Ancillary Benefits Management Claims Pre-Pay DME API
DME Navigator is a specialized solution within Optum's Ancillary Benefits Management (ABM) portfolio that helps health plans manage the home-medical equipment services. The product connects providers, suppliers, and health plans through an integrated workflow that improves access, ensures clinical appropriateness, and creates a more efficient member experience.
The Pre-Pay DME API provides health plans with the ability to integrate DME Navigator determinations, policy logic, and supplier validation into claims workflows including:
- Validates whether required authorization was obtained
- Links claims to clinical determinations
- Supplier validation
- Enables policy enforcement during claims adjudication
- DME claim pricing
How to try an API?
Refer to the
Getting started section on how to use an API.
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