UPMC

aid: upmc
url: https://raw.githubusercontent.com/api-evangelist/upmc/refs/heads/main/apis.yml
name: UPMC
type: Index
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
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: '0.19'
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: 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