# 1upHealth vs Zus Health (slim)

> Zus Health scores 56.6 (C) to 1upHealth's 46.8 (D) for patient record retrieval. Prices, MCP, x402, uptime and agent notes side by side.

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Zus Health scores 56.6 (C) on agent readiness against 1upHealth's 46.8 (D), and leads in 4 of 7 scored categories. 1upHealth leads on security & auth, payments & pricing and transparency & trust. Both do patient record retrieval.

- 1upHealth: D 46.8, rank #917 of 1094 · https://www.anchorterminal.com/tools/1uphealth.min.md
- Zus Health: C 56.6, rank #674 of 1094 · https://www.anchorterminal.com/tools/zus-health.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 49; Payments & pricing, 20 against 5; Transparency & trust, 72 against 59.
- Zus Health, good for US care organisations and digital health builders that want a shared, continuously refreshed patient profile in FHIR with EHR embedding. Ahead on Reliability, 66 against 52; Schema & documentation, 77 against 50; Agent ergonomics, 67 against 32; Maintenance & community, 64 against 37.

| Category | 1upHealth | Zus Health |
| --- | --- | --- |
| Reliability (16%) | 52 | 66 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 50 | 77 |
| Agent ergonomics (13%) | 32 | 67 |
| Security & auth (14%) | 63 | 49 |
| Payments & pricing (10%) | 20 | 5 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 37 | 64 |
| Transparency & trust (7%) | 72 | 59 |

| Fact (where they differ) | 1upHealth | Zus Health |
| --- | --- | --- |
| Vendor | 1upHealth, Inc. | Zus Health, Inc. |
| Licence | Proprietary service under 1upHealth's Terms of Service (effective 1 August 2024) | Proprietary service under the Zus Builder Terms of Service (last updated 11 March 2025), the Developer Sandbox Terms and the Zus Business Associate Addendum |
| Last release | none | 2026-10-14 |
| Terms last updated | no date given | 2025-03-11 |
| Privacy policy last updated | 2026-06-25 | 2026-06-24 |
| Terms restrict benchmarking | yes | not found in the text |