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Request access from Ignite at dev@ignite.com. Provide your organization name, technical contact, intended use, companies you need to access, and requested environments. Use https://sandbox-api.ignitehealth.com for sandbox requests and https://api.ignitehealth.com for production requests. Send requests from your backend with Authorization: Bearer <key>. Keys are scoped to approved operations and companies. Keep the key in a secrets manager and out of email and support requests. Responses include x-request-id. Include that ID and the request timestamp when reporting a failed request. Never include the key.