API

Claim Responses & Reports (ERA)

Retrieve valuable claim responses and reports from payers.

See claim status updates, remittance advice and other acknowledgments.

Accurate

Resolve errors with our Claim Responses and Reports API.

Modern

This API lets you stay up-to-date with the most recent information.

Developer resources

Claim Responses and Reports API

Related resources
Brochure

Gain connectivity and flexibility with electronic claims transactions

Reduces transaction costs and enables faster payments with better accuracy and streamlined, digital processes

Brochure

Simplify electronic claims and payment services

Reduce costs and increase cash flow

Recommended products

Revenue Cycle APIs

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.

Product details

 

Claim Status API

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.

Product details

 

Insitutional Claims 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.

Product details

 

Marketplace updates

Subscribe to The Spark

We're adding new products and services to rapidly expand our marketplace and the potential is huge. Be an early adopter and stay ahead of the trend with our bi-weekly e-updates.

Request Sandbox Access
That's right. FREE. Zip. Nada.
As in, no money.

Begin your free trial today!

Sandbox Request

Application Programming Interface

To request for a sandbox access, please select product by category.

Personal information
Please fill out the form to request access to a sandbox.
 
 

By submitting my information I consent to receiving more information about Optum products.