This page outlines payer IDs supported by the Optum Real APIs.
Each payer may support a different subset of APIs depending on their integration level and service/content availability.
🔍 What’s included
The following APIs and supported capabilities are mapped to each payer:
- Real Pre-Service Eligibility API
- Real Claim Pre-Check API
- Real Claim Inquiry API
- Real Patient Benefit Check API
- Real Claim Actions API (coming soon)
How to Use
- For a clearer view, please click on the image to enlarge it.
- Each capability is marked with either:
- Y – Supported
- N – Not supported
Use this matrix to:
- Determine which payers support specific API capabilities.
- Validate integration readiness for your use case.
- Identify gaps in payer support for future planning.
⚠️ Note: This list is subject to change and will be updated as payers are added/removed.
Real Pre-Service Eligibility API
For a clearer view, please click on the image to enlarge it.
Real Claim Pre-Check API
For a clearer view, please click on the image to enlarge it.
Real Claim Inquiry API
For a clearer view, please click on the image to enlarge it.
See the Payer ID Input options in the data dictionary attached to the Technical Reference Guide page for input options by Payer ID.
Real Patient Benefit Check API
For a clearer view, please click on the image to enlarge it.
Coming soonReal Claim Actions API
For a clearer view, please click on the image to enlarge it.
