Humana

Humana is a U.S. health insurance company that provides Medicare, Medicaid, and employer-sponsored health insurance plans, along with wellness programs and healthcare services. Humana publishes a suite of FHIR-compliant APIs that give third-party applications access to member health data, coverage information, drug formularies, and provider directories under CMS interoperability rules.

Humana is listed with 7 APIs on the APIs.io network, including Clinical API, Coverage API, Demographic API, and 4 more. Tagged areas include FHIR, Health Insurance, Healthcare, Interoperability, and Medicare.

The Humana catalog on APIs.io includes 1 Spectral governance ruleset.

Humana’s developer surface includes authentication, developer portal, and 12 more developer resources.

🌐 Visit website 📡 Profile data on GitHub

32.8/100 thin ▬ flat Agent 23/100 agent aware Front door AI 1/6 silent Heartbeat 0/100 dormant saas Full breakdown ↓
scored 2026-11-06 · rubric v0.27.0 · Show this score on your site →

AccessFreemiumSelf serve⚡ Free to try

7 APIs

FHIR Health Insurance Healthcare Interoperability Medicare Fortune 100

What this lets a business do 1

Business capabilities this provider's published APIs can perform, derived from its own contracts. Browse all capabilities →

Health Information Management

BC-2900

ClinicalDemographic

GET /CarePlan GET /Condition GET /Observation GET /Patient/{id}

Kin Score

Kin Score How this is scored →
scored 2026-11-06 · rubric v0.27.0

Composite quality — 32.8/100 · thin

Contract Quality 9.6 / 21

Developer Ergonomics 4.3 / 17

Access Clarity 4.9 / 17

Operational Transparency 1.2 / 11

Contract Governance 1.4 / 10

Discoverability 6.1 / 9

Regulatory Posture 2.3 / 15

Agent readiness — 23/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

Documented Reversibility 6 / 6

MCP Server 0 / 12

Machine-Readable Auth 10 / 10

Idempotency 9 / 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 4 / 4

Delegated User Identity 0 / 6

Protected Resource Metadata 0 / 5

Registration Without a Human 0 / 6

Agentic Commerce Well-Known Document 0 / 5

Pagination 5 / 5

Distinct Operations 3 / 3

MCP Tool Quality 6 / 6

Regulatory Posture applies to this provider. Its tags matched the Health regime, so Regulatory Posture carries 15 points of the composite. If this regime is wrong for your business, say so on your provider repo — the applicability map is public and we will correct it.

Create-or-Update Ergonomics does not apply to this provider. The published contracts declare no write operations, and a read-only API cannot create-or-update. The facet is excluded from this provider's denominator entirely — not scored zero. A reference or data API is not deficient for being unable to upsert.

The six quality facets above are damped to 85 points between them, because the conditional facet above carries the other 15. That is why each facet's contribution is shown against a damped maximum: raising a quality facet moves the composite by 85% of its nominal weight, not 100%. The full arithmetic is at apis.io/rating/.

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Agent readiness — checks not met, largest first (exact, from this profile):

MCP Server +12 pts — deployment.mode + probe verdict on the mcp/ manifest, not the pointer; an unprobed slug falls back to authorship
Stable Error Semantics +8 pts — OpenAPI $refs a shared error schema across 4xx/5xx responses (verified), else common[].type includes ErrorCatalog / ErrorCodes / DeclineCodes
A2A Agent Card +8 pts — a2a/-a2a.yml manifest, graded on conformance.grade against A2A 1.0.0
Request/Response Examples +7 pts — share of operations carrying request/response examples; else an Examples / Code Samples link
Registration Without a Human +6 pts — a `registration_endpoint` in the served RFC 8414 / OIDC discovery document
Delegated User Identity +6 pts — a served discovery document listing authorization_code in grant_types_supported (served), else an oauth2 authorizationCode flow or openIdConnect declared in an OpenAPI (documented)

6 more unmet checks in the Agent Readiness table above.

