Claims
Business capabilities this tag reaches
Insurance Claims Management 9
Healthcare Revenue Cycle Management 6
Public Benefits & Entitlements Management 2
Cybersecurity Management 1
Providers using this tag (127)
Ranked by API Evangelist rating — Exemplar and Strong are expanded by default.
Developing 19 Usable, with meaningful gaps to close
Thin 23 Limited public surface area
Emerging 52 Early or largely undocumented
WeavZelisSmithRxAlaffiaResilienceRapidClaimsCLARA AnalyticsMachinifyNomi HealthAssuredChariot ClaimsJoyfulInventoryQuantForeign Claims Settlement CommissionWawanesa InsuranceCytoraHealthVerityInsurance Council of AustraliaAvivaMedibankBoost InsuranceBupa AustraliaArbital HealthRSA InsuranceHCFDefinity FinancialAdonisFinThriveHoney InsuranceTALBlue Cross CanadaSureMarshmallowDigitalOwlBudget DirectInsurance Australia GroupRivet HealthEIS GroupCamberAIG AerospaceConvexAdmiral GroupEbixDayDream DentalHippoChubbTryadonisAmperos HealthActurisIntact FinancialSonnet InsuranceSquareTrade (Allstate)
APIs with this tag (91)
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 5 Complete, well-documented, and agent-ready
AfterShip Claim Items APIPublic endpoints for updating item-level claim data.AfterShip Claim Shipments APIPublic endpoints for creating and polling claim shipment resources.AfterShip Warranty Registrations APIPublic endpoints for querying and correcting warranty registration data.SCVD General Store Claims APIThe Claims API from SCVD General Store — 2 operation(s) for claims.athenahealth Claims APIThe Claims API from athenahealth — 1 operation(s) for claims.
Strong 11 Solid coverage with minor gaps
Candid Health Charge Capture APICreate and manage charge capture claims and bundles for batch claim processing. Enables claim creation from...Healthie GraphQL APIThe Healthie GraphQL API is the single contract behind the entire Healthie platform — the same API that pow...Medusa Claims APIAn admin creates a claim for an order when a customer reports that an item is defective or incorrect. Using...Griffin Claims APIA [claim](/docs/terms/claim) is an unverified data point or series of data points attached to a [legal pers...Guidewire Claims APIClaims lifecycle managementRiskified Policy Protect APIDetect and prevent refund, return, and promotional abuse. Submit refund and return claims for adjudication ...Ablo Claims APIThe claims API from Ablo — 7 operation(s) for claims.Amazon Web Services Claims APIThe Claims API from Amazon Web Services — 1 operation(s) for claims.Aptible Claims APIThe Claims API from Aptible — 3 operation(s) for claims.Mastercard Claims APIThe Claims API from Mastercard — 1 operation(s) for claims.Optum Real (Medical) APIOptum Real point-of-care APIs on the oihub gateway: pre-service eligibility, claim pre-check, claim actions...
Developing 25 Usable, with meaningful gaps to close
NexHealth Claims APIClaims resourcesTebra Billing and Claims APISOAP revenue-cycle operations covering charges, encounters, payments, and transactions - GetCharges, GetEnc...Lynx Claims APIThe Claims API from Lynx — 3 operation(s) for claims.pVerify Claim Status APIX12 276/277 claim status inquiry. Ask a payer what happened to a submitted claim and retrieve the 277 respo...Origami Risk Actions APIReal-time and queued platform actions triggered against any domain record — including creating a claim from...Eligible Claims APIThe Claims API supports submission, tracking, and status checking of professional and institutional healthc...ACORD Claims APIClaims inquiry, submission, and managementACORD XML Standards APIACORD XML Standards define data exchange formats for property & casualty, life, annuity, and reinsurance us...Qover Embedded Insurance APIQover's REST API for embedded insurance: a Claims API (file, retrieve, track status history, and download c...Solera API Gateway (North America)The Solera Integrations Public API portal for North America lists the Audatex/Solera claims services availa...Paxos Claims APIClaims represent rewards paid out on-chain. Use claim schedules to automate daily reward claims. *These end...SecureAuth (incl. Cloudentity) Claims APIThe claims API from SecureAuth (incl. Cloudentity) — 3 operation(s) for claims.Aetna Provider EDI ConnectivityHIPAA X12 electronic data interchange for health care professionals - EDI 837 claims, 270/271 eligibility a...Elevance Health Claims APIThe Claims API from Elevance Health — 3 operation(s) for claims.OpenGov Claims APIThe claims API from OpenGov — 2 operation(s) for claims.Waystar Claim Management APISubmits, scrubs, edits, tracks, and manages professional, institutional, and dental claims through Waystar'...Duck Creek Claims APIDuck Creek Claims API supports claims intake, adjudication workflow, reserve management, and payment proces...Moxe Health Claims APIThe Claims API from Moxe Health — 2 operation(s) for claims.Tuva ConnectorsA family of open-source dbt connector projects (Medicare CCLF, BCDA, CMS synthetic, Aetna, BCBS, and a conn...Mercado Pago Claims & Disputes APIPost-sale claims, mediations, evidence upload, messages, and notification retrieval for resolving buyer dis...Mercado Pago Claims APIBuyer claims, mediations, and evidenceTailorMed Claims Data APIREST API for submitting and reconciling claims data against TailorMed's affordability and assistance workfl...VA Lighthouse Claims APIAllows authenticated and authorized users to access claims data for a single claim by ID, or for all claims...Form3 Claims APIThe Claims API from Form3 — 8 operation(s) for claims.American Financial Group Claims APIThe claims API from American Financial Group — 1 operation(s) for claims.
