Introduction
The Enhanced Eligibility API extends the functionality of Optum's 270/271 json-based Eligibility API by offering value-add functionality that aims to improve response accuracy and quality. The value-add functionality is made available through a customer specific Rules Engine that takes data about the submitter and enhances transactions in real-time. This functionality alleviates the need for RCM specialists to track Eligibility specific intelligence offline, handle payer-specific response deviations, and will save your operation time and money.
Release Notes | FAQ |
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View the API Release Notes for information about the API. | Check out our FAQ for help with specific questions about this API. |
For next steps, visit the Onboarding Guide.
The Onboarding Guide is a comprehensive resource to ensure you have a smooth start and are well-prepared to utilize the API effectively. If you’ve already been through the onboarding process, you can jump straight into the Getting Started instructions to begin utilizing the API.