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API & Services Connection™

Guides API Reference

API & Services Connection™Request Sandbox Access Marketplace Community Quick Reference

API Reference

Request Sandbox Access Marketplace Community Quick Reference

Guides API Reference

API Overview

Overview
Get Started
Telehealth Medical Eligibility and Claims Management Bundle V1

Medical Network Eligibility v3

Overview
Health Check
- Health Checkget
Eligibility
- Check Eligibilitypost
- Check Eligibility x12post

Medical Network Professional Claims V3

Overview
Health Check
- Health Checkget
Professional Claims

Medical Network Institutional Claims V1

Overview
Health Check
- Health Checkget
Institutional Claims

Medical Network Claims Responses And Reports v2

Overview
Reports
- List Reportsget
Health Check
- Health Checkget
Report

Medical Network Integrated Rules Institutional v1

Overview
Health Check
- Health Checkget
Integrated Rules Institutional
- Claim Validationpost
- Claim Validation x12post

Medical Network Integrated Rules Professional V1

Overview
Health Check
- Health Checkget
Integrated Rules Professional
- Claim Validationpost
- Claim Validation x12post

Medical Network Claim Status V2

Overview
Claim Status API

Medical Network Attachments Submission v1

Overview
Attachments Submission
- Attachments Submissionpost
Health Check
- Health Checkget

Medical Network Attachment Status v1

Overview
Attachment Status
- Retrieve the Attachment Status based on traceIdget
- Retrieve the Attachment Status based on Metadatapost

Medical Network Attachment Retrieval v1

Overview
Attachment Document
- Searchpost
- Download a document for the given documentIdget

Medical Network Dental Attachment API

Overview
Attachment

Enhanced Eligibility API

Overview
Eligibility Requests
- Submit a new eligibility requestpost
Eligibility Transactions
- Find all eligibility transactionsget
- Find eligibility transaction by IDget
Coverage Discovery
Healthcheck
- Validate the status of the systemget

Medical Network Payer List v1

Overview
Payer List
Health Check
- Health Checkget

Prior Authorization v1

Overview
Authentication
- Get Tokenpost
Inquiry
- 278x215 Prior Authorization Inquirypost
- JSON Prior Authorization Inquirypost
Health Check
- Service heartbeatget

MEDICAL NETWORK PAYERENROLLMENT FORMS

Overview
/payer-enrollment-forms/v1/claims
- Gopost
/payer-enrollment-forms/v1/remittance
- Gopost
/payer-enrollment-forms/v1/eligibility
- Gopost
Health Check
- Health Checkget

API Overview

Overview
Get Started
Telehealth Medical Eligibility and Claims Management Bundle V1

Medical Network Eligibility v3

Overview
Health Check
- Health Checkget
Eligibility
- Check Eligibilitypost
- Check Eligibility x12post

Medical Network Professional Claims V3

Overview
Health Check
- Health Checkget
Professional Claims

Medical Network Institutional Claims V1

Overview
Health Check
- Health Checkget
Institutional Claims

Medical Network Claims Responses And Reports v2

Overview
Reports
- List Reportsget
Health Check
- Health Checkget
Report

Medical Network Integrated Rules Institutional v1

Overview
Health Check
- Health Checkget
Integrated Rules Institutional
- Claim Validationpost
- Claim Validation x12post

Medical Network Integrated Rules Professional V1

Overview
Health Check
- Health Checkget
Integrated Rules Professional
- Claim Validationpost
- Claim Validation x12post

Medical Network Claim Status V2

Overview
Claim Status API

Medical Network Attachments Submission v1

Overview
Attachments Submission
- Attachments Submissionpost
Health Check
- Health Checkget

Medical Network Attachment Status v1

Overview
Attachment Status
- Retrieve the Attachment Status based on traceIdget
- Retrieve the Attachment Status based on Metadatapost

Medical Network Attachment Retrieval v1

Overview
Attachment Document
- Searchpost
- Download a document for the given documentIdget

Medical Network Dental Attachment API

Overview
Attachment

Enhanced Eligibility API

Overview
Eligibility Requests
- Submit a new eligibility requestpost
Eligibility Transactions
- Find all eligibility transactionsget
- Find eligibility transaction by IDget
Coverage Discovery
Healthcheck
- Validate the status of the systemget

Medical Network Payer List v1

Overview
Payer List
Health Check
- Health Checkget

Prior Authorization v1

Overview
Authentication
- Get Tokenpost
Inquiry
- 278x215 Prior Authorization Inquirypost
- JSON Prior Authorization Inquirypost
Health Check
- Service heartbeatget

MEDICAL NETWORK PAYERENROLLMENT FORMS

Overview
/payer-enrollment-forms/v1/claims
- Gopost
/payer-enrollment-forms/v1/remittance
- Gopost
/payer-enrollment-forms/v1/eligibility
- Gopost
Health Check
- Health Checkget

Service heartbeat

get https://sandbox-apigw.optum.com/healthcheck

Returns the health of the API

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