You've got the infrastructure. Let us handle the complexity of compliance.
1upHealth’s CMS-0057 products, powered by the 1up Gateway, deliver full compliance on top of your existing FHIR infrastructure, without replacing it.
Trusted by health plans meeting CMS-0057 on their own terms.
See if it's a fit
Built for plans with existing FHIR infrastructure
The 1up Gateway deployment model is designed for health plans that have already invested in their own data infrastructure but need the API layer, network connectivity, and compliance operations to achieve full CMS-0057 compliance.
You’re a strong fit for the 1up Gateway if your team is saying things like:
- “We have our own FHIR infrastructure and don’t need another platform.”
- “We don’t want to build and maintain the network ourselves.”
- “We need to be compliant by January 1st, but don’t have the internal resources to build this ourselves.”
- “We need a partner who stays current as CMS requirements keep evolving.”
- “We need to fill a specific compliance gap that our current vendor doesn’t cover.”
Plans with their own FHIR infrastructure
You've built your own data platform and aren't looking to replace it. 1up connects to your existing endpoints and manages the full compliance layer in front of them, without changing what's underneath.
Plans with a specific compliance gap
Your current vendor covers most of what you need, but not all of it. 1up’s solutions are modular by design. You can add the specific capability you’re missing without replacing your existing setup.
What we manage for you
Network and onboarding
Registration, vetting, and onboarding of external payers, providers, vendors, and third-party applications across every CMS-0057 API, with ongoing maintenance handled.
Compliance reporting and oversight
CMS-required usage reporting, auditing, and logging are managed by a team of regulatory experts, with full visibility into traffic and compliance status via the 1up Console, so you’re always audit-ready.
Regulatory workflows
Standards-based workflows covering Payer-to-Payer Data Exchange, Provider Access, Electronic Prior Authorization, and Patient Access — built to CMS specifications and kept current as requirements change.
1up Network access
Immediate access to 1up's one-to-many network of payers and providers. Connect once to reach the broader ecosystem without managing point-to-point integrations yourself.
How it works
The 1up Gateway operates as your external-facing API layer, sitting in front of your existing infrastructure — whether you’ve built it yourself or work with a vendor. Your internal systems continue to store and manage your data. 1up handles everything at the proverbial “front door” — inbound and outbound API traffic, entity onboarding, workflow management, and compliance reporting.
What you must have in place
An internal data store or FHIR-capable infrastructure that can respond to API queries. 1up connects to your existing endpoints. We don’t ask you to move or restructure your data.
Four products. Every CMS-0057 API.
1up’s CMS-0057 solution covers every requirement under the rule. Each product can be deployed independently, and within each product, you can scope to the specific capabilities needed.
1up Electronic Prior Authorization
Automate prior authorization to deliver faster decisions and better experiences.
1up Payer-to-Payer Data Exchange
Unlock historical member data to improve onboarding and close care gaps.
1up Provider Access
Enable providers with timely patient data for better care decisions.
1up Patient Access
Give members easy, secure access to their health information.
See how the 1up Gateway fits your infrastructure
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