Simplify how you acquire, manage, and use healthcare data with a scalable, FHIR®-first platform.
Benefits
Data complexity is slowing your health plan down. Clinical and claims data live in different systems – or outside your four walls – identities don’t align, and sharing information takes manual effort.
Built for healthcare and powered by a data lakehouse architecture, the 1up Platform brings it all together. We ingest your raw data, duplicate it, standardize it within a unified model, and deliver it in the formats your ecosystem requires. The result is lower operational friction today and a foundation that evolves with your business needs.
Turns unified clinical and claims data into insights your team can use across quality, risk, care management, and operations.
Supports faster onboarding, more complete member records, and timely access to data that enables personalized, responsive engagement.
Reduces integration effort and ongoing IT lift by replacing one-off builds and manual processes with a single, scalable platform.
Makes it easier to share data, coordinate care, and support better outcomes across provider workflows.
Our Differentiators
Integrates with your operational and clinical systems to support embedded, frictionless workflows.
Connect once to a growing ecosystem of payers, providers, and third-party applications.
Modular, easy to adopt, and built to work within your existing environment.
Turns unified data into measurable impact across risk, quality, operations, and care management.
Provides clear visibility into data flows, usage, and performance across your ecosystem.
Capabilities
The 1up Platform brings together the core capabilities payers need to support interoperability from ingestion to activation.
Faster Implementation
Flexible Data Ingestion & Storage
Flexible Data Ingestion & Storage
Ingests raw clinical, claims, and financial data into a unified, reusable data foundation.
Longitudinal Member Record
Unified Data Model
Unified Data Model
Organizes and links data across domains, resolving identities before mapping to FHIR or other external formats.
Trusted Data
Built-In Data Quality Controls
Built-In Data Quality Controls
Applies automated data validation, matching, and completeness checks to ensure accurate, reliable data.
Reduced Risk
Comprehensive Data Governance
Comprehensive Data Governance
Manages access, consent, lineage, and auditing through centralized, consistent controls.
Secure Data
Enterprise-Grade Security
Enterprise-Grade Security
Protects sensitive health data using encryption, least-privileged access, and zero-trust security principles, aligned with HITRUST requirements.
Lower IT Burden
Network Connectivity
Network Connectivity
Provides secure, standardized API connections that support scalable data exchange across your ecosystem.
Faster Insights
Advanced Analytics & AI Enablement
Advanced Analytics & AI Enablement
Enables analytics initiatives with AI-ready, longitudinal data that unifies clinical and claims information across domains.
Format Flexibility
Flexible Data Export
Flexible Data Export
Delivers normalized data in formats your downstream systems require - you can run existing use cases with minimal effort.
Built to support national and multi-line-of-business payers operating at real-world scale.
Platform UI
Two interfaces. One shared data foundation.
The command center for payer teams.
The 1up Console gives you visibility and control over how data moves across your ecosystem. You can:
→ Better control and faster decision-making.
The front door for external access.
The 1up DevPortal allows external payers, providers, and digital health developers to access authorized payer data. They can:
→ Faster onboarding and secure data exchange, without adding burden to your team.
A purpose-built interoperability platform designed around payer systems and workflows.
Ingests clinical, claims, and member data from internal systems and external partners.
Standardizes data, resolves identities across systems, and applies quality and governance controls.
Maintains a centralized, scalable foundation built for healthcare workloads.
Securely exposes data via APIs to providers, members, other payers, and applications.
Enables analytics, reporting, and real-time event streams that power downstream workflows and use cases.
Learn what CMS-0057 requires, where your organization should be today, and how to avoid vendor risks that could delay compliance in 2026 and 2027.
THE 1UP PLATFORM
Each 1upHealth product runs on the same underlying 1up Platform and can be adopted independently or together.
Automate prior authorization to deliver faster decisions and better experiences.
Unlock historical member data to improve onboarding and close care gaps.
Enable providers with timely patient data for better care decisions.
Give members easy, secure access to their health information.
Publish accurate provider directories that make in-network care easy to find.
Deliver transparent drug coverage details to members and providers.
The 1up Platform is designed to sit alongside your current infrastructure, integrating with existing data sources, UM systems, analytics tools, and identity providers without requiring a rip-and-replace.
No. FHIR is optimized for interoperability and exchange, not as an internal common data model. For greater flexibility and improved interoperability, the 1up Platform stores data in a unified internal model designed for identity resolution, cross-domain linking, and analytics, before exporting to FHIR and other downstream formats.
The platform supports X12 (including 837 and 278), FHIR bundles, and custom flat files or CSV formats. Data is transformed and standardized using reusable mapping logic, reducing implementation effort for payer teams.
The 1up Console provides real-time insight into data ingestion, API usage, and data flows, along with usage and compliance reporting that helps you understand how data is accessed and shared across systems and partners.
By ingesting raw data and handling normalization, mapping, and identity resolution internally, 1upHealth removes the need for customers to pre-process or standardize data before onboarding.
The 1up Platform aligns with HITRUST r2 and HIPAA requirements, using encryption, role-based access controls, continuous monitoring, and U.S.-based hosting to protect sensitive healthcare data.
To learn more about 1upHealth’s security, visit the 1upHealth Trust Center.
Meet regulatory requirements. Reduce operational burden and complexity. Get more value from your data with the 1up Platform.
