Equip Your Practice with Instant Patient Histories
Onboard new patients instantly with seamless claims access and digital consent
Trusted by healthcare leaders, trusted by patients
Why do you need data on a new patient?
Identify High-Risk Patients Immediately
Access to comprehensive patient data, including claims history, enables VBC providers to quickly identify high-risk, high-cost patients and enroll them in care management programs from the moment of onboarding. This helps providers proactively manage costs and improve outcomes.
Set Quality Baselines from Day 1
Many value-based contracts tie reimbursement to specific quality and utilization measures. Immediate access to a new patient’s claims history allows providers to establish a performance baseline and identify areas for improvement from the start of the care relationship.
How do you currently get info on new patients?
| Source | Data available | Limitations |
|---|---|---|
| HIEs | Provides patient-level clinical documents containing patient demographics, allergies, medications, conditions, immunizations, list of encounters directly into your EHR from other EHRs. They may also contain recent labs and vitals. | These are geographically throttled, frequently inaccurate, and frequently incomplete. They do not contain financial information. |
| ADTs | Admission, Discharge, Transfer information. This information is created each time you enter into a hospital system, are transferred around that hospital system, or are discharged. | These are dispersed among multiple vendors, only have the most basic details about a patient and their encounter, and, most importantly, usually don’t have historical data. They also only come from acute settings, meaning you miss out on many other relevant pieces of data. |
| Payer partners | Each of the payer partners you have negotiated a full-risk contract with can provide you with claims data on a new patient that is already a member of their plan. This includes both historical data, and new data. | This is claims data, but it is delayed (often multiple months). They are also only available from mature, advanced payer partners. |
| Onboarding questionnaires | These are questions you have a new patient answer during onboarding. For instance, “have you smoked before?” | These are not always fully informed. But when they are, often they are incorrectly filled out. |
Flexpa can plug these gaps in information
Flexpa provides instant access to claims records, including diagnoses, medications, procedures, encounters, and care team members. This allows you to stratify patient risk, identify high-cost patients, and establish quality and utilization baseline metrics. Regardless of payer relationship or attribution status, understand patient data at the moment a new patient is onboarded, expediting the stratification of risk and accelerating your care for the patients that need it most.
Fast-Track Underwriting and Member Transitions
Replace weeks of waiting with instant claims data access for critical provider workflows
Close Care Gaps With Complete Medical History
Our Records API delivers a unified view of all member interactions across providers and plans
Unified Access Across All Payer Systems
Leverage the largest network of payer FHIR endpoints to create comprehensive patient profiles that inform better care decisions
Immediate Access to Patient Records
Streamline patient intake by with digital consent for a claims history and eliminate manual record requests
Deliver Better Care from the First Patient Interaction
Complete patient histories at the point of care, with instant access to claims data
Eliminate Manual Record Requests
Replace weeks of paperwork with digital consent and instant access
Enhanced Clinical Decisions
Make more informed treatment decisions with comprehensive claims data from the moment a patient arrives
Complete Patient History
Access detailed claims records including pharmacy data and encounter details without waiting for records transfers
Reduce Administrative Burden
Eliminate manual paperwork with digital consent that integrates into your existing workflows
“Flexpa's solution has been a game-changer for our decentralized clinical trials. The ability to seamlessly access and integrate health claims data has not only improved the quality of our studies but also enabled us to provide compelling evidence of the economic value of digital therapeutics.”
Proven Results for Providers
Digital efficiency measured in speed, scale, and coverage