established · 0.0 market industry

Claims

Score 26.4 / 100 121 providers +51 via APIs 99 APIs Search apis.io →
Variants seen in the corpus: Claimsclaims

Providers using this tag (121)

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

Exemplar 6 Complete, well-documented, and agent-ready
Strong 3 Solid coverage with minor gaps
Developing 22 Usable, with meaningful gaps to close
Thin 22 Limited public surface area
ACKO General InsuranceInsuranceInsurtechEmbedded InsuranceHealth Insurance1 API38.8MedigoCompanyConsumerHealthcareInsurance1 API38.1QoalaInsuranceInsurtechEmbedded InsurancePolicies14 APIs37.9SantéVetInsuranceInsurtechPet InsuranceVeterinary4 APIs37.3LexisNexis Risk SolutionsInsuranceUnited StatesRisk DataProperty and Casualty7 APIs37.1CodaficationInsuranceAustraliaInsurtech1 API35.7Lloyd's of LondonInsuranceUnited KingdomReinsuranceSpecialty Insurance4 APIs35.6Cover GeniusInsuranceInsurtechEmbedded InsuranceProtection1 API35.3UnitedHealth GroupHealthcareHealth InsuranceFHIR1 API34.0CCC Intelligent SolutionsInsuranceUnited StatesProperty and Casualty3 APIs33.8Insurance Council of AustraliaInsuranceAustraliaGeneral InsuranceIndustry Association3 APIs33.4UnitedHealthcareHealth InsuranceHealthcareFHIR2 APIs33.0INSTANDAInsuranceUnited KingdomInsurtechPolicy Administration32.5Boost InsuranceInsuranceEmbedded InsuranceInsurance As A ServicePolicy Administration1 API32.2Express Scripts HoldingHealthHealthcarePharmacyPharmacy Benefit Management1 API31.9BupaInsuranceUnited KingdomHealth InsuranceLife and Health2 APIs31.7AssurantInsuranceDevice ProtectionEmbedded InsuranceHousing1 API31.4Change HealthcareHealthcareTechnologyAnalyticsEDI1 API30.2Wawanesa InsuranceInsuranceCanadaProperty and CasualtyCarrier1 API28.3CytoraInsuranceUnited KingdomInsurtechCommercial Insurance2 APIs27.5Arbital HealthCompanyHealthcareHealth InsuranceValue-Based Care1 API26.9HealthVerityHealthcareUnited StatesLife SciencesReal-World Data1 API26.3
Emerging 44 Early or largely undocumented
ZelisCompanyHealthcareHealthcare Payments1 API25.6HCFInsuranceAustraliaHealth InsuranceLife Insurance25.4Aviva plcInsuranceUnited KingdomProperty and CasualtyLife Insurance2 APIs25.3nibInsuranceAustraliaHealth InsuranceCarrier1 API25.3AdonisCompanyHealthcareRevenue Cycle ManagementRCM1 API24.4Bupa AustraliaInsuranceAustraliaHealth InsurancePrivate Health Insurance24.2RSA InsuranceInsuranceUnited KingdomProperty and CasualtyCommercial Lines24.1SureInsuranceEmbedded InsuranceInsurtechPolicy Management1 API23.8Honey InsuranceInsuranceAustraliaInsurtechHome Insurance23.5Definity FinancialInsuranceCanadaProperty and CasualtyCarrier23.4FinThriveCompanyHealthcareRevenue Cycle ManagementHealth IT1 API22.4MarshmallowInsuranceUnited KingdomInsurtechProperty and Casualty22.1SmithRxCompanyHealthcarePharmacyPharmacy Benefit Management22.1Blue Cross CanadaInsuranceCanadaHealth InsuranceDental Benefits22.0TALInsuranceAustraliaLife InsuranceIncome Protection3 APIs21.8ResilienceInsuranceUnited StatesCyber InsuranceProperty and Casualty1 API21.4MedibankInsuranceAustraliaHealth InsurancePrivate Health Insurance20.3AlaffiaCompanyHealthcareHealth InsurancePayment Integrity19.9Budget DirectInsuranceAustraliaProperty and CasualtyDirect to Consumer Insurance19.7CLARA AnalyticsCompanyInsuranceInsurtech18.1CamberCompanyHealthHealthcareRevenue Cycle Management18.0Rivet HealthCompanyHealthcareRevenue Cycle ManagementMedical Billing17.9EIS GroupInsuranceUnited StatesCore SystemsPolicy Administration17.8RapidClaimsCompanyAutomationHealthcareRevenue Cycle Management17.8DigitalOwlCompanyHealthcareInsuranceInsurtech17.4ConvexInsuranceUnited KingdomProperty and CasualtySpecialty Insurance1 API16.3MachinifyCompanyHealthcarePayment IntegrityHealth Insurance16.2Kin InsuranceInsuranceHome InsuranceInsureTechProperty Data1 API16.1WeavCompanyArtificial IntelligenceInsuranceInsurtech1 API16.1Admiral GroupInsuranceUnited KingdomProperty and CasualtyMotor Insurance15.8AssuredCompanyInsurtechInsurance15.8EbixInsuranceUnited StatesProperty and CasualtyLife Insurance15.7DayDream DentalDentalBillingRevenue Cycle ManagementHealthcare15.1Nomi HealthCompanyHealthHealthcarePayments15.1ChubbAccident and HealthAuto InsuranceCommercial Insurance1 API14.0JoyfulCompanyHealthcareRevenue Cycle ManagementMedical Billing13.0TryadonisCompanyArtificial IntelligenceHealthcareRevenue Cycle Management12.8ActurisInsuranceUnited KingdomBrokersAgency Management12.5Amperos HealthCompanyHealthcareRevenue Cycle ManagementMedical Billing12.2Intact FinancialInsuranceCanadaProperty and CasualtyCarrier12.0InventoryQuantCompanyInsuranceInsurance Technology11.9Foreign Claims Settlement CommissionAdjudicationFederal-GovernmentInternational Claims11.8Sonnet InsuranceInsuranceCanadaProperty and CasualtyAuto Insurance11.8SquareTrade (Allstate)CompanyFintechInsuranceWarranty11.0
Minimal 24 Almost no public developer surface

