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.
We have a test user available for sandbox developer use to access the Admin, EOB & Clinical APIs:
To access the Formulary and Provider Directory APIs, please reference the documentation included in those sections since they are not member-specific.