established · -0.9 market industry

Claims

Score 24.0 / 100 130 providers +62 via APIs 105 APIs Search apis.io →
Business capabilities this tag reaches
Insurance Claims Management 9 Healthcare Revenue Cycle Management 6 Consumer Commerce 2 Public Benefits & Entitlements Management 2 Cybersecurity Management 1

Providers using this tag (130)

Ranked by API Evangelist rating — Exemplar and Strong are expanded by default.

Exemplar 6 Complete, well-documented, and agent-ready
Strong 5 Solid coverage with minor gaps
Developing 22 Usable, with meaningful gaps to close
Thin 21 Limited public surface area
Emerging 54 Early or largely undocumented
ZelisCompanyHealthcareHealthcare Payments1 API24.6SmithRxCompanyHealthcarePharmacyPharmacy Benefit Management23.9WeavCompanyArtificial IntelligenceInsuranceInsurtech1 API22.6ResilienceInsuranceUnited StatesCyber InsuranceProperty and Casualty1 API21.5AlaffiaCompanyHealthcareHealth InsurancePayment Integrity20.7RapidClaimsCompanyAutomationHealthcareRevenue Cycle Management18.3CLARA AnalyticsCompanyInsuranceInsurtech17.1AssuredCompanyInsurtechInsurance16.9MachinifyCompanyHealthcarePayment IntegrityHealth Insurance16.4Chariot ClaimsCompanyInsuranceLegal Tech15.8Nomi HealthCompanyHealthHealthcarePayments15.4JoyfulCompanyHealthcareRevenue Cycle ManagementMedical Billing13.9InventoryQuantCompanyInsuranceInsurance Technology12.8ClearcoverCompanyInsuranceAuto InsuranceInsurtech12.5CytoraInsuranceUnited KingdomInsurtechCommercial Insurance2 APIs25.7HealthVerityHealthcareUnited StatesLife SciencesReal-World Data1 API25.2MedibankInsuranceAustraliaHealth InsurancePrivate Health Insurance25.1Boost InsuranceInsuranceEmbedded InsuranceInsurance As A ServicePolicy Administration1 API24.9Insurance Council of AustraliaInsuranceAustraliaGeneral InsuranceIndustry Association3 APIs24.8HCFInsuranceAustraliaHealth InsuranceLife Insurance24.2FinThriveCompanyHealthcareRevenue Cycle ManagementHealth IT1 API23.9Arbital HealthCompanyHealthcareHealth InsuranceValue-Based Care1 API23.7RSA InsuranceInsuranceUnited KingdomProperty and CasualtyCommercial Lines23.7AvivaInsuranceUnited KingdomProperty and CasualtyLife Insurance2 APIs23.6Bupa AustraliaInsuranceAustraliaHealth InsurancePrivate Health Insurance1 API23.2Definity FinancialInsuranceCanadaProperty and CasualtyCarrier22.5AdonisCompanyHealthcareRevenue Cycle ManagementMedical Billing1 API21.3Blue Cross CanadaInsuranceCanadaHealth InsuranceDental Benefits20.9TALInsuranceAustraliaLife InsuranceIncome Protection3 APIs20.8Budget DirectInsuranceAustraliaProperty and CasualtyDirect to Consumer Insurance20.4MarshmallowInsuranceUnited KingdomInsurtechProperty and Casualty20.4Honey InsuranceInsuranceAustraliaInsurtechHome Insurance19.6DigitalOwlCompanyHealthcareInsuranceInsurtech19.3EIS GroupInsuranceUnited StatesCore SystemsPolicy Administration18.9CamberCompanyHealthHealthcareRevenue Cycle Management18.7Rivet HealthCompanyHealthcareRevenue Cycle ManagementMedical Billing18.5AIG AerospaceInsuranceAviationAerospaceSpecialty Insurance17.8Insurance Australia GroupInsuranceAustraliaNew ZealandProperty and Casualty1 API17.8SureInsuranceEmbedded InsuranceInsurtechPolicy Management1 API17.5ConvexInsuranceUnited KingdomProperty and CasualtySpecialty Insurance1 API15.9EbixInsuranceUnited StatesProperty and CasualtyLife Insurance15.8Admiral GroupInsuranceUnited KingdomProperty and CasualtyAuto Insurance14.9DayDream DentalDentalBillingRevenue Cycle ManagementHealthcare14.8INZMOCompanyInsuranceInsurtechEmbedded Insurance14.2ChubbAccident and HealthAuto InsuranceCommercial Insurance1 API13.7Intact FinancialInsuranceCanadaProperty and CasualtyCarrier13.5Amperos HealthCompanyHealthcareRevenue Cycle ManagementMedical Billing13.0ActurisInsuranceUnited KingdomBrokerageAgency Management12.2TryadonisCompanyArtificial IntelligenceHealthcareRevenue Cycle Management12.2Sonnet InsuranceInsuranceCanadaProperty and CasualtyAuto Insurance12.1HippoInsuranceHome InsuranceSmart HomeInsurtech4 APIs11.7NovideaCompanyInsuranceInsurtechInsurance Distribution11.2SquareTrade (Allstate)CompanyFintechInsuranceWarranty11.2WithcoverageCompanyInsurtechInsuranceRisk Management11.0
Minimal 22 Almost no public developer surface

