Overview

Optum Real Claim Inquiry API

With Real Claim Inquiry API, providers can receive real-time updates on submitted claims to help make informed decisions regarding reconsideration requests and appeals more quickly.

Through a single, centralized API, providers can access claim information in real time, including:

  • Claim summaries and details
  • Status at the claim and service level
  • Available actions for reconsiderations and appeals at the service level
  • Download of associated documents


Release NotesResources
View Release Notes for more information about the history of programmatic updates for Optum Real APIs.Check out our API Setup and Technical Reference Guide for more information on API integration.