established · -0.2 market industry

Claims

Score 26.4 / 100 125 providers +45 via APIs 92 APIs Search apis.io →
Business capabilities this tag reaches
Insurance Claims Management 8 Healthcare Revenue Cycle Management 6 Public Benefits & Entitlements Management 2

Providers using this tag (125)

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

Exemplar 3 Complete, well-documented, and agent-ready
Strong 4 Solid coverage with minor gaps
Developing 21 Usable, with meaningful gaps to close
Thin 21 Limited public surface area
Emerging 50 Early or largely undocumented
Wawanesa InsuranceInsuranceCanadaProperty and CasualtyCarrier1 API25.2CytoraInsuranceUnited KingdomInsurtechCommercial Insurance2 APIs24.7ZelisCompanyHealthcareHealthcare Payments1 API24.5HealthVerityHealthcareUnited StatesLife SciencesReal-World Data1 API24.4Insurance Council of AustraliaInsuranceAustraliaGeneral InsuranceIndustry Association3 APIs24.3AvivaInsuranceUnited KingdomProperty and CasualtyLife Insurance2 APIs24.2SureInsuranceEmbedded InsuranceInsurtechPolicy Management1 API23.5Arbital HealthCompanyHealthcareHealth InsuranceValue-Based Care1 API23.1RSA InsuranceInsuranceUnited KingdomProperty and CasualtyCommercial Lines22.6Bupa AustraliaInsuranceAustraliaHealth InsurancePrivate Health Insurance22.3HCFInsuranceAustraliaHealth InsuranceLife Insurance22.3nibInsuranceAustraliaHealth InsuranceCarrier1 API22.1Definity FinancialInsuranceCanadaProperty and CasualtyCarrier21.9AdonisCompanyHealthcareRevenue Cycle ManagementRCM1 API21.8FinThriveCompanyHealthcareRevenue Cycle ManagementHealth IT1 API21.5Honey InsuranceInsuranceAustraliaInsurtechHome Insurance20.7SmithRxCompanyHealthcarePharmacyPharmacy Benefit Management20.7MedibankInsuranceAustraliaHealth InsurancePrivate Health Insurance19.9TALInsuranceAustraliaLife InsuranceIncome Protection3 APIs19.6Blue Cross CanadaInsuranceCanadaHealth InsuranceDental Benefits19.5ResilienceInsuranceUnited StatesCyber InsuranceProperty and Casualty1 API19.2MarshmallowInsuranceUnited KingdomInsurtechProperty and Casualty19.0AlaffiaCompanyHealthcareHealth InsurancePayment Integrity18.8Budget DirectInsuranceAustraliaProperty and CasualtyDirect to Consumer Insurance18.3Rivet HealthCompanyHealthcareRevenue Cycle ManagementMedical Billing17.3EIS GroupInsuranceUnited StatesCore SystemsPolicy Administration17.0DigitalOwlCompanyHealthcareInsuranceInsurtech16.8RapidClaimsCompanyAutomationHealthcareRevenue Cycle Management16.7CamberCompanyHealthHealthcareRevenue Cycle Management16.6CLARA AnalyticsCompanyInsuranceInsurtech16.3WeavCompanyArtificial IntelligenceInsuranceInsurtech1 API16.2AIG AerospaceInsuranceAviationAerospaceSpecialty Insurance15.8ConvexInsuranceUnited KingdomProperty and CasualtySpecialty Insurance1 API15.8MachinifyCompanyHealthcarePayment IntegrityHealth Insurance15.6Admiral GroupInsuranceUnited KingdomProperty and CasualtyMotor Insurance15.4Kin InsuranceInsuranceHome InsuranceInsureTechProperty Data1 API15.4EbixInsuranceUnited StatesProperty and CasualtyLife Insurance15.3Nomi HealthCompanyHealthHealthcarePayments14.8DayDream DentalDentalBillingRevenue Cycle ManagementHealthcare14.7AssuredCompanyInsurtechInsurance14.6ChubbAccident and HealthAuto InsuranceCommercial Insurance1 API14.1JoyfulCompanyHealthcareRevenue Cycle ManagementMedical Billing12.6TryadonisCompanyArtificial IntelligenceHealthcareRevenue Cycle Management12.4Amperos HealthCompanyHealthcareRevenue Cycle ManagementMedical Billing12.1ActurisInsuranceUnited KingdomBrokersAgency Management12.0Intact FinancialInsuranceCanadaProperty and CasualtyCarrier12.0Sonnet InsuranceInsuranceCanadaProperty and CasualtyAuto Insurance11.9InventoryQuantCompanyInsuranceInsurance Technology11.8Foreign Claims Settlement CommissionAdjudicationFederal GovernmentInternational Claims11.2SquareTrade (Allstate)CompanyFintechInsuranceWarranty11.1
Minimal 26 Almost no public developer surface

