Getting Started
Our API developer program ensures quality and security to your healthcare development work. Requesting access is easy. For your reference, you can download the Interoperability API Endpoint Support Document. This document outlines all API endpoints available for connections and their access details.
Our Current APIs
Before you get started, learn about our current service APIs. Note: The Patient Access API requires that you first fill out our developer registration form.
Patient Access API
The Patient Access API enables Anthem members to securely access and exchange their medical, pharmacy, dental, and vision claims and clinical data. This API will allow an individual to export up to 5 years of historical information.
This RESTful API conforms to the R4 FHIR standard, SMART on FHIR, and CARIN Blue Button version STU1(1.0).
Formulary API
The Formulary API provides data on formularies associated with different insurance plans provided by certain Anthem-affiliated Medicare, Medicaid, and CHIP health plans, and the corresponding drug lists. Data on cost sharing for the drugs under a formulary and their respective tier and pharmacy type data is also available through the API.
Our implementation follows DaVinci Payer Data Exchange (PDex) US Drug Formulary IG and we have implemented the STU2 sequence Release 2.0.0.
Provider Directory API
Anthem offers a Provider Directory service that enables current or prospective members to see which providers are in-network for a given Anthem insurance plan. This service includes multiple FHIR APIs: InsurancePlan, Practitioner, PractitionerRole, Organization, and Location. These APIs follow the HL7 R4 FHIR specification, as well as the DaVinci PDEX Plan Net Implementation Guide.
How our Developer Portal works
Browse the API documentation: Use the API Documentation to better understand how to integrate healthcare data with your application.
Register as a developer to use the Sandbox: Gain quick access to the API Sandbox environment for testing with synthetic data.
Apply for Production credentials: Apply for access to Production APIs. This process can take several weeks, depending on the API.
Deploy your application to Production: Once your application is in Production, visit our Developer Portal often for the latest API release notes.
Benefits of our Developer Portal
API documentation is now available to help you get consistent and reliable data for your applications. APIs are updated frequently as information changes to provide the most up-to-date resources for your application. Check back for what’s new and sign up for notification updates.
Frequently asked questions (FAQs)
Our most frequently asked questions can help you on your healthcare developer path.
Contact Us
If you need help with our APIs or want to share feedback,
email our Interoperability Workgroup.