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A healthcare claim includes patient information, related diagnoses, procedures performed or services provided and any related charges.
Thorough
Use the Validation API to check and validate your upcoming submission. Your transaction will not be sent to the payer.
Accurate
The validation does not examine the actual contents of your claim; it checks for the correct well-formed syntax of the submission, charges and verifying codes.
Developer resources
Professional Claims API
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.
Insititutional 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.
Claims Responses and Reports (ERA) API
This API provides a direct connection to your mailbox where payers will send their reports and responses to your claims. See claim payments, claim status updates and other communications in real time.
Marketplace updates
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