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Optum Claim Status API

Claim Status API

Optum Claim Status API is one of 166 APIs that Optum publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

Tagged areas include Claim Status API. The published artifact set on APIs.io includes an OpenAPI specification, an API reference, a getting-started guide, authentication docs, a changelog, and API documentation.

This API exposes 4 operations across 4 paths, and defines 25 schemas. It is described by OpenAPI 3.2.0, at version V2.

Requests are made against a single base URL, https://sandbox-apigw.optum.com.

4 operations 4 paths 25 schemas 1 GET3 POST

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.2.0
API Version
V2
Base URL
https://apigw.optum.com/medicalnetwork/
Authentication
HTTP Bearer
Resource Areas
1

Authentication & Security 1

Optum Claim Status API declares 1 security scheme for authenticating requests. It accepts HTTP bearer tokens (JWT) (bearer-key).

Paths & Operations 4

Across 4 paths, the API surfaces 4 operations — 1 GET, 3 POST. Each is listed below with its method, path, parameters, and response codes.

Claim Status API 4

Claim Status API

POST
/claimstatus/v2/raw-x12/enhanced
Check Claim Status x12
rawX12Enhanced 1 param body → 200
POST
/medicalnetwork/claimstatus/v2/
Check Claim Status
claimstatus 1 param body → 200
GET
/medicalnetwork/claimstatus/v2/healthcheck
Health Check
healthCheck 1 param → 200
POST
/medicalnetwork/claimstatus/v2/raw-x12
Check Claim Status x12
rawX12 1 param body → 200

Schemas 25

The contract defines 25 schemas that model the data the API accepts and returns. The most detailed are ClaimStatus (29 properties), Status (19 properties), Response (14 properties), Encounter (10 properties). Each schema is shown below with its type and property counts.

Extensions
object
1 property 1 required
Request
object
8 properties 3 required
ClaimStatus
object
29 properties
HealthCheckResponse
object
2 properties
ResponseExtensions
object
3 properties
RequestExtensions
object
1 property
ContactInformation
object
6 properties
TransactionIdentifier
object
2 properties
ExtendedClaimStatusResponse
object
2 properties
Status
object
19 properties
RawX12Request
object
1 property
Response
object
Response
14 properties
ErrorDetail
object
6 properties
Subscriber
object
6 properties 3 required
Provider
object
9 properties 1 required
Payer
object
Payer
4 properties
Encounter
object
10 properties
ServiceDetail
object
2 properties
RawX12RequestExtension
object
2 properties
ErrorResponse
object
4 properties
ResponseMeta
object
5 properties
Claim
object
2 properties
Member
object
5 properties 2 required
ServiceLineInformation
object
9 properties
Service
object
7 properties

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

optum-claim-status-api-api-openapi.yml Raw ↑

Other APIs Optum publishes across the network.

Optum Real (Medical) API
Optum Interoperability APIs (CMS Patient Access)
Optum Ambulance Fee Schedule APIs API
Optum Anesthesia Fee APIs API
Optum APC Calculator APIs API
Optum APC Cross Codes APIs API
Optum Apip API
Optum Application.wadl API
Optum Attachment API
Optum Attachment Document API
Optum Attachment Status API
Optum Attachment Submission API
Where this information came from

This is an independent, third-party profile of Optum Claim Status API, published by API Evangelist. We do not operate, host, resell, or support these APIs, and we are not affiliated with or endorsed by the company unless stated above. Everything here is built from publicly available information — the company's own site, developer portal, documentation, public repositories, and the specifications it publishes for public use. Nothing is obtained by breaching a system, defeating an access control, or using credentials.

The Kin Score and Agent Readiness rating are independently calculated assessments of a company's public API artifacts, scored against a published rubric. They are not certifications, endorsements, security assessments, or audits.

Corrections, re-scores, and removal are free — no partnership or purchase required, and you do not need to justify the request. A removed company is recorded as unrated, never scored zero for having asked. Acknowledgement within one business day; removal within two.

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