1up Patient Access API
Enable your members to easily share their health data with third-party applications.
It’s challenging for your members to access existing data
Your members deserve easy access to their complete health records and the ability to share them with third-party applications. Claims data, combined with clinical data, can offer a more holistic view of your member’s interactions with the healthcare system, leading to better decision-making and health outcomes.
However, accessing existing health data is a difficult and piecemeal process for your members and often creates a lot of manual work and administrative burden for you.
Empower your members to easily access and share their complete health record
Designed to meet CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requirements and leveraging industry standards, the 1upHealth Patient Access API streamlines this process and eliminates the manual burden of sharing data with members.
Our FHIR®-based API easily integrates with third-party applications, enabling your members to use the application of their choice to access and share their clinical, claims, encounter, and prior authorization data. This automated process accelerates data sharing, improves member experience,
and saves you significant time and money.
With the 1up Patient Access API, you can:
Meet Regulatory Requirements
Adhere to CMS-0057-F compliance requirements for Patient Access API data sharing and usage metrics reporting
Streamline Processes
Eliminate manual processes and reduce administrative burden related to sharing data with individual members
Improve Member Experience
Delight members by making it easy for them to view, access, and share their health data
Support Better Member Care
Empower your members and third-party apps to make more informed decisions based on a holistic view of their health information
How 1up Patient Access Works
- Send your member data, including prior authorization data, to the 1up FHIR Platform. It will be converted to FHIR format and exposed via the Patient Access API.
- Qualifying third-party applications register on the 1up FHIR Platform. They’re granted scoped permissions to read-only APIs to access the clinical, claims, encounter, and prior authorization data.
- Your members use their insurance credentials to authorize sharing their data with third-party applications of their choice.
- You can use 1up reporting tools to generate and share annual required Patient Access API usage metrics with CMS.
Why 1up Patient Access
Secure
Accessible only to qualified third-party applications and individual users with valid credentials and proper scope of permissions
Standardized
Adheres to the FHIR R4 standard for bulk export and individual FHIR resource APIs.
Reportable
Generates reports on the total number of unique patients (1) whose data was transferred to designated health apps and (2) who had repeated data transfers.