Kin Score — facets with the most composite points still available (weight × headroom):

Developer Ergonomics scores 25.0 — up to +15.0 composite points
Access Clarity scores 28.9 — up to +14.2 composite points
Contract Quality scores 45.3 — up to +13.7 composite points

Each check links to what satisfies it. Publish the artifact, or tell us where it already lives, and the score moves on the next scoring run.

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. Every facet and dimension name above is a link: it opens that measurement's own page — what it means, the exact checks that feed it, how the whole catalog distributes on it, and the providers at the top of it. This rating is computed from the provider profile at artifacts.apis.io/humana/apis.yml: open an issue on github.com/api-evangelist/humana to ask a question or point us at an artifact you publish. Submit an artifact on GitHub — free → Manage your own listing — the Influence plan, $499/mo →

Markets this provider is in provisional

The Kin Score Market layer reads a provider inside its market: its position, and how deep its integrations go. Depth is only comparable within a position. Provisional and unweighted: not part of the Kin Score or agent readiness.

Market	Position	Depth	Registered MCP server	Declares compatibility
Payer Interoperability (CAQH CORE, X12, Da Vinci, WEDI)	standard	56.5	-	-

Registered MCP server and declares compatibility are report only — not weighted. Undeclared means we found nothing we can read, so there is no number: we never infer integrations.

Standards implemented 2

Standards this provider implements or carries. De facto ones are profiled and measured by the API Commons; formal ones come from the standards directory and are linked by the provider's own tags. The evidence column says how each claim was established — not that it was made.

HL7 FHIR

tagged — the provider's own APIs.json carries the standard as a tag; implementation not verified

OpenAPI

measured — observed by APIs.io (published)

APIs 7

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

Humana FHIR Medication API

FHIR R4-compliant API surface for medication-related resources including Medication, MedicationKnowledge, MedicationRequest, drug formulary List resources, and supporting payer ...

Humana FHIR Coverage and Benefits API

FHIR R4-compliant API surface for insurance coverage data, including Coverage, ExplanationOfBenefits, and InsurancePlan resources used to satisfy CMS Patient Access and Provider...

Humana FHIR Provider Directory API

FHIR R4-compliant API surface for provider directory information, including Patient, Practitioner, PractitionerRole, Organization, Location, and DocumentReference resources.

Humana Clinical API

Clinical FHIR resources

Humana Coverage API

Coverage and insurance FHIR resources

Humana Demographic API

Patient and provider demographic FHIR resources

Humana Medications API

Medication FHIR resources

Scroll for all 7

Open Collections 5

Open, tool-agnostic API collections (OpenAPI-derived and Bruno).

Humana FHIR Clinical API

OPEN COLLECTION

Humana FHIR Clinical Coverage API

OPEN COLLECTION

Humana FHIR Clinical Demographic API

OPEN COLLECTION

Humana FHIR Clinical Medications API

OPEN COLLECTION

Humana FHIR API

OPEN COLLECTION

Humana API pricing

Not yet checked against Humana's own pricing page. Compiled by API Evangelist on 2026-05-05 from developers.humana.com/; confirm before you rely on a figure. A free plan or tier is listed.

Plan	Price
Developer Sandbox freemium	Free
CMS Patient Access (Production) freemium	Free
Provider Directory (Public) freemium	Free
Drug Formulary (Public) freemium	Free

Plan details, limits and sources →

Rate limits

Patient Access FHIR requests (production): not publicly published; reasonable-use enforcement requests per second
Provider Directory FHIR requests: not publicly published; reasonable-use enforcement requests per second
Drug Formulary FHIR requests: not publicly published; reasonable-use enforcement requests per second

Compiled by API Evangelist, not yet checked against Humana's documentation. All 4 limits →

Pricing Plans 1

Published pricing tiers and plan structures.

Humana Plans Pricing

4 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

Humana Rate Limits

4 limits

RATE LIMITS

Service Levels 1

Uptime the provider promises or reports, as SLA4OAI. Read from its own pages; APIs.io runs no monitors.

