Patient Access API Scorecard by Insurance Company

PatientAccessAPIScorecardbyInsuranceCompany

Summary view of how each insurance company is doing with their compliance to the 21st Century Cures Act Interoperability and Patient Access final rule (CMS-9115-F).

Last updated: 01-July-2021

Insurance	Valid For	Comment
Aetna	5 minutes	Only live for Medicare Advantage plans
United Healthcare, Optum	3 months
Cigna	3 months	Auth requests uses a cookie, must be done in the browser.
Anthem		There is documentation, not sure about actual functionality
Humana	Perpetuity	Use develpers.humana.com, NOT devleoper.humana.com
CMS Blue Button 2.0	Perpetuity	Not actually CMS-9115-F but included here as a reference point.
Oscar Health		Not responsive to emails
Alignment Health Plan		Seems to have APIs live, I will need to confirm functionality.
Clover Health		Seems to have APIs live, I will need to confirm functionality.
Centene
Molina
Highmark
Kaiser Permanente
Horizon Blue Cross and Blue Shield of New Jersey (BCBS NJ)		Starting to build documentation
Blue Cross and Blue Shield of Kansas City (BCBS KC)		Seems aware of requirement
Blue Cross and Blue Shield of Alabama (BCBS AL)		Seems aware of requirement
Blue Cross and Blue Shield of Minnesota (BCBS MN)		Seems aware of requirement
Blue Cross and Blue Shield of Wyoming (BCBS WY)		Provided through Highmark

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