Eligibility

commercialv3

Real-time healthcare eligibility and benefits verification. Confirm member coverage, copay, deductible, and out-of-pocket balances before service delivery using 270/271 transactions.

Medical Network Eligibility v3

3 endpoints

https://sandbox-apigw.optum.com

Eligibility

Medical Eligibility

POST/medicalnetwork/eligibility/v3/Check Eligibility POST/medicalnetwork/eligibility/v3/raw-x12Check Eligibility x12

Health Check

Health Check

GET/medicalnetwork/eligibility/v3/healthcheckHealth Check