flexpa

JSON twin: https://www.healthaidb.com/software/flexpa.json

Company Name

Flexpa

Product URL

https://www.flexpa.com/network

Company URL

https://www.flexpa.com

Categories

Summary

Flexpa is a FHIR-native health data platform that provides patient-consented, identified insurance claims and related clinical data via APIs and embeddable consent flows.

Description

Flexpa connects applications to payer systems (350+ payers) to deliver claims, coverage, and plan data in FHIR format, using SMART Health Cards/Links and built-in consent management (supports IAL2). It targets use cases including benefits navigation, clinical research, legal record retrieval, and payer interoperability, and offers enterprise annual licenses, field tests, and implementation support. SOC 2 Type II and HIPAA-aligned controls are documented.

Api Available

yes

Certifications

Company Founding

2020

Company Offices

Compliance

Customers

Data Residency

U.S. (operates across U.S. payer endpoints; U.S.-centric hosting and network)

Data Standards

Deployment Model

Features

Id

P0618

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial / proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Annual licenses: Essential Network $65,000/year (3 payers, full history 2016+, basic support); Complete Network $130,000/year (350+ payers, 12 months history); Omni Network $250,000/year (full historical 2016+, premium support). No-code field test starts at $10,000. Contact sales for custom/flexible partnerships.

Pricing Model

subscription

Privacy Features

Ratings

Regions Available

Release Year

2021

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Flexpa",
  "company_url": "https://www.flexpa.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "product_url": "https://www.flexpa.com/network",
  "categories": [
    "interoperability",
    "data platform",
    "patient-facing",
    "consent management",
    "payer integrations",
    "claims data"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.flexpa.com/",
    "https://www.flexpa.com/docs",
    "https://www.flexpa.com/network",
    "https://www.flexpa.com/docs/consent/patient-access",
    "https://www.flexpa.com/pricing",
    "https://portal.flexpa.com",
    "https://elion.health/products/flexpa",
    "https://www.capterra.ie/software/1072280/Flexpa",
    "https://www.g2.com/products/flexpa-api"
  ],
  "summary": "Flexpa is a FHIR-native health data platform that provides patient-consented, identified insurance claims and related clinical data via APIs and embeddable consent flows.",
  "description": "Flexpa connects applications to payer systems (350+ payers) to deliver claims, coverage, and plan data in FHIR format, using SMART Health Cards/Links and built-in consent management (supports IAL2). It targets use cases including benefits navigation, clinical research, legal record retrieval, and payer interoperability, and offers enterprise annual licenses, field tests, and implementation support. SOC 2 Type II and HIPAA-aligned controls are documented.",
  "target_users": [
    "developers",
    "product teams",
    "healthtech startups",
    "digital health providers",
    "payers",
    "providers",
    "life sciences / clinical trials teams",
    "benefits administrators",
    "legal/record retrieval teams",
    "researchers"
  ],
  "specialties": [
    "claims data",
    "payer interoperability",
    "patient consent management",
    "benefits navigation",
    "clinical trial recruitment/screening",
    "record retrieval / legal subrogation",
    "HSA reimbursement matching"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Annual licenses: Essential Network $65,000/year (3 payers, full history 2016+, basic support); Complete Network $130,000/year (350+ payers, 12 months history); Omni Network $250,000/year (full historical 2016+, premium support). No-code field test starts at $10,000. Contact sales for custom/flexible partnerships.",
  "license": "commercial / proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web (browser)",
    "Server (Node/HTTP)"
  ],
  "features": [
    "FHIR R4 REST API for patient records (read/search/Patient/$everything)",
    "Patient-consented data access via Flexpa Link (client-side consent flow)",
    "Application and Patient access tokens (OAuth2 client_credentials and refresh flows)",
    "SMART Health Cards issuance ($health-cards-issue operation)",
    "Provider Directory (Practitioner/Organization backed by NPPES)",
    "Automated sync jobs and sync state tracking (CREATED/ACTIVE/COMPLETED/etc.)",
    "Data transforms: identifier normalization (UUIDv5), reference resolution, NPI enrichment",
    "MedicationRequest derivation from pharmacy claims (Medications transform, preview/enterprise)",
    "CapabilityStatement exposure (/fhir/metadata) and consistent search/_include support",
    "Token exchange, introspect, revoke, and refresh endpoints for consent lifecycle",
    "Patient authorization modes: ONE_TIME and MULTIPLE with refresh semantics",
    "Expunge operation to permanently delete patient compartment data",
    "Standardized tagging metadata on resources (PatientAuthorizationId, EndpointId, ApplicationId)",
    "Pagination and search-result parameters (_count, _offset, _total, _include, _elements)",
    "Deterministic ID generation and original ID preservation in identifier arrays"
  ],
  "optional_modules": [
    "Medications transform (preview/enterprise)",
    "Enterprise NPI/provider enrichment options (enhanced provider data)",
    "Custom transforms or enterprise data backfills"
  ],
  "integrations": [
    "U.S. health plan payer Patient Access APIs (300+ payer endpoints / payer network)",
    "Department of Veterans Affairs (VA) connectivity",
    "NPPES (NPI lookup / provider enrichment)",
    "CMS-aligned Patient Access API initiatives (CMS integrations/compatibility)"
  ],
  "data_standards": [
    "FHIR R4",
    "SMART Health Cards (SHC / Links)",
    "OAuth 2.0 (Client Credentials, refresh_token flows)",
    "JWT (access tokens)",
    "NDC (medication coding used in transforms)",
    "HL7 identifier systems (e.g., us-npi references)"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "CMS (participates in CMS Patient Access API efforts / CMS-aligned network)"
  ],
  "certifications": [
    "CMS-Aligned Network Early Adopter"
  ],
  "security_features": [
    "OAuth 2.0 authentication (client_credentials, refresh_token)",
    "JWT-based access tokens (patient & application scopes)",
    "Token introspect, revoke, and short-lived tokens",
    "HTTPS / encrypted transport"
  ],
  "privacy_features": [
    "Patient-consent driven access (explicit patient authorization flow)",
    "Privacy policy and HIPAA controls described",
    "Revocation and expunge to remove patient data from cache"
  ],
  "data_residency": "U.S. (operates across U.S. payer endpoints; U.S.-centric hosting and network)",
  "customers": [
    "Evidation",
    "RTI International",
    "Curavit",
    "Link Mobile",
    "MedBill AI",
    "Link Mobile (listed on Elion)",
    "Budgie Health",
    "Coverance",
    "HealthHive"
  ],
  "user_reviews": [
    "If you're interested in claims data (costs + clinical detail), check out Flexpa — their developer docs are solid.",
    "Flexpa is one to check for claims + billing data analysis; very useful and recommended.",
    "Flexpa's network offers access to payer FHIR endpoints and can simplify retrieving claims data."
  ],
  "ratings": [],
  "support_channels": [
    "documentation",
    "developer_portal",
    "email",
    "github_community"
  ],
  "training_options": [
    "documentation",
    "developer_portal",
    "live_online"
  ],
  "release_year": "2021",
  "integration_partners": [
    "Epic",
    "SMART Health Cards",
    "Evidation",
    "RTI International",
    "Curavit",
    "Link Mobile",
    "MedBill AI"
  ],
  "id": "P0618",
  "slug": "flexpa",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/flexpa.json"
  }
}