Say Goodbye to Chart Chasing
End the 30-day chart chase and get complete member health data on Day 0 from the industry's most advanced consented records platform built for the next era of payer-to-payer exchange.
Trusted by healthcare leaders, trusted by patients
Why do you need data on a new patient?
Identify High-Risk Members Instantly
By accessing detailed claims histories, Flexpa helps payers identify high-risk members at the point of enrollment. This enables targeted health interventions and personalized care pathways, potentially reducing costly episodes of care.
Deliver Proactive Care starting on Day 1
Insurance carriers can use historical claims data to facilitate better coordination between care providers. This ensures continuity of care and optimizes health outcomes by engaging the most appropriate healthcare services based on past interactions. Offer services such as specialty virtual care and wellness programs tailored to member needs identified through claims data analysis, enhancing member engagement and satisfaction.
Turn 2027 Compliance into a Competitive Advantage
Payer-to-payer data exchange is mandated by the CMS starting in 2027. Flexpa allows insurance carriers to start reaping the benefits of this model now, with a seamless transition to the benefits of the newer payer-to-payer architecture as it becomes available.
How do you currently get info on new patients?
| Source | Data available | Limitations |
|---|---|---|
| Patient onboarding questionnaires | These are questions you have a new patient answer during onboarding. For instance, you might ask them “have you smoked before?” | These are not always fully informed. But when they are, often they are incorrectly filled out. Lengthy questionnaires can lead to lower rates of digital account activation |
| ADT networks | 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. |
| Health Information Exchanges | 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. | Payment use cases are optional in HIEs today, meaning that payers are unable to use these networks at scale. |
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 a baseline for quality and utilization metrics. 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.
Build for Tomorrow, Deliver Results Today
Payer-to-payer exchange is coming fast. Leading health plans are gaining a competitive edge by preparing now—don't wait for the 2027 mandate.
Connect to Any Prior Payer—Today and Tomorrow
Leverage Flexpa's battle-tested integrations and the largest FHIR network to access new member data from any previous payer. As payer-to-payer APIs go live, your connectivity grows automatically.
Effortless Member Consent
Collect, store, and manage consent digitally—ready for both today's patient access and tomorrow's payer-to-payer requirements with our digital consent module.
Rapid Implementation, Zero Waste
Get started with Flexpa's proven solutions for trust, support, and legal requirements. Begin with patient access, and transition to payer-to-payer as the network matures.
Consent, Network, and Records—Ready for 2027, Delivering Value Today
Flexpa is your partner for CMS-0057 and beyond. We help payers prepare for the future of data exchange while delivering immediate ROI.
Seamless Digital Consent
Embed a modern, digital-first consent experience into your onboarding flow—purpose-built for payer-to-payer exchange and ready for regulatory requirements.
Comprehensive Network
Access the largest payer-connected FHIR network today, with connectivity expanding to payer-to-payer exchange APIs for the future.
Actionable Records
Retrieve complete, FHIR-based claims records—enriched and ready for risk adjustment, care coordination, and member personalization from day one.
Future-Proof Implementation
Start with patient access APIs now, seamlessly transition to payer-to-payer exchange as the network matures. No wasted effort, no rework—just continuous improvement.
The Largest Healthcare Payer Network—And Growing
Flexpa's network is ready for CMS-0057 and is expanding to support payer-to-payer exchange.