API & Services Connection™
API Reference
Request Sandbox AccessMarketplaceCommunityQuick Reference

Check Claim Status

post
https://sandbox-apigw.optum.com/medicalnetwork/claimstatus/v2/
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NOTE

In the Response 200 pop-up below, the X12 segment in the payerIdentification is the same as that of the trandingPartnerServiceId.


❗️

IMPORTANT

Please note that the request requires you to provide all the required field values. These required values are GREYED out, which are pre-populated example values and can be selected to view the canned response. To view the required fields, expand the + symbol (indicated by the variables field below. For more information, please refer to the JSON-to-EDI API Contents section.

Body Params
string
required
length between 9 and 9
Defaults to ##default

Header, Segment: ST02 (no loop), Notes: Transaction Set Control Number

string
Defaults to ##default

Loop: 2100A, Segment: NM1, Element: NM103, Notes: organizational name

string
length between 2 and 80
Defaults to ##default

Loop: 2100A Segment: NM1, Element: NM109, Notes: we send this as MN108 as PI = Payer Identification

providers
array of objects
required
length between 1 and 2147483647
Defaults to ##default

Loop: 2100B, Loop: 2100C

providers*
subscriber
object
required
Defaults to ##default

Loop: 2000D

dependent
object
Defaults to ##default

Loop: 2000E

encounter
object
Defaults to ##default

Loop: 2200D or 2200E

serviceLineInformation
object
Defaults to ##default

Loop: 2220D or 2220E

Headers
string
required
Defaults to ##default

Bearer Your-Access-Token
Example: Bearer eyJraWQiOiIxIiwid…

Response

Updated 4 months ago

Language
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Response
Click Try It! to start a request and see the response here! Or choose an example:
application/json

Updated 4 months ago