1upHealth

aid: api-evangelist-1up-health
name: 1upHealth
description: >
  1upHealth is a FHIR-based health data interoperability platform providing REST APIs for
  connecting patient records across payers and providers. The platform supports HL7 FHIR R4,
  SMART on FHIR, OAuth 2.0, and bulk data export, enabling health plans to acquire, manage,
  exchange, and analyze clinical and claims data in a HIPAA-compliant cloud environment.
  Products include Patient Access, Provider Access, Payer-to-Payer Data Exchange, Provider
  Directory, Electronic Prior Authorization, and Formulary APIs.
type: Index
image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
url: https://raw.githubusercontent.com/api-evangelist/1up-health/refs/heads/main/apis.yml
created: '2026-06-12'
modified: '2026-06-12'
specificationVersion: '0.19'
tags:
  - FHIR
  - Health Data
  - Interoperability
  - Patient Access
  - HL7
  - SMART on FHIR
  - Healthcare
  - Payer
  - Claims
  - Electronic Prior Authorization
apis:
  - name: 1upHealth FHIR R4 API
    description: >
      Core FHIR R4 REST API providing full CRUD operations on all HL7 FHIR R4 resources
      including Patient, Encounter, ExplanationOfBenefit, Observation, Medication, and more.
      Supports dynamic search, version histories, Provenance, and AuditEvent tracking in a
      HIPAA-compliant cloud. Authentication via OAuth 2.0 with client credentials and
      authorization code flows.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://docs.1up.health/docs
    baseURL: https://gateway.1up.health
    tags:
      - FHIR R4
      - Health Records
      - Patient Data
    properties:
      - type: Documentation
        url: https://docs.1up.health/docs
      - type: OpenAPI
        url: https://docs.1up.health/help-center/Content/en-US/api-references/rest-api-reference.html
  - name: 1upHealth Patient Access API
    description: >
      FHIR-conformant Patient Access API enabling patients and authorized applications to
      access clinical and claims data from health plans. Implements CMS Interoperability and
      Patient Access Final Rule requirements using SMART on FHIR and OAuth 2.0 authorization
      code flow. Supports patient demographics, labs, medications, procedures, allergies, and
      claims data.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://docs.1up.health/help-center/Content/en-US/get-started/cms-patient-access/developer-overview.html
    baseURL: https://gateway.1up.health
    tags:
      - Patient Access
      - SMART on FHIR
      - CMS Compliance
    properties:
      - type: Documentation
        url: https://docs.1up.health/help-center/Content/en-US/get-started/cms-patient-access/developer-overview.html
  - name: 1upHealth Provider Access API
    description: >
      FHIR Bulk Export API enabling in-network providers to access member clinical, claims,
      encounter, and prior authorization data within one business day of a valid request.
      Covers all USCDI v1 data classes for encounters within 5 years and adjudicated claims
      from January 1, 2016 onward. Uses OAuth 2.0 client credentials flow.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://1up.health/products/1up-comply/1up-provider-access-api/
    baseURL: https://gateway.1up.health
    tags:
      - Provider Access
      - Bulk Data
      - FHIR Bulk Export
    properties:
      - type: Documentation
        url: https://docs.1up.health/help-center/Content/en-US/api-references/apis.html
  - name: 1upHealth Payer-to-Payer Data Exchange API
    description: >
      FHIR Bulk Export API enabling payers to exchange member clinical and claims data during
      member transitions between health plans. Supports CMS Interoperability and Prior
      Authorization Final Rule requirements. Uses OAuth 2.0 client credentials flow with
      bulk-data scope.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://docs.1up.health/help-center/Content/en-US/api-references/apis.html
    baseURL: https://gateway.1up.health
    tags:
      - Payer-to-Payer
      - Data Exchange
      - Bulk Data
    properties:
      - type: Documentation
        url: https://docs.1up.health/help-center/Content/en-US/api-references/apis.html
  - name: 1upHealth Provider Directory API
    description: >
      FHIR-conformant Provider Directory API providing accurate, up-to-date provider
      information to support CMS requirements for Medicare Advantage plans. Includes
      practitioner, organization, location, and network data aligned with DaVinci PDEX Plan
      Net Implementation Guide.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://1up.health/
    baseURL: https://gateway.1up.health
    tags:
      - Provider Directory
      - DaVinci
      - Medicare Advantage
    properties:
      - type: Documentation
        url: https://docs.1up.health/help-center/Content/en-US/api-references/apis.html
  - name: 1upHealth Electronic Prior Authorization API
    description: >
      FHIR-based Electronic Prior Authorization (ePA) API integrating clinical data and AI
      to streamline prior authorization workflows between payers and providers. Supports CMS
      Interoperability and Prior Authorization Final Rule compliance requirements.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://1up.health/
    baseURL: https://gateway.1up.health
    tags:
      - Prior Authorization
      - ePA
      - CMS Compliance
    properties:
      - type: Documentation
        url: https://docs.1up.health/help-center/Content/en-US/api-references/apis.html
  - name: 1upHealth System Search API
    description: >
      API for searching and connecting to health systems and payer networks, enabling
      applications to discover available FHIR endpoints and initiate patient record connections
      across the 1upHealth network of connected payers and providers.
    image: https://kinlane-productions.s3.amazonaws.com/apis-json/apis-json-logo.jpg
    humanURL: https://docs.1up.health/help-center/Content/en-US/connect-patient/system-search-api.html
    baseURL: https://gateway.1up.health
    tags:
      - Health Systems
      - Network Discovery
      - Patient Connect
    properties:
      - type: Documentation
        url: https://docs.1up.health/help-center/Content/en-US/connect-patient/system-search-api.html
common:
  - type: Website
    url: https://1up.health/
  - type: Documentation
    url: https://docs.1up.health/docs
  - type: GitHub
    url: https://github.com/1uphealth
  - type: LinkedIn
    url: https://www.linkedin.com/company/1uphealth/
  - type: X
    url: https://x.com/1up_health
  - type: Blog
    url: https://1up.health/blog
  - type: BlogRSS
    url: https://1up.health/blog/feed/
  - type: Blogs
    url: blogs/blogs.json
  - type: JSONLDContext
    url: json-ld/1up-health-context.jsonld
  - type: StatusPage
    url: https://status.1up.health/
  - type: Plans
    url: plans/1up-health-plans-pricing.yml
  - type: RateLimits
    url: rate-limits/1up-health-rate-limits.yml
  - type: FinOps
    url: finops/1up-health-finops.yml
maintainers:
  - FN: Kin Lane
    email: [email protected]