1up Provider Access
Payers are required to make member data available to in-network providers and attribute member data to their providers. Payers can use the Provider Access API to fulfill that requirement. Providers can use the Provider Access API to retrieve payer data for members they have an upcoming or active treatment relationship with.
The Provider Access API includes claims, clinical, encounter, and prior authorization data. Provider Access does not include remittances and cost-sharing information.
Educational Materials
The following educational materials are provided as a reference for both members and providers utilizing 1up's Provider Access API.
Educational Materials for Members
Learn more about the educational material available to members using 1up's Provider Access API.
Learn about 1up‘s Provider Access API and how to use it to access health data.
Access architecture for Provider Access
The 1up Provider Access API is a bulk FHIR data API that meets the HL7 FHIR Bulk Data API specification. In order to make a request to the Provider Access API, an access token must be supplied that identifies the provider organization. This token is obtained through an OAuth 2.0 client credentials flow, enabled by 1up's Dev Portal.
After making a valid FHIR bulk export request, you will receive a URL to track the asynchronous job exporting your patients’ data. Once complete, you will be given additional URLs to download your exported patient data as .ndjson files. All of these requests will be made with the same authorization token retrieved on behalf of your client.
