Developer Portal

APIs for providers, payers, and partners that want to power the next generation of healthcare applications

Eligibility and Claims

Determine financial eligibility and coverage for care

Optum Real for Medical

Solutions that enable real-time, automated exchange of eligibility, claims and payment data between providers and payers

Optum Real for Dental

Dental solutions that enable real-time, automated exchange of pre-care estimates, eligibility, claims, attachments and payment data between providers and payers.

Pharmacy Solutions

Solutions designed to enhance various aspects of pharmacy management, including RCM, clinical services, and business intelligence.

Payment and Reimbursement

Products used to facilitate financial transactions between patients, members, providers, and payers

API Tools

Universal APIs for use and integration with Optum API products

Analytics and Insights

Create, deliver, and facilitate collaboration around insights generated from data

Community/Support

If you have questions along the way in getting started with the API, you can get help by selecting the “Community” option on the top menu to access our developer community.

200Successful Response

400Not a valid HCC Code for the cms-hcc type

401Not Authorized

404No Diagnosis Code found for the HCC Code entered

405Method Not Allowed - Request method not supported