Optum Insight Platform (Platform and Interoperability) API
Optum Insight Platform services published on gateway.optuminsightplatform.com: NCC data acquisition, a code-search core service, CMS and Optum common physician and facility provider-directory services, cross-community REST document exchange, an ODX XDR ingestion service, and real-time eContent web services. These are the largest specs on the platform — the CMS Common Facility service alone declares 69 operations.
This API exposes
69 operations
across 69 paths,
organized into 32 resource areas,
and defines 12 schemas.
It is described by OpenAPI 3.0.1, at version v1.0.
Requests are made against a single base URL, /v1/cmscommonms.
69 operations69 paths12 schemas66 GET3 POST
Metadata
The identity and technical contract details declared by the specification.
Optum Insight Platform (Platform and Interoperability) API declares
1 security scheme
for authenticating requests.
It accepts HTTP bearer tokens (JWT) (bearerAuth).
Paths & Operations 69
Across 69 paths, the API surfaces 69 operations — 66 GET, 3 POST. They span 32 resource areas, including Supporting Documentation APIs, CMS Transmittal APIs, Policy Lookup APIs, CCI Edits APIs, CCI Edits Code Validator API, Medically Unlikely Edits(MUEs) APIs, CMS IOM's Policy APIs, Medicare Coverage Policy for part A and Part B APIs, and 24 more. Each is listed below with its method, path, parameters, and response codes.
Supporting Documentation APIs 2
POST
/api/cms/facility/supporting-documents/
Fetches lists of data for supporting documentation
The contract defines 12 schemas that model the data the API accepts and returns. The most detailed are PolicyValue (22 properties), CMSTransmittal (18 properties), QPPMipsValue (8 properties), ContractorValue (8 properties). Each schema is shown below with its type and property counts.
QPPMipsValue
object
8 properties
Notification
object
3 properties
SupportingDocument
object
6 properties
CMSTransmittal
object
18 properties
DiagnosisCode
object
2 properties
Lcd
object
4 properties
PolicySearchRequest
object
7 properties
TermSearch
object
3 properties
PolicyValue
object
22 properties
ModifiersPopUpValue
object
2 properties
OptumPageImplModifiersPopUpValue
object
2 properties
ContractorValue
object
8 properties
Specification
The full machine-readable OpenAPI contract behind this narrative.
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