Thin 29 Limited public surface area
Root Insurance Claims APIThe Claims API from Root Insurance — 31 operation(s) for claims.Laka Claims APIClaims APIB3 Insurance (Seguros) APIsInsurance-segment registration APIs (V3) covering accepted co-insurance registration, claim registration, d...Voyager Portal Public APIREST API for managing voyages and workflows on the Voyager Portal maritime operations platform. Resources i...Verisk Claims APIClaims analytics and benchmarkingBRL Claims APIThe Claims API from BRL — 2 operation(s) for claims.Travelers Claims APIBusiness insurance claim reporting and managementmajesco Claims APIClaims intake and managementAflac Claims APIThe Aflac Claims API provides programmatic access to supplemental insurance claim submission, status retrie...aflac Claims APIClaims submission and status retrieval operations.Forta Health Claims APIThe claims API from Forta Health — 17 operation(s) for claims.Qoala Authentication APISession management for the Qoala for Enterprise platform — create an authentication session from an email a...Unity Platform APIThe Unity Cloud (Unity Platform) developer surface, documented publicly at docs.unitycloud.io as the Unity ...C.L.U.E. AutoC.L.U.E. Auto is a contributory claim-history information exchange containing up to seven years of personal...C.L.U.E. Auto with Current CarrierC.L.U.E. Auto combined with Current Carrier, which identifies the carriers of existing or previous insuranc...BankruptcyWatch Claims APIThe Claims API from BankruptcyWatch — 1 operation(s) for claims.EasyPost Insurance & Claims APIInsurance API: insure shipments at 1% of declared value with a $1 minimum. Claims API: file and manage dama...Lloyd'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...Allianz Trade Claims APIInsurance claim management operationsFDX Insurance APIRESTful endpoints for retrieving insurance policy information including policy coverage details, premium sc...CCC Platform API GatewayCCC's production API gateway. GET https://api.cccis.com/v1 returns HTTP 401 with an RFC 6750 Bearer challen...CCC Secure Share APICCC's only publicly named API product. Secure Share is described by CCC as "a network using cloud-based API...UnitedHealthcare Claims APIClaim pre-check, submission, and inquiryAssurant Claims APIClaims filing and managementExpress Scripts Partner APIsThe partner-facing API estate Express Scripts exposes through its own gateway. The production host api.expr...Netsmart CareConnect Payer Patient Access APIFHIR R4 API for payer organizations enabling patient-directed access to claims, clinical, and coverage data...Change Healthcare Medical Network APIJSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status, ...Community Health Systems Claims APIAdjudicated claims and encounter dataOpen Dental Claims APICONFIRMED. Insurance claims and claim workflow.
Emerging 17 Early or largely undocumented
EHI Replacement Rental APIsThe Replacement Rental business line of the EHI API Marketplace, exposing the ARMS (Automated Rental Manage...Claim.MD Claims APIClaim file upload and reconciliation.Cytora Platform APICytora's production REST API for digital risk processing — the "preferred method" of submission intake desc...Zelis APIZelis' partner-facing API platform, published through the Zelis developer portal and API marketplace. The c...Boost Insurance Claims APIThe Claims API from Boost Insurance — 1 operation(s) for claims.Arbital Health Platform APIThe JSON API behind the Arbital Health adjudication platform at platform.arbitalhealth.com. Observed live a...Tint Claims APIClaims handling from FNOL through settlement.Wynsure REST APIRESTful API exposing Wynsure's core insurance platform capabilities for integration with third-party system...Adonis APIAdonis platform API for revenue cycle management, including real-time patient eligibility and benefits veri...Gallagher Bassett Claims Management APIAPI for integrating with Gallagher Bassett claims management services. Gallagher Bassett is a global third-...FinThrive APIThe FinThrive API, published through a Microsoft Azure API Management instance. The developer portal at api...Symetra Benefits Administration APISymetra's Benefits Administration API enables HR platforms, benefits administrators, and technology partner...TAL Group Life B2B (glsb2b)The integration estate behind TAL's group insurance business with superannuation funds — underwriting in/ou...Sure Platform APIREST APIs for the full embedded insurance lifecycle including quoting, rating, binding, policy management, ...Triple-S Salud Provider PortalMi Triple-S is the online provider portal for Triple-S Salud, offering healthcare providers access to insur...Denticon Revenue Cycle Management APIRetrieve insurance eligibility and claims data and post writebacks that automate insurance verification and...Dentrix Insurance & Claims APIRead insurance coverage and claim status and, on Ascend, submit claims. The Dentrix Developer Program expos...