APIs with this tag (105)

Ranked by the provider's API Evangelist rating — the Kin Score is scored per provider, not per API, so every API of a provider shares its band. How the rating works →

Exemplar 11 Complete, well-documented, and agent-ready
Strong 15 Solid coverage with minor gaps
Developing 33 Usable, with meaningful gaps to close
Moxe Health Claims APIThe Claims API from Moxe Health — 2 operation(s) for claims.53.1Eligible Claims APIThe Claims API supports submission, tracking, and status checking of professional and institutional healthc...51.0AI was here Claims APIThe Claims API from AI was here — 1 operation(s) for claims.50.6ACORD Claims APIClaims inquiry, submission, and management50.4ACORD XML Standards APIACORD XML Standards define data exchange formats for property & casualty, life, annuity, and reinsurance us...50.4Solera API Gateway (North America)The Solera Integrations Public API portal for North America lists the Audatex/Solera claims services availa...50.3Paxos Claims APIClaims represent rewards paid out on-chain. Use claim schedules to automate daily reward claims. *These end...49.9Qover Embedded Insurance APIQover's REST API for embedded insurance: a Claims API (file, retrieve, track status history, and download c...49.3SecureAuth (incl. Cloudentity) Claims APIThe claims API from SecureAuth (incl. Cloudentity) — 3 operation(s) for claims.48.3Competitor Tracker & Co. APIREST API for Competitor Tracker & Co.: competitors, detected changes, snapshots, labels, weekly brief, disp...47.7Elevance Health Claims APIThe Claims API from Elevance Health — 3 operation(s) for claims.47.4OpenGov Claims APIThe claims API from OpenGov — 2 operation(s) for claims.47.4Aetna Provider EDI ConnectivityHIPAA X12 electronic data interchange for health care professionals - EDI 837 claims, 270/271 eligibility a...46.9VA Lighthouse Claims APIAllows authenticated and authorized users to access claims data for a single claim by ID, or for all claims...46.2ticexplorer-com Claims APIPrice or reconcile a whole visit / bill.46.1Laka Claims APIClaims API45.8Tuva ConnectorsA family of open-source dbt connector projects (Medicare CCLF, BCDA, CMS synthetic, Aetna, BCBS, and a conn...45.3Duck Creek Claims APIDuck Creek Claims API supports claims intake, adjudication workflow, reserve management, and payment proces...45.0TailorMed Claims Data APIREST API for submitting and reconciling claims data against TailorMed's affordability and assistance workfl...43.5Waystar Claim Management APISubmits, scrubs, edits, tracks, and manages professional, institutional, and dental claims through Waystar'...43.5Form3 Claims APIThe Claims API from Form3 — 8 operation(s) for claims.43.1American Financial Group Claims APIThe claims API from American Financial Group — 1 operation(s) for claims.42.5majesco Claims APIClaims intake and management41.9Qoala Authentication APISession management for the Qoala for Enterprise platform — create an authentication session from an email a...41.9Verisk Claims APIClaims analytics and benchmarking41.5Root Insurance Claims APIThe Claims API from Root Insurance — 31 operation(s) for claims.41.1unulu-ai Claims APIThe Claims API from unulu-ai — 1 operation(s) for claims.40.8Voyager Portal Public APIREST API for managing voyages and workflows on the Voyager Portal maritime operations platform. Resources i...40.7Greenlit Books Claims APIThe Claims API from Greenlit Books — 2 operation(s) for claims.40.6Mercado Pago Claims & Disputes APIPost-sale claims, mediations, evidence upload, messages, and notification retrieval for resolving buyer dis...40.4Mercado Pago Claims APIBuyer claims, mediations, and evidence40.4Forta Health Claims APIThe claims API from Forta Health — 17 operation(s) for claims.39.8BRL Claims APIThe Claims API from BRL — 2 operation(s) for claims.39.3
Thin 25 Limited public surface area
