Register for API Access

Company

Company Name:*
Please enter a valid name.
Company Address:
Please enter a valid address.
Company Address Line 2: Please enter a valid address.
Company City: Please enter a valid city.
Company State/Province/Region: Please enter a valid state.
Company ZIP/Postal Code: Please enter a valid zip/postal code.
Company Country: Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory United States Minor Outlying Islands Virgin Islands (British) Virgin Islands (U.S.) Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (Democratic Republic of the) Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Côte d'Ivoire Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Korea (Democratic People's Republic of) Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Kosovo Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Korea (Republic of) South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Company URL: Please enter a valid URL.
Company Terms and Conditions URL: Please enter a valid URL.

Contact

Primary Contact First Name:* Please enter a valid name.
Primary Contact Last Name:* Please enter a valid name.
Primary Contact Email Address:* Please enter a valid email.
Primary Contact Phone Number: Please enter a valid phone number.
Secondary Contact First Name:* Please enter a valid name.
Secondary Contact Last Name:* Please enter a valid name.
Secondary Contact Email Address:* Please enter a valid email.
Secondary Contact Phone Number: Please enter a valid phone number.

Application

Application Name:* Please enter a valid name.
Application Type:* (can the application keep the OAuth secret confidential)

Public

Confidential

Please select an option.
What environments are you registering:* Test Production
Please select at least one environment.
Redirect URL for Test: Please enter a valid URL.
Redirect URL for Production: Please enter a valid URL.
iOS App ID: Please enter a valid ID.
iOS App URL: Please enter a valid URL.
Android App ID: Please enter a valid ID.
Android App URL: Please enter a valid URL.
Have you successfully used your app with another insurance provider?

Yes

No

If yes provide one reference FHIR server URL: Please enter a valid URL.
Have you read and accepted the CARIN Trust Framework and Code of Conduct?

Yes

No

Is your application a trusted app on My Health Application website?

Yes

No

Description of your App: Please enter a valid description.
Problems your app solves: Please enter a valid description.
  I have read and understand the requirements for submitting an app. The information gathered is only for UPMC’s review of your application, company, and to provide us with an idea of your stage of app development. Please check that you have read and unstand the requirements.

Please verify that you are not a robot.