Humana

SLA

FinOps 1

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

Humana Finops

FINOPS

Spectral Rules 1

Spectral governance rulesets for linting and validating these APIs.

Humana API Rules

50 rules · 48 errors 1 warnings 1 info

SPECTRAL

Security Posture 2

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

Humana Authentication

http · 1 scheme

SECURITY

Humana Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Agentic Access 1

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

Humana Agentic Access

12 operations

12 operations · 0 acting

AGENTIC

Press 5

Recent news and press coverage referencing this provider.

Humana Redefines the Member Experience with Agent ...

Humana and Google Expand Partnership to Help Reduce ...

Humana deploys AI support tool for call centers

October 9, 2025 VIA EMAIL Mr. Jim Rechtin President and ...

Humana Redefines the Member Experience with Agent ...

Resources

Get Started 1

Portal, sign-up, and the first successful call

Portal

Portal

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Design & Contract 1

Pagination, idempotency, versioning, errors, and events

Rules

Rules

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Access & Security 2

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

Operate 1

Status, limits, changes, and where to get help

RateLimits

RateLimits

Commercial 4

Pricing, plans, and the legal terms of use

Plans

FinOps

PrivacyPolicy

TermsOfService

Company 2

The organization behind the API

LinkedIn

Website

Website

Other 1

Properties that don't map to a standard resource type

CapabilityMap

CapabilityMap

Source (apis.yml)

aid: humana
name: Humana
description: Humana is a U.S. health insurance company that provides Medicare, Medicaid, and employer-sponsored health insurance
  plans, along with wellness programs and healthcare services. Humana publishes a suite of FHIR-compliant APIs that give third-party
  applications access to member health data, coverage information, drug formularies, and provider directories under CMS interoperability
  rules.
url: https://raw.githubusercontent.com/api-evangelist/humana/refs/heads/main/apis.yml
type: Index
deliveryModel:
  model: saas
  open_source: false
  commercial: true
  callable_host: true
  label: Hosted service · you call their endpoint
  confidence: high
  source:
  - openapi
  - pricing
  generated: '2026-08-28'
  method: derived
accessModel:
  pricing: freemium
  onboarding: self-serve
  trial: false
  try_now: true
  public: false
  gated: none
  gated_source:
  - onboarding
  label: Freemium · Self-serve signup
  confidence: medium
  source:
  - plans
  - authentication
  - security
  generated: '2026-11-06'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/humana.png
x-docs-platform: swagger-ui
x-docs-platform-confidence: medium
x-docs-platform-checked: 2026-10-03
tags:
- FHIR
- Health Insurance
- Healthcare
- Interoperability
- Medicare
- Fortune 100
created: '2025-01-07'
modified: '2026-05-19'
specificationVersion: '0.23'
apis:
- aid: humana:humana-fhir-medication-api
  name: Humana FHIR Medication API
  description: FHIR R4-compliant API surface for medication-related resources including Medication, MedicationKnowledge, MedicationRequest,
    drug formulary List resources, and supporting payer data.
  humanURL: https://developers.humana.com/
  baseURL: https://fhir.humana.com/api
  tags:
  - FHIR
  - Formulary
  - Medication
  tags_raw:
  - FHIR
  - Formulary
  - Medications
  properties:
  - type: Documentation
    url: https://developers.humana.com/
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
- aid: humana:humana-fhir-coverage-api
  name: Humana FHIR Coverage and Benefits API
  description: FHIR R4-compliant API surface for insurance coverage data, including Coverage, ExplanationOfBenefits, and InsurancePlan
    resources used to satisfy CMS Patient Access and Provider Directory rules.
  humanURL: https://developers.humana.com/
  baseURL: https://fhir.humana.com/api
  tags:
  - Coverage
  - FHIR
  - Insurance
  properties:
  - type: Documentation
    url: https://developers.humana.com/
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
- aid: humana:humana-fhir-provider-directory-api
  name: Humana FHIR Provider Directory API
  description: FHIR R4-compliant API surface for provider directory information, including Patient, Practitioner, PractitionerRole,
    Organization, Location, and DocumentReference resources.
  humanURL: https://developers.humana.com/
  baseURL: https://fhir.humana.com/api
  tags:
  - FHIR
  - Provider Directory
  properties:
  - type: Documentation
    url: https://developers.humana.com/
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
- aid: humana:humana-clinical-api
  name: Humana Clinical API
  description: Clinical FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Clinical
  properties:
  - type: OpenAPI
    url: openapi/humana-clinical-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
- aid: humana:humana-coverage-api
  name: Humana Coverage API
  description: Coverage and insurance FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Coverage
  properties:
  - type: OpenAPI
    url: openapi/humana-coverage-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
- aid: humana:humana-demographic-api
  name: Humana Demographic API
  description: Patient and provider demographic FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Demographic
  properties:
  - type: OpenAPI
    url: openapi/humana-demographic-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
- aid: humana:humana-medications-api
  name: Humana Medications API
  description: Medication FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Medication
  tags_raw:
  - Medications
  properties:
  - type: OpenAPI
    url: openapi/humana-medications-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
common:
- type: Plans
  url: plans/humana-plans-pricing.yml
- type: RateLimits
  url: rate-limits/humana-rate-limits.yml
- type: FinOps
  url: finops/humana-finops.yml
- type: CapabilityMap
  url: capabilities/humana-capability-edges.yml
  name: Humana Business Capability Map
- type: AgenticAccess
  url: agentic-access/humana-agentic-access.yml
- type: DomainSecurity
  url: security/humana-domain-security.yml
- type: Authentication
  url: authentication/humana-authentication.yml
- type: GitHubOrganization
  url: https://github.com/humana
- type: LinkedIn
  url: https://www.linkedin.com/company/humana
- type: Portal
  url: https://developers.humana.com/
- type: Website
  url: https://www.humana.com/
- type: PrivacyPolicy
  url: https://www.humana.com/legal/privacy-policy
- type: TermsOfService
  url: https://www.humana.com/legal/terms-conditions
- type: Rules
  url: https://raw.githubusercontent.com/api-evangelist/humana/refs/heads/main/humana-rules.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com

