generated: '2026-08-14' method: derived source: openapi/_original/*.json components.schemas $ref graph (59 documents) notes: Optum has no single object model. Each of the eight developer.optum.com product lines — eligibility and claims, Optum Real medical, Optum Real dental, pharmacy solutions, payment and reimbursement, analytics and insights, platform and interoperability, and API tools — ships its own component schema set, and the FHIR surfaces (Real Prior Authorization, Real Provider Access) follow HL7 FHIR R4 / Da Vinci profiles rather than an Optum-proprietary model. The entity graph below is therefore a UNION of independent models, not one domain. What actually joins them are a handful of identifiers that recur across product lines. cross_api_identifiers: - id: payerId meaning: Optum/Change Healthcare payer identifier; resolvable through the Payer List API used_by: - getPayers - claimstatus - medicalEligibility - getQuestionnairePackage - bulkMemberMatch - id: tradingPartnerServiceId meaning: X12 trading-partner service identifier for the destination payer used_by: - medicalEligibility - processClaim - claimstatus - id: controlNumber meaning: X12 interchange/transaction control number echoed on responses used_by: - medicalEligibility - processClaim - claimstatus - id: traceId meaning: Attachment submission trace identifier used to poll status used_by: - upload - GET /{traceId} - id: attachmentId meaning: Dental and medical attachment identifier used_by: - CreateAttachment - AddAttachment - CommitAttachment - GetAttachmentbyId - id: lob meaning: Line of business path segment on every FHIR Da Vinci operation used_by: - getPasCapabilityStatement - submitClaim - bulkMemberMatch - id: submitterId / senderId / billerId meaning: Submitter identity echoed for troubleshooting; documented on the metadata troubleshooting page used_by: - processClaim - upload entity_count: 982 relationship_count: 1354 entities: - entity: AuthorizationJSONResponsePatientEventDetail sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 61 - entity: PricingSegment sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 59 - entity: ColorCodes sources: - openapi/optum-core-service-openapi.yml - openapi/optum-optum-real-time-econtent-web-services-openapi.yml fields: 57 - entity: Attachment sources: - openapi/optum-dental-attachment-api-openapi.yml - openapi/optum-real-prior-authorization-api-openapi.yml fields: 51 description: Attachment content details - entity: PlanInformation sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 42 description: PlanInformation - entity: PricingV1 sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 42 - entity: ClaimInformation sources: - openapi/optum-medical-network-attachments-submission-v1-openapi.yml - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 41 description: ClaimInformation; LOOP 1000D - entity: Claim sources: - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-optum-real-time-econtent-web-services-openapi.yml - openapi/optum-real-prior-authorization-api-openapi.yml fields: 39 description: FHIR Claim Inquiry Request - entity: ServiceLine sources: - openapi/optum-medical-network-attachments-submission-v1-openapi.yml - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 38 description: ServiceLine - entity: BenefitsAdditionalInformation sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 38 description: BenefitsAdditionalInformation - entity: DurCoAgentIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 37 - entity: BenefitsDateInformation sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 34 description: BenefitsDateInformation - entity: ResponseMember sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 34 description: ResponseMember - entity: DurOrPpsGrouping sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 33 - entity: PlanDateInformation sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 32 description: PlanDateInformation - entity: AuthorizationJSONResponseServiceLevel sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 32 - entity: BenefitsInformation sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 30 description: BenefitsInformation - entity: ClaimStatus sources: - openapi/optum-medical-network-attachments-submission-v1-openapi.yml - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 29 description: Claim Status Information STC; LOOP 2000A - entity: ClaimSegment sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 29 - entity: OriginallyPrescribedProductOrServiceCode sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 29 - entity: RequestSubscriber sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 28 description: 'Loop: 2100C, Notes: Subscriber Detail' - entity: FacilityClaim sources: - openapi/optum-optum-common-facility-openapi.yml - openapi/optum-optum-common-physician-openapi.yml fields: 28 - entity: ProductOrServiceIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 27 - entity: Code sources: - openapi/optum-core-service-openapi.yml - openapi/optum-optum-common-facility-openapi.yml - openapi/optum-optum-common-physician-openapi.yml fields: 26 - entity: RequestDependent sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 26 description: 'Loop: 2000D, Notes: Dependent Detail' - entity: AuthorizationJSONResponsePatientEventProviderName sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 26 - entity: AuthorizationJSONResponseServiceProviderName sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 26 - entity: InpatientAdjudication sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 24 - entity: Icd10CmColorCodes sources: - openapi/optum-optum-real-time-econtent-web-services-openapi.yml fields: 24 - entity: OtherSubscriberInformation sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 23 description: 'Loop: 2320' - entity: AdditionalInfo sources: - openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml fields: 23 description: Additional plan related information - entity: GenericEquivalentProductIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 23 - entity: Input sources: - openapi/optum-claim-pre-check-api-openapi.yml - openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml fields: 22 description: Input data for the Eligibility Pre-Check operation - entity: PolicyValue sources: - openapi/optum-cms-common-facility-openapi.yml - openapi/optum-cms-common-physician-openapi.yml fields: 22 - entity: ServiceLineProvider sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 22 description: NM1 and REF - entity: ServiceLineOrderingProvider sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 22 - entity: Insurance sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 22 - entity: PaymentInfo sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 21 - entity: PatientIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 21 - entity: EnrollmentRoot sources: - openapi/optum-edi-enrollment-v1-openapi.yml fields: 20 - entity: ClaimAdjustments sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 20 - entity: billing sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 20 description: 'Loop: 2000A' - entity: referring sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 20 description: 'Loop: 2310F' - entity: rendering sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 20 description: 'Loop: 2310D' - entity: ordering sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 20 description: 'Loop: 2420E, Setting ProviderType equal to OrderingProvider is deprecated, please use ClaimInformation.serviceLines.orderingProvider' - entity: supervising sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 20 description: 'Loop: 2420D' - entity: ProviderInfo sources: - openapi/optum-ncc-data-acquisition-api-openapi.yml fields: 20 - entity: AlternateCardHolderIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 20 - entity: NcpdpResponse sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 20 - entity: OtherRelatedBenefitDetailSegment sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 20 - entity: StatusSegment sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 20 - entity: ProcedureCodeDetail sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 19 - entity: Status sources: - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-telecom-formatter-api-openapi.yml fields: 19 - entity: ProviderSupplementalSummaryInformation sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 19 description: TS2 - PROVIDER SUPPLEMENTAL SUMMARY INFORMATION - entity: ResponseProvider sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 19 description: Provider - entity: InstitutionalClaimsRequest sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 19 description: InstitutionalClaimsRequest - entity: MedicareInpatientAdjudication sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 19 description: 'Loop: 2320, Segment: MIA, Notes: Medical inpatient claim information' - entity: ClaiRequest sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 19 - entity: InsuranceInfo sources: - openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml - openapi/optum-real-dental-pre-care-eligibility-api-openapi.yml - openapi/optum-real-dental-pre-care-eligibility-intelligence-api-openapi.yml fields: 19 description: Insurance information - entity: ExtendedProvider sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 18 - entity: Patient sources: - openapi/optum-auth-referral-submission-api-openapi.yml - openapi/optum-real-prior-authorization-api-openapi.yml - openapi/optum-real-provider-access-api-openapi.yml fields: 18 description: FHIR Patient resource - entity: CMSTransmittal sources: - openapi/optum-cms-common-facility-openapi.yml - openapi/optum-cms-common-physician-openapi.yml fields: 18 - entity: Response sources: - openapi/optum-medical-network-attachments-submission-v1-openapi.yml - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 18 description: Response - entity: ClaimDateInformation sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 18 description: DTP - entity: ClaimSubmissionRequest sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 18 - entity: FacilityClaimDiag sources: - openapi/optum-optum-common-facility-openapi.yml - openapi/optum-optum-common-physician-openapi.yml fields: 18 - entity: Header sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 18 - entity: OtherPayerGrouping sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 18 - entity: WorkersCompensation sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 18 - entity: DocumentInfo sources: - openapi/optum-document-search-api-openapi.yml - openapi/optum-medical-network-attachment-retrieval-v1-openapi.yml fields: 17 description: Document information. - entity: ClaimFormat sources: - openapi/optum-formatting-rule-api-openapi.yml fields: 17 - entity: attending sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 17 description: 'Loop: 2310A' - entity: CompoundProductIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 17 - entity: FormularyAlternativeProductGrouping sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 17 - entity: PatientRequestV1 sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 17 - entity: TelecomRequest sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 17 - entity: CaseDescription sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 16 description: Detailed information about a specific prior authorization case. - entity: Payer sources: - openapi/optum-auth-referral-submission-api-openapi.yml - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 16 description: Payer - entity: Claims sources: - openapi/optum-claim-inquiry-api-openapi.yml - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 16 description: Claims - entity: MedicareFeeDTO sources: - openapi/optum-core-service-openapi.yml fields: 16 - entity: AttachmentFile sources: - openapi/optum-dental-attachment-api-openapi.yml fields: 16 - entity: JsonSegmentField sources: - openapi/optum-formatting-rule-api-openapi.yml fields: 16 - entity: Subscriber sources: - openapi/optum-medical-network-attachments-submission-v1-openapi.yml - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 16 description: Subscriber/Patient Name when NM101 = QC; LOOP 1000D - entity: BenefitsServiceDelivery sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 16 description: BenefitsServiceDelivery - entity: ExecuteRulesResponse sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 16 - entity: AuthorizationJSONResponse sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 16 - entity: PrescriberIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 16 - entity: PrimaryCareProviderIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 16 - entity: ServiceProviderIdentifier sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 16 - entity: ClaimTicketInput sources: - openapi/optum-attachment-openapi.yml - openapi/optum-claim-actions-api-openapi.yml fields: 15 description: Input for submitting a claim ticket (Pend, Recon, Appeal) - entity: PatientDetails sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 15 - entity: JsonClaimFormat sources: - openapi/optum-formatting-rule-api-openapi.yml fields: 15 - entity: ClaimSupplementalInformation sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 15 description: AMT - entity: InformationReceiverName sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 15 description: 'Loop: 2100B, Notes: Information Receiver Name' - entity: ClaimNotes sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 15 description: 'Loop 2300; Segment: NTE' - entity: ClaimPricingInformation sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 15 description: 'Loop 2400, Segment: HCP' - entity: AuthorizationJSONResponseDentalService sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 15 - entity: AuthorizationJSONResponseSubscriber sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 15 - entity: Provider sources: - openapi/optum-auth-referral-submission-api-openapi.yml - openapi/optum-claim-inquiry-api-openapi.yml - openapi/optum-medical-network-attachments-submission-v1-openapi.yml fields: 14 description: Provider - entity: ClaimLineType sources: - openapi/optum-claim-inquiry-api-openapi.yml fields: 14 description: ClaimLineType - entity: LineLevelTotalAmounts sources: - openapi/optum-claim-inquiry-api-openapi.yml fields: 14 description: LineLevelTotalAmounts - entity: ClaimSupplementalInformationQuantities sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 14 description: QTY - entity: OtherClaimRelatedIdentification sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 14 - entity: ProviderSummaryInformation sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 14 description: PROVIDER SUMMARY INFORMATION for LOOP 2000 TS3 - entity: ServicePaymentInformation sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 14 - entity: LinePricingInformation sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml fields: 14 description: 'Loop 2400, Segment: HCP' - entity: PrimaryCarePhysician sources: - openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml fields: 14 description: Information about the member's primary care physician - entity: ClaimResponse sources: - openapi/optum-optum-real-time-econtent-web-services-openapi.yml - openapi/optum-real-prior-authorization-api-openapi.yml fields: 14 description: FHIR ClaimResponse - entity: ExecuteDeterminationRulesRequest sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 14 - entity: SubmissionJSONResponse sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 14 - entity: NoaJSONResponse sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 14 - entity: AuthorizationJSONResponseDependent sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 14 - entity: AuthorizationJSONResponseIonalService sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 14 - entity: AuthorizationJSONResponseRequester sources: - openapi/optum-prior-authorization-v1-openapi.yml fields: 14 - entity: PasCapabilityStatementResponse sources: - openapi/optum-real-prior-authorization-api-openapi.yml fields: 14 - entity: DtrCapabilityStatementResponse sources: - openapi/optum-real-prior-authorization-api-openapi.yml fields: 14 - entity: PrescriptionV1 sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 14 - entity: Pricing sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 14 - entity: FacilityDetails sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 13 - entity: ReferralSubmitProviderInput sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 13 - entity: SearchProvider sources: - openapi/optum-auth-referral-submission-api-openapi.yml fields: 13 - entity: LineIndicators sources: - openapi/optum-claim-inquiry-api-openapi.yml fields: 13 description: LineIndicators - entity: DocumentMetadata sources: - openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml fields: 13 - entity: Transaction sources: - openapi/optum-enhanced-eligibility-api-openapi.yml - openapi/optum-telecom-formatter-api-openapi.yml fields: 13 description: The base object model for the `/transactions` endpoints and the canonical model for Enhanced Eligibility - entity: RenderingProvider sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 13 - entity: RenderingProviderInformation sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 13 - entity: EditResponse sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 13 - entity: PriorAuthorization sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml - openapi/optum-telecom-formatter-api-openapi.yml fields: 13 description: Loop 2400 REF - entity: ProfessionalService sources: - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 13 - entity: SubMessageCopay sources: - openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml fields: 13 description: Sub-message details - entity: Consent sources: - openapi/optum-real-provider-access-api-openapi.yml fields: 13 - entity: BenefitStageAmount sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 13 - entity: OtherPayerPatientResponsibilityAmount sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 13 - entity: ProcedureDetailsInput sources: - openapi/optum-benefit-check-api-openapi.yml fields: 12 description: Details of the procedure being checked. - entity: ClaimDetailedInformation sources: - openapi/optum-claim-inquiry-api-openapi.yml fields: 12 description: ClaimDetailedInformation - entity: ClaimPaymentInfo sources: - openapi/optum-claim-inquiry-api-openapi.yml - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 12 description: ClaimPaymentInfo - entity: GetClaimFormatRequest sources: - openapi/optum-formatting-rule-api-openapi.yml fields: 12 - entity: Encounter sources: - openapi/optum-medical-network-claim-status-v2-openapi.yml - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 12 description: 'Loop: 2110C and 2110D, Notes: Eligibility or Benefit Information' - entity: cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines sources: - openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml fields: 12 description: LOOP ID = 2110 ; Loop Repeat = 999 - entity: BenefitsRelatedEntity sources: - openapi/optum-medical-network-eligibility-v3-openapi.yml fields: 12 description: BenefitsRelatedEntity - entity: LineAdjudicationInformation sources: - openapi/optum-medical-network-institutional-claims-v1-openapi.yml - openapi/optum-medical-network-professional-claims-v3-openapi.yml fields: 12 description: SVD, CAS, DTP and AMT - entity: clientOrderRequest sources: - openapi/optum-ncc-data-acquisition-api-openapi.yml fields: 12 - entity: ClaimLine sources: - openapi/optum-optum-common-facility-openapi.yml - openapi/optum-optum-common-physician-openapi.yml - openapi/optum-optum-real-time-econtent-web-services-openapi.yml fields: 12 - entity: AssociatedIds sources: - openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml - openapi/optum-real-dental-pre-care-eligibility-api-openapi.yml fields: 12 description: Collection of different identifiers associated with the member - entity: OperationDefinitionResponse sources: - openapi/optum-real-prior-authorization-api-openapi.yml fields: 12 - entity: InsuranceSegment sources: - openapi/optum-telecom-formatter-api-openapi.yml fields: 12 - entity: Member sources: - openapi/optum-benefit-check-api-openapi.yml - openapi/optum-claim-inquiry-api-openapi.yml - openapi/optum-medical-network-claim-status-v2-openapi.yml fields: 11 description: Member information - entity: CobInfoType sources: - openapi/optum-claim-inquiry-api-openapi.yml fields: 11 description: CobInfoType - entity: PatientDemographics