Solutions
Compliance solutions built for the mandate. Ready for what’s next.
Benefits
CMS-9115-F has been in effect since 2021, but the work isn’t done. Requirements keep evolving, and health plans need a healthcare interoperability vendor and partner who stays ahead — not one who checks the box and moves on. 1upHealth is that partner.
With 100+ CMS FHIR API implementations — more than any other vendor — 1upHealth takes on the complexity of CMS-9115-F compliance from day one, so your team doesn’t have to.
Accurate provider directories, transparent formulary data, and seamless access to health data help your members feel informed, supported, and loyal.
1upHealth vets, onboards, and manages the entire third-party app ecosystem on your behalf — no one-off integrations, no internal overhead, no shortcuts on security.
New regulations keep raising the bar. CMS-0057-F expanded Patient Access requirements. CMS-4208-F2 raises the bar for Provider Directory. 1upHealth works proactively to stay ahead of every update.
Capabilities
Meet the Mandate
One platform covering Patient Access, Provider Directory, and Formulary API requirements.
Pre-built dashboards and audit trails give leadership clear, defensible visibility into compliance activity across all APIs.
A fully managed, customizable member auth experience simplifies data access and sharing for members.
Flexible data-sharing controls give members clear visibility into and control over what information is shared with third-parties.
Go Further
ONE CONNECTION. EVERY APP.
One-to-Many App Network
One-to-Many App Network
A single connection to a growing network of pre-vetted member-facing apps.
SECURITY YOU CAN STAND BEHIND
Enterprise-Grade Infrastructure
Enterprise-Grade Infrastructure
HIPAA-compliant, HITRUST-r2-certified, and SOC 2 Type II audited infrastructure protects sensitive data at every point of exchange.
CMS-4208-F2 requires Medicare Advantage plans to submit provider directory data to Medicare Plan Finder by October 1, 2026. Learn what the new technical guidance means for your implementation and what good looks like before the deadline.
THE 1UP PLATFORM
WHY 1UPHEALTH
Deep regulatory expertise, a proven track record, and a team that stays with you long after go-live.
Join the nation’s leading health plans trusting 1upHealth to handle CMS-9115-F compliance.
Leave the complexity to us.
