What Flexpa does

Flexpa is a San Francisco-based healthcare data interoperability company, operating as Flexpa USA Inc. (Delaware), that provides a unified FHIR R4 API connecting patient health records across three regulatory networks: CMS-9115 (health insurers), ONC (g)(10) (medical record systems), and TEFCA IAS (nationwide exchanges). Founded in 2021-2022, the company aggregates 350+ health plans, 56,000+ medical record systems, and 298M+ covered lives behind a single FHIR endpoint, with claimed 93% successful retrieval rate and end-to-end management of consent, IAL2 identity proofing, and SMART on FHIR authorization. Customer segments include digital health developers, decentralized clinical trial operators (Curavit, Evidation, RTI International), benefits navigation platforms (Budgie Health), legal tech companies, payers, providers, and increasingly wearables and AI applications (Oura, Medbill AI, Link Mobile).

The core platform comprises Flexpa API/Records for real-time data delivery, Flexpa Consent for managed consent UX, SMART Health Cards and Links for cryptographically signed QR-based record sharing, Flexpa Flux for automated data transformation (NPI expansion, CCIR/CCSR classification, claims-to-clinical conversion, C-CDA parsing), the free MyFlexpa consumer app, and the Flexpal AI patient agent. Distribution combines a self-serve developer portal and documentation with enterprise direct sales for higher-tier deployments, supported by CMS Health Tech Ecosystem participation and technical content marketing.

Flexpa generates revenue through annual platform licenses ranging from $20,000 (Startup tier, up to 5,000 eligible users) to $900,000+ (Infrastructure tier, no user cap), with overage fees of $1-$5 per end user and add-on features priced at $5,000-$10,000 each; professional services such as the $10,000 No-Code Field Test and custom builds supplement subscription revenue. The company has raised approximately $10.7M across disclosed rounds led by General Catalyst with Andreessen Horowitz and Better Tomorrow Ventures participation, operates with a team of roughly six people, and claims a runway exceeding ten years. Notable designations include CMS-Aligned Network Early Adopter status, TEFCA IAS Provider designation, Medicare App Library listing, DiMe Seal award, SOC 2 Type 2 certification, and HIPAA compliance with bundled BAA across all tiers.

Name

Flexpa

Legal name

Flexpa USA Inc.

Website

https://flexpa.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

1–10 employees

Short description

Flexpa provides a unified FHIR-based API connecting patient health records from CMS-9115, ONC (g)(10), and TEFCA networks covering 298M+ lives. The platform serves digital health developers, clinical trial operators, legal tech companies, and benefits platforms through annual subscriptions starting at $20,000.

Ownership category

akta.pro rank

Product category

Healthcare Data Interoperability

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways) (HLACAFAO)

akta.pro secondary industries

AI/Analytics for RPM (Risk Stratification, Alerts, Predictive) (HLACAFAM), Multi-Condition RPM Platforms & Care Orchestration (device-agnostic, population management) (HLALAFAL)

Keywords

• Health data interoperability
• FHIR API platform
• Patient access network
• Healthcare data exchange
• Digital consent management

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations

Revenue model

1. Annual Platform Licenses: Annual platform licenses with bundled allocation of IAL2 verifications and data retrievals. Tiers scale with eligible users from Startup ($20K/year, 5,000 users) to Infrastructure ($900K+/year, no cap). Overage rates apply when exceeding tier limits ($1-$5 per end user depending on tier).
2. Professional Services: No-Code Field Test service ($10,000 starting) for trying the platform with real patient data without engineering effort. Custom Builds for bespoke development, integrations, or custom workflows with custom pricing.
3. Add-on Features: Additional features including MCP server, C-CDA to PDF conversion, SSO, claims to clinical normalization, C-CDA to FHIR conversion, proprietary network connections, and SMART Health Links available as add-ons ($5,000-$10,000 depending on feature and tier).

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Flexpa operates a healthcare data interoperability platform providing a FHIR R4 API that connects developers and digital health companies to patient health records from health insurers (CMS-9115), medical record systems (ONC (g)(10)), and nationwide exchanges (TEFCA IAS). The platform includes digital consent management with IAL2 identity proofing, SMART Health Links, real-time FHIR data retrieval, and data transformation tooling via Flexpa Flux.