APIs with this tag (97)

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 8 Complete, well-documented, and agent-ready
Strong 8 Solid coverage with minor gaps
Developing 33 Usable, with meaningful gaps to close
Eligible Claims APIThe Claims API supports submission, tracking, and status checking of professional and institutional healthc...54.1Griffin Claims APIA [claim](/docs/terms/claim) is an unverified data point or series of data points attached to a [legal pers...53.3Origami Risk Actions APIReal-time and queued platform actions triggered against any domain record — including creating a claim from...52.8Aptible Claims APIThe Claims API from Aptible — 3 operation(s) for claims.51.8Qover Embedded Insurance APIQover's REST API for embedded insurance: a Claims API (file, retrieve, track status history, and download c...51.2Mercado Pago Claims & Disputes APIPost-sale claims, mediations, evidence upload, messages, and notification retrieval for resolving buyer dis...51.0Mercado Pago Claims APIBuyer claims, mediations, and evidence51.0Elevance Health Claims APIThe Claims API from Elevance Health — 3 operation(s) for claims.50.6NexHealth Claims APIClaims resources50.5AmTrust Experience Claims Medical Case APIMedical case management claims API — retrieve claim data, claim summaries and claim notes by claim number, ...49.8OpenGov Claims APIThe claims API from OpenGov — 2 operation(s) for claims.49.5Paxos Claims APIClaims represent rewards paid out on-chain. Use claim schedules to automate daily reward claims. *These end...48.4Moxe Health Claims APIThe Claims API from Moxe Health — 2 operation(s) for claims.48.3Aetna Patient Access FHIR APIHL7 FHIR R4 Patient Access API giving Aetna members, through an app they authorize, access to their adjudic...47.5Root Consumer Mobile AppiOS and Android app that measures driving behavior via smartphone telematics, generates a usage-based price...46.9Root Insurance Claims APIThe Claims API from Root Insurance — 31 operation(s) for claims.46.9Waystar Claim Management APISubmits, scrubs, edits, tracks, and manages professional, institutional, and dental claims through Waystar'...46.2TailorMed Claims Data APIREST API for submitting and reconciling claims data against TailorMed's affordability and assistance workfl...46.0Form3 Claims APIThe Claims API from Form3 — 8 operation(s) for claims.45.1Centene LWC EDI CORE Real Time ServiceCentene’s CAQH CORE Connectivity envelope over ASC X12 healthcare transactions — RealTimeTransaction plus s...44.6Tuva ConnectorsA family of open-source dbt connector projects (Medicare CCLF, BCDA, CMS synthetic, Aetna, BCBS, and a conn...44.1FDX Insurance APIRESTful endpoints for retrieving insurance policy information including policy coverage details, premium sc...43.6VA Lighthouse Claims APIAllows authenticated and authorized users to access claims data for a single claim by ID, or for all claims...43.1duck-creek Claims APIClaims intake and management42.6Great American Carrier Services Producer APIReturns producer, agency code, business unit, hierarchy, contact, claims and billing information for Great ...42.4Travelers Claims APIBusiness insurance claim reporting and management42.4B3 Insurance (Seguros) APIsInsurance-segment registration APIs (V3) covering accepted co-insurance registration, claim registration, d...42.0Laka claims APIClaims API41.2Forta Health Claims APIThe claims API from Forta Health — 17 operation(s) for claims.40.8Verisk Claims APIClaims analytics and benchmarking40.7aflac Claims APIClaims submission and status retrieval operations.40.5Aflac Claims APIThe Aflac Claims API provides programmatic access to supplemental insurance claim submission, status retrie...40.5Appeals Status APIEnables authorized parties to request the status of a Veteran's benefits claim appeal, including the curren...40.1
Thin 29 Limited public surface area
ACKO for Enterprise Partnership APIEmbedded-insurance partnership API for issuing, endorsing, retrieving and claiming against ACKO policies. C...38.8Qoala Authentication APISession management for the Qoala for Enterprise platform — create an authentication session from an email a...37.9Voyager Portal Public APIREST API for managing voyages and workflows on the Voyager Portal maritime operations platform. Resources i...37.8BRL Claims APIThe Claims API from BRL — 2 operation(s) for claims.37.7BankruptcyWatch Claims APIThe Claims API from BankruptcyWatch — 1 operation(s) for claims.37.6Netsmart CareConnect Payer Patient Access APIFHIR R4 API for payer organizations enabling patient-directed access to claims, clinical, and coverage