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Optum Payment and Reimbursement API

Payer enrollment and document tracking for the Optum intelligent clearinghouse: PES payer enrollments, EDI enrollment, and a file and document tracking API for following submissions through the clearinghouse.

This API exposes 2 operations across 2 paths, and defines 10 schemas. It is described by OpenAPI 3.0.1, at version 1.0.0.

Requests are made against a single base URL, https://sandbox-apigw.optum.com/intelligentclearinghouse/iedi/enrollment/v1.

2 operations 2 paths 10 schemas 1 GET1 POST

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.0.1
API Version
1.0.0
Base URL
https://apigw.optum.com/intelligentclearinghouse/
Authentication
HTTP Bearer, OAuth 2.0
Resource Areas
1

Authentication & Security 2

Optum Payment and Reimbursement API declares 2 security schemes for authenticating requests. It accepts HTTP bearer tokens (JWT) (bearerAuth). It supports OAuth 2.0 (oauth2) using the clientCredentials flow, exposing 1 scope. By default, every request must be authenticated.

Paths & Operations 2

Across 2 paths, the API surfaces 2 operations — 1 GET, 1 POST. Each is listed below with its method, path, parameters, and response codes.

ERA Enrollment API 2

ERA Enrollment API

POST
/era/enrollment-submission
Submit ERA Enrollment records for processing.
submitEraEnrollment 1 param body → 202400500
GET
/era/results/{payloadId}
Retrieve results of ERA Enrollment record processing.
getResults 2 params → 200404500

Schemas 10

The contract defines 10 schemas that model the data the API accepts and returns. The most detailed are EnrollmentRoot (20 properties), ResultSummary (6 properties), AssociationStatus (6 properties), ProviderContact (5 properties). Each schema is shown below with its type and property counts.

AssociationStatus
object
6 properties
EnrollmentRoot
object
20 properties
OtherIdentifiers
object
2 properties
PreferenceForAggregation
object
2 properties
ProviderAddress
object
4 properties
ProviderContact
object
5 properties
ProviderEnrollmentStatus
object
2 properties
ProviderIdentifiers
object
2 properties
ResultSummary
object
6 properties
SubmissionResponse
object
1 property

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

optum-edi-enrollment-v1-openapi.yml Raw ↑
Where this information came from

This is an independent, third-party profile of Optum Payment and Reimbursement 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.

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