B3 Insurance (Seguros) APIsInsurance-segment registration APIs (V3) covering accepted co-insurance registration, claim registration, d...38.4Unity Platform APIThe Unity Cloud (Unity Platform) developer surface, documented publicly at docs.unitycloud.io as the Unity ...37.6C.L.U.E. AutoC.L.U.E. Auto is a contributory claim-history information exchange containing up to seven years of personal...37.4C.L.U.E. Auto with Current CarrierC.L.U.E. Auto combined with Current Carrier, which identifies the carriers of existing or previous insuranc...37.4Travelers Claims APIBusiness insurance claim reporting and management35.9EZO Labs Inc. Claims APIOn-chain prizes: the caller's prize leaves, a leaf's claim ticket, the claim's screen and its signed claim ...35.3aflac Claims APIClaims submission and status retrieval operations.35.2Aflac Claims APIThe Aflac Claims API provides programmatic access to supplemental insurance claim submission, status retrie...35.2Lloyd's RPAC API (Risk, Premium and Claims)Third API listed in the Lloyd's API catalogue, described by Lloyd's as "Submit Risk, Premium and Claims det...34.4Fold Laundry Claims APIThe Claims API from Fold Laundry — 5 operation(s) for claims.34.0CCC Platform API GatewayCCC's production API gateway. GET https://api.cccis.com/v1 returns HTTP 401 with an RFC 6750 Bearer challen...33.3CCC Secure Share APICCC's only publicly named API product. Secure Share is described by CCC as "a network using cloud-based API...33.3BankruptcyWatch Claims APIThe Claims API from BankruptcyWatch — 1 operation(s) for claims.32.7EasyPost Insurance & Claims APIInsurance API: insure shipments at 1% of declared value with a $1 minimum. Claims API: file and manage dama...32.0Tinvio Claims APICreate, update, and search employee expense claims, and manage their approval lifecycle, including bulk act...31.6Allianz Trade Claims APIInsurance claim management operations29.7FDX Insurance APIRESTful endpoints for retrieving insurance policy information including policy coverage details, premium sc...29.7Assurant Claims APIClaims filing and management29.4FlowCastle APIFlowCastle API as documented publicly: 12 operations. Contract generated from the documentation by API Evan...28.7Netsmart CareConnect Payer Patient Access APIFHIR R4 API for payer organizations enabling patient-directed access to claims, clinical, and coverage data...28.5UnitedHealthcare Claims APIClaim pre-check, submission, and inquiry28.4Open Dental Claims APICONFIRMED. Insurance claims and claim workflow.27.8Express Scripts Partner APIsThe partner-facing API estate Express Scripts exposes through its own gateway. The production host api.expr...27.7EHI Replacement Rental APIsThe Replacement Rental business line of the EHI API Marketplace, exposing the ARMS (Automated Rental Manage...27.1Change Healthcare Medical Network APIJSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status, ...26.6
Emerging 17 Early or largely undocumented
Community Health Systems Claims APIAdjudicated claims and encounter data26.1Cytora Platform APICytora's production REST API for digital risk processing — the "preferred method" of submission intake desc...25.7Claim.MD Claims APIClaim file upload and reconciliation.25.5Boost Insurance Claims APIThe Claims API from Boost Insurance — 1 operation(s) for claims.24.9Zelis APIZelis' partner-facing API platform, published through the Zelis developer portal and API marketplace. The c...24.6FinThrive APIThe FinThrive API, published through a Microsoft Azure API Management instance. The developer portal at api...23.9Arbital Health Platform APIThe JSON API behind the Arbital Health adjudication platform at platform.arbitalhealth.com. Observed live a...23.7Tint Claims APIClaims handling from FNOL through settlement.23.7Gallagher Bassett Claims Management APIAPI for integrating with Gallagher Bassett claims management services. Gallagher Bassett is a global third-...22.5Wynsure REST APIRESTful API exposing Wynsure's core insurance platform capabilities for integration with third-party system...21.8Adonis APIAdonis platform API for revenue cycle management, including real-time patient eligibility and benefits veri...21.3TAL Group Life B2B (glsb2b)The integration estate behind TAL's group insurance business with superannuation funds — underwriting in/ou...20.8Symetra Benefits Administration APISymetra's Benefits Administration API enables HR platforms, benefits administrators, and technology partner...19.9Sure Platform APIREST APIs for the full embedded insurance lifecycle including quoting, rating, binding, policy management, ...17.5Triple-S Salud Provider PortalMi Triple-S is the online provider portal for Triple-S Salud, offering healthcare providers access to insur...14.4Denticon Revenue Cycle Management APIRetrieve insurance eligibility and claims data and post writebacks that automate insurance verification and...14.0Dentrix Insurance & Claims APIRead insurance coverage and claim status and, on Ascend, submit claims. The Dentrix Developer Program expos...11.1
Minimal 4 Almost no public developer surface

