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First Dollar

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First Dollar provides software and APIs that let organizations launch and manage health spending benefits.

Last updated September 16, 2026

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Overview

First Dollar is a benefits-technology provider whose software and APIs are used by organizations such as TPAs and banks to launch and manage health spending benefits. Its offering spans a Benefit Suite for individuals (one app and one card), tools for admin teams, and APIs and branding tools for developers embedding health spending benefits into their own portals. The platform supports benefit categories including lifestyle benefits, pre-tax accounts, supplemental benefits, and rewards programs, and its Benefit Accounts infrastructure covers tax-advantaged accounts such as HSAs, FSAs, DCFSAs, HRAs and commuter benefits as well as directed-spend programs such as LSAs, health rewards, prescription drug benefits and over-the-counter benefits.

History

First Dollar describes itself as building flexible infrastructure for every health spending benefit. Its About page notes that the original flexible spending arrangement (FSA) was introduced in the Revenue Act of 1978, and that the health spending benefit category has since expanded to include DC-FSAs, FSAs, LP-FSAs, LSAs, HRAs, HSAs, rewards, supplementals and more. It states that over 112 million Americans have access to one or more health spending benefits, and that most programs today rely on a hodgepodge of legacy tech solutions that create barriers to benefit design and access. First Dollar says it works to provide the most advanced solution on one card, app, and API, leveraging modern engineering advances and human-centered design principles.

Products and positioning

Flexible infrastructure for health spending benefits, built for platforms, administrators, and developers.

  • Benefit Suite for individuals

    One app, one card that helps members better utilize their benefits.

  • Health Wallet Manager for admin teams

    Streamlined tools that simplify the pains and process of administration, including a Benefits Builder, self-service tools, claims management and data reporting.

  • APIs and branding tools for developers

    APIs and branding tools for embedding health spending benefits directly into a portal.

  • Benefit Accounts

    Payments infrastructure supporting tax-advantaged accounts, supplemental benefits and directed-spend programs such as LSAs, health rewards, prescription drug benefits, HSAs, FSAs, DCFSAs, HRAs, commuter benefits and over-the-counter benefits.

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