# UnitedHealthcare

**Canonical:** https://apis.io/providers/unitedhealthcare/  
**APIs profiled:** 7

UnitedHealthcare is one of the largest health insurance providers in the United States, offering employer-sponsored health benefits, individual and family plans, Medicare and Medicaid plans, and managed care services. UnitedHealthcare provides APIs for healthcare providers through the UHC API Marketplace for eligibility verification, claims management, and prior authorization, and FHIR R4-compliant Interoperability APIs for patient data access and provider directory services per CMS mandates.

## Kin Score — 31.9 / 100 (thin)

Scored 2026-08-25 under rubric 0.14.0. Trend: flat (+0.0 from 31.9).

| Facet | Score |
|---|---|
| Discoverability | 74.1 |
| Contract Quality | 64.6 |
| Governance | 13.6 |
| Contract Governance | 13.6 |
| Operational Transparency | 10.5 |
| Developer Ergonomics | 11.9 |
| Commercial Clarity | 15.8 |
| Access Clarity | 15.8 |

Regulatory layer — **Insurance**: 25.8 (matched via tags).

## Agent readiness — 19.8 (agent-aware)

| Dimension | Value |
|---|---|
| Spec Presence | yes |
| Agentic Access | derived |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | bearer |
| Idempotency | no |
| Error Semantics | no |
| OpenAPI Examples | no |
| Rate Limit Signal | documented |
| Event Surface Described | no |
| Agent Skills | no |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |
| Delegated Identity | no |
| Protected Resource Metadata | no |
| Dynamic Client Registration | no |
| Agentic Commerce | no |

## Access

Freemium · Self-serve signup — onboarding: self-serve, pricing: freemium, trial: no (confidence: high).

## APIs (7)

- **UnitedHealthcare Claims API** — Claim pre-check, submission, and inquiry
- **UnitedHealthcare Eligibility API** — Real-time eligibility and benefit verification
- **UnitedHealthcare Formulary API** — Drug formulary and coverage information
- **UnitedHealthcare Patient Access API** — FHIR R4 Patient Access API for member health data
- **UnitedHealthcare Prior Authorization API** — Prior authorization and referral actions
- **UnitedHealthcare Provider Directory API** — FHIR R4 Provider Directory API for network information
- **UnitedHealthcare Providers API** — Provider demographics and directory

## Agentic access (1)

- **Unitedhealthcare Agentic Access** — 12 operations · 5 acting

## Security (2)

- **Unitedhealthcare Authentication** — http · 1 scheme
- **Unitedhealthcare Domain Security** — TLSv1.3 · HSTS · DNSSEC · DMARC

## Plans (1)

- **Unitedhealthcare Plans Pricing**

## Tags

Health Insurance, Healthcare, FHIR, Claims, Eligibility

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/unitedhealthcare/). Scores are computed from the provider's own public artifacts under a published rubric.