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Centene (centene)

About this repository

This is not our API. This repository is an independent, third-party profile of a company's publicly available API surface, maintained by API Evangelist. API Evangelist does not operate, host, resell, or support this company's APIs, and is not affiliated with or endorsed by the company unless stated on the profile.

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Full detail: Where this data comes from

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

Scope

  • Type: Index
  • Position: Consumer
  • Access: 3rd-Party

Tags

  • CMS Interoperability
  • FHIR
  • Formulary
  • Healthcare
  • Insurance
  • Interoperability
  • Managed Care
  • Patient Access
  • Provider Directory

Timestamps

  • Created: 2024-01-15
  • Modified: 2026-04-23

APIs

Centene FHIR Patient Access API

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

Tags

  • FHIR, Patient Access, CMS Interoperability

Properties

Centene FHIR Provider Directory API

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

Tags

  • FHIR, Provider Directory, CMS Interoperability

Properties

Centene Provider RTR - FHIR PDEX Directory API

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

Tags

  • FHIR, PDEX, Payer Data Exchange

Properties

Common Properties

Maintainers

FN: Kin Lane

Email: kin@apievangelist.com

About

Centene Corporation is a leading managed care organization providing government-sponsored healthcare programs including Medicaid, Medicare, and Health Insurance Marketplace plans. Centene operates a developer portal at partners.centene.com publishing FHIR-based interoperability APIs under the 21st Century Cures Act and CMS Interoperability and…

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