TPA Stream: The Most Reliable and Developer Friendly Patient Access API
Developers shouldn’t have to struggle to access healthcare data. Whether you are building a healthtech, fintech, or benefits administration platform, you need a fast, secure, and reliable way to integrate real time claims data — without dealing with complex carrier approvals or fragmented APIs.
With TPA Stream’s patient access API, you can connect to over 200 medical, dental, vision, and prescription carriers, more than any other provider. Unlike solutions limited to FHIR or public APIs, we combine Patient Access APIs, Carrier Claim Files, Public APIs, and proprietary claims gathering technology to give you unmatched access to health claims data.
Our API is designed for developers who need a reliable, scalable, and complete claims data solution to power their applications. Learn more about our claims data solution and how it can help you streamline data integration, enhance analytics, and improve platform efficiency.
Have any questions about how our solution would work with your application? Connect with our team for a 1:1 consultation to unlock the possibilities.
Who Uses TPA Stream’s Patient Access API?
Developers, insurers, fintech platforms, health organizations, and benefits administrators use TPA Stream to seamlessly integrate real time claims data into their applications. Whether you’re enhancing analytics, benefits management, or wellness tracking, our patient access API gives you the flexibility and reliability you need.
It is easier now than ever for organizations to access, analyze, and utilize claims data, powering smarter business decisions and improving the way benefits are managed.
Healthcare Analytics Platforms
Use claims data to support trend analysis, cost forecasting, and risk assessments. By integrating with TPA Stream, analytics platforms can access comprehensive claims data to develop more accurate predictions and improve healthcare insights.
Insurers
TPA Stream enables insurers to access detailed claims information that helps insurers assess trends and potential risk factors more effectively with historical claims data.
Wellness & Health Organization
Health organizations can now verify participation in preventative screenings, routine checkups, and chronic disease management programs using real time claims data.
Fintech and Payment Platforms
Fintech and payment platforms can now integrate claims data to enhance their financial planning tools and improve healthcare related spending insights.
Benefits Admins & Employers
Employers, TPAs, and benefits platforms can now track plan utilization in real time and better analyze healthcare spending to make better decisions on plan design, costs, and employee engagement.
Why Developers Choose TPA Stream
More Carrier Access Than Any Other Provider
Most patient access APIs only connect to a limited number of carriers, leaving gaps that disrupt analytics, claims processing, and benefits tracking. TPA Stream eliminates these gaps with direct connections to over 200 medical, dental, vision, and prescription carriers, including:
- Commercial and government-funded plans
- Public and private carrier networks
- FHIR based integrations and beyond
Flexible Integration Options
Every application has different data needs. We offer multiple integration methods so you can choose the best approach for your platform:
- Webhooks: Get real-time claims updates as soon as data becomes available.
- REST API: Retrieve claims on demand whenever your app needs them.
- Daily CSV File Feed: Automate bulk claims data processing via sFTP, FTPS, or S3 bucket transfers for compliance or reporting needs.
Built for Speed and Scalability
- Go live in days, not months, with a fast integration with our platform.
Our clear, easy-to-follow API guides make it easier for developers to use. - If you have questions or need ongoing support, our team is here to help optimize performance and make recommendations.
Reliability You Can Trust
Handling claims data requires a secure, fast, and highly available platform. TPA Stream is built for enterprise level reliability, ensuring that your applications can always access the data they need.
- Our 99.9% API uptime ensures continuous availability for your applications.
- Fast API response times ensure seamless data retrieval.
- Our SOC 2 and HIPAA Compliant API, with end-to-end encryption, provides secure claims data transmission you can confidently rely on.
Coming Soon: A live API status dashboard, giving you real-time visibility into uptime, response times, and system performance.
Get Started Today with TPA Stream Today
Integrating claims data into your app doesn’t have to be difficult. Build scalable, secure, and real time data driven applications with TPA Stream‘s patient access API today.