Humana API — frequently asked questions

Does Humana have an API?

Yes. APIs.io lists 7 APIs from Humana, including Humana FHIR Medication API, Humana FHIR Coverage and Benefits API and Humana FHIR Provider Directory API, and 4 more.

Is there an OpenAPI specification for the Humana API?

Yes. APIs.io indexes 4 OpenAPI specifications for Humana, each linked for download from this page.

How do I authenticate with the Humana API?

Humana uses bearer-token authentication (http · 1 scheme). The details are profiled on APIs.io as Humana Authentication.

How much does the Humana API cost?

APIs.io lists 4 pricing plans for Humana, with each plan's price, limits and inclusions under Pricing on this page.

Is the Humana API ready for AI agents?

Humana has a Kin Score of 32.8 out of 100 (thin) and an Agent Readiness score of 22.7 (agent-aware), scored by API Evangelist on 2026-11-06.

Work with this as data

Every provider here is available over the APIs.io API and to AI agents over MCP.

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https://apis.io/mcp

Tools for providers

9 MCP tools reach this

find_providersBrowse and filter every provider in the catalog.
get_provider_artifactsEvery artifact this provider publishes, grouped by type.
get_provider_operationsEvery operation across all of their OpenAPIs — one call instead of parsing every spec.
get_provider_toolsEvery MCP tool they ship, with the operation each wraps.
get_provider_evidenceHow each part of their score was established. Free — the basis for a claim should not sit behind it.
get_provider_ratingPRO — composite, band, trend and facet scores.
apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.
resolveTurn a domain, URL or GitHub org into the provider it belongs to.
find_cohortsEvery scored population of providers in the catalog.

All 92 tools →

Call it yourself

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Every operation they expose

curl "https://apis.io/api/v1/providers/humana/operations?limit=25"

How their score was established

curl "https://apis.io/api/v1/providers/humana/evidence"

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