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.

50.5/100 developing ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-07-28 · rubric v0.6
AccessFreemiumSelf serve⚡ Free to try
13 APIs
Fortune 500

Kin Score

Kin Score Kin Score How this is scored →
scored 2026-07-28 · rubric v0.6
Composite quality — 50.5/100 · developing
Contract Quality 19.7 / 25
Developer Ergonomics 3.9 / 20
Commercial Clarity 7.9 / 20
Operational Transparency 4.8 / 13
Governance 8.3 / 12
Discoverability 5.9 / 10
Agent readiness — 31/100 · agent aware
Machine-Readable Contract 18 / 18
Agentic Access Contract 10 / 10
MCP Server 0 / 12
Machine-Readable Auth 10 / 10
Idempotency 0 / 9
Stable Error Semantics 0 / 8
Request/Response Examples 0 / 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 0 / 4
Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/wellcare-health-plans: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

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 2

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

Pricing Plans 1

Published pricing tiers and plan structures.

Rate Limits 1

Documented rate limits and quota policies.

FinOps 1

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

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.

wellcare-health-plans API Rules

5 rules · 3 warnings 2 info

SPECTRAL

wellcare-health-plans API Rules

9 rules · 3 errors 5 warnings

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.

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 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

2026-05-25

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

2026-05-25

WellCare Health Plans, Inc.

2026-05-25

Wellcare Enhances Offering of Affordable, Quality ...

2026-05-25

Wellcare Announces Refreshed Brand in Effort to Better ...

2026-05-25

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)

apis.yml Raw ↑
aid: wellcare-health-plans
accessModel:
  pricing: freemium
  onboarding: self-serve
  trial: false
  try_now: true
  public: false
  label: Freemium · Self-serve signup
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  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: 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:
  - 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:
  - 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:
  - 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:
  - 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