WellCare Health Plans

WellCare Health Plans was a managed care company that focused exclusively on government-sponsored managed care services through Medicaid, Medicare Advantage, and Medicare Prescription Drug Plans before being acquired by Centene Corporation. Now operating under Centene, WellCare provides FHIR- compliant APIs for interoperability and patient access as required by CMS Interoperability and Patient Access final rules (CMS-9115-F). The Centene Developer Partner Portal at partners.centene.com/apis provides access to WellCare FHIR APIs.

WellCare Health Plans publishes 13 API contracts indexed on the APIs.io network, including wellcare-health-plans Condition API, wellcare-health-plans Coverage API, wellcare-health-plans Encounter API, and 10 more. Tagged areas include Fortune 500.

The WellCare Health Plans catalog on APIs.io includes 1 JSON-LD context and 2 Spectral governance rulesets.

WellCare Health Plans’ developer surface includes authentication and 14 more developer resources.

🌐 Visit website 📡 Profile data on GitHub

33.3/100 thin ▬ flat Agent 30/100 agent ready Front door AI 1/6 silent Full breakdown ↓
scored 2026-11-13 · rubric v0.28.0 · Show this score on your site →

AccessFreemiumSelf serve⚡ Free to try

2 published contracts

Fortune 500

Kin Score

Kin Score How this is scored →
scored 2026-11-13 · rubric v0.28.0

Composite quality — 33.3/100 · thin

Contract Quality 14.4 / 21

Developer Ergonomics 3.6 / 17

Access Clarity 1.1 / 17

Operational Transparency 1.3 / 11

Contract Governance 2.8 / 10

Discoverability 4.4 / 9

Regulatory Posture 3.1 / 15

Agent readiness — 30/100 · agent ready

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 7 / 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 6 / 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 Horizontal (data, software, accessibility, platform) 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 Ask about this →
Stable Error Semantics +8 pts — OpenAPI $refs a shared error schema across 4xx/5xx responses (verified), else common[].type includes ErrorCatalog / ErrorCodes / DeclineCodes Ask about this →
A2A Agent Card +8 pts — a2a/-a2a.yml manifest, graded on conformance.grade against A2A 1.0.0 Ask about this →
Registration Without a Human +6 pts — a `registration_endpoint` in the served RFC 8414 / OIDC discovery document Ask about this →
Typed Event Surface +6 pts — AsyncAPI document, OR webhooks/callbacks objects in the as-published OpenAPI, OR common[].type includes Webhooks Ask about this →
Agent Skills +5 pts — skills artifact present, graded by who authored it Ask about this →

4 more unmet checks in the Agent Readiness table above.

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

Access Clarity scores 6.4 — up to +18.7 composite points Ask about this →
Developer Ergonomics scores 21.4 — up to +15.7 composite points Ask about this →
Operational Transparency scores 11.9 — up to +11.5 composite points Ask about this →

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.

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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/wellcare-health-plans/apis.yml: open an issue on github.com/api-evangelist/wellcare-health-plans 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 →

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.

OpenAPI

measured — observed by APIs.io (published)

OAuth 2.0

measured — observed by APIs.io (declared)

APIs 13

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

wellcare-health-plans Condition API

Member diagnosed conditions and clinical data.

wellcare-health-plans Coverage API

Member insurance coverage and enrollment information.

wellcare-health-plans Encounter API

Member care encounters and visits.

wellcare-health-plans Explanation of Benefits API

Claims and EOB data for medical, pharmacy, dental, and vision.

wellcare-health-plans Immunization API

Immunization records and history.

wellcare-health-plans Insurance Plan API

Insurance plan details including networks and coverage areas.

wellcare-health-plans Location API

Physical care delivery locations and addresses.

wellcare-health-plans Medication Request API

Prescribed medications and medication orders.

wellcare-health-plans Observation API

Clinical observations, lab results, and vital signs.

wellcare-health-plans Organization API

Healthcare organizations, hospitals, and facilities.

wellcare-health-plans Patient API

Patient demographic and identity resources.

wellcare-health-plans Practitioner API

Individual healthcare practitioners and clinicians.

wellcare-health-plans Practitioner Role API

A practitioner's role within an organization and network.

