Centene Corporation is a leading managed care organization providing government-sponsored healthcare programs including Medicaid, Medicare, and Health Insurance Marketplace plans. This repository captures the APIs, developer tools, and machine-readable API artifacts for Centene.
URL: Visit APIs.json URL
- Type: Index
- Position: Consumer
- Access: 3rd-Party
- CMS Interoperability
- FHIR
- Formulary
- Healthcare
- Insurance
- Interoperability
- Managed Care
- Patient Access
- Provider Directory
- Created: 2024-01-15
- Modified: 2026-04-23
The Centene FHIR Patient Access API lets members of Centene health plans access their clinical, financial, and formulary data through third-party applications, as required by the CMS Interoperability and Patient Access Rule.
Human URL: https://partners.centene.com/apiDetail/2718669d-6e2e-42b5-8c90-0a82f13a30ba
- FHIR, Patient Access, CMS Interoperability
The Centene FHIR Provider Directory API exposes in-network provider information for Centene members and the public via HL7 FHIR PDEX Provider Directory resources.
Human URL: https://partners.centene.com/apiDetail/8122bc9c-43d6-4a2a-b6be-2272df8b8566
- FHIR, Provider Directory, CMS Interoperability
The Provider RTR FHIR Payer Data Exchange (PDEX) Directory API delivers provider directory data between payers and authorized external partners using HL7 FHIR PDEX profiles.
Human URL: https://partners.centene.com/apiDetail/6b5c0001-8b47-4f1c-864f-9193971f5c62
- FHIR, PDEX, Payer Data Exchange
FN: Kin Lane
Email: kin@apievangelist.com