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payer

Here are 21 public repositories matching this topic...

Moxe Health — independent third-party profile of a public API surface, by API Evangelist. Moxe Health is a United States healthcare data interoperability company, headquartered in Madison, Wisconsin, that operates the Clinical Data Clearinghouse for secure clinical data exchange between health plans (payers) and health systems (providers).

  • Updated Aug 30, 2026

1upHealth is a FHIR-based health data interoperability platform providing REST APIs for connecting patient records across payers and providers. The platform supports HL7 FHIR R4, SMART on FHIR, OAuth 2.0, and bulk data export, enabling health plans to acquire, manage, exchange, and analyze clinical and claims data in a HIPAA-compliant cloud…

  • Updated Aug 8, 2026

Cohere Health — independent third-party profile of a public API surface, by API Evangelist. Cohere Health is a United States clinical-intelligence and utilization-management company that digitizes prior authorization for health plans. Its Unify platform applies clinical AI and evidence-based policy to streamline authorization intake, review, and de

  • Updated Aug 30, 2026

Serif Health — independent third-party profile of a public API surface, by API Evangelist. Serif Health turns federal hospital and payer price-transparency disclosures (machine-readable files) into normalized, decision-ready negotiated-rate data. Its REST APIs let teams query negotiated reimbursement rates and rate distributions by CPT/DRG code, pa

  • Updated Aug 31, 2026

Clover Health — independent third-party profile of a public API surface, by API Evangelist. Clover Health is a Medicare Advantage health insurer that runs a public developer program built on healthcare interoperability standards. Its public FHIR R4 API exposes a Formulary service (covered drugs, tiers, and utilization management) and a Provider Dir

  • Updated Aug 30, 2026

Smile Digital Health — independent third-party profile of a public API surface, by API Evangelist. Smile Digital Health (formerly Smile CDR) is a Toronto-based health interoperability software company and the commercial steward of the open source HAPI FHIR project (the world's most widely deployed Java implementation of the HL7 FHIR standard).

  • Updated Aug 31, 2026

1upHealth — independent third-party profile of a public API surface, by API Evangelist. 1upHealth is a US healthcare data interoperability company, founded in 2017 and headquartered in Boston, Massachusetts, that operates an HL7 FHIR-first health data platform for claims and clinical data acquisition, exchange, and compute.

  • Updated Aug 30, 2026

Devoted Health is a technology-enabled Medicare Advantage payer founded in 2017 and headquartered in Waltham, Massachusetts, backed by General Catalyst and Obvious Ventures. It publishes CMS-required interoperability APIs built on HL7 FHIR R4: a member-facing Patient Access API exposing claims (ExplanationOfBenefit), encounters, conditions, and…

  • Updated Aug 14, 2026

Wellframe — independent third-party profile of a public API surface, by API Evangelist. Wellframe is a digital health management and member engagement company, now part of HealthEdge, serving health plans and payers. Its platform combines care management, member engagement, and advocacy tooling to help health plans build trusted relationships with

  • Updated Aug 31, 2026

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