Scroll for all 13

Open Collections 15

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

WellCare FHIR Patient Access API

OPEN COLLECTION

WellCare FHIR Provider Directory API

OPEN COLLECTION

WellCare FHIR Patient Access Condition API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Coverage API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Encounter API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Explanation of Benefits API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Immunization API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Insurance Plan API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Location API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Medication Request API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Observation API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Organization API

OPEN COLLECTION

WellCare FHIR Access Condition Patient API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Practitioner API

OPEN COLLECTION

WellCare FHIR Patient Access Condition Practitioner Role API

OPEN COLLECTION

Scroll for all 15

WellCare Health Plans API pricing

Not yet checked against WellCare Health Plans's own pricing page. Compiled by API Evangelist on 2026-05-04; confirm before you rely on a figure. A free plan or tier is listed.

Plan	Price
Free freemium	Free
Professional paid	Free
Enterprise enterprise	—

Plan details, limits and sources →

Rate limits

Free Tier Default: 10 requests per minute
Free Tier Monthly Quota: 1000 requests per month
Professional Tier Default: 100 requests per minute

Compiled by API Evangelist, not yet checked against WellCare Health Plans's documentation. All 5 limits →

Pricing Plans 1

Published pricing tiers and plan structures.

WellCare Health Plans Plans Pricing

3 plans

PLANS

Rate Limits 1

Documented rate limits and quota policies.

WellCare Health Plans Rate Limits

5 limits

RATE LIMITS

FinOps 1

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

WellCare Health Plans Finops

FINOPS

Semantic Vocabularies 1

JSON-LD contexts and semantic vocabularies used across these APIs.

Wellcare Health Plans Context

7 classes · 27 properties

JSON-LD

Spectral Rules 2

Spectral governance rulesets for linting and validating these APIs. Counts are the severity each rule declares, not results of running them.

WellCare Health Plans — jsonschema rules

5 rules · 3 warn-severity 2 info-severity

SPECTRAL

WellCare Health Plans API Rules

9 rules · 3 error-severity 5 warn-severity

SPECTRAL

JSON Schema 2

Standalone JSON Schema definitions for this provider's data models.

WellCare FHIR Explanation of Benefit

9 properties

JSON SCHEMA

WellCare FHIR Patient

9 properties

JSON SCHEMA

JSON Structure 1

JSON Structure definitions describing this provider's data shapes.

Wellcare Fhir Patient Structure

0 properties

JSON STRUCTURE

Examples 3

Example request and response payloads for these APIs.

Wellcare Fhir Patient Access Api Getpatient Example

2 fields

EXAMPLE

Wellcare Fhir Patient Access Api Listexplanationofbenefit Example

2 fields

EXAMPLE

Wellcare Fhir Provider Directory Api Searchpractitioners Example

2 fields

EXAMPLE

Security Posture 2

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

WellCare Health Plans Authentication

http/oauth2 · 2 schemes

SECURITY

WellCare Health Plans Domain Security

TLSv1.3 · HSTS · DMARC

SECURITY

Scopes 1

OAuth scopes governing access to this provider's APIs.

WellCare Health Plans Scopes

8 scopes · authorizationCode

8 scopes

SCOPES

Agentic Access (API Evangelist recommendations) 1

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

WellCare Health Plans Agentic Access

15 operations

15 operations · 0 acting

AGENTIC

Press 5

Recent news and press coverage referencing this provider.

Centene Completes Acquisition of Apixio - Dec 8, 2020

Cohere Health Adds Dr. Mark Leenay to Board of Directors ...

WellCare Health Plans, Inc.

