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1up Patient Access

Info for payers

Designed to meet CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requirements and leveraging industry standards, the 1up Patient Access API 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 payers significant time and money.

Additional languages

Your Auth App implementation can use both the English and Spanish languages. Contact your 1up Client Partner to enable support for the Spanish language.

Health app authentication options

The 1up Platform offers two methods for health app authentication: the 1upHealth hosted authentication solution and the health plan's authentication option.

The 1upHealth authentication application can be deployed to any of the 1up hosted environments. We can customize the solution for each customer. We use member identification characteristics for member verification, such as the member's first name, last name, birth date, and member ID. The 1upHealth Platform associates an email address with the member's profile and sends an authorization code to the member in an email message.

1upHealth can also integrate with a health plan's existing authentication solution, such as an Identity Provider (IdP) or member portal. For this option, 1up uses an API to send an authentication request and receive a response from the client's IdP.

Info for members

As a health plan member, you can use the 1upHealth Auth App to authorize third-party apps to get access to your healthcare data.

Additional languages

The Auth App is available in English and Spanish. If your health plan has enabled the Spanish language option for their implementation, you can enable Spanish in your browser settings.

Create your member account and authorize data sharing

Ensure that you have your member ID for your health plan before starting this process. If you have already created an account, you can login with your email.

  1. Select your health plan in the third-party app of your choice. If your plan is partnered with 1upHealth, you are navigated to the 1up Auth App page for your health plan.
  2. Click Sign in.
  3. Click Click here to register.
  4. Enter all of the requested information and click Verify identity.
  5. Enter your email address to receive a confirmation code and click Send code to my email.
  6. Enter the code you received and click Confirm code.
  7. If you have multiple members in your account, select the member whose data you want to share.
  8. If you want to share data from a sensitive category, select those categories and click Confirm information to be shared.
  9. Review the approval message and click Approve data share.

Troubleshooting

If you encounter issues with sharing your health data with third-party applications, contact your health plan's member services or the third-party application's support team for assistance. The table below outlines which team to contact based on common issues or questions.

IssueContact
Data privacy questionHealth plan member services
Incorrect data in the third-party appHealth plan member services
Unable to create an accountHealth plan member services
Did not receive emailHealth plan member services
Unable to access third-party app or authentication issuesThird-party app support team
Generic questions about the third-party appThird-party app support team
Unable to download third-party appThird-party app support team
Third-party app isn't working or is frozenThird-party app support team
Third-party app data display issuesThird-party app support team
Delete accountThird-party app support team

If you contact your health plan's member services team and they determine the issue is related to the third-party app, they will redirect you to the app's support team.

You can typically find the third-party app's support contact information in the app or in the app store. The app's support team will resolve the issue or contact 1upHealth for help until the issue is resolved. The app support team will provide progress updates on the issue resolution process.