Overview


Ancillary Benefits Management Claims Pre-Pay Lab API

The Ancillary Benefits Management Pre-Pay Lab API supports Optum's Ancillary Benefit Management (ABM) laboratory products exchange information in real time enabling enforcement of laboratory policies, lab test utilization management and claims management.

The Pre-Pay Lab API provides health plans with the ability to integrate Laboratory determinations into claims workflows including:

  • Enables policy enforcement during claims adjudication
  • Validates whether required authorization was obtained
  • Links claims to clinical determinations
  • Lab claim pricing at the test-level

How to try an API?

Refer to the Getting started section on how to use an API.
Release notesFAQs
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