Troy Medicare

Troy Medicare, operated by Troy Health, Inc. of Charlotte, North Carolina, is a Medicare Advantage HMO and HMO D-SNP organization serving Medicare-eligible beneficiaries across 35 North Carolina counties under CMS contract H4676. Founded by pharmacists and software engineers, it runs a pharmacy-first chronic disease management model that places community pharmacists at the center of care coordination, supported by its proprietary Troy.AI technology and by local provider partnerships. Troy Medicare publishes no developer program, no API reference and no machine-readable API contract; the only machine-readable surfaces it serves anonymously are two OAuth 2.0 / OpenID Connect authorization servers — one in front of its secure provider portal and one in front of the health plan's FHIR data surface at fhir.troymedicare.com.

Troy Medicare publishes 2 APIs on the APIs.io network. Tagged areas include Health Insurance, Medicare, Medicare Advantage, Health Plans, and Healthcare.

Troy Medicare’s developer surface includes support, engineering blog, signup flow, pricing, authentication, and 12 more developer resources.

🌐 Visit website 📡 Source on GitHub
30.0/100 thin ▬ flat Agent 13/100 agent aware Full breakdown ↓
scored 2026-09-01 · rubric v0.17.2
2 APIs
Health InsuranceMedicareMedicare AdvantageHealth PlansHealthcarePharmacyCare ManagementInsuranceIdentityOpenID Connect

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-09-01 · rubric v0.17.2
Composite quality — 30.0/100 · thin
Contract Quality 0.0 / 21
Developer Ergonomics 3.2 / 17
Access Clarity 8.9 / 17
Operational Transparency 0.0 / 11
Contract Governance 1.9 / 10
Discoverability 5.8 / 9
Regulatory Posture 10.7 / 15
Agent readiness — 13/100 · agent aware
Machine-Readable Contract 0 / 18
Agentic Access Contract 0 / 10
Documented Reversibility 0 / 6
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
Delegated User Identity 6 / 6
Protected Resource Metadata 0 / 5
Registration Without a Human 0 / 6
Agentic Commerce Surface 0 / 5
Regulatory Posture applies to this provider. Its tags matched the Insurance 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.
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/.
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/troy-medicare: 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 2

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

Troy Medicare Provider Portal Identity Service

The OpenID Connect authorization server behind Troy Medicare's secure provider portal, which contracted providers use for member eligibility verification, claim status and payme...

Troy Medicare FHIR Authorization Surface

A Troy-Medicare-branded OAuth 2.0 authorization surface at fhir.troymedicare.com, serving an OpenID Connect discovery document and a JWKS anonymously, with a member username/pas...

Pricing Plans 1

Published pricing tiers and plan structures.

Troy Medicare Plans Pricing

0 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

Troy Medicare Rate Limits

0 limits

RATE LIMITS

Security Posture 2

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

Troy Medicare Authentication

2 schemes

SECURITY

Troy Medicare Domain Security

TLSv1.3 · HSTS · DNSSEC · DMARC

SECURITY

Scopes 1

OAuth scopes governing access to this provider's APIs.

Troy Medicare Scopes

OAuth 2.0 · no documented scopes

0 scopes

SCOPES

Resources

Get Started 2

Portal, sign-up, and the first successful call

SignUp
SignUp
 Login
Login

Agent Surfaces 2

MCP servers, agent skills, and machine-readable catalogs

WellKnown
WellKnown
 LLMsTxt
LLMsTxt

Design & Contract 1

Pagination, idempotency, versioning, errors, and events

Conformance
Conformance

Access & Security 4

Authentication, authorization, and security posture

DomainSecurity
DomainSecurity
 Compliance
Compliance
 Authentication
Authentication
 OAuthScopes
OAuthScopes

Operate 2

Status, limits, changes, and where to get help

Support
Support
 RateLimits
RateLimits

Commercial 4

Pricing, plans, and the legal terms of use

TermsOfService
TermsOfService
 PrivacyPolicy
PrivacyPolicy
 Pricing
Pricing
 Plans
Plans

