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 APIs on the APIs.io network, including Condition API, Coverage API, 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 10 more developer resources.
Kin Score
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 16
Open, tool-agnostic API collections (OpenAPI-derived and Bruno).
API Collection
OPEN COLLECTIONWellCare FHIR Patient Access API
OPEN COLLECTIONWellCare FHIR Provider Directory API
OPEN COLLECTIONWellCare FHIR Patient Access Condition API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Coverage API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Encounter API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Immunization API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Insurance Plan API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Location API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Observation API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Organization API
OPEN COLLECTIONWellCare FHIR Access Condition Patient API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Practitioner API
OPEN COLLECTIONWellCare FHIR Patient Access Condition Practitioner Role API
OPEN COLLECTIONScroll for all 16
Pricing Plans 1
Published pricing tiers and plan structures.
Rate Limits 1
Documented rate limits and quota policies.
Wellcare Health Plans Rate Limits
RATE LIMITSFinOps 1
Cost, billing, and metering signals for API financial operations.
Semantic Vocabularies 1
JSON-LD contexts and semantic vocabularies used across these APIs.
Spectral Rules 2
Spectral governance rulesets for linting and validating these APIs.
wellcare-health-plans API Rules
SPECTRALwellcare-health-plans API Rules
SPECTRALJSON Schema 2
Standalone JSON Schema definitions for this provider's data models.
WellCare FHIR Explanation of Benefit
JSON SCHEMAWellCare FHIR Patient
JSON SCHEMAJSON Structure 1
JSON Structure definitions describing this provider's data shapes.
Wellcare Fhir Patient Structure
JSON STRUCTUREExamples 3
Example request and response payloads for these APIs.
Security Posture 2
Authentication, domain security, vulnerability disclosure, and trust-center signals.
Scopes 1
OAuth scopes governing access to this provider's APIs.
Agentic Access 1
Recommended x-agentic-access execution contracts for AI agents.
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
Agent Surfaces 1
MCP servers, agent skills, and machine-readable catalogs
Design & Contract 2
Pagination, idempotency, versioning, errors, and events
Build 1
SDKs, sample code, and the tooling you integrate with
Access & Security 3
Authentication, authorization, and security posture
Company 2
The organization behind the API
Source (apis.yml)
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curl "https://apis.io/api/v1/providers/wellcare-health-plans/operations?limit=25"
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