Companies reaching this through an API (62)

These companies publish an API, specification or operation carrying “Claims” but do not classify their business under it. Listed unranked and kept out of the count above, because one tagged operation is not a statement about what a company does.

Ablo Aetna AfterShip agentdrives-com AI was here Allianz Trade Amazon Web Services American Financial Group Aptible Arthur J. Gallagher athenahealth Audatex B3 (Brasil Bolsa Balcão) Backwork BankruptcyWatch BRL Claim.MD Community Health Systems Competitor Tracker & Co. Council of AI CrawlCheck Denticon Dentrix Department of Veterans Affairs (VA Lighthouse) EasyPost Elevance Health Enterprise Mobility EZO Labs Inc. Financial Data Exchange (FDX) FlowCastle Fold Laundry Form3 Forta Health Greenlit Books Griffin Lynx Mastercard Medusa Mercado Pago Netsmart NexHealth Open Dental OpenGov Overjet Paxos Riskified satohub-ai SCVD General Store SecureAuth (incl. Cloudentity) Stere
Show all 62 companies ↓

Score breakdown

Frequency
62.4
log-scaled weighted occurrences
Breadth
1.7
spread across providers
Quality lift
27.3
mean composite of providers using it
Cohesion
16.7
strength of nearest seed neighbor

Related tags

Property and Casualty 41 co-occurrences Insurance 120 co-occurrences Underwriting 40 co-occurrences Insurtech 49 co-occurrences Eligibility 22 co-occurrences Health Insurance 28 co-occurrences Embedded Insurance 20 co-occurrences Policy Administration 18 co-occurrences

Where this tag comes from

Provider tag130
Api tag103
Openapi tag43
Openapi op tag136

Markets provisional

Kin Score markets whose measured providers carry this tag. Share is the fraction of the market's measured providers that carry it — it describes the market, not this tag.