data...37.3C.L.U.E. AutoC.L.U.E. Auto is a contributory claim-history information exchange containing up to seven years of personal...37.1C.L.U.E. Auto with Current CarrierC.L.U.E. Auto combined with Current Carrier, which identifies the carriers of existing or previous insuranc...37.1Open Dental Claims APICONFIRMED. Insurance claims and claim workflow.37.1Application Research Claims APIOperations for managing installation claims36.4Unity Platform APIThe Unity Cloud (Unity Platform) developer surface, documented publicly at docs.unitycloud.io as the Unity ...35.7Lloyd'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...35.6EasyPost Insurance & Claims APIInsurance API: insure shipments at 1% of declared value with a $1 minimum. Claims API: file and manage dama...35.4Department of Veterans Affairs (VA) Claims APIVeteran benefits claims operations35.3Riskified Policy Protect APIDetect and prevent refund, return, and promotional abuse. Submit refund and return claims for adjudication ...34.7Claim.MD Claims APIClaim file upload and reconciliation.34.6CCC Platform API GatewayCCC's production API gateway. GET https://api.cccis.com/v1 returns HTTP 401 with an RFC 6750 Bearer challen...33.8CCC Secure Share APICCC's only publicly named API product. Secure Share is described by CCC as "a network using cloud-based API...33.8Allianz Trade Claims APIInsurance claim management operations33.5UnitedHealthcare Claims APIClaim pre-check, submission, and inquiry33.0Boost Insurance Claims APIThe Claims API from Boost Insurance — 1 operation(s) for claims.32.2majesco Claims APIClaims intake and management31.7Community Health Systems Claims APIAdjudicated claims and encounter data31.5Assurant Claims APIClaims filing and management31.4Change Healthcare Medical Network APIJSON-over-REST front end to the HIPAA X12 EDI transaction set — 270/271 eligibility, 276/277 claim status, ...30.2Tint Claims APIClaims handling from FNOL through settlement.30.2Cytora Platform APICytora's production REST API for digital risk processing — the "preferred method" of submission intake desc...27.5EHI Replacement Rental APIsThe Replacement Rental business line of the EHI API Marketplace, exposing the ARMS (Automated Rental Manage...27.3Arbital Health Platform APIThe JSON API behind the Arbital Health adjudication platform at platform.arbitalhealth.com. Observed live a...26.9
Emerging 16 Early or largely undocumented
Zelis APIZelis' partner-facing API platform, published through the Zelis developer portal and API marketplace. The c...25.6Adonis APIAdonis platform API for revenue cycle management, including real-time patient eligibility and benefits veri...24.4Sure Platform APIREST APIs for the full embedded insurance lifecycle including quoting, rating, binding, policy management, ...23.8Wynsure REST APIRESTful API exposing Wynsure's core insurance platform capabilities for integration with third-party system...22.8FinThrive APIThe FinThrive API, published through a Microsoft Azure API Management instance. The developer portal at api...22.4Symetra Benefits Administration APISymetra's Benefits Administration API enables HR platforms, benefits administrators, and technology partner...22.2TAL Group Life B2B (glsb2b)The integration estate behind TAL's group insurance business with superannuation funds — underwriting in/ou...21.8Audatex AudaConnect APIThe AudaConnect API enables third-party software developers to access, query, and update the Audatex platfo...21.2Audatex GIC APIThe Audatex GIC (Global Integration Component) API provides integration capabilities for claims processing ...21.2Solera API GatewayThe Solera API Gateway provides access to Audatex and Solera claims processing services including ClaimImag...21.2Dentrix Insurance & Claims APIRead insurance coverage and claim status and, on Ascend, submit claims. The Dentrix Developer Program expos...20.2Gallagher Bassett Claims Management APIAPI for integrating with Gallagher Bassett claims management services. Gallagher Bassett is a global third-...20.1Amazon Web Services Claims APIThe Claims API from Amazon Web Services — 1 operation(s) for claims.17.4Triple-S Salud Provider PortalMi Triple-S is the online provider portal for Triple-S Salud, offering healthcare providers access to insur...17.0Denticon Revenue Cycle Management APIRetrieve insurance eligibility and claims data and post writebacks that automate insurance verification and...14.2Stere Claims APIStere Claims covers First Notice of Loss (FNOL) intake with automated data enrichment today; claims process...11.9
Minimal 3 Almost no public developer surface

