UPMC

A world-renowned health care provider and insurer headquartered in Pittsburgh, Pennsylvania. One of the largest nonprofit health systems in the United States, operating hospitals, physician practices, and a health insurance division (UPMC Health Plan) serving millions of members. UPMC Health Plan exposes an ONC 21st Century Cures Act Developer API for patient-authorized access to clinical and claims data over HL7 FHIR.

UPMC publishes 1 API on the APIs.io network. Tagged areas include Healthcare, Health Insurance, Hospitals, Pennsylvania, and FHIR.

UPMC’s developer surface includes engineering blog, documentation, and 5 more developer resources.

🌐 Visit website 📡 Source on GitHub

6.4/100 minimal ▬ flat Agent 0/100 human only Full breakdown ↓
scored 2026-09-08 · rubric v0.20.0

1 APIs 4 Features 4 Use Cases

Healthcare Health Insurance Hospitals Pennsylvania FHIR

Kin Score

Kin Score How this is scored →
scored 2026-09-08 · rubric v0.20.0

Composite quality — 6.4/100 · minimal

Contract Quality 0.0 / 21

Developer Ergonomics 2.0 / 17

Access Clarity 0.0 / 17

Operational Transparency 0.3 / 11

Contract Governance 0.0 / 10

Discoverability 4.6 / 9

Regulatory Posture 1.1 / 15

Agent readiness — 0/100 · human only

Machine-Readable Contract 0 / 18

Agentic Access Contract 0 / 10

Documented Reversibility 0 / 6

MCP Server 0 / 12

Machine-Readable Auth 0 / 10

Idempotency 0 / 9

Stable Error Semantics 0 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 0 / 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 0 / 6

Protected Resource Metadata 0 / 5

Registration Without a Human 0 / 6

Agentic Commerce Well-Known Document 0 / 5

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 could not be measured. We hold no machine-readable contract for this provider to read, so there is nothing to measure a write surface against. Excluded rather than scored zero: never-measured and measured-empty are different facts. Publishing an OpenAPI is what makes this facet — and several others — scorable at all.

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/. 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 github.com/api-evangelist/upmc: open an issue to ask a question, or submit a pull request to add artifacts. Submit an artifact on GitHub — free → Manage your own listing — the Influence plan, $499/mo →

APIs 1

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

UPMC Health Plan ONC 21st Century Cures Act Developer API

The UPMC Health Plan Developer API is the payer-side FHIR API mandated by the ONC 21st Century Cures Act and the CMS Interoperability and Patient Access Final Rule. It allows re...

Features 4

Notable capabilities this provider offers.

Patient Access FHIR API

Member-authorized access to clinical (USCDI) and claims data per CMS Interoperability and Patient Access Final Rule

Provider Directory API

Public machine-readable provider directory required by CMS Interoperability rules

SMART-on-FHIR Authorization

OAuth 2.0 / SMART-on-FHIR app authorization flow for patient-mediated access

HL7 FHIR R4 Data Model

USCDI-aligned FHIR R4 resources for clinical and claims data exchange

Security Posture 1

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

Upmc Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Use Cases 4

What developers build with this provider.

Patient Data Portability

Members move their clinical and claims data into third-party apps for personal use

Care Coordination

Authorized clinical applications retrieve member records to improve care coordination across providers

Health Apps and PHRs

Consumer-facing personal health record and wellness apps connect to UPMC member data with patient consent

Provider Directory Lookups

Apps and portals discover in-network UPMC Health Plan providers through the public provider directory API

Integrations 2

Pre-built integrations with other platforms and tools.