Wellcare Enhances Offering of Affordable, Quality ...

Wellcare Announces Refreshed Brand in Effort to Better ...

Resources

Get Started 2

Portal, sign-up, and the first successful call

DeveloperPortal

DeveloperPortal

InteroperabilityPortal

InteroperabilityPortal

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Design & Contract 2

Pagination, idempotency, versioning, errors, and events

JSONLDContext

JSONLDContext

Vocabulary

Vocabulary

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrg

GitHubOrg

Access & Security 3

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

OAuthScopes

OAuthScopes

Operate 1

Status, limits, changes, and where to get help

RateLimits

RateLimits

Commercial 2

Pricing, plans, and the legal terms of use

Plans

Plans

FinOps

FinOps

Company 2

The organization behind the API

LinkedIn

Website

Website

Other 1

Properties that don't map to a standard resource type

ParentCompany

ParentCompany

Source (apis.yml)

aid: wellcare-health-plans
name: WellCare Health Plans
deliveryModel:
  model: unknown
  open_source: false
  commercial: false
  callable_host: true
  label: Delivery model not determined — needs a product licence on record
  confidence: low
  source:
  - openapi
  generated: '2026-08-28'
  method: derived
specificationVersion: '0.23'
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: '2026-11-13'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/wellcare-health-plans.png
tags:
- Fortune 500
url: https://raw.githubusercontent.com/api-evangelist/wellcare-health-plans/refs/heads/main/apis.yml
modified: '2026-05-19'
description: WellCare Health Plans was a managed care company that focused exclusively on government-sponsored managed care
  services through Medicaid, Medicare Advantage, and Medicare Prescription Drug Plans before being acquired by Centene Corporation.
  Now operating under Centene, WellCare provides FHIR- compliant APIs for interoperability and patient access as required
  by CMS Interoperability and Patient Access final rules (CMS-9115-F). The Centene Developer Partner Portal at partners.centene.com/apis
  provides access to WellCare FHIR APIs.
common:
- type: Plans
  url: plans/wellcare-health-plans-plans-pricing.yml
- type: RateLimits
  url: rate-limits/wellcare-health-plans-rate-limits.yml
- type: FinOps
  url: finops/wellcare-health-plans-finops.yml
- type: ParentCompany
  url: https://apis.io/providers/centene-corporation/
  name: Centene Corporation
  x-relationship: acquired
  x-evidence: WellCare Health Plans was a managed care company that focused exclusively on government-sponsored managed care
    services through Medicaid, Medicare Advantage, and Medicare Prescription Drug Plans before being acquired by Centene Corporation.
- type: AgenticAccess
  url: agentic-access/wellcare-health-plans-agentic-access.yml
- type: DomainSecurity
  url: security/wellcare-health-plans-domain-security.yml
- type: Authentication
  url: authentication/wellcare-health-plans-authentication.yml
- type: OAuthScopes
  url: scopes/wellcare-health-plans-scopes.yml
- type: LinkedIn
  url: https://www.linkedin.com/company/wellcare
- type: Website
  url: https://www.wellcare.com
- type: DeveloperPortal
  url: https://partners.centene.com/apis
- type: InteroperabilityPortal
  url: https://www.wellcare.com/en/interoperability-and-patient-access
- type: GitHubOrg
  url: https://github.com/wellcare-health-plans
- type: JSONLDContext
  url: json-ld/wellcare-health-plans-context.jsonld
- type: Vocabulary
  url: vocabulary/wellcare-health-plans-vocabulary.yml
apis:
- aid: wellcare-health-plans:wellcare-health-plans-condition-api
  name: wellcare-health-plans Condition API
  description: Member diagnosed conditions and clinical data.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Condition
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-condition-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-coverage-api
  name: wellcare-health-plans Coverage API
  description: Member insurance coverage and enrollment information.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Coverage
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-coverage-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-encounter-api
  name: wellcare-health-plans Encounter API
  description: Member care encounters and visits.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Encounter
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-encounter-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-explanation-of-benefits-api
  name: wellcare-health-plans Explanation of Benefits API
  description: Claims and EOB data for medical, pharmacy, dental, and vision.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Explanation of Benefits
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-explanation-of-benefits-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-immunization-api
