FHIR-first data platform for health plans, focused on CMS interoperability rules, prior authorization and payer data exchange.
Boston, Massachusetts, United States
This profile summarises the vendor's own public materials. Capabilities are vendor-stated and have not been independently tested by FHIR Vendors. Last reviewed November 12, 2026. See our editorial policy.
1upHealth provides interoperability products for health plans, including Medicare, Medicaid and commercial plans. The company describes its platform as FHIR-first and built on a lakehouse architecture.
Its product lineup addresses CMS interoperability requirements (CMS-9115-F and CMS-0057-F), including Patient Access, Provider Access, Payer-to-Payer data exchange, Provider Directory, Formulary and electronic prior authorization.
According to 1upHealth's documentation, its Provider Access API follows the HL7 FHIR Bulk Data specification, and FHIR R4 bulk export is available for patients, groups and populations.
FHIR versions stated by the vendor: R4
No specific EHR integrations documented on the vendor's public site at last review.
Are you 1upHealth? Request a correction — updates are checked against public sources before publishing.
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