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
Supported Payer IDs for UnitedHealthcare
| API | Supported Payer IDs |
|---|---|
| Real Claim Inquiry | 87726, 25463, 39026, 74227, LIFE1, WELM2, 06111, 96385, 37602, 03432, 95467, 86050, 86047, 95378 |
See the Payer ID Input Options table in the Technical Reference Guide for input options by Payer ID.
| Release Notes | Resources |
|---|---|
| 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. |