For developers
Claims as FHIR, from one API.
Flexpa returns available claims from supported health plans as FHIR R4 ExplanationOfBenefit resources after patient authorization through Flexpa Consent. Related resources can include Coverage, Patient, Practitioner, and Organization. Query them through the Flexpa Records API with a patient access token.
Updated 2026-11-11
How it works
- Patient authorization
- Available payer claims
- FHIR ExplanationOfBenefit
Request
Search claimsbash
curl https://api.flexpa.com/fhir/ExplanationOfBenefit \
-H "Authorization: Bearer $ACCESS_TOKEN"Resources
| Resource | What it holds |
|---|---|
| ExplanationOfBenefit | Adjudicated claims, payments, and member cost-sharing |
| Coverage | Plan, member ID, coverage period |
| Patient | Demographics |
| Practitioner, Organization | Providers on the claims |
Questions
Is there an API for health insurance claims?
Yes. Flexpa returns patient-consented claims from health plans as FHIR R4 ExplanationOfBenefit resources through one API.
Which implementation guide do claims follow?
CARIN Consumer Directed Payer Data Exchange (CARIN Blue Button) is a FHIR R4 implementation guide for payer claims exchange. Source data and supported profiles vary; inspect the resources returned by each connected plan.
More
Build with claims. Try the demo.
A real Consent session against sandbox sources.
Try the interactive demo