# 1upHealth vs ROOK (slim)

> ROOK scores 54.9 (C) to 1upHealth's 46.8 (D) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/1uphealth-vs-rook.md (~2,200 tokens) · this version ~580 tokens · JSON https://www.anchorterminal.com/compare/1uphealth-vs-rook.json · canonical https://www.anchorterminal.com/compare/1uphealth-vs-rook
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

ROOK scores 54.9 (C) on agent readiness against 1upHealth's 46.8 (D), and leads in 5 of 7 scored categories. 1upHealth leads on security & auth and transparency & trust. Both do fhir servers.

- 1upHealth: D 46.8, rank #903 of 1076 · https://www.anchorterminal.com/tools/1uphealth.min.md
- ROOK: C 54.9, rank #718 of 1076 · https://www.anchorterminal.com/tools/rook.min.md
- 1upHealth, good 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 Security & auth, 63 against 32; Transparency & trust, 72 against 55.
- ROOK, good for A wellness, insurance, corporate wellness or remote monitoring product that wants normalised wearable data pushed to its backend, with plan prices it can see up front. Ahead on Reliability, 75 against 52; Schema & documentation, 74 against 50; Agent ergonomics, 49 against 32; Payments & pricing, 25 against 20; Maintenance & community, 73 against 37.

| Category | 1upHealth | ROOK |
| --- | --- | --- |
| Reliability (16%) | 52 | 75 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 50 | 74 |
| Agent ergonomics (13%) | 32 | 49 |
| Security & auth (14%) | 63 | 32 |
| Payments & pricing (10%) | 20 | 25 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 37 | 73 |
| Transparency & trust (7%) | 72 | 55 |

| Fact (where they differ) | 1upHealth | ROOK |
| --- | --- | --- |
| Vendor | 1upHealth, Inc. | Rookeries Development Corp. |
| Auth | OAuth | API key |
| Licence | Proprietary service under 1upHealth's Terms of Service (effective 1 August 2024) | Proprietary service under ROOK's Terms and Conditions for ROOK services |
| Last release | none | 2026-10-07 |
| Terms last updated | no date given | 2026-08-01 |
| Privacy policy last updated | 2026-06-25 | 2026-05-28 |
| Arbitration or class-action waiver | not found in the text | yes |