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-images.s3.amazonaws.com/shared/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-images.s3.amazonaws.com/shared/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
  - url: graphql/1up-health-graphql.md
    type: GraphQL
- 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-images.s3.amazonaws.com/shared/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-images.s3.amazonaws.com/shared/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-images.s3.amazonaws.com/shared/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-images.s3.amazonaws.com/shared/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-images.s3.amazonaws.com/shared/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-images.s3.amazonaws.com/shared/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: Blog
  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: kin@apievangelist.com