Professional Claims

commercialv3

The Professional Claims API takes the standard X12 EDI 837P transaction and translates it to JSON so it is more accessible to developers and easily integrated into users’ applications.

Medical Network Professional Claims V3

5 endpoints

https://sandbox-apigw.optum.com

Professional Claims

Professional Claims

POST/medicalnetwork/professionalclaims/v3/validationClaim Validation POST/medicalnetwork/professionalclaims/v3/submissionClaim Submission POST/medicalnetwork/professionalclaims/v3/raw-x12-submissionClaim Submission x12 POST/medicalnetwork/professionalclaims/v3/raw-x12-validationClaim Validation x12

Health Check

Health Check

GET/medicalnetwork/professionalclaims/v3/healthcheckHealth Check