sources: - openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml fields: 11 - entity: EligibilityRequest sources: - openapi/optum-enhanced-eligibility-api-openapi.yml - openapi/optum-real-dental-pre-care-eligibility-intelligence-api-openapi.yml fields: 11 description: 'Standalone JSON representation of a standard 270 eligibility request. This schema is fully inlined into this spec so the API definition stands on its ' relationships: - from: ClaimTicketInput to: LineDetailInput kind: has_many via: lineDetails source: openapi/optum-attachment-openapi.yml - from: ClaimTicketInput to: OperatorInput kind: has_one via: operator source: openapi/optum-attachment-openapi.yml - from: SearchProvidersResponseDataWrapper to: SearchProvidersResponseWrapper kind: has_one via: data source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ProviderSearchInput to: ProviderInput kind: has_one via: provider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ProviderSearchInput to: PatientInput kind: has_one via: patient source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ProviderSearchInput to: PaginationInput kind: has_one via: pagination source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SubmitReferralsResponseDataWrapper to: SubmitReferralsResponseWrapper kind: has_one via: data source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitInput to: ReferralSubmitProviderInput kind: has_one via: requestingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitInput to: PatientInput kind: has_one via: patient source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitInput to: ServiceInput kind: has_one via: service source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitInput to: ReferralSubmitProviderInput kind: has_one via: servicingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchReferralsResponseDataWrapper to: SearchReferralsResponseWrapper kind: has_one via: data source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchInput to: PatientInput kind: has_one via: patient source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchInput to: PaginationInput kind: has_one via: pagination source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchPriorAuthsResponseDataWrapper to: SearchPriorAuthsResponseWrapper kind: has_one via: data source: openapi/optum-auth-referral-submission-api-openapi.yml - from: PriorAuthSearchInput to: PriorAuthSearchProviderInput kind: has_one via: provider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: PriorAuthSearchInput to: PatientInput kind: has_one via: member source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ExtendedProvider to: AddressBase kind: has_one via: address source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ExtendedProvider to: ProviderSpeciality kind: has_many via: providerSpeciality source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitResponse to: Payer kind: has_one via: payer source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitResponse to: Provider kind: has_one via: requestingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitResponse to: Provider kind: has_one via: servicingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitResponse to: Patient kind: has_one via: patient source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitResponse to: Decision kind: has_many via: decisions source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSubmitResponse to: RejectionReason kind: has_many via: rejectionReasons source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchResponse to: ReferralSearchResult kind: has_many via: referrals source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchResponse to: Pagination kind: has_one via: pagination source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchPriorAuthsResponseWrapper to: PriorAuthSearchResponse kind: has_one via: searchPriorAuths source: openapi/optum-auth-referral-submission-api-openapi.yml - from: Decision to: ReferralQuantity kind: has_one via: referralQuantity source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ServiceResponse to: ReferralQuantity kind: has_one via: referralQuantity source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: CaseDetail kind: has_one via: caseDetail source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: CoverageStatusItem kind: has_many via: coverageStatus source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: ClinicalNote kind: has_many via: clinicalNotes source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: PatientDetails kind: has_one via: patientDetails source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: Provider kind: has_one via: submittingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: Provider kind: has_one via: admittingAttendingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: Provider kind: has_one via: orderingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: FacilityDetails kind: has_one via: facilityDetails source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: ServiceDetails kind: has_one via: serviceDetails source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: