Resolve errors with our Claim Responses and Reports API.
This API lets you stay up-to-date with the most recent information.
Easily connect your payers and providers through the Optum Intelligent Health Care Network™, the largest in the U.S. Our APIs handle complex transactions behind-the-scenes and make JSON data human-readable. Plus, check claim status across hundreds of payers in real time.
Translate the X12 EDI 276 transaction to JSON, making it easier for developers to integrate into users’ applications. See the reasons a claim is denied or rejected. Plus get EDI-to-JSON mapping documentation, so you can quickly find the EDI segments and loops that map to each JSON attribute in the API.
Before submitting an institutional claim, the Institutional Claims API allows the submitter to run claims through extensive rules and logic to correct potential errors before sending to the payer.
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