Pricing that scales with your network
An annual platform license with a bundled allocation of IAL2 verifications and data retrievals. Tiers scale with your eligible users and the level of enablement you need.
- HIPAA compliant
- Signed BAA included
- Enterprise-grade security
Most popular Scale For products growing across multiple states and lines of business.  $130,000/year Get a demo | |||||
|---|---|---|---|---|---|
| Total eligible users¹ | ≤5,000 | ≤50,000 | ≤150,000 | ≤500,000 | No cap |
| Included in platform license | |||||
| IAL2 verifications² | 1,000 | 5,000 | 25,000 | 125,000 | 625,000 |
| Data retrievals³ | 36.5K | 182.5K | 912.5K | 4,562.5K | 22,812.5K |
| Overage rate⁴ | $5 per end user | $4 per end user | $2.20 per end user | $1.10 per end user | $1 per end user |
| Core platform Included in every plan | |||||
| OAuth-native Consent | Included | Included | Included | Included | Included |
| FHIR REST API | Included | Included | Included | Included | Included |
| BAA available⁵ | Included | Included | Included | Included | Included |
| Add-ons Included from the tier marked, otherwise an annual add-on | |||||
| MCP server | $5,000 | Included | Included | Included | Included |
| C-CDA to PDF conversion | $5,000 | Included | Included | Included | Included |
| SSO (SAML, OIDC, SCIM sync) | $5,000 | $5,000 | Included | Included | Included |
| Claims to clinical data normalization | $5,000 | $5,000 | Included | Included | Included |
| C-CDA to FHIR conversion | $5,000 | $5,000 | Included | Included | Included |
| Proprietary network connections | $10,000 | $10,000 | $10,000 | Included | Included |
| SMART Health Links | $5,000 | $5,000 | $5,000 | Included | Included |
For products growing across multiple states and lines of business.
1Eligible users = the total users on your platform who will have access to Flexpa — your addressable audience, not only those who actually use it.
2IAL2 verification = a single identity verification that confirms a user is who they say they are before their health data is released — counted once per unique end user. Consumption occurs depending on the verifier used.
3Data retrieval = one pull of a user's health records from a single connected payer, provider, or national network — each time you refresh that user's data, or connect them to another payer, uses one more. Note that some national network exchanges consume additional connections, such as Epic on TEFCA.
4Overage rate = per unique end user, once you exhaust either the IAL2 verification or data retrieval allowance, whichever happens first.
5Custom commercial terms are available for Scale, Omni, and Infrastructure tiers only. For Startup and Growth, only our standardized commercial documents are available without redlines (MSAs, BAAs, etc.).
What each add-on does
Add-ons are optional capabilities that sit on top of Consent, the FHIR API and the network. Each one is included from the tier shown and can be bought separately on lower tiers. If your product depends on one of these, choose a tier that includes it, or budget for the add-on.
MCP server
A hosted MCP server that lets an AI agent read a patient's consented records directly, with ready-made tools like get_labs, get_claims and find_in_record. It uses the same patient access token as the FHIR API, so you do not build your own agent tools on top of the API.
Health records for agents: MCP serverC-CDA to PDF conversion
Renders a patient's records, including the raw C-CDA documents returned by TEFCA and medical record systems, into one readable PDF, or a ZIP with one PDF per source, via the Patient $pdf operation.
FHIR API: Patient $pdfSSO (SAML, OIDC, SCIM sync)
Lets your team sign in to Flexpa Portal through your company's identity provider, with users added and removed automatically via SCIM. It covers your staff's Portal access, not how patients sign in.
Flexpa Portal: SSOClaims to clinical data normalization
Creates clinical FHIR resources (Encounter, Condition, Procedure) from a patient's adjudicated insurance claims, so health plan data can be queried like a medical record.
Claims to clinicalC-CDA to FHIR conversion
Converts the C-CDA XML documents from TEFCA and medical record systems into structured FHIR resources such as conditions, medications and labs. Without it, you receive the original document attached to a DocumentReference and parse it yourself.
DocumentReference: C-CDA to FHIRProprietary network connections
Flexpa's direct portal integrations with employer-sponsored and off-exchange commercial plans that are not required to offer a federally mandated Patient Access API. They extend coverage well beyond Medicare, Medicare Advantage and Medicaid.
Network: patient portalsSMART Health Links
An API for creating encrypted, passcode-protected links and QR codes that patients use to share their records with a clinician or another app. You can revoke any link and see who opened it.
SMART Health LinksFlex into the right flow — no surprise invoices
Start on the tier that fits you today. Between renewals, every change is in your favor.
No mid-cycle forced upgrades
Crossing your eligible-user cap during a term never triggers a new invoice. Everything is re-evaluated at your annual renewal.
Cheaper overage, automatically
If your total spend reaches the base price of the next tier mid-term, your overage rate drops to that tier's lower rate immediately — and you unlock its included capabilities right away.
No proration, ever
You're never back-billed the difference between tiers mid-term. What you've already paid in overage counts toward the next tier.
Renewals reflect real usage
At renewal you are quoted on the tier your usage earned, and the lower overage rate applies to every unique end user from day one of the new term.
Trusted by industry leaders
Services
Not ready or not a fit for a platform license? We have additional services to meet your needs.
No-Code Field Test
We deliver real patient-consented health records with zero engineering effort on your part to try before you buy.
Starts at $10,000
Field Test Overview
No-code data accessZero engineering requiredNo database or integration workReal-World Patient Data
5 real, consented patient recordsCoverage overview, EOBs, and clinical recordsDelivered as flat files and raw FHIR dataSample includes patient demographicsCustomizable User Criteria
Define recruitment parameters (e.g., network type, clinical attributes)Flexpa handles recruiting and consentRecords matched to your use caseGuided Exploration
Personalized walkthrough recordingCallouts on data points relevant to your applicationOptional add-ons for more users or expanded attributesCustom Builds
Our platform licenses are standardized products with fixed scope. For bespoke development, integrations, or custom workflows—that's what Custom Builds is for.
Hands-on support to build compliant, scalable healthcare integrations, leveraging Flexpa's interoperability expertise.
Custom pricing based on scope.
Interoperability
FHIR standards validation & testingHL7 Connectathon SupportPoC developmentSupport for SMART Health CardsDaVinci Payer to Payer Exchange testingCustom FHIR profile developmentIntegration with legacy systemsImplementation Support
Custom consent flowsTeam training & onboardingSuccess metrics & reportingDedicated project managementCustom workflow developmentTechnical documentation & training materialsCustomized AI models“Flexpa is an Individual Access Service (IAS) that connects Oura to healthcare providers and insurance payors. It acts as a secure gateway that enables Oura to retrieve your health records from a wide range of sources.”
Frequently Asked Questions
“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.”