APIs with this tag (88)

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 4 Complete, well-documented, and agent-ready
Strong 11 Solid coverage with minor gaps
Developing 23 Usable, with meaningful gaps to close
pVerify Claim Status APIX12 276/277 claim status inquiry. Ask a payer what happened to a submitted claim and retrieve the 277 respo...52.8Eligible Claims APIThe Claims API supports submission, tracking, and status checking of professional and institutional healthc...51.8NexHealth Claims APIClaims resources51.8ACORD Claims APIClaims inquiry, submission, and management51.7ACORD XML Standards APIACORD XML Standards define data exchange formats for property & casualty, life, annuity, and reinsurance us...51.7Origami Risk Actions APIReal-time and queued platform actions triggered against any domain record — including creating a claim from...51.0Solera API Gateway (North America)The Solera Integrations Public API portal for North America lists the Audatex/Solera claims services availa...49.7Qover Embedded Insurance APIQover's REST API for embedded insurance: a Claims API (file, retrieve, track status history, and download c...49.0Mercado Pago Claims & Disputes APIPost-sale claims, mediations, evidence upload, messages, and notification retrieval for resolving buyer dis...48.1Mercado Pago Claims APIBuyer claims, mediations, and evidence48.1Paxos Claims APIClaims represent rewards paid out on-chain. Use claim schedules to automate daily reward claims. *These end...47.2Elevance Health Claims APIThe Claims API from Elevance Health — 3 operation(s) for claims.45.8Aetna Provider EDI ConnectivityHIPAA X12 electronic data interchange for health care professionals - EDI 837 claims, 270/271 eligibility a...45.6Duck Creek Claims APIDuck Creek Claims API supports claims intake, adjudication workflow, reserve management, and payment proces...45.1OpenGov Claims APIThe claims API from OpenGov — 2 operation(s) for claims.43.8Moxe Health Claims APIThe Claims API from Moxe Health — 2 operation(s) for claims.43.5Waystar Claim Management APISubmits, scrubs, edits, tracks, and manages professional, institutional, and dental claims through Waystar'...43.4Root Insurance Claims APIThe Claims API from Root Insurance — 31 operation(s) for claims.43.2Tuva ConnectorsA family of open-source dbt connector projects (Medicare CCLF, BCDA, CMS synthetic, Aetna, BCBS, and a conn...41.9TailorMed Claims Data APIREST API for submitting and reconciling claims data against TailorMed's affordability and assistance workfl...41.8Form3 Claims APIThe Claims API from Form3 — 8 operation(s) for claims.40.3VA Lighthouse Claims APIAllows authenticated and authorized users to access claims data for a single claim by ID, or for all claims...39.9American Financial Group Claims APIThe claims API from American Financial Group — 1 operation(s) for claims.39.5
Thin 32 Limited public surface area
FDX Insurance APIRESTful endpoints for retrieving insurance policy information including policy coverage details, premium sc...38.9Laka Claims APIClaims API38.8Travelers Claims APIBusiness insurance claim reporting and management38.8B3 Insurance (Seguros) APIsInsurance-segment registration APIs (V3) covering accepted co-insurance registration, claim registration, d...38.7majesco Claims APIClaims intake and management38.6Verisk Claims APIClaims analytics and benchmarking38.6aflac Claims APIClaims submission and status retrieval operations.38.4Aflac Claims APIThe Aflac Claims API provides programmatic access to supplemental insurance claim submission, status retrie...38.4Voyager Portal Public APIREST API for managing voyages and workflows on the Voyager Portal maritime operations platform. Resources i...38.2Forta Health Claims APIThe claims API from Forta Health — 17 operation(s) for claims.36.6BRL Claims APIThe Claims API from BRL — 2 operation(s) for claims.36.5BankruptcyWatch Claims APIThe Claims API from BankruptcyWatch — 1 operation(s) for claims.36.0Qoala Authentication APISession management for the Qoala for Enterprise platform — create an authentication session from an email a...35.9Netsmart CareConnect