Product overview

Flexpa is a healthcare data interoperability platform offering a unified API and consent management system that connects patients and developers to health data across three networks: health insurers (CMS-9115), medical record systems (ONC g)(10)), and nationwide exchanges (TEFCA). The core platform consists of Flexpa API/Records for FHIR-based data retrieval, Flexpa Consent for digital consent management, and Flexpa Network for multi-network connectivity. Key products include SMART Health Cards and Links for QR-based record sharing, MyFlexpa App for patients, Flexpal AI agent for natural language health data queries, Flexpa Flux for automated data transformation, and specialized solutions for legal and clinical trial use cases. The platform serves over 350 health plans, 40,000+ providers, and 56,000+ facilities.

Differentiator

Problem solved

Functional benefit

Brands

• MyFlexpa: Free app for patients to access and share their health records
• Flexpal
• Flexpa Consent
• Flexpa Records

Products and services

• Flexpa API / Flexpa Records Real-time FHIR REST API providing instant access to patient health records from health insurers, medical record systems, and nationwide exchanges. Returns standardized FHIR R4 data including claims (EOBs, Coverage), clinical records (Conditions, Medications, Observations, Encounters), and longitudinal history from TEFCA. Used by developers building agents for clinical trials, benefits navigation, and healthcare services.
• Flexpa Consent Digital consent management system providing a HIPAA-compliant, conversion-optimized consent experience for patient data access. Handles OAuth authentication, SMART on FHIR authorization, and IAL2 identity proofing across all three network types. Designed for digital health applications and developers building patient-facing health experiences.
• Flexpa Network A 3-in-1 patient access network connecting to health insurers via CMS-9115, medical record systems via ONC (g)(10), and nationwide exchanges via TEFCA IAS. Covers 350+ health plans, 40,000+ providers, and 56,000+ facilities through a single FHIR API.
• SMART Health Cards and Links Standards-based API for generating cryptographically signed QR codes (SMART Health Cards) and SMART Health Links that patients can instantly share with providers. Enables offline data sharing, tamper-proof records, and patient-controlled record exchange.
• MyFlexpa App Free patient-facing mobile and web application that allows patients to access their complete health records from insurers, EHRs, and exchanges. Generates secure QR codes for sharing history at doctor visits, eliminating manual form filling. Drives B2B demand for the enterprise platform.
• Flexpal Patient Agent Smart health agent powered by AI that helps patients download their health records and answer questions about them. Patients can chat in natural language about costs, conditions, lab results, and more using their real health records data.
• Flexpa MCP Server Model Context Protocol server for AI agent orchestration, enabling AI agents to interact with Flexpa's FHIR API. Available as an add-on on Startup tier and included in Growth and higher tiers.
• Flexpa Endpoint Directory A real-time index of payer Patient Access APIs with detailed implementation status, authorization flows, and FHIR capabilities. Provides live monitoring of endpoint availability and performance metrics.
• Flexpa CHPL Directory A public directory of every ONC CHPL (g)(10)-certified EHR product with Flexpa's live connectivity status. Covers over 495 certified products and is updated weekly.
• Flexpa Flux Transformation Suite Data transformation pipeline that automatically enriches healthcare data, including NPI provider enrichment, CCIR/CCSR condition classification, claims-to-clinical conversion, and C-CDA to FHIR transformation. Applies hundreds of normalization rules across all data sources.
• Legal Solutions Industry-specific solution enabling legal companies to streamline medical record retrieval for case preparation, legal subrogation, and mass tort screening. Provides instant access to claims data in under 60 seconds.
• FHIR LLM Evals Industry's first comprehensive open-source benchmark for evaluating Large Language Models on FHIR-specific healthcare tasks. Pioneer in AI-powered healthcare data evaluation for FHIR applications.

