Flexpa
The Payer Data API.
Overview
Flexpa provides a single, developer-friendly API for accessing healthcare data directly from insurance companies (payers). Leveraging the CMS Patient Access API mandates, Flexpa allows developers to build applications where members can connect their health plan accounts and share their clinical, claims, and formulary data. Flexpa handles the complexity of connecting to hundreds of different payer APIs.
✨ Key Features
- Single API for all payer connections
- Patient-permissioned data access
- Access to claims, clinical (USCDI), and formulary data
- Standardized FHIR data format
- White-label UI for member authorization
🎯 Key Differentiators
- Unique 3-in-1 network access (CMS, ONC, TEFCA).
- Strong focus on claims data from health plans
- Consent-driven exchange with a conversion-optimized UI
Unique Value: Provides the simplest way to connect patient's claims data from over 350 health plans through a single, secure, and HIPAA-compliant connection.
🎯 Use Cases (5)
✅ Best For
- Allowing members to download and share their claims history with a third-party app
- Checking medication coverage and costs against a health plan's formulary
- Aggregating a member's clinical data from their health plan
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Accessing provider-side EHR data (Flexpa is payer-focused).
- Real-time treatment data not yet processed into a claim.
🏆 Alternatives
Specializes in accessing claims data directly from payers via the CMS Patient Access API, a unique focus compared to platforms primarily centered on clinical data from providers.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Live Chat
- ✓ Dedicated Support (Enterprise tier)
🔒 Compliance & Security
💰 Pricing
✓ 14-day free trial
Free tier: Free for development and testing in a sandbox environment.
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