Developer Platform

APIs for providers, payers, and partners that want to power the next generation of healthcare applications.

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Seamless Connectivity

reduce complexity with RESTful API designs

Reduce complexity and overhead for your organization with RESTful API designs distilled from decades of healthcare experience.

secure transactions

Secure your transactions with APIs that meet or exceed industry standards, giving you peace of mind that your data is in good hands.

nationwide connection to payers and partners

Connect to payers and partners nationwide via our APIs leveraging the single largest financial and administrative network in the U.S. healthcare system.

onboard your solution quickly

Onboard your solution quickly with our easy-to-use online resources and an experienced support staff to assist you on your journey.

Create a Connection to Better Care

eligibility api

Eligibility API

  • Gain direct access to hundreds of payers with our RESTful Eligibility API using the Change Healthcare Intelligent Healthcare Network™, the largest financial and administrative network in the U.S. healthcare system.
  • Check health plan benefit details including copays, coinsurances, deductibles, and more in an easy-to-use format. No knowledge of X12 is required, shortening the learning curve for your organization.
  • Integrate your solution quickly with our online resources, test environment, and a support team ready to make your implementation seamless. We’re committed to making our partnerships a lasting success.
claim status api

Claim Status API

  • Use our claim status API to check the status of a claim directly with a payer. Simply send us the details of the claim, and we’ll return the latest status from the payer in real time.
  • Leverage the largest network of its kind in U.S. healthcare to transact directly with payers. Our simple APIs remove the need for you to understand X12 transactions, getting you up and running fast.

Patient Responsibility Estimator (PRE) API

  • Access real-time estimates at any point in the revenue cycle, without the expense and complexity of X12 implementation.
  • Enable easy data-loading into your platforms and products to build more robust user experiences and data flows, using one secure connection and simple JSON components.
  • Simplify communications and collections.
  • Obtain reliable estimates with combined eligibility information and historical ERA data.
  • Help reduce your time-to-market, pain of maintaining fee schedules, and complex implementations.
partner with change healthcare

Partner with Change today

  • Quickly and easily plug data from our network into your platforms and products to build richer, more powerful user experiences and data flows that scale.
  • Depend on our commitment to forming long-lasting, successful partnerships and are there every step of the way to make sure that our APIs and technical support meet your organization’s needs.
  • Utilize our APIs, which are ideal for companies specializing in consumer engagement, telemedicine, care coordination, benefits administration, practice management, and more.

Providing Measurable Value

  • 35+

    years of Intelligent Healthcare Network™ transactions

  • 900,000

    physician and 2,200 payer connections

  • 14B

    healthcare transactions

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