Overview

Optum Real Claim Inquiry API

With Real Claim Inquiry API, providers can receive real-time updates on submitted claims to make informed decisions regarding reconciliation requests and appeals to help reduce administrative burden.

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 reconciliations 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 , Real Claim Inquiry API User Guide and Technical Reference Guide for more information on API integration.