Connect to us directly through a secure connection for all available API transaction types. View the reference guides for specific data returned for each transaction type and current options available:
API data is returned as an extension to your existing compliant EDI transaction responses. The extended data provides information that is not included in the standard EDI response, which eliminates billing staff having to call us or going to the UnitedHealthcare Provider Portal to look it up.
API Extended X12 is currently available for Claim Status and Eligibility and Benefits. To establish connectivity for API Extended X12, contact us directly for assistance or contact your clearinghouse to inquire about the UnitedHealthcare data they have available through their API services. View the implementation guides for extended data elements returned with EDI response transactions:
The following is a general list of information available through API and does not represent all data offered. Please review individual API guides listed above for more detailed information.
Eligibility and benefits
Online communications (paperless)
Prior authorization and notification (coming soon)