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.
Send live requests to the sandbox environment. Requests are proxied through the portal server.
Headers
Body Parameters
controlNumber*string
Header, Segment: ST02 (no loop), Notes: Transaction Set Control Number
tradingPartnerServiceIdstring
Loop: 2010BB Segment: NM1, Element: NM109, Notes: we send this as MN108 as PI = Payer Identification
usageIndicatorstring
Interchange Usage Indicator ISA15; T-Test Data, P-Production Data
tradingPartnerNamestring
Loop 2010BB NM103
curl -X POST \ 'https://sandbox-apigw.optum.com/medicalnetwork/professionalclaims/v3/validation' -H 'Accept: application/json'
Send a request to see the response here.