Re-imagine healthcare with Humana Data Exchange APIs

Discover simple, secure and scalable solutions with our portfolio of clinical, financial, operational and experiential products.

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Our Self-Service APIs

Browse our collection of tools carefully crafted by developers at Humana who are passionate about creating customized experiences for patients, providers, and partners.

AllergyIntolerance

Data pertaining to the member's allergies and adverse reactions.

CarePlan

View a list of the plans in place for the member's care delivery and condition management.

CareTeam

View a list of the providers and organizations involved in the member's care delivery.

Condition

Record patient details regarding diagnoses, conditions or other medical issues.

Coverage

Pay for health care products or services with insurance or self-payment.

DocumentReference

Clinical notes written by providers regarding a member's health.

Drug Formulary

Humana's Drug Formulary APIs provide a list of medications that are covered by Humana plans.

Explanation of Benefits

Exchanges information about the benefits Humana has provided on behalf of a member.

Goal

View a list of a member's personal health goals.

Immunization

View a comprehensive history of patient immunization records.

InsurancePlan

List of Humana plans and their associated networks.

List

Retrieve information about a given Humana plan and its drug formulary.

Location

Provides location and hours of operation details for healthcare providers.

Medication

Provides relevant details, including codes and names, for a given medication.

MedicationKnowledge

Information about a specific medication as defined by a plan's drug formulary.

MedicationRequest

View medication and/or instruction for administration for inpatient or outpatient care.

Observation

Data pertaining to the member's labs, vitals, and social history.

Organization

Provides details about healthcare organizations (like hospitals and pharmacies).

Patient

Fetch demographics data for a Humana member.

Practitioner

Gives details about individual healthcare providers.

PractitionerRole

Provides resources indicating which providers and organizations are in-network for a given network ID.

Procedure

View details on procedures and long-term services.

Provider Directory

Identify which providers and pharmacies are in-network for a given Humana insurance plan.

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The world's leading healthcare organizations rely on Humana Data Exchange APIs

See how industry leaders are using Humana Data Exchange APIs to empower more personalized healthcare experiences.


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Getting Started with the Humana Data Exchange

Start building what's next using Humana's API resources

Discover

Browse our self-service APIs, explore our documentation and view sample request and response code to learn how Humana can enhance experiences for patients, providers, and partners.

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Register

Create an account and register your application on the API Data Exchange. Join our growing community of developers and start building today.

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Test

Not ready to create an HDX account yet? Test our sandbox FHIR APIs before you register.

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HL7 FHIR Conformance

Looking for Humana's FHIR Capability Statement?Learn More