emerging · 2.6 capabilitymarket schemaindustrydomain

Payer

Score 21.1 / 100 13 providers 13 APIs Search apis.io →

Providers using this tag (13)

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

Exemplar 4 Complete, well-documented, and agent-ready
StediStedi is the only API-first programmable healthcare clearinghouse, enabling health tech companies to submit...24 APIs85.4Elation HealthElation Health is a United States clinical-first electronic health record (EHR/EMR) and healthcare technolo...32 APIs83.81upHealth1upHealth is a US healthcare data interoperability company, founded in 2017 and headquartered in Boston, Ma...10 APIs76.5Jefferson HealthJefferson Health is a multi-state nonprofit academic health system based in Philadelphia, Pennsylvania, ope...19 APIs70.4
Developing 3 Usable, with meaningful gaps to close
Moxe HealthMoxe Health is a United States healthcare data interoperability company, headquartered in Madison, Wisconsi...2 APIs50.3Clover HealthClover Health is a Medicare Advantage health insurer that runs a public developer program built on healthca...2 APIs45.7TipaltiTipalti is a global accounts payable and mass payments automation platform that enables businesses to onboa...3 APIs40.9
Thin 3 Limited public surface area
Serif HealthSerif Health turns federal hospital and payer price-transparency disclosures (machine-readable files) into ...4 APIs35.7NetsmartNetsmart is a healthcare IT platform provider serving behavioral health, post-acute care, and human service...5 APIs34.9Cohere HealthCohere Health is a United States clinical-intelligence and utilization-management company that digitizes pr...3 APIs34.1
Emerging 2 Early or largely undocumented
MedHOK (Hearst Communications)MHK (formerly MedHOK), part of Hearst Health, is a healthcare technology company providing a unified SaaS p...16.6Smile Digital HealthSmile Digital Health (formerly Smile CDR) is a Toronto-based health interoperability software company and t...11 APIs11.5
Minimal 1 Almost no public developer surface
WellframeWellframe is a digital health management and member engagement company, now part of HealthEdge, serving hea...10.0

APIs with this tag (13)

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 9 Complete, well-documented, and agent-ready
Stedi Payer APIThe Payer API from Stedi — 1 operation(s) for payer.85.4Elation Insurance APIManage insurance companies and insurance plans, and related payer reference data, via the Elation API v2.0.83.8Elation Patient Insurance API (Premium) & EligibilityPremium patient insurance API for managing patient policies, insurance card images, and running insurance e...83.81up Electronic Prior Authorization APICMS-0057-F Electronic Prior Authorization solution automating prior authorization submission and decisionin...76.51up Patient Access APICMS Patient Access solution delivering member clinical and claims data to patient-authorized third-party ap...76.51up Payer-to-Payer Data Exchange APICMS Payer-to-Payer Data Exchange solution for sharing a member's historical clinical and claims data betwee...76.51up Provider Access APICMS Provider Access solution enabling payers to share member data with in-network providers over FHIR, alig...76.51up Provider Directory APIPublicly accessible FHIR Provider Directory publishing accurate provider and network listings, aligned to t...76.5Jefferson Health Plans Patient Access FHIR APIThe Jefferson Health Plans (formerly Health Partners Plans) Patient Access FHIR API exposes adjudicated cla...70.4
Developing 1 Usable, with meaningful gaps to close
Tipalti SOAP APILegacy SOAP-based API providing Payer and Payee functions including payee registration, payment processing,...40.9
Thin 2 Limited public surface area
Netsmart CareConnect Payer Patient Access APIFHIR R4 API for payer organizations enabling patient-directed access to claims, clinical, and coverage data...34.9Netsmart CareConnect Payer Provider Directory APIPublicly accessible FHIR R4 API for discovering healthcare providers, organizations, locations, services, a...34.9
Emerging 1 Early or largely undocumented
Smile CDR CMS Interoperability SuitePre-packaged CMS-compliant FHIR APIs for US payers — Patient Access, Provider Directory, Drug Formulary, Pa...11.5

Score breakdown

Frequency
36.1
log-scaled weighted occurrences
Breadth
0.4
spread across providers
Quality lift
55.4
mean composite of providers using it
Cohesion
5.8
strength of nearest seed neighbor

Related tags

SMART on FHIR 5 co-occurrences Patient Access 5 co-occurrences HL7 6 co-occurrences FHIR 8 co-occurrences Interoperability 8 co-occurrences Healthcare 11 co-occurrences

Where this tag comes from

Provider tag8
Api tag13
Openapi tag1
Openapi op tag1