
  - Provider Directory
  - Drug Formulary
  properties:
  - type: OpenAPI
    url: openapi/clevercarehealthplan-fhir-openapi.yml
  - type: Documentation
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
  - type: APIReference
    url: https://fhir-portal.clevercarehealthplan.com/api-docs/
  - type: Overlay
    url: overlays/clevercarehealthplan-fhir-overlay.yaml
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