Insitutional Claims

commercialv1

The ASC X12N Health Care Claim: Institutional (837i) transaction enables institutional healthcare providers to submit healthcare claims for a service or encounter. A healthcare claim includes patient information, related diagnoses, procedures performed or services provided, and any related charges. This API also translates standard X12 EDI 837i transactions to JSON so that it is more accessible to claim readers and developers.

Send live requests to the sandbox environment. Requests are proxied through the portal server.

Query Parameters

USERNAME*string

Headers

Body Parameters

controlNumber*string

Interchange Control Number ISA13 GS06 ST02

tradingPartnerServiceIdstring

Loop: 2010BB NM109 where NM108=PI

usageIndicatorstring

Interchange Usage Indicator ISA15; T-Test Data, P-Production Data

tradingPartnerNamestring

Loop: 2010BB NM103 where NM101=PR and NM102=2. Notes: Required

curl -X POST \
  'https://sandbox-apigw.optum.com/medicalnetwork/institutionalclaims/v1/validation'
  -H 'Accept: application/json'
Send a request to see the response here.