Frequently Asked Questions

Common questions by Health Plan Members interested in providing access to their data.

Where can I find a list of applications that have been approved by my health plan as well as their Terms of Service and Privacy Policy?

Here is a list of applications that have been evaluated and reviewed and deemed as qualified and secure applications.
You can find the app's Terms of Service and Privacy Policy when you click on the application you wish to use, and then look under the "Developer Links" links section.

What should I consider when choosing my 3rd party app?

Before choosing a third party app, please review their published Terms of Service and Privacy Policy. These will provide information about how this specific application intends to access and use patient data. You should also consider:
  • What information does the app collect about me ?
  • How will the app use my data?
  • Will this app share or sell my data to third parties?
  • How does this app protect my data?
  • If I no longer want to use the app, how can I stop the app from seeing my data? Does the app delete my data after I stop access?
  • How does the app tell its users of any privacy policy changes?

What are my rights under the Health Insurance Portability and Accountability Act (HIPAA) and who must follow HIPAA?

Are 3rd party apps covered by HIPAA?

Most 3rd party apps are not covered by HIPAA. They are typically covered by the Federal Trade Commission (FTC).

What do I do if I think an app has used my data inappropriately?

Contact your Health Plan to find out their policies for filing a complaint.
This link has information about filing a complaint with the Office for Civil Rights (OCR) and the complaint portal.
You can use this link to file a complaint with the FTC.

What information do I need to authorize an application to see my health plan data?

There are two possible methods of authorizing an application to see your health plan data:
To provide access to your data to an application, you must create an account by providing your First Name, Last Name, Date of Birth, Member Plan ID, Zip code, and a unique email address.
If your health plan supports integration with their member portal, you will be presented with an authentication screen to enter your portal credentials, and a link to your health plan site in order to create a portal account .

If I have already authorized one application to see my health plan data, will I have to create another account to authorize a second application?

No. Once you have authorized one application to see your health plan data, you only have to authenticate using your email address and corresponding code to allow a second application to see the data.

What email is used to authorize an application to see my health plan data?

You must use the unique email address that you initially used to authorize and allow access to your data. An authorization code will be sent to the email address, and you will be required to enter it into the Health Plan application. If you do not remember the email address, contact your health plan to obtain the information.

Are the name fields case sensitive?

No.

How can I find my Member ID?

It is the member ID listed on the member ID card provided to you by your health plan. If you do not have this card, or if the number entered resulted in an error, contact your health plan support team.

I have authenticated and authorized successfully but I don't see any data or see a discrepancy in the data.

Contact the application developer via the support mechanism that they have provided on the application. The application developer will try to resolve the issue and if they are unable to, they will contact 1upHealth to troubleshoot together until the issue is resolved. Your application developer will provide progress of the issue until resolution.

What data can I share?

Your health plan has made available all claims, encounter, and clinical data (including laboratory results) that they control and maintain in their systems related to you as an individual. The availability of this data varies by health plan and individual member, and 3rd party applications will pull certain aspects of the data depending on the application's use. In general, the types of data you can expect to be available from your health plan might include: fully adjudicated medical and pharmacy claims, clinical lab results, care management documentation (e.g.health assessments, care goals), clinical measures such as vital signs (blood pressure, weight, height, smoking status, etc.), and provider and organization information related to care you have received. Review the app's documentation or contact your application support team in order to determine exactly what data they utilize from your health plan. Currently, you cannot choose to share only certain aspects of your data; if you authorize data-sharing, the app will have full access to any data your health plan makes available.

I am not able to see data from within the last week.

Recent updates to your claims or clinical data may not appear right away. Check again in one week. If you still cannot find the data, contact the application developer via the support mechanism they have provided. The application developer will try to resolve the issue or contact 1upHealth to troubleshoot together until the issue is resolved. Your application developer will provide progress of the issue until resolution.
Contact your health plan to find out what is required to obtain access to the dependent member's data.
Last modified 4mo ago