Cohort brief

Auto-generated

The 127 providers in the APIs.io catalog tagged Claims, scored on the Kin Score. Every figure below is computed from the catalog — nothing here is written.

Providers
127
of 130 in the catalog
Mean Kin Score
27.7
+3.6 vs catalog 24.1
Mean Agent Readiness
13.6
-0.5 vs catalog 14.1
Spread
0–78.2
median 23.7 · σ 17.7
How the 127 split by band
Exemplar 6Strong 5Developing 22Thin 20Emerging 54Minimal 20
Facet averages, against the whole catalog
FacetThis cohortCatalogDifferenceScored
Access Clarity 36.4 30 +6.4 127
Contract Governance 13.5 9.7 +3.8 127
Developer Ergonomics 28.1 24.5 +3.6 127
Discoverability 61.9 59.1 +2.8 127
Operational Transparency 14.9 13.2 +1.7 127
Contract Quality 18.2 18.6 -0.4 127

A facet is averaged over the members that carry it, not over the whole cohort — the “Scored” column is that count. Averaging an absent facet as zero would score our own coverage gaps as the providers’ posture.

What this cohort publishes
ArtifactThis cohortCatalogDifference
MCP server (any) 10% 18% -8
MCP server (first-party) 11% 16% -5
Agent Skills 0% 0% 0
OAuth scopes 27% 13% +14
Security 100% 99% +1
Arazzo workflows 2% 1% +1
Governance rules 32% 36% -4

mcp_pct counts any mcp/ artifact including ones API Evangelist derived from the provider OpenAPI; mcp_first_party_pct counts only servers the provider publishes. Prefer the latter.

Top by Kin Score
  1. 1 Stedi 78.2
  2. 2 hi.health 73
  3. 3 Optum 69.8
  4. 4 1upHealth 68.9
  5. 5 Healthie 68.6
  6. 6 Candid Health 68
  7. 7 Availity 64.8
  8. 8 Guidewire 63.8
  9. 9 Extend 57.4
  10. 10 Origami Risk 54.9
Top by Agent Readiness
  1. 1 Stedi 65.8
  2. 2 Socotra 53.2
  3. 3 Flume Health 53.2
  4. 4 hi.health 52.7
  5. 5 Extend 43.8
  6. 6 SuperDial 43.3
  7. 7 Guidewire 42
  8. 8 Optum 40.6
  9. 9 AmTrust Financial Services 40.2
  10. 10 CMS — Centers for Medicare & Medicaid Services 40.1
All 130 members of this roster resolve to a provider in the catalog; 127 carry a score (98%). The figures above describe the scored members only.
Coverage caveat. 108 of 127 scored members had under half their catalog-attributable points satisfied at all (catalog_earned / catalog_max < 0.5). They are INCLUDED in the mean above. A large share here means the cohort mean is partly a measurement of how far our enrichment reached, not only of how these providers publish.Generated from the catalog build of 14 November 2026, across 41591 providers, using the same computation served by the APIs.io cohort API. Briefs are published for rosters of 5 or more scored providers; below that a distribution is not meaningful.

Work with this as data

Every tag here is available over the APIs.io API and to AI agents over MCP.

MCP server

One button, every client — Claude, Cursor, VS Code and the rest.

https://apis.io/mcp

Tools for tags

7 MCP tools reach this
  • find_tagsBrowse and filter every tag in the catalog.
  • get_cohortThis tag as a scored cohort — every provider carrying it, with scores.
  • cohort_statsPRO — the distribution across this tag: mean, median, band split, adoption rates.
  • cohort_rankingsPRO — the leaderboard, on composite AND agent-readiness axes.
  • apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.
  • resolveTurn a domain, URL or GitHub org into the provider it belongs to.
  • find_cohortsEvery scored population of providers in the catalog.
All 92 tools →

Call it yourself

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curl "https://apis.io/api/v1/tags/claims"
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curl "https://apis.io/api/v1/tags?limit=25"
As a scored cohort (paid plan)
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