Company 2

The organization behind the API

Website
Website
 Blog
Blog

Source (apis.yml)

apis.yml Raw ↑ 
aid: troy-medicare
name: Troy Medicare
description: Troy Medicare, operated by Troy Health, Inc. of Charlotte, North Carolina, is a Medicare Advantage HMO and HMO
  D-SNP organization serving Medicare-eligible beneficiaries across 35 North Carolina counties under CMS contract H4676. Founded
  by pharmacists and software engineers, it runs a pharmacy-first chronic disease management model that places community pharmacists
  at the center of care coordination, supported by its proprietary Troy.AI technology and by local provider partnerships.
  Troy Medicare publishes no developer program, no API reference and no machine-readable API contract; the only machine-readable
  surfaces it serves anonymously are two OAuth 2.0 / OpenID Connect authorization servers — one in front of its secure provider
  portal and one in front of the health plan's FHIR data surface at fhir.troymedicare.com.
image: https://assets.website-files.com/5d8c963eace5c7685e78fa4c/5d8c9c74c9686734be86f7d2_troymedicare-logo.svg
url: https://raw.githubusercontent.com/api-evangelist/troy-medicare/refs/heads/main/apis.yml
x-type: company
x-source: harvest:secondary-market
specificationVersion: '0.20'
created: '2026-08-30'
modified: '2026-08-30'
tags:
- Health Insurance
- Medicare
- Medicare Advantage
- Health Plans
- Healthcare
- Pharmacy
- Care Management
- Insurance
- Identity
- OpenID Connect
apis:
- aid: troy-medicare-provider-portal-identity
  name: Troy Medicare Provider Portal Identity Service
  description: The OpenID Connect authorization server behind Troy Medicare's secure provider portal, which contracted providers
    use for member eligibility verification, claim status and payment history. Its discovery document is served anonymously
    and advertises 35 scopes, 37 claims, PKCE, the device authorization grant, token introspection and revocation, and front-
    and back-channel logout. Scope naming identifies the underlying platform as NirvanaHealth Aria, which Troy Medicare announced
    it selected in July 2023, but the issuer and every endpoint are hosted on Troy Medicare's own domain. No client registration
    path is published, so this is not a developer-consumable API today.
  humanURL: https://troymedicare.com/providers
  baseURL: https://provider.troymedicare.com
  tags:
  - Identity
  - OpenID Connect
  - Authentication
  - Provider Portal
  tags_raw:
  - Identity
  - OpenID Connect
  - OAuth
  - Provider Portal
  properties:
  - type: Authentication
    url: authentication/troy-medicare-authentication.yml
  - type: OAuthScopes
    url: scopes/troy-medicare-scopes.yml
  - type: OpenIDConnect
    url: https://provider.troymedicare.com/.well-known/openid-configuration
- aid: troy-medicare-fhir
  name: Troy Medicare FHIR Authorization Surface
  description: A Troy-Medicare-branded OAuth 2.0 authorization surface at fhir.troymedicare.com, serving an OpenID Connect
    discovery document and a JWKS anonymously, with a member username/password sign-in page at the host root. It is the front
    door to the health plan's FHIR data access. The FHIR resource base itself is not anonymously discoverable — no CapabilityStatement
    was returned by any probed path and no SMART on FHIR configuration is served — so the FHIR release, resource set and scope
    vocabulary are unverified rather than asserted here.
  humanURL: https://fhir.troymedicare.com/
  baseURL: https://fhir.troymedicare.com
  tags:
  - FHIR
  - Authentication
  - Health Data
  - Patient Access
  tags_raw:
  - FHIR
  - OAuth
  - Health Data
  - Patient Access
  properties:
  - type: Authentication
    url: authentication/troy-medicare-authentication.yml
  - type: OpenIDConnect
    url: https://fhir.troymedicare.com/.well-known/openid-configuration
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com
- FN: APIs.json
  email: info@apis.io
common:
- type: DomainSecurity
  url: security/troy-medicare-domain-security.yml
- type: Website
  url: https://troymedicare.com
- type: Support
  url: https://troymedicare.com/contact-us
- type: Blog
  url: https://troymedicare.com/press
- type: TermsOfService
  url: https://troymedicare.com/terms-of-use
- type: PrivacyPolicy
  url: https://troymedicare.com/privacy-policy
- type: SignUp
  url: https://troymedicare.com/sign-up-for-coverage
- type: Login
  url: https://selfservice.troymedicare.com
- type: Pricing
  url: https://troymedicare.com/summary-of-benefits
- type: Compliance
  url: https://troymedicare.com/compliance
- type: WellKnown
  url: well-known/troy-medicare-well-known.yml
- type: Authentication
  url: authentication/troy-medicare-authentication.yml
- type: OAuthScopes
  url: scopes/troy-medicare-scopes.yml
- type: Conformance
  url: conformance/troy-medicare-conformance.yml
- type: Plans
  url: plans/troy-medicare-plans-pricing.yml
- type: RateLimits
  url: rate-limits/troy-medicare-rate-limits.yml
- type: LLMsTxt
  url: llms/troy-medicare-llms.txt
x-enrichment:
  date: '2026-08-30'
  status: enriched
  artifacts_added: 12
  pass: local-v1

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