API Catalog by Workflow

Explore Our Healthcare APIs

Six production-ready APIs designed for healthcare workflows. Each API for healthcare applications includes comprehensive documentation and sandbox environments.

Risk Adjustment and RAF APIs

RAF score API

Calculate CMS-HCC risk adjustment factor scores for individual patients in real-time. Essential for revenue forecasting and care planning.

RAF batch API

Process bulk RAF score calculations for population-level risk analysis. Ideal for monthly risk assessments and cohort analysis.

Coding and Compliance APIs

ICD-10 code lookup API

Fast ICD-10-CM code lookup with HCC mapping.

ICD-10 guideline auditor API

Validate ICD-10 code against official coding guidelines.

RADV scrubber API

Identify unsupported diagnosis codes to minimize RADV audit penalties.

Provider Verification APIs

NPI lookup API

Verify provider credentials and retrieve comprehensive NPI registry information for credentialing and network management.

Getting Started

Integrate with Confidence

Follow these guidelines and best practices for seamless API integration and effective management of diverse scenarios.

Authorization

Secure your API requests with proper authentication.

Authorization: ApiKey YOUR_API_TOKEN
  • Include the ApiKey header with your authentication token
  • Missing header returns 401 error
  • Invalid or expired keys return 401 with error message
  • Validate tokens meticulously to avoid issues

Error Handling

Understand HTTP status codes and implement robust error handling.

Status CodeDescription
200Success response
401Authorization error
404Incorrect URL
500Internal server error
  • Use msg key to identify error details
  • Implement retry logic with exponential backoff
  • Contact support on repeated 500 errors

Rate Limits

Respect API rate limits to ensure uninterrupted service.

  • 100 requests/second maximum frequency
  • Daily request limits per subscription tier
  • Exceeding limits may result in IP blacklisting
  • Contact support for higher rate limits

Best Practice: Implement monitoring and logging to track API usage, errors, and performance metrics for troubleshooting and optimization.

Developer Resources

Learn More

Deep-dive guides and tutorials for healthcare API integration.

Risk Adjustment APIs

Learn how to leverage our RAF Score and RAF Batch APIs for comprehensive risk adjustment workflows.

API Documentation

Comprehensive API documentation with examples, SDKs, and sandbox environments for testing.

Integration Support

Need help integrating? Our team provides dedicated support for enterprise API implementations.

Ready to Integrate?

Get started with our healthcare APIs today. Request API access and receive your authentication credentials to begin building.

Request API Access