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Check Claim Status x12
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API Overview
Overview
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Telehealth Medical Eligibility and Claims Management Bundle V1
Medical Network Eligibility v3
Overview
Health Check
Health Check
get
Eligibility
Check Eligibility
post
Check Eligibility x12
post
Medical Network Professional Claims V3
Overview
Health Check
Health Check
get
Professional Claims
Claim Validation
post
Claim Submission
post
Claim Submission x12
post
Claim Validation x12
post
Medical Network Institutional Claims V1
Overview
Health Check
Health Check
get
Institutional Claims
Claim Validation
post
Claim Submission
post
Claim Submission x12
post
Claim Validation x12
post
Medical Network Claims Responses And Reports v2
Overview
Reports
List Reports
get
Health Check
Health Check
get
Report
Get Single Report
get
Delete Single Report
delete
Convert Report 277
get
Convert Report 835
get
Medical Network Integrated Rules Institutional v1
Overview
Health Check
Health Check
get
Integrated Rules Institutional
Claim Validation
post
Claim Validation x12
post
Medical Network Integrated Rules Professional V1
Overview
Health Check
Health Check
get
Integrated Rules Professional
Claim Validation
post
Claim Validation x12
post
Medical Network Claim Status V2
Overview
Claim Status API
Check Claim Status x12
post
Check Claim Status
post
Health Check
get
Check Claim Status x12
post
Medical Network Attachments Submission v1
Overview
Health Check
Health Check
get
Attachment Submission
Attachment Submission
post
Medical Network Attachment Status v1
Overview
Attachment Status
Retrieve Attachment Status per TraceId
get
Retrieve Attachment Status per Metadata
post
Medical Network Attachment Retrieval v1
Overview
Attachment Retrieval
Search
post
Download a document for the given documentId
get
Dental Attachment API
Overview
Attachment
Create Attachment Container
post
Add Attachment Files
post
Update Attachment to Container
put
Commits Attachment Container and Files
patch
Gets Attachment Container
get
Get Attachment Files from Container
get
Delete Attachment File
delete
Get Participating Payers
get
Check Participating Payer by Payer ID
get
Get Payer Business Rule
get
Enhanced Eligibility API
Overview
Eligibility Requests
Submit a new eligibility request
post
Eligibility Transactions
Find all eligibility transactions
get
Find eligibility transaction by ID
get
Coverage Discovery
Submit new discovery task(s)
post
Find all discovery tasks
get
Find discovery task by ID
get
Healthcheck
Validate the status of the system
get
Medical Network Payer List v1
Overview
Payer List
Get Payers
get
Get Payers Export
get
Get Fields
get
Health Check
Health Check
get
PayerEnrollmentForms
Overview
Health Check
Health Check
get
/payer-enrollment-forms/v1/claims
Claims request
post
/payer-enrollment-forms/v1/remittance
Remittance request
post
/payer-enrollment-forms/v1/eligibility
Eligibility request
post
Prior Authorization v1
Authentication
Get Token
post
Inquiry
278x215 Prior Authorization Inquiry
post
JSON Prior Authorization Inquiry
post
Submission
278x217 Prior Authorization Submission
post
JSON Prior Authorization Submission
post
Health Check
Service heartbeat
get
Check Claim Status x12
post
https://sandbox-apigw.optum.com/v1/claimStatus/raw-x12/enhanced
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