SMART App Launch

Apps register with UPMC Health Plan as SMART-on-FHIR clients to authenticate members

USCDI Clinical Data

USCDI-aligned clinical resources flow to member-authorized third-party applications

Resources

Documentation 1

Reference material describing how the API behaves

Documentation

Documentation

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Access & Security 1

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Company 4

The organization behind the API

Blog

Blog

LinkedIn

Website

Website

Website

Website

Source (apis.yml)

aid: upmc
url: https://raw.githubusercontent.com/api-evangelist/upmc/refs/heads/main/apis.yml
name: UPMC
type: Index
deliveryModel:
  model: unknown
  open_source: false
  commercial: false
  callable_host: false
  label: Delivery model not determined — needs a product licence on record
  confidence: low
  source:
  - none
  generated: '2026-08-28'
  method: derived
accessModel:
  pricing: unknown
  onboarding: unknown
  trial: false
  try_now: false
  public: false
  label: Unknown
  confidence: low
  source: []
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/upmc.png
tags:
- Healthcare
- Health Insurance
- Hospitals
- Pennsylvania
- FHIR
description: A world-renowned health care provider and insurer headquartered in Pittsburgh, Pennsylvania. One of the largest
  nonprofit health systems in the United States, operating hospitals, physician practices, and a health insurance division
  (UPMC Health Plan) serving millions of members. UPMC Health Plan exposes an ONC 21st Century Cures Act Developer API for
  patient-authorized access to clinical and claims data over HL7 FHIR.
created: '2026-05-05'
modified: '2026-05-16'
specificationVersion: '0.23'
apis:
- aid: upmc:cures-act-developer-api
  name: UPMC Health Plan ONC 21st Century Cures Act Developer API
  tags:
  - FHIR
  - Patient Access
  - Healthcare
  - Health Insurance
  - Cures Act
  - HL7
  image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
  humanURL: https://www.upmchealthplan.com/
  properties:
  - url: https://www.upmchealthplan.com/
    type: Documentation
  description: The UPMC Health Plan Developer API is the payer-side FHIR API mandated by the ONC 21st Century Cures Act and
    the CMS Interoperability and Patient Access Final Rule. It allows registered third-party applications to retrieve a member's
    clinical (USCDI) and claims data on the member's behalf using SMART-on-FHIR / OAuth 2.0 authorization. The API surface
    includes the Patient Access API (clinical + claims) and the Provider Directory API. UPMC Health Plan exposes a public
    link to the developer API resource center in the footer of every page on upmchealthplan.com.
common:
- type: DomainSecurity
  url: security/upmc-domain-security.yml
- url: https://www.upmc.com/media
  type: Blog
- type: GitHubOrganization
  url: https://github.com/UPMC
- type: LinkedIn
  url: https://www.linkedin.com/company/upmc
- type: Website
  url: https://www.upmc.com/
- type: Website
  url: https://www.upmchealthplan.com/
- type: Documentation
  url: https://www.upmchealthplan.com/
- type: Features
  data:
  - name: Patient Access FHIR API
    description: Member-authorized access to clinical (USCDI) and claims data per CMS Interoperability and Patient Access
      Final Rule
  - name: Provider Directory API
    description: Public machine-readable provider directory required by CMS Interoperability rules
  - name: SMART-on-FHIR Authorization
    description: OAuth 2.0 / SMART-on-FHIR app authorization flow for patient-mediated access
  - name: HL7 FHIR R4 Data Model
    description: USCDI-aligned FHIR R4 resources for clinical and claims data exchange
- type: UseCases
  data:
  - name: Patient Data Portability
    description: Members move their clinical and claims data into third-party apps for personal use
  - name: Care Coordination
    description: Authorized clinical applications retrieve member records to improve care coordination across providers
  - name: Health Apps and PHRs
    description: Consumer-facing personal health record and wellness apps connect to UPMC member data with patient consent
  - name: Provider Directory Lookups
    description: Apps and portals discover in-network UPMC Health Plan providers through the public provider directory API
- type: Integrations
  data:
  - name: SMART App Launch
    description: Apps register with UPMC Health Plan as SMART-on-FHIR clients to authenticate members
  - name: USCDI Clinical Data
    description: USCDI-aligned clinical resources flow to member-authorized third-party applications

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