Head to head · Patient record retrieval · October 2026 research run
1upHealth vs Redox
Redox scores 58.3 (C) on agent readiness against 1upHealth's 46.8 (D), and leads in 4 of 7 scored categories. 1upHealth leads on payments & pricing, maintenance & community and transparency & trust. Both do patient record retrieval.
Best health record and wellness data APIs for AI agents · All 63 health comparisons
Which one, for what
Best for Consumer and care apps that read a member's health plan claims and clinical data under the CMS rules, and payers meeting those rules.
Ahead on
- Payments & pricing, 20 against 15
- Maintenance & community, 37 against 31
- Transparency & trust, 72 against 59
Watch for
No rate limits, 429 handling or error formats documented
Redox C
Best for Health software vendors integrating with many hospital EHRs and networks, and integration teams who want an agent to manage Redox configuration.
Ahead on
- Reliability, 85 against 52
- Schema & documentation, 56 against 50
- Agent ergonomics, 54 against 32
- Security & auth, 78 against 63
Also in its favour
- A hosted endpoint, with nothing to install
Watch for
The MCP server loads 107 tools in one set, including write and delete tools with no confirmation step
Score by category
| Category | Weight this run | 1upHealth | Redox | Edge |
|---|---|---|---|---|
| Reliability | 16%20 | 52 | 85 | Redox +33 |
| Performance | 10%pending | pending | pending | not scored in this run |
| Schema & documentation | 13%16.2 | 50 | 56 | Redox +6 |
| Agent ergonomics | 13%16.2 | 32 | 54 | Redox +22 |
| Security & auth | 14%17.5 | 63 | 78 | Redox +15 |
| Payments & pricing | 10%12.5 | 20 | 15 | 1upHealth +5 |
| Task success | 10%pending | pending | pending | not scored in this run |
| Maintenance & community | 7%8.8 | 37 | 31 | 1upHealth +6 |
| Transparency & trust | 7%8.8 | 72 | 59 | 1upHealth +13 |
| Negative events | ≤15 | 0 | 0 | |
| Total | D 46.8/100 | C 58.3/100 |
Facts side by side
| Fact | 1upHealth | Redox |
|---|---|---|
| Kind | HTTP API | HTTP API |
| Vendor | 1upHealth, Inc. | Redox, Inc. |
| Hosted endpoint | no (local only) | https://api.redoxengine.com/mcp |
| Transports | HTTP | HTTP |
| Auth | OAuth | OAuth |
| Pricing | Paid | Paid |
| x402 | no | no |
| Licence | Proprietary service under 1upHealth's Terms of Service (effective 1 August 2024) | Proprietary service under Redox's Cloud Services Agreement, EULA and SLA (version 2016.1) |
| Tools exposed | none | 107 |
| Read-only variant documented | no | no |
| llms.txt | yes | no |
| Terms last updated | no date given | 2015-10-17 |
| Privacy policy last updated | 2026-06-25 | 2023-01-18 |
| Customer content may train models | not found in the text | not found in the text |
| Terms restrict automated access | not found in the text | not found in the text |
| Terms restrict benchmarking | yes | not found in the text |
| Terms or service can change without notice | not found in the text | not found in the text |
| Arbitration or class-action waiver | not found in the text | not found in the text |
Verdicts
1upHealth
Self-serve Dev Portal sandbox clients and a demo health plan let an app test the CMS Patient Access, Provider Access and Payer-to-Payer FHIR APIs, backed by HITRUST and SOC 2 Type 2. No rate limits, error formats or dated releases are documented, and the Patient Access OAuth step needs the member in a browser.
Redox
Redox connects to EHRs and clinical networks behind a FHIR API, with signed-JWT OAuth keys, a 99.95 per cent SLA, a HackerOne bug bounty and a hosted MCP server for managing integrations. The MCP server exposes 107 tools at once with write and delete tools unconfirmed, OpenAPI files sit behind login, and the sandbox plan costs $15,000 a year.
Before you call either
1upHealth
- Hand the Patient Access sign-in to the member, who must authorise in the health plan's auth app
- Exchange the authorisation code within five minutes, and refresh before the 15-minute token expires
- Email payer-patient-access@1up.health with the client ID to get the app synced to the demo environment
- Expect only claims and coverage resources from some payers, and read /r4/metadata first
Redox
- Name the environment in every MCP prompt and try configuration changes in staging first, as Redox advises
- Stay under 7,500 requests per IP per five minutes, and back off exponentially on 5XX
- Sign the token request with the private key whose public key is registered on the OAuth API key
- Ask an organisation owner to enable the MCP server before connecting a client
- Treat log payloads returned through MCP as PHI and as untrusted text
Questions
Which is better for AI agents, 1upHealth or Redox?
Redox scores 58.3 (C) on agent readiness against 1upHealth's 46.8 (D), and leads in 4 of 7 scored categories. 1upHealth leads on payments & pricing, maintenance & community and transparency & trust.
Do 1upHealth and Redox need an API key?
Both use an OAuth sign-in.
Can an agent call 1upHealth and Redox without installing anything?
No hosted endpoint is listed for 1upHealth. Redox has a hosted endpoint at https://api.redoxengine.com/mcp.
Other comparisons with 1upHealth or Redox
- 1upHealth vs ROOK
- 1upHealth vs Terra API
- Aidbox vs Redox
- Medplum vs Redox
- Redox vs ROOK
- Redox vs Terra API
- 1upHealth vs Aidbox
- 1upHealth vs Health Gorilla
- 1upHealth vs Medblocks
- 1upHealth vs Medplum
- 1upHealth vs Metriport Medical API
- 1upHealth vs Particle Health
- 1upHealth vs Zus Health
- Health Gorilla vs Redox
- Medblocks vs Redox
- Metriport Medical API vs Redox
- Particle Health vs Redox
- 1upHealth vs Validic Inform
- Redox vs Zus Health
Machine-readable
- This page as Markdown
/compare/1uphealth-vs-redox.md· slim.min.md· JSON.json(or sendAccept: text/markdown) - Each listing in full
/api/v1/tools/1uphealth.json·/api/v1/tools/redox.json - From a terminal
anchor compare 1uphealth redox(the CLI) - Over MCP
compare_tools {"a": "1uphealth", "b": "redox"}at/mcp, no key