Rate Limits - Medera

Introduction

Authentication

Patients

Providers & Organizations

Sessions & Encounters

Intake Calls (Voice)

Therapy Sessions

Multimodal Analysis

Prior Authorization

Agent Workflows

Clinical

FHIR R4

Billing

Webhooks

Audit & Compliance

EHR Integrations

Endpoint family	Production	Dev / staging
Read endpoints	100 req / min	10,000 req / min
Write endpoints	20 req / min	10,000 req / min
Auth (`/login`, `/register`, `/forgot-password`)	10 req / 15 min	10 req / 15 min
Intake batch (`/api/intake/start-batch-call`)	10 req / min	10 req / min
`/api/pa/coding-suggest`	200 req / min	10,000 req / min
Realtime WSS	50 sessions / tenant	200 sessions / tenant	Enterprise tenants can request elevated limits.

Headers

Retry-After: 60
X-RateLimit-Limit: 100
X-RateLimit-Remaining: 0
X-RateLimit-Reset: 1735944600

Subscription gating The

requireActiveSubscription middleware blocks agent / intake / therapy / copilot endpoints when the payment processor subscription is not active. checkAgentLimit enforces per-tier agent count.

Errors Pagination

​Headers

​Subscription gating The

Headers

Subscription gating The