Optum Real APIs

Our Optum Real APIs provide a smarter, faster way to connect with payers. With real-time, automated exchange of eligibility, claims and payment data, you get the information you need when you need it – from pre-service to payment.

Optum Real APIs for Medical Providers

Our APIs take standard transactions so they are accessible to developers and easily integrate into users' applications.

• The Optum Real Pre-Service Eligibility API gives providers real-time insight into a patient’s benefits, network status and coordination of benefits data before their scheduled visit.
• With Optum Real Claim Pre-Check API providers can complete a series of validation steps to improve the efficiency of claim processing and reduce the risk of invalid claims before a claim is submitted.

Additional Optum Real APIs for medical providers coming soon:

• Optum Real Patient Benefit Check API
• Optum Real Claim Action API
• Optum Real Claim Inquiry API (Post Submission)