Quickstart

Introduction

Pierflow is the connectivity layer for healthcare in Africa — distribution rails for insurance products, and a Records API that turns paper records into FHIR R4 data your EMR or HMS can import.

Who Pierflow is for#

You're probably here because you're building one of these:

You are…What Pierflow gives you
A fintech or super-appEmbedded HMO plans, savings, benefits
An HR or payroll platformGroup enrollment across multiple HMOs
A hospital or clinicVerification, claims, FHIR record exchange
An EMR / HMS vendorRecords API — pull historical patient data as FHIR R4 bundles
A diagnostic labVerification, claims, archive digitisation
An HMO software vendorDistribution rails + AI scoring layer
A government programmePopulation data exchange + analytics

Two environments#

You'll have two sets of API keys — one for each environment. Start in sandbox; move to production when you're ready.

EnvironmentUse it for
SandboxSynthetic plans, mock HMO connectors, test card numbers. Safe to break things.
ProductionReal HMOs, real members, real money. Unlocked after a short review.

Your API keys#

Once provisioned, your keys appear in the Pierflow developer portal. All keys follow the pattern pf_{environment}_{type}_{random}.

Keep secrets out of front-end code

Anything starting with pf_*_sk_ is a secret key. Treat it like a password. Use the public client_id in front-end builds.