  name: wellcare-health-plans Immunization API
  description: Immunization records and history.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Immunization
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-immunization-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-insurance-plan-api
  name: wellcare-health-plans Insurance Plan API
  description: Insurance plan details including networks and coverage areas.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - InsurancePlan
  tags_raw:
  - Insurance Plan
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-insurance-plan-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-location-api
  name: wellcare-health-plans Location API
  description: Physical care delivery locations and addresses.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Location
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-location-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-medication-request-api
  name: wellcare-health-plans Medication Request API
  description: Prescribed medications and medication orders.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - MedicationRequest
  tags_raw:
  - Medication Request
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-medication-request-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-observation-api
  name: wellcare-health-plans Observation API
  description: Clinical observations, lab results, and vital signs.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Observation
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-observation-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-organization-api
  name: wellcare-health-plans Organization API
  description: Healthcare organizations, hospitals, and facilities.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Organization
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-organization-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-patient-api
  name: wellcare-health-plans Patient API
  description: Patient demographic and identity resources.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Patients
  tags_raw:
  - Patient
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-patient-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-practitioner-api
  name: wellcare-health-plans Practitioner API
  description: Individual healthcare practitioners and clinicians.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - Practitioner
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-practitioner-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json
- aid: wellcare-health-plans:wellcare-health-plans-practitioner-role-api
  name: wellcare-health-plans Practitioner Role API
  description: A practitioner's role within an organization and network.
  humanURL: https://www.wellcare.com/en/interoperability-and-patient-access
  baseURL: https://partners.centene.com
  tags:
  - PractitionerRole
  tags_raw:
  - Practitioner Role
  properties:
  - type: OpenAPI
    url: openapi/wellcare-health-plans-practitioner-role-api-openapi.yml
  - type: Documentation
    url: https://www.wellcare.com/en/interoperability-and-patient-access
  - type: Portal
    url: https://partners.centene.com/apis
  - type: JSONSchema
    url: json-schema/wellcare-fhir-patient-schema.json
  - type: JSONSchema
    url: json-schema/wellcare-fhir-eob-schema.json
  - type: JSONStructure
    url: json-structure/wellcare-fhir-patient-structure.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-getPatient-example.json
  - type: Examples
    url: examples/wellcare-fhir-patient-access-api-listExplanationOfBenefit-example.json
  - type: SpectralRuleset
    url: rules/wellcare-health-plans-rules.yml
  - type: Examples
    url: examples/wellcare-fhir-provider-directory-api-searchPractitioners-example.json

WellCare Health Plans API — frequently asked questions

Does WellCare Health Plans have an API?

Yes. APIs.io lists 13 APIs from WellCare Health Plans, including wellcare-health-plans Condition API, wellcare-health-plans Coverage API and wellcare-health-plans Encounter API, and 10 more.

Is there an OpenAPI specification for the WellCare Health Plans API?

Yes. APIs.io indexes 13 OpenAPI specifications for WellCare Health Plans, each linked for download from this page.

How do I authenticate with the WellCare Health Plans API?

WellCare Health Plans documents its authentication (http/oauth2 · 2 schemes). The details are profiled on APIs.io as WellCare Health Plans Authentication.

How much does the WellCare Health Plans API cost?

APIs.io lists 3 pricing plans for WellCare Health Plans, with each plan's price, limits and inclusions under Pricing on this page.

Is the WellCare Health Plans API ready for AI agents?

WellCare Health Plans has a Kin Score of 33.3 out of 100 (thin) and an Agent Readiness score of 29.8 (agent-ready), scored by API Evangelist on 2026-11-13.

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