Elevance Health

Elevance Health (formerly Anthem) is a Fortune 500 health benefits company that serves members through Blue Cross and Blue Shield affiliated health plans across multiple states. The company offers medical, pharmacy, dental, vision, and other specialty insurance and exposes a set of CMS Interoperability and Patient Access FHIR APIs to enable members, providers, and partner payers to securely exchange coverage, clinical, claims, provider directory, and formulary data.

Elevance Health publishes 5 APIs on the APIs.io network, including Claims API, Conformance API, Coverage API, and 2 more. Tagged areas include Fortune 500, Healthcare, Health Insurance, FHIR, and Interoperability.

Elevance Health’s developer surface includes authentication, documentation, signup flow, and 6 more developer resources.

🌐 Visit website 📡 Source on GitHub

37.3/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-07-28 · rubric v0.6

AccessSelf serve

9 APIs

Fortune 500HealthcareHealth InsuranceFHIRInteroperability

Kin Score

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

Composite quality — 37.3/100 · thin

Contract Quality 13.4 / 25

Developer Ergonomics 5.7 / 20

Commercial Clarity 7.9 / 20

Operational Transparency 4.1 / 13

Governance 0.0 / 12

Discoverability 6.5 / 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/elevance-health: 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 9

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

Rate Limits 1

Documented rate limits and quota policies.

Elevance Health Rate Limits

4 limits

RATE LIMITS

FinOps 1

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

Scopes 1

OAuth scopes governing access to this provider's APIs.

Elevance Health Scopes

3 scopes · authorizationCode

3 scopes

SCOPES

Agentic Access 1

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

Elevance Health Agentic Access

10 operations

10 operations · 0 acting

AGENTIC

Resources

Get Started 2

Portal, sign-up, and the first successful call

DeveloperPortal

DeveloperPortal

Signup

Signup

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 3

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

OAuthScopes

OAuthScopes

Company 2

The organization behind the API

LinkedIn

Website

Website

Source (apis.yml)

