Scorecard Hero
Mark Lorenz
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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).

Insurance Production Sandbox Valid For Refresh Token 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

Still here? Thanks for reading! You seem like a nice person, who should send me an email: mark@healthsouse.com. Encouragement and criticism are both welcome!