Quantifiable outcome

• 93% successful record retrieval rate within 60 seconds
• +3 more outcomes

Named customers7 records

Segments6 records

Ideal customer profiles6 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability6 records

Feature5 records

Partnerships

Six partnerships are on record, tiered core.

• ŌURAcoreStrategic or Co-development Partner · 1 June 2026ŌURA retrieves clinical records from TEFCA national network to surface them inside ŌURA's platform via Flexpa API, grounding AI insights in patients' real care history. Patient authorizes Flexpa to pull diagnoses, medications, procedures, encounters, and lab results for real-time access.
• ClearcoreTechnology or Integration · 21 October 2025QHIN partnerships through TEFCA IAS including Clear for identity verification services. Simplifies TEFCA IAS down to a FHIR interface.
• Kno2coreTechnology or Integration · 21 October 2025QHIN connectivity partnership for nationwide health data exchange. Kno2 Connected partner community demonstrated CMS Health Technology Ecosystem capabilities spanning provider, patient, payer, and CMS-aligned network categories.
• CommonWell Health AlliancecoreTechnology or Integration · 21 October 2025QHIN partnership through TEFCA enabling nationwide patient record discovery and interoperability across participating health information networks.
• ID.mecoreTechnology or Integration · 17 October 2025Partnership to improve access and sharing of medical records, reduce AI-driven healthcare fraud, and promote interoperability. Leverages digital identity verification and claims connectivity to enhance security and streamline health data exchange through IAL2 identity proofing.
• CARIN AlliancecoreStrategic or Co-development PartnerActive CARIN Alliance participant collaborating with original 'Kill the Clipboard' authors to advance consumer-directed healthcare data exchange. Flexpa is a signatory to the CARIN Code of Conduct.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• 1upHealth: 1upHealth operates a FHIR-based health data platform that aggregates payer and provider data through Patient Access APIs, very similar to Flexpa's 3-in-1 network approach. Both target digital health developers and enterprises needing consented patient record access via a unified API.
• Particle Health: Particle Health provides a patient access API that connects to nationwide health information networks and payers via FHIR. It serves a similar customer base of digital health, clinical trial, and AI companies needing structured, consented patient records.
• Zus Health: Zus Health offers a shared health data platform with a "Zus Aggregated Profile" that consolidates patient records from multiple sources. It targets digital health builders and providers with similar FHIR-based aggregation and consent capabilities as Flexpa.
• Health Gorilla: Health Gorilla is a QHIN and clinical interoperability platform offering FHIR-based record retrieval, lab connectivity, and patient access services. It competes with Flexpa in providing developer-facing access to nationwide health data exchange networks.

Emerging players

• Avaneer Health: Avaneer Health operates a decentralized healthcare network for payer-provider data exchange with FHIR APIs and blockchain-based consent. It overlaps with Flexpa in payer-to-payer and provider data exchange infrastructure.
• Medplum: Medplum is an open-source FHIR platform for healthcare developers, providing storage, EHR, and workflow tooling. It overlaps with Flexpa as a developer-facing FHIR layer and is also a documented Flexpa integration partner.
• Redox: Redox provides a healthcare API platform that integrates EHR systems and powers digital health applications with normalized clinical data. It overlaps with Flexpa as developer-facing health data infrastructure, though with greater focus on provider-side EHR connectivity than payer or TEFCA networks.

Broad incumbents

• Datavant: Datavant is a large, established health data exchange and connectivity platform focused on linking de-identified and identified patient records across providers and payers. It overlaps with Flexpa in health data interoperability but operates at much greater scale and across more use cases.
• AWS HealthLake: AWS HealthLake is a managed HIPAA-eligible FHIR data lake service from Amazon. It overlaps with Flexpa's data transformation and storage capabilities and is documented as a Flexpa integration target.
• Epic Systems: Epic operates the dominant hospital EHR and offers patient-facing access via MyChart and APIs. As a control point for clinical records, Epic is the principal upstream source for many of Flexpa's data flows and a potential long-term competitor or partner.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/flexpa
• GitHubgithub.com/flexpa
• LinkedInlinkedin.com/company/flexpa

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds4 records

Investors18 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Flexpa