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Ledger & FedNow API

Health Vault, medical credit, FedNow instant payments, billing gateway, and financial account management for healthcare commerce.

Live API Status — Ledger & FedNow API

Probing production endpoints…

Rate Limits & SLA

Rate limit

200 payments/min

Burst

20 req/sec

Uptime SLA

99.95%

Support

24×7 P1 · 1h

P95 latency

< 3s FedNow

Retention

Financial 7y

FedNow

Payments

Instant settlement

HSA/FSA

Vault

Health savings accounts

Med

Credit

Medical credit lines

Account

FHIR

Invoice & PaymentNotice

Capabilities

OpenAPI contract

Machine-readable spec: apex-ledger-v1.openapi.yaml

Download apex-ledger-v1.openapi.yaml

Integration toolkit

Official SDKs

Apex Ledger certification track

11 required items · platform + product-specific checks

Full checklist →
  • First authenticated API call in sandbox
  • OAuth or API key with least-privilege scopes
  • FHIR R4 read against sandbox lake
  • GPID boundary headers on write paths
  • Webhook HMAC-SHA256 verification implemented
  • Webhook idempotency by delivery ID

+9 more on the certification page

Complete all required items before production go-live