APIs can save time for your whole team

Explore automation solutions for the entire workflow

There’s a lot that goes into delivering quality care. We know that this is your top priority. That’s why we’ve developed solutions to help you free up your resources to focus on what truly matters. Our Application Programming Interface (API) services can help you and your team streamline and speed up administrative tasks.

Think about how easy it can be to ask for a ride from a rideshare app, pay bills or get a dinner reservation online. These are all examples of everyday APIs — and we’d love to bring this technology to your office.

Our free APIs* can help you, bringing data directly into your workflow, so you don’t have to call or sign in to our UnitedHealthcare Provider Portal:

• Eligibility and benefits: Verify eligibility, check benefits and member responsibility or find/view member ID cards
• Referrals: Get detailed information about previous referrals and referral submissions
• Claim submission: Submit both professional and institutional claims in standard EDI 837 X12 format
• Claim status: See claim details, coordination of benefits and payment information
• Pended claim management: Submit additional information requested for pended claims
• Claim reconsiderations and appeals: Submit your inquiries or appeals and associated documents automatically; you can even check the status of your submission
• Documents: Skip the paperwork for pre-service, claim and payment documents 

Feel the difference

The 2024 CAQH Index® Report outlines the average time and cost savings per transaction. The following table outlines the average time and costs saved per transaction using digital solutions based on their research:

Schedule a call to learn how we can give you time back in your day

Our consultants can guide you through the process, review the technical resources you need to move forward, and discuss the next steps to ensure a smooth implementation and maintenance of our APIs.