API environments

Please see.

API URLs

• PAS
  • priorauth/v1/fhir/2.1/pas/submit — Submits a Claim bundle to the configured PAS provider for prior authorization.
  • priorauth/v1/fhir/2.1/pas/inquire — Checks the status of a previously submitted prior authorization request with the configured PAS provider.
• CDex
  • priorauth/v1/fhir/2.1/cdex/submit-attachment — Submits clinical documentation for a prior authorization or claim review request.
• DTR
  • priorauth/v1/fhir/2.1/dtr/QuestionnaireResponse/{qr_id} — Retrieves a previously submitted QuestionnaireResponse from the configured clearinghouse.
  • priorauth/v1/fhir/2.1/dtr/Questionnaire/$questionnaire-package — Runs the $questionnaire-package operation against the configured clearinghouse to fetch the Questionnaire, CQL Library, and ValueSet resources needed to complete DTR for a coverage or order.
• CRD
  • priorauth/v1/fhir/2.1/crd/{hook_id} — Retrieves the list of available CDS services from the discovery endpoint following the CDS Hooks specification.

Create a sandbox account

Please see.

Generate a bearer token

Please see.

Test/Try our APIs

Please see.

API health check

Please see.

Subscribe to live and mock data testing in sandbox environment

1. To test live and mock data testing, you must have purchased an API that shows a “subscribed” status in your AI Marketplace account. Please work with your API consultant to associate the provider TIN(s) before sending live data to the sandbox environment.
2. Use your sandbox unique credentials (client_id and client_secret) (mentioned in the create a sandbox section above) to send live data to the sandbox environment for the API purchased.
   At this point, responses will be based on the live data submitted to the sandbox environment as opposed to mock data preloaded to the sandbox environment.
3. You will retain the ability to query mock responses from a sandbox environment by using an optional request header called “environment”. By placing the value “sandbox" in the optional header, the request returns mock responses.

Integrate our APIs in your production environment

After successful sandbox testing, you can integrate our APIs for real-time usage in your production environment by subscribing and enrolling to an API product of your choice and select the contract term at Optum AI Marketplace. Our business and technical teams support you through each step of the implementation process and through post-production.

We will provide you a set of unique credentials (client_id and client_secret) specific to your production API environment, API product, and to your organization to generate a Bearer token to securely access our APIs.

If you need help with this process reach out to @Contact us.