Payer Patient Access APIFHIR R4 API for payer organizations enabling patient-directed access to claims, clinical, and coverage data...35.7Open Dental Claims APICONFIRMED. Insurance claims and claim workflow.35.3C.L.U.E. AutoC.L.U.E. Auto is a contributory claim-history information exchange containing up to seven years of personal...35.0C.L.U.E. Auto with Current CarrierC.L.U.E. Auto combined with Current Carrier, which identifies the carriers of existing or previous insuranc...35.0Unity Platform APIThe Unity Cloud (Unity Platform) developer surface, documented publicly at docs.unitycloud.io as the Unity ...34.3Riskified Policy Protect APIDetect and prevent refund, return, and promotional abuse. Submit refund and return claims for adjudication ...34.2EasyPost Insurance & Claims APIInsurance API: insure shipments at 1% of declared value with a $1 minimum. Claims API: file and manage dama...34.0Lloyd'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...32.2Claim.MD Claims APIClaim file upload and reconciliation.31.9Allianz Trade Claims APIInsurance claim management operations31.2UnitedHealthcare Claims APIClaim pre-check, submission, and inquiry30.9CCC Platform API GatewayCCC's production API gateway. GET https://api.cccis.com/v1 returns HTTP 401 with an RFC 6750 Bearer challen...30.6CCC Secure Share APICCC's only publicly named API product. Secure Share is described by CCC as "a network using cloud-based API...30.6Assurant Claims APIClaims filing and management30.3Change Healthcare Medical Network APIJSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status, ...29.7Boost Insurance Claims APIThe Claims API from Boost Insurance — 1 operation(s) for claims.28.9Community Health Systems Claims APIAdjudicated claims and encounter data28.6Express Scripts Partner APIsThe partner-facing API estate Express Scripts exposes through its own gateway. The production host api.expr...28.4Tint Claims APIClaims handling from FNOL through settlement.28.4
Emerging 15 Early or largely undocumented
Cytora Platform APICytora's production REST API for digital risk processing — the "preferred method" of submission intake desc...24.7Zelis APIZelis' partner-facing API platform, published through the Zelis developer portal and API marketplace. The c...24.5EHI Replacement Rental APIsThe Replacement Rental business line of the EHI API Marketplace, exposing the ARMS (Automated Rental Manage...24.1Sure Platform APIREST APIs for the full embedded insurance lifecycle including quoting, rating, binding, policy management, ...23.5Arbital Health Platform APIThe JSON API behind the Arbital Health adjudication platform at platform.arbitalhealth.com. Observed live a...23.1Wynsure REST APIRESTful API exposing Wynsure's core insurance platform capabilities for integration with third-party system...22.2Adonis APIAdonis platform API for revenue cycle management, including real-time patient eligibility and benefits veri...21.8Symetra Benefits Administration APISymetra's Benefits Administration API enables HR platforms, benefits administrators, and technology partner...21.6FinThrive APIThe FinThrive API, published through a Microsoft Azure API Management instance. The developer portal at api...21.5Gallagher Bassett Claims Management APIAPI for integrating with Gallagher Bassett claims management services. Gallagher Bassett is a global third-...19.7TAL Group Life B2B (glsb2b)The integration estate behind TAL's group insurance business with superannuation funds — underwriting in/ou...19.6Dentrix Insurance & Claims APIRead insurance coverage and claim status and, on Ascend, submit claims. The Dentrix Developer Program expos...19.5Triple-S Salud Provider PortalMi Triple-S is the online provider portal for Triple-S Salud, offering healthcare providers access to insur...17.1Denticon Revenue Cycle Management APIRetrieve insurance eligibility and claims data and post writebacks that automate insurance verification and...14.1Stere Claims APIStere Claims covers First Notice of Loss (FNOL) intake with automated data enrichment today; claims process...12.3
Minimal 3 Almost no public developer surface

