Overview

Welcome to the API & Services Connection™. Through our portal you can access the Change Healthcare Interoperability API Connector™ solution. It was designed to help healthcare payers meet the requirements of the CMS Interoperability and Patient Access final rule (CMS 9115-F).

Applications utilizing the APIs only have access to data submitted by Change Healthcare customers. Currently about 36 payers, comprising nearly 5 million members, have submitted data. In accordance with requirements of the CMS interoperability rule, health plan members need to give authorization for their Clinical and Explanation of Benefits (EOB) information to be released for data sharing.

API Sandbox Access

We recently disabled our testing sandbox. As a result, the CMS interoperability rule v0.5 APIs are currently not available for data testing. New demo APIs are in development and will be incorporated into our future API versions.

Until the future API versions are released, we are only enabling testing of our customers’ APIs. The data is sourced directly from the interoperability customers and include a combination of real providers and fictional providers for testing.

To access the Formulary and Provider Directory APIs, please reference the documentation included in those sections.

Need Help?

If you have questions or would like assistance with API testing, please send an email to: [email protected].