aid: elevance-health
name: Elevance Health
url: https://raw.githubusercontent.com/api-evangelist/elevance-health/refs/heads/main/apis.yml
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
modified: '2026-04-28'
created: '2026-03-21'
specificationVersion: '0.19'
type: Index
position: Consuming
access: 3rd-Party
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/elevance-health.png
tags:
- Fortune 500
- Healthcare
- Health Insurance
- FHIR
- Interoperability
description: Elevance Health (formerly Anthem) is a Fortune 500 health benefits company that serves members through Blue Cross
  and Blue Shield affiliated health plans across multiple states. The company offers medical, pharmacy, dental, vision, and
  other specialty insurance and exposes a set of CMS Interoperability and Patient Access FHIR APIs to enable members, providers,
  and partner payers to securely exchange coverage, clinical, claims, provider directory, and formulary data.
apis:
- aid: elevance-health:patient-access
  name: Elevance Health Patient Access API
  description: The Patient Access API enables Anthem and Elevance Health members to securely access and exchange their medical,
    pharmacy, dental, and vision claims and clinical data through third-party applications. Built on the HL7 FHIR R4 specification
    and aligned with the CARIN Consumer Directed Payer Data Exchange Implementation Guide, the API supports up to five years
    of historical claims and clinical data.
  humanURL: https://www.anthem.com/developers
  baseURL: https://patient360.anthem.com/P360Member/fhir
  tags:
  - FHIR
  - Healthcare
  - Health Insurance
  - Patient Access
  - Interoperability
  properties:
  - type: Documentation
    url: https://patient360c.anthem.com/P360Member/fhir/documentation
  - type: DeveloperPortal
    url: https://www.anthem.com/developers
- aid: elevance-health:provider-directory
  name: Elevance Health Provider Directory API
  description: The Provider Directory API exposes Elevance Health network provider information including practitioners, practitioner
    roles, organizations, locations, and insurance plans. The API conforms to the HL7 FHIR R4 specification and the DaVinci
    PDEX Plan Net Implementation Guide and does not require authentication for public directory data.
  humanURL: https://www.anthem.com/developers
  tags:
  - FHIR
  - Provider Directory
  - Healthcare
  - Interoperability
  properties:
  - type: Documentation
    url: https://www.anthem.com/developers
- aid: elevance-health:formulary
  name: Elevance Health Formulary API
  description: The Formulary API publishes Elevance Health drug coverage information including covered drug lists, tier placement,
    prior authorization requirements, and step therapy rules. The API conforms to the HL7 FHIR R4 specification and the DaVinci
    PDEX US Drug Formulary Implementation Guide.
  humanURL: https://www.anthem.com/developers
  tags:
  - FHIR
  - Formulary
  - Pharmacy
  - Healthcare
  - Interoperability
  properties:
  - type: Documentation
    url: https://www.anthem.com/developers
- aid: elevance-health:payer-to-payer
  name: Elevance Health Payer to Payer API
  description: The Payer to Payer API enables Elevance Health to exchange member coverage and clinical data with other health
    plans when members move between payers, supporting the CMS Interoperability and Prior Authorization rule. The API is built
    on the HL7 FHIR R4 specification.
  humanURL: https://www.anthem.com/developers
  tags:
  - FHIR
  - Payer to Payer
  - Healthcare
  - Interoperability
  properties:
  - type: Documentation
    url: https://www.anthem.com/developers
- aid: elevance-health:elevance-health-claims-api
  name: Elevance Health Claims API
  description: The Claims API from Elevance Health — 3 operation(s) for claims.
  humanURL: https://www.anthem.com/developers
  baseURL: https://patient360.anthem.com/P360Member/fhir
  tags:
  - Claims
  properties:
  - type: OpenAPI
    url: openapi/elevance-health-claims-api-openapi.yml
- aid: elevance-health:elevance-health-conformance-api
  name: Elevance Health Conformance API
  description: The Conformance API from Elevance Health — 1 operation(s) for conformance.
  humanURL: https://www.anthem.com/developers
  baseURL: https://patient360.anthem.com/P360Member/fhir
  tags:
  - Conformance
  properties:
  - type: OpenAPI
    url: openapi/elevance-health-conformance-api-openapi.yml
- aid: elevance-health:elevance-health-coverage-api
  name: Elevance Health Coverage API
  description: The Coverage API from Elevance Health — 2 operation(s) for coverage.
  humanURL: https://www.anthem.com/developers
  baseURL: https://patient360.anthem.com/P360Member/fhir
  tags:
  - Coverage
  properties:
  - type: OpenAPI
    url: openapi/elevance-health-coverage-api-openapi.yml
- aid: elevance-health:elevance-health-patient-api
  name: Elevance Health Patient API
  description: The Patient API from Elevance Health — 2 operation(s) for patient.
  humanURL: https://www.anthem.com/developers
  baseURL: https://patient360.anthem.com/P360Member/fhir
  tags:
  - Patient
  properties:
  - type: OpenAPI
    url: openapi/elevance-health-patient-api-openapi.yml
- aid: elevance-health:elevance-health-provider-directory-api
  name: Elevance Health Provider Directory API
  description: The Provider Directory API from Elevance Health — 2 operation(s) for provider directory.
  humanURL: https://www.anthem.com/developers
  baseURL: https://patient360.anthem.com/P360Member/fhir
  tags:
  - Provider Directory
  properties:
  - type: OpenAPI
    url: openapi/elevance-health-provider-directory-api-openapi.yml
common:
- type: AgenticAccess
  url: agentic-access/elevance-health-agentic-access.yml
- type: DomainSecurity
  url: security/elevance-health-domain-security.yml
- type: Authentication
  url: authentication/elevance-health-authentication.yml
- type: OAuthScopes
  url: scopes/elevance-health-scopes.yml
- type: LinkedIn
  url: https://www.linkedin.com/company/elevance-health
- type: Website
  url: https://www.elevancehealth.com
- type: DeveloperPortal
  url: https://www.anthem.com/developers
- type: Documentation
  url: https://patient360c.anthem.com/P360Member/fhir/documentation
- type: Signup
  url: https://www.anthem.com/developers/request-anthem-io
maintainers:
- FN: API Evangelist
  email: info@apievangelist.com

Elevance Health

Kin Score

APIs 9

Elevance Health Patient Access API

Elevance Health Provider Directory API

Elevance Health Formulary API

Elevance Health Payer to Payer API

Elevance Health Claims API

Elevance Health Conformance API

Elevance Health Coverage API

Elevance Health Patient API

Elevance Health Provider Directory API

Open Collections 1

Elevance Health Patient Access FHIR API

Pricing Plans 1

Elevance Health Plans Pricing