Companies reaching this through an API (45)

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 Mastercard Medusa Mercado Pago Netsmart NexHealth Open Dental OpenGov Overjet Paxos Riskified Stere Symetra Financial TailorMed Tebra Tint Triple-S Management Trupanion Voyager Portal Wynsure Zurich Insurance

Score breakdown

Frequency
65.7
log-scaled weighted occurrences
Breadth
3.2
spread across providers
Quality lift
31.6
mean composite of providers using it
Cohesion
18.6
strength of nearest seed neighbor

Related tags

Property and Casualty 36 co-occurrences Insurance 116 co-occurrences Underwriting 40 co-occurrences Insurtech 49 co-occurrences Eligibility 21 co-occurrences Health Insurance 28 co-occurrences Embedded Insurance 20 co-occurrences Policy Administration 18 co-occurrences

Where this tag comes from

Provider tag125
Api tag92
Openapi tag29
Openapi op tag99

Cohort brief

Auto-generated

The 123 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
123
all scored
Mean Kin Score
26.1
+3.2 vs catalog 22.9
Mean Agent Readiness
12.7
+0.8 vs catalog 11.9
Spread
0–78.8
median 21.9 · σ 17
How the 123 split by band
Exemplar 3Strong 4Developing 21Thin 21Emerging 50Minimal 24
Facet averages, against the whole catalog
FacetThis cohortCatalogDifferenceScored
Access Clarity 31.6 26.5 +5.1 123
Contract Governance 11.1 6.3 +4.8 123
Discoverability 61.1 58.1 +3 123
Developer Ergonomics 25.8 23.2 +2.6 123
Operational Transparency 14.4 13.7 +0.7 123
Contract Quality 17.4 17.6 -0.2 123

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) 9% 14% -5
MCP server (first-party) 9% 12% -3
Agent Skills 0% 0% 0
OAuth scopes 27% 11% +16
Security 100% 98% +2
Arazzo workflows 2% 2% 0
Governance rules 14% 14% 0

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 78.8
  2. 2 1upHealth 71.7
  3. 3 Availity 68.9
  4. 4 Candid Health 65.8
  5. 5 Healthie 65.8
  6. 6 Guidewire 65.2
  7. 7 Optum 56.4
  8. 8 pVerify 52.8
  9. 9 Eligible 51.8
  10. 10 ACORD 51.7
Top by Agent Readiness
  1. 1 Stedi 59.5
  2. 2 Socotra 52.3
  3. 3 Flume Health 51.2
  4. 4 SuperDial 42.1
  5. 5 AmTrust Financial Services 41.5
  6. 6 Guidewire 40.5
  7. 7 CMS — Centers for Medicare & Medicaid Services 39.1
  8. 8 Optum 38.9
  9. 9 Qoala 36.7
  10. 10 Aflac 36.3
All 125 members of this roster resolve to a scored provider in the catalog.Generated from the catalog build of 5 October 2026, across 29093 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

curl for this page
This tag
curl "https://apis.io/api/v1/tags/claims"
All tags
curl "https://apis.io/api/v1/tags?limit=25"
As a scored cohort
curl "https://apis.io/api/v1/cohorts/tag/claims"
The distribution (Pro)
curl "https://apis.io/api/v1/cohorts/tag/claims/stats" \
  -H "X-API-Key: $APIS_IO_KEY"

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