Minimal 4 Almost no public developer surface
Overjet Claims Review (ReviewPASS) APIModeled payer-side surface for AI-assisted dental claim review - Overjet's ReviewPASS applies Vision AI to ...Trupanion Vet Portal / VetDirectPay IntegrationSoftware integration behind Trupanion's VetDirectPay - the patented ability to submit a treatment invoice a...ConnectZ Claims Retrieval APIRetrieves claim records and status for Zurich policies, enabling partners, brokers, and aggregators to disp...Stere Claims APIStere Claims covers First Notice of Loss (FNOL) intake with automated data enrichment today; claims process...
Companies reaching this through an API (48)
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
Allianz Trade
Amazon Web Services
American Financial Group
Aptible
Arthur J. Gallagher
athenahealth
Audatex
B3 (Brasil Bolsa Balcão)
BankruptcyWatch
BRL
Claim.MD
Community Health Systems
Denticon
Dentrix
Department of Veterans Affairs (VA Lighthouse)
EasyPost
Elevance Health
Enterprise Mobility
Financial Data Exchange (FDX)
Form3
Forta Health
Griffin
Lynx
Mastercard
Medusa
Mercado Pago
Netsmart
NexHealth
Open Dental
OpenGov
Overjet
Paxos
Riskified
SCVD General Store
SecureAuth (incl. Cloudentity)
Stere
Symetra Financial
TailorMed
Tebra
Tint
Triple-S Management
Trupanion
Voyager Portal
Wynsure
Zurich Insurance
Score breakdown
Frequency
64.9
log-scaled weighted occurrences
Breadth
2.8
spread across providers
Quality lift
27.1
mean composite of providers using it
Cohesion
17.7
strength of nearest seed neighbor
Related tags
Property and Casualty 41 co-occurrences
Insurance 119 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 tag127
Api tag91
Openapi tag32
Openapi op tag110
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.
| Market | Share of the market's providers |
|---|---|
| Insurance and Insurtech | 36% |
| Payer Interoperability (CAQH CORE, X12, Da Vinci, WEDI) | 24% |
Cohort brief
Auto-generatedThe 125 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
125
of 127 in the catalog
Mean Kin Score
26.2
+4.0 vs catalog 22.2
Mean Agent Readiness
13.3
+1.3 vs catalog 12
Spread
0–77.3
median 22.3 · σ 16.9
How the 125 split by band
Exemplar 2Strong 6Developing 19Thin 23Emerging 52Minimal 23
Facet averages, against the whole catalog
| Facet | This cohort | Catalog | Difference | Scored |
|---|---|---|---|---|
| Access Clarity | 30 | 23.9 | +6.1 | 125 |
| Contract Governance | 11.3 | 6.5 | +4.8 | 125 |
| Discoverability | 61.6 | 57.9 | +3.7 | 125 |
| Developer Ergonomics | 26.4 | 23.2 | +3.2 | 125 |
| Operational Transparency | 14.8 | 13 | +1.8 | 125 |
| Contract Quality | 17.9 | 17.2 | +0.7 | 125 |
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
| Artifact | This cohort | Catalog | Difference |
|---|---|---|---|
| MCP server (any) | 10% | 13% | -3 |
| MCP server (first-party) | 10% | 12% | -2 |
| Agent Skills | 0% | 0% | 0 |
| OAuth scopes | 26% | 11% | +15 |
| Security | 100% | 98% | +2 |
| Arazzo workflows | 2% | 2% | 0 |
| Governance rules | 17% | 16% | +1 |
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 Stedi 77.3
- 2 1upHealth 70.6
- 3 Candid Health 66.2
- 4 Healthie 66.1
- 5 hi.health 65.3
- 6 Availity 64.9
- 7 Guidewire 63.6
- 8 Optum 57
- 9 pVerify 51.2
- 10 Origami Risk 51
Top by Agent Readiness
- 1 Stedi 61.7
- 2 Socotra 53.2
- 3 hi.health 52.7
- 4 Flume Health 50.4
- 5 SuperDial 43.3
- 6 Guidewire 42
- 7 Extend 41.1
- 8 AmTrust Financial Services 40.2
- 9 CMS — Centers for Medicare & Medicaid Services 40.1
- 10 Aflac 38.1
All 127 members of this roster resolve to a provider in the
catalog; 125 carry a score (98%).
The figures above describe the scored members only.
Coverage caveat. 109 of 125 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 24 October 2026, across 31984 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.
Coverage caveat. 109 of 125 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 24 October 2026, across 31984 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.