FacilityServiceDetails kind: has_one via: facilityServiceDetails source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: DiagnosisDetail kind: has_many via: diagnosisDetails source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: ProcedureCodeDetail kind: has_many via: procedureCodeDetails source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: ContactBase kind: has_one via: initialContact source: openapi/optum-auth-referral-submission-api-openapi.yml - from: CaseDescription to: FollowUpContact kind: has_one via: followUpContact source: openapi/optum-auth-referral-submission-api-openapi.yml - from: FacilityDetails to: AddressExt kind: has_one via: address source: openapi/optum-auth-referral-submission-api-openapi.yml - from: PriorAuthSearchProviderInput to: ProviderAddressInput kind: has_one via: address source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ServiceInput to: ReferralQuantityInput kind: has_one via: referralQuantity source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SubmitReferralsResponseWrapper to: ReferralSubmitResponse kind: has_one via: submitReferral source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchProvidersResponseWrapper to: ProviderSearchResponse kind: has_one via: searchProviders source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchReferralsResponseWrapper to: ReferralSearchResponse kind: has_one via: searchReferrals source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ProcedureCodeDetail to: Provider kind: has_one via: servicingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: Provider to: AddressExt kind: has_one via: address source: openapi/optum-auth-referral-submission-api-openapi.yml - from: PriorAuthSearchResponse to: CaseSummary kind: has_many via: caseSummary source: openapi/optum-auth-referral-submission-api-openapi.yml - from: PriorAuthSearchResponse to: CaseDescription kind: has_one via: caseDescription source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchProvider to: AddressBase kind: has_one via: address source: openapi/optum-auth-referral-submission-api-openapi.yml - from: SearchProvider to: ProviderSpeciality kind: has_one via: providerSpeciality source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ProviderSearchResponse to: ExtendedProvider kind: has_many via: providers source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ProviderSearchResponse to: Pagination kind: has_one via: pagination source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchResult to: SearchProvider kind: has_one via: requestingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchResult to: SearchProvider kind: has_one via: servicingProvider source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchResult to: ServiceResponse kind: has_one via: service source: openapi/optum-auth-referral-submission-api-openapi.yml - from: ReferralSearchResult to: RejectionReason kind: has_one via: rejectionResponse source: openapi/optum-auth-referral-submission-api-openapi.yml - from: BenefitCheckResponseDataWrapper to: BenefitCheckResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInputDTO to: BeneficiaryDetailInput kind: has_one via: beneficiaryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInputDTO to: ServiceLocationInput kind: has_one via: serviceLocation source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInputDTO to: CaseDetailProviderInput kind: has_many via: caseDetailProvider source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInputDTO to: DiagnosisCodesInput kind: has_many via: diagnosisCodes source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInputDTO to: FacilityServiceDetailInput kind: has_one via: facilityServiceDetail source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryResponseDataWrapper to: ReferralInquiryResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryInputDTO to: BeneficiaryDetailInput kind: has_one via: beneficiaryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryInputDTO to: ProviderDetailInput kind: has_one via: providerDetail source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitLanguageResponseDataWrapper to: BenefitLanguageResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitLanguageInputDTO to: BeneficiaryDetailInput kind: has_one via: beneficiaryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCategoryResponseDataWrapper to: BenefitCategoryResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCategoryInputDTO to: BeneficiaryDetailInput kind: has_one via: beneficiaryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: ServiceOutcome to: ServicePriorAuth kind: has_one via: servicePriorAuth source: openapi/optum-benefit-check-api-openapi.yml - from: CaseOutcome to: CasePriorAuth kind: has_one via: casePriorAuth source: openapi/optum-benefit-check-api-openapi.yml - from: CasePriorAuth to: Message kind: has_many via: requestMessages source: openapi/optum-benefit-check-api-openapi.yml - from: CaseDetailProviderInput to: AddressInput kind: has_one via: address source: openapi/optum-benefit-check-api-openapi.yml - from: CaseDetailProviderInput to: ProviderRoleInput kind: