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.

4 APIs 0 Features

Fortune 500HealthcareHealth InsuranceFHIRInteroperability

APIs

Elevance Health Patient Access API

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 th...

Elevance Health Provider Directory API

The Provider Directory API exposes Elevance Health network provider information including practitioners, practitioner roles, organizations, locations, and insurance plans. The A...

Elevance Health Formulary API

The Formulary API publishes Elevance Health drug coverage information including covered drug lists, tier placement, prior authorization requirements, and step therapy rules. The...

Elevance Health Payer to Payer API

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 Interop...

Collections

Elevance Health Patient Access FHIR API

OPEN

Pricing Plans

Elevance Health Plans Pricing

4 plans

PLANS

Rate Limits

Elevance Health Rate Limits

4 limits

RATE LIMITS

FinOps

Elevance Health Finops

FINOPS

Resources

Sources

opencollection: 1.0.0
info:
  name: Elevance Health Patient Access FHIR API
  version: '1.0'
request:
  auth:
    type: oauth2
    flow: authorization_code
    authorizationUrl: https://patient360c.anthem.com/P360Member/oauth2/authorize
    accessTokenUrl: https://patient360c.anthem.com/P360Member/oauth2/token
    credentials:
      clientId: '{{clientId}}'
      clientSecret: '{{clientSecret}}'
items:
- info:
    name: Conformance
    type: folder
  items:
  - info:
      name: Capability statement
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/metadata
    docs: Capability statement
- info:
    name: Patient
    type: folder
  items:
  - info:
      name: Read Patient
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Patient/:id
      params:
      - name: id
        value: ''
        type: path
    docs: Read Patient
  - info:
      name: Search Patient
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Patient
      params:
      - name: identifier
        value: ''
        type: query
      - name: birthdate
        value: ''
        type: query
      - name: family
        value: ''
        type: query
      - name: given
        value: ''
        type: query
    docs: Search Patient
- info:
    name: Coverage
    type: folder
  items:
  - info:
      name: Search Coverage
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Coverage
      params:
      - name: patient
        value: ''
        type: query
      - name: beneficiary
        value: ''
        type: query
    docs: Search Coverage
  - info:
      name: Read Coverage
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Coverage/:id
      params:
      - name: id
        value: ''
        type: path
    docs: Read Coverage
- info:
    name: Claims
    type: folder
  items:
  - info:
      name: Search ExplanationOfBenefit
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/ExplanationOfBenefit
      params:
      - name: patient
        value: ''
        type: query
      - name: _lastUpdated
        value: ''
        type: query
    docs: Search ExplanationOfBenefit
  - info:
      name: Read ExplanationOfBenefit
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/ExplanationOfBenefit/:id
      params:
      - name: id
        value: ''
        type: path
    docs: Read ExplanationOfBenefit
  - info:
      name: Search Claim
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Claim
      params:
      - name: patient
        value: ''
        type: query
    docs: Search Claim
- info:
    name: Provider Directory
    type: folder
  items:
  - info:
      name: Read Practitioner
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Practitioner/:id
      params:
      - name: id
        value: ''
        type: path
    docs: Read Practitioner
  - info:
      name: Read Organization
      type: http
    http:
      method: GET
      url: https://patient360c.anthem.com/P360Member/api/fhir/Organization/:id
      params:
      - name: id
        value: ''
        type: path
    docs: Read Organization
bundled: true