Wellpoint Provider Directory and Formulary API Registration Request Form

This form is intended to facilitate inbound requests from application developers to register to connect with Wellpoint’s Provider Directory or Formulary API Production Environment. Upon receiving the registration request, we will promptly contact the developer via the email provided below, supplying them with the necessary API keys to access the APIs. Any questions can be directed to InteroperabilityWorkgroup@Wellpoint.com.

NOTE: Please ensure to provide a valid email address during registration, as it is essential for receiving the API keys needed to access the APIs.

Developer Web Form Fragment

Developer Web Form Fragment

Developer And Entity Information

Legal Name For Developer Requesting An API Connection

Physical Address Of Entity (Not A P.O. Box; Home Address For A Sole Proprietor)

URL For Entity’s Corporate Website

Registrant’s Primary Business Point of Contact

Contact’s Name

Contact’s Job Title

Contact’s Phone Number

Contact’s Email Address

Provider Directory

Formulary

New Web Developer Form

Interoperabilityworkgroup@anthem.com

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