Companies reaching this through an API (51)

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 Application Research Aptible Arthur J. Gallagher athenahealth Audatex B3 (Brasil Bolsa Balcão) BankruptcyWatch BRL Centene Claim.MD Community Health Systems Denticon Dentrix Department of Veterans Affairs (VA) Duck Creek EasyPost Elevance Health Enterprise Mobility Financial Data Exchange (FDX) Form3 Forta Health Griffin Majesco Mastercard Medusa Mercado Pago Netsmart NexHealth Open Dental OpenGov Overjet Paxos Riskified Stere Symetra Financial TailorMed Tebra Tint Triple-S Management Trupanion VA Lighthouse Veterans Affairs Voyager Portal Wynsure
Show all 51 companies ↓

Score breakdown

Frequency
66.8
log-scaled weighted occurrences
Breadth
3.3
spread across providers
Quality lift
31.2
mean composite of providers using it
Cohesion
17.8
strength of nearest seed neighbor

Related tags

Property and Casualty 35 co-occurrences Insurance 115 co-occurrences Underwriting 39 co-occurrences Insurtech 49 co-occurrences Eligibility 22 co-occurrences Embedded Insurance 21 co-occurrences Policy Administration 18 co-occurrences Carrier 18 co-occurrences

Where this tag comes from

Provider tag121
Api tag98
Openapi tag36
Openapi op tag155

Cohort brief

Auto-generated

The 119 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
119
all scored
Mean Kin Score
28
+4.1 vs catalog 23.9
Mean Agent Readiness
12.7
+0.7 vs catalog 12
Spread
2.3–83.1
median 24.1 · σ 18
How the 119 split by band
Exemplar 6Strong 3Developing 22Thin 22Emerging 44Minimal 22
Facet averages, against the whole catalog
FacetThis cohortCatalogDifferenceScored
Access Clarity 32.2 26.5 +5.7 119
Contract Governance 11.3 6.4 +4.9 119
Discoverability 64.1 61.2 +2.9 119
Developer Ergonomics 26.2 23.4 +2.8 119
Operational Transparency 14.6 14 +0.6 119
Contract Quality 18.7 19.8 -1.1 119

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) 8% 10% -2
MCP server (first-party) 11% 13% -2
Agent Skills 0% 0% 0
OAuth scopes 26% 11% +15
Security 100% 97% +3
Arazzo workflows 3% 2% +1
Governance rules 13% 14% -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. 1 Stedi 83.1
  2. 2 1upHealth 75.7
  3. 3 Availity 73.3
  4. 4 Guidewire 70.4
  5. 5 Candid Health 68.8
  6. 6 Healthie 68.2
  7. 7 Optum 61.5
  8. 8 pVerify 55.4
  9. 9 ACORD 55.3
  10. 10 Eligible 54.1
Top by Agent Readiness
  1. 1 Stedi 55.9
  2. 2 SuperDial 42.1
  3. 3 Optum 40.8
  4. 4 Guidewire 40.5
  5. 5 ACKO General Insurance 39.9
  6. 6 Qoala 38.8
  7. 7 Candid Health 38.3
  8. 8 Aflac 36.3
  9. 9 Socotra 36.1
  10. 10 Flume Health 35
All 121 members of this roster resolve to a scored provider in the catalog.Generated from the catalog build of 15 September 2026, across 27661 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"

Discovery needs no key. Ratings and market analysis are Pro.

Get an API key

Free tier, no form to fill in. Signing in shares your email address with us — we store it to create your key and to recognise you if you sign in with another provider. See our Privacy Policy and Terms.

A second provider on the same verified email joins the account you already have.