Clover Health API
Clover Health runs a real developer surface: a FHIR R4 Patient Access API hosted on CareEvolution, CMS-required Provider Directory and Drug Formulary endpoints, and a public Swagger. Registration takes about 3 business days; SMART on FHIR OAuth 2.0 with member consent gates patient data.
Frequently asked questions
Clover Health scores B+ on the API Report Card. Clover Health runs a real developer surface: a FHIR R4 Patient Access API hosted on CareEvolution, CMS-required Provider Directory and Drug Formulary endpoints, and a public Swagger. Registration takes about 3 business days; SMART on FHIR OAuth 2.0 with member consent gates patient data.
Clover Health has a workable official integration path. Most engineering teams can build against it directly. Solid API with minor gaps
Clover Health (NASDAQ: CLOV) is a publicly traded Medicare Advantage insurance carrier founded in 2014 by Vivek Garipalli and Kris Gale, headquartered in Franklin, Tennessee (formerly Jersey City, NJ).
Primary vertical: Healthcare / Insurance, specifically Medicare Advantage for the 65+ and Medicare-eligible population. A Medicare-eligible consumer shops Clover plans on Medicare.gov or cloverhealth.com during the annual election period, enrolls in a PPO or HMO plan, and uses the member site/app to access their ID card, formulary, in-network provider search, claims/EOBs, the LiveHealthy Rewards program, prior-authorization status (preauth.cloverhealth.com), and appeals/grievance forms.
Low-to-medium inside Medicare Advantage; small share of overall U.S. Medicare.
For Clover members, the platform is the source of truth for active Medicare Advantage coverage, Part D formulary status, in-network provider directory, prior-authorization decisions (including eviCore-routed UM), claims adjudication, EOBs, and supplemental-benefit balances (LiveHealthy rewards, OTC, dental, vision).
Founded 2014, went public via Social Capital Hedosophia III SPAC merger January 8, 2021 on NASDAQ under CLOV.
Grades measure one thing: can a customer's engineering team get their own data out programmatically? We check six things (whether a real API exists, how access is gated, data coverage, auth quality, docs and developer experience, and stability) and roll them into a letter grade. Grades get re-verified, and they only move on evidence.