Skip to content
1up Docs

Health Data, On Demand

Every 1upHealth product runs on the same FHIR-first platform, and every one is an API you can call. Start with the 1up Platform, then pick the product you need to stand up.

Get StartedExplore the 1up Platform
Example request
GET https://api.1uphealthdemo.com/r4/Patient
Authorization: Bearer <access_token>
The foundation

One platform underneath everything

1up Platform

1upHealth's core platform that ingests, standardizes, stores, and activates clinical and claims data using a FHIR-first, data lakehouse architecture. Replaces manual processes and one-off integrations with a single, scalable foundation for data acquisition, management, and exchange.

Read the platform docs
Features and functionality
  • Flexible data ingestion and storage
  • Unified data model with identity resolution
  • Built-in data quality controls and comprehensive data governance
  • Enterprise-grade security (HITRUST-aligned)
  • Network connectivity
  • 1up Console (payer command center) and 1up Dev Portal (external access)
The products

Adopt independently or together

Filter by the rule you are implementing against.

CMS-0057-F

1up Electronic Prior Authorization

Automates prior authorization end-to-end within existing clinical workflows using FHIR-based APIs. Integrates with EHRs, provider portals, and UM systems, intelligently routing requests and surfacing documentation requirements at the point of care.

Features and functionality
  • CRD, DTR, and PAS FHIR APIs with OAuth2 authentication and FHIR-to-X12 conversion
  • Intelligent routing engine and optimized performance
  • CRD Server and DTR questionnaire
  • Provider network, including provider registration and onboarding
  • Electronic Prior Authorization usage reporting
  • BCBSA Interoperability Hub connectivity
Read the docs
CMS-0057-F

1up Payer-to-Payer Data Exchange

Automates secure retrieval, validation, and unification of member data from prior and concurrent payers. Supports the full workflow from member consent through data exchange and profile unification. Built on a managed one-to-many payer network that eliminates point-to-point integrations.

Features and functionality
  • Payer-to-Payer FHIR APIs with OAuth2 authorization supporting five-year lookback
  • Consent management with 1up-hosted and payer-hosted opt-in options
  • Deterministic FHIR-based member matching
  • Cost filtering data access controls
  • Payer network, including external payer registration and onboarding
  • Longitudinal member profile
  • Payer-to-Payer usage reporting
Read the docs
CMS-0057-F

1up Provider Access

Delivers timely clinical and claims data to in-network providers using secure, FHIR-based APIs. Integrates into existing provider workflows through EHRs and provider portals, with granular controls and full visibility into what is shared and with whom.

Features and functionality
  • Provider Access FHIR APIs with OAuth2 authorization
  • Attribution ingestion via secure SFTP
  • Consent management with 1up-hosted and payer-hosted opt-out options
  • Provider network, including provider registration and onboarding
  • Cost filtering data access controls
  • Provider Access usage reporting
  • BCBSA Interoperability Hub connectivity
Read the docs
CMS-9115-FCMS-0057-F

1up Patient Access

Manages the full patient access experience on behalf of the health plan, enabling members to securely access and share their health data with authorized third-party applications. Handles data ingestion, member authentication, app onboarding, and usage reporting.

Features and functionality
  • Patient Access FHIR APIs with OAuth2 authorization
  • Member authentication app supporting IdP integration or secure email-based authorization
  • Third-party app network, including registration and onboarding
  • Data sharing controls (member-facing)
  • Patient Access usage reporting
Read the docs
CMS-9115-FCMS-4208-F2

1up Provider Directory

A production-ready, FHIR-first provider directory built on HL7 FHIR R4 and the Da Vinci PDex Plan Net Implementation Guide. Centralizes in-network provider data and publishes a public-facing API for members, providers, CMS, and third-party applications, with ongoing synchronization to keep provider information up to date.

Features and functionality
  • Public-facing Provider Directory FHIR R4 API (no authorization required)
  • Provider Directory usage reporting
Read the docs
CMS-9115-F

1up Formulary

A fully managed, FHIR R4-first formulary solution that handles data ingestion, standardization, and API publication. Publishes a public, authorization-free API making covered medications, cost tiers, restrictions, and alternatives accessible to member portals, provider systems, and third-party applications.

Features and functionality
  • Public-facing Formulary FHIR R4 API (no authorization required)
  • Formulary usage reporting
See the product page (opens in a new tab)
Clinical Data Acquisition

1up Clinical Connect

Automates clinical data acquisition directly from provider EHRs, closing the gap between claims and what's actually happening with a member's care. Connects to provider EHR systems using certified FHIR APIs to retrieve USCDI-standard clinical data, then matches, validates, and unifies it into a single longitudinal member record. Replaces manual chart chasing, faxes, and one-off record pulls with a continuous, automated pipeline.

Features and functionality
  • EHR connectivity via FHIR APIs, including Epic and athenahealth, retrieving USCDI-standard clinical data at scale
  • Roster management using uploaded rosters or claims-based generation
  • Longitudinal member record combining clinical and claims data
  • Member directory for managing members and roster updates
  • Flexible data export in FHIR or non-FHIR formats to existing systems
  • Ingestion reporting to track incoming data, source, and status in real time
  • Role-based access control by user role
See the product page (opens in a new tab)
Shortcuts

Frequently opened