Coming Soon!!
The Real Claim Submission API provides a secure, streamlined solution for transmitting the X12 EDI 837D-compliant dental claims to payers through and sends to the Dental Clearing House for processing. Thereafter, the Dental Clearing House successfully processes these claims, generates payer files, and delivers results to the respective payers. Designed for seamless integration, this API ensures accurate and efficient claim submission while maintaining compliance with HIPAA standards.
Key features
Through a single, centralized interface, providers and practice management systems can:
- Submit X12 837D Dental Claims — Includes provider details, patient demographics, member/subscriber information, procedure codes (CDT), and payer identifiers.
- Validate Claim Format — Ensures claims meet X12 standards before transmission to reduce errors and rework.
- Receive Real-Time Acknowledgments — Gets a unique transaction identifier for tracking and confirmation of successful submission.
- Enable Secure, Scalable Connectivity — Supports real-time and batch claim delivery to multiple payers through the Dental Clearing House.
This API enhances interoperability across provider systems and the Optum Real platform, reducing manual errors, accelerating onboarding, and improving claim processing efficiency.