has_many via: providerRoles source: openapi/optum-benefit-check-api-openapi.yml - from: CaseDetailProviderInput to: ProcedureDetailsInput kind: has_many via: procedureDetails source: openapi/optum-benefit-check-api-openapi.yml - from: CheckPriorAuthBenefitCoverage to: CaseOutcome kind: has_one via: caseOutcome source: openapi/optum-benefit-check-api-openapi.yml - from: CheckPriorAuthBenefitCoverage to: CaseSummary kind: has_one via: caseSummary source: openapi/optum-benefit-check-api-openapi.yml - from: CheckPriorAuthBenefitCoverage to: MatchedPriorAuths kind: has_many via: matchedPriorAuths source: openapi/optum-benefit-check-api-openapi.yml - from: CheckPriorAuthBenefitCoverage to: ServiceOutcome kind: has_many via: serviceOutcomes source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCategoryResponseWrapper to: CheckPlanBenefitCategory kind: has_one via: checkPlanBenefitCategory source: openapi/optum-benefit-check-api-openapi.yml - from: ServicePriorAuth to: Message kind: has_many via: messages source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckResponseWrapper to: CheckPriorAuthBenefitCoverage kind: has_one via: checkPriorAuthBenefitCoverage source: openapi/optum-benefit-check-api-openapi.yml - from: CaseSummary to: Member kind: has_one via: member source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitLanguage to: BenefitNetworkSection kind: has_many via: benefitNetworkSection source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitLanguage to: LimitException kind: has_many via: limitsAndExceptions source: openapi/optum-benefit-check-api-openapi.yml - from: MatchedPriorAuths to: CaseService kind: has_many via: caseServices source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitLanguageResponseWrapper to: CheckPlanBenefitLanguage kind: has_one via: checkPlanBenefitLanguage source: openapi/optum-benefit-check-api-openapi.yml - from: CheckPlanBenefitCategory to: BenefitCategory kind: has_many via: benefitCategory source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCategory to: BenefitDetail kind: has_many via: categoryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryResponseWrapper to: ReferralInquiry kind: has_one via: referralInquiry source: openapi/optum-benefit-check-api-openapi.yml - from: CheckPlanBenefitLanguage to: BenefitLanguage kind: has_one via: benefits source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInput to: BeneficiaryDetailInput kind: has_one via: beneficiaryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInput to: ServiceLocationInput kind: has_one via: serviceLocation source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInput to: CaseDetailProviderInput kind: has_many via: caseDetailProvider source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInput to: DiagnosisCodesInput kind: has_many via: diagnosisCodes source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckInput to: FacilityServiceDetailInput kind: has_one via: facilityServiceDetail source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryInput to: BeneficiaryDetailInput kind: has_one via: beneficiaryDetail source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryInput to: ProviderDetailInput kind: has_one via: providerDetail source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCheckResponse to: BenefitCheckResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: ReferralInquiryResponse to: ReferralInquiryResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitLanguageResponse to: BenefitLanguageResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: BenefitCategoryResponse to: BenefitCategoryResponseWrapper kind: has_one via: data source: openapi/optum-benefit-check-api-openapi.yml - from: ClaimSearchResponse to: Claims kind: has_many via: claims source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimSearchResponse to: Pagination kind: has_one via: pagination source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: TicketDetails kind: has_one via: ticketDetails source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: ClaimTicketComment kind: has_many via: comments source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: ClaimInfo kind: has_one via: claimInfo source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: Member kind: has_one via: member source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: Provider kind: has_one via: provider source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: OperatorInfo kind: has_one via: operatorInfo source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: PayerInfo kind: has_one via: payerInfo source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimTicketSearchResponse to: AttachmentList kind: has_many via: attachmentList source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineActionValidationResponse to: ClaimLineActions kind: has_many via: claimLineActions source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: Member kind: has_one via: member source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: Provider kind: has_one via: provider source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: ClaimEvents kind: has_one via: claimEvents source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: ClaimLevelInformation kind: has_one via: claimLevelInfo source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: ClaimLevelTotalAmount kind: has_one via: claimLevelTotalAmount source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: ClaimPaymentInfo kind: has_many via: payments source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: ClaimStatusCrosswalkData kind: has_many via: claimStatusCrosswalkData source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: AdjudicationCodeType kind: has_many via: claimAdjudicationCodes source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: Documents kind: has_many via: documents source: openapi/optum-claim-inquiry-api-openapi.yml - from: Claims to: ClaimDetailedInformation kind: has_one via: claimDetailedInformation source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineActions to: AllowedReconsiderationReason kind: has_many via: allowedReconsiderationReasons source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineActions to: TicketDetails kind: has_many via: ticketDetails source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineType to: LineEvents kind: has_one via: lineEvents source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineType to: LineLevelTotalAmounts kind: has_one via: lineLevelTotalAmounts source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineType to: LineIndicators kind: has_one via: lineIndicators source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimLineType to: LineAdjudicationCodeTypes kind: has_many via: lineAdjudicationCodes source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: CobInfoType kind: has_one via: coordinationOfBenefits source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: DiagnosisCodeType kind: has_many via: diagnosisCodes source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: ClaimDetailEvent kind: has_one via: claimDetailEvents source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: ClaimLevelIndicators kind: has_one via: claimLevelIndicators source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: PatientInfo kind: has_one via: patientInfo source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: ClaimLineActions kind: has_many via: claimLineActions source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimDetailedInformation to: ClaimLineType kind: has_many via: lines source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimPaymentInfo to: PayeeAddressType kind: has_one via: payeeAddress source: openapi/optum-claim-inquiry-api-openapi.yml - from: Provider to: SubmittedProviderInfo kind: has_one via: submitted source: openapi/optum-claim-inquiry-api-openapi.yml - from: Provider to: AdjudicatedProviderInfo kind: has_one via: adjudicated source: openapi/optum-claim-inquiry-api-openapi.yml - from: ClaimPreCheckResponseDataWrapper to: ClaimPreCheckResponseWrapper kind: has_one via: data source: openapi/optum-claim-pre-check-api-openapi.yml - from: ClaimPreCheckRequest to: Variables kind: has_one via: variables source: openapi/optum-claim-pre-check-api-openapi.yml - from: Variables to: Input kind: has_one via: input source: openapi/optum-claim-pre-check-api-openapi.yml - from: ClaimPreCheckResponseWrapper to: ClaimPreCheckResponse kind: has_one via: claimPreCheck source: openapi/optum-claim-pre-check-api-openapi.yml - from: PolicySearchRequest to: TermSearch kind: has_one via: termSearch source: openapi/optum-cms-common-facility-openapi.yml - from: PolicySearchRequest to: DiagnosisCode kind: has_one via: diagnosisCode source: openapi/optum-cms-common-facility-openapi.yml - from: PolicySearchRequest to: Lcd kind: has_one via: lcd source: openapi/optum-cms-common-facility-openapi.yml - from: OptumPageImplModifiersPopUpValue to: ModifiersPopUpValue kind: has_many via: content source: openapi/optum-cms-common-facility-openapi.yml - from: Code to: Link kind: has_one via: image source: openapi/optum-core-service-openapi.yml - from: Code to: Link kind: has_many via: edits source: openapi/optum-core-service-openapi.yml - from: Code to: Link kind: has_many via: notes source: openapi/optum-core-service-openapi.yml - from: Code to: Link kind: has_one via: prev source: openapi/optum-core-service-openapi.yml - from: Code to: Link kind: has_one via: next source: openapi/optum-core-service-openapi.yml - from: Code to: Code kind: has_many via: codes source: openapi/optum-core-service-openapi.yml - from: Code to: Link kind: has_many via: mappingInformation source: openapi/optum-core-service-openapi.yml - from: Code to: Link kind: has_many via: references source: openapi/optum-core-service-openapi.yml - from: Code to: CodeGroup kind: has_many via: billedTogether source: openapi/optum-core-service-openapi.yml - from: OptumPageImplMedicareFeeDTO to: MedicareFeeDTO kind: has_many via: content source: openapi/optum-core-service-openapi.yml - from: OptumPageImplCode to: Code kind: has_many via: content source: openapi/optum-core-service-openapi.yml - from: ColorCodes to: Link kind: has_one via: cptSource source: