JSON twin: https://www.healthaidb.com/software/flexpa.json
Flexpa
https://www.flexpa.com/network
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.
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.
yes
2020
U.S. (operates across U.S. payer endpoints; U.S.-centric hosting and network)
P0618
2025-09-07
commercial / proprietary
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.
subscription
2021
product
1.0
{ "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" } }