Educational materials for members

The following topics provide important educational materials for members of 1up's Provider Access API. This data can be used as reference material on any site that is used to clarify member benefits and rights.

Member benefits

As a member maintaining opt in status, you could potentially receive the following benefits:

  • More complete information for better care: Providers have access to more patient data, helping them manage care more effectively and reduce or avoid unnecessary repeat tests.

  • Less burden on patients: Patients don’t have to remember every detail of their medical history or confirm prior care information during visits.

  • Better health outcomes: Studies show that patients do better when providers have a complete health record and access to the right information at the time of care.

  • Supports modern care models: Encourages a shift toward value-based care, focusing on quality and results rather than volume of services.

  • Potential cost savings: Fewer duplicate service requests and appeals can lower administrative costs and may reduce overall expenses for payers.

Patient opt out rights

As a member, you are opted in by default. No action is required on your behalf to take part in the sharing of data which provides the member benefits described above. However, if you decide you no longer want your information shared, your payer must provide you with an option to opt out at any point while you are enrolled in their plan.

How to opt out of the Provider Access data exchange

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Option 1: Process for members if you (the payer) have configured IdP integration for opt-in

  1. Click on the opt-in link in your member portal.

  2. Review the educational materials presented to you and click Continue.

  3. Choose whether you would like to Opt-in or Opt-out of Provider Access.

  4. Click Submit. A confirmation page is displayed to let you know that you have opted-in successfully.

Option 2: Process for members if you (the payer) have not configured IdP integration but still use 1upHealth for opt-in

  1. Click on the opt-in link in your member portal.

  2. Click Register.

  3. Enter the information required to create an account and click Register.

  4. Review the educational materials presented to you and click Continue.

  5. Choose whether you would like to Opt-in or Opt-out of Provider Access.

  6. Click Submit. A confirmation page is displayed to let you know that you have opted-in successfully.