Explainers
How far back your records go.
The history you can retrieve depends on the source. Under CMS-9115-F, impacted payers must make data they maintain with service dates on or after January 1, 2016 available to current enrollees through the Patient Access API. Clinical history depends on what the connected facility or network makes available.
Updated 2026-11-11
How it works
- Connected source
- Records it holds
- Available history
By source
| Source | Available history |
|---|---|
| Payers subject to CMS-9115-F | Maintained data with service dates on or after January 1, 2016, for current enrollees |
| Doctors and hospitals | Records made available by the connected facility or participating network |
Questions
How far back do health insurance claims go?
For current enrollees, CMS-9115-F requires impacted payers to make maintained data with service dates on or after January 1, 2016 available through the Patient Access API. This is not a guarantee that every claim since that date exists in your connected plan's records.
Does Flexpa guarantee a complete clinical history?
No. Clinical records available through Flexpa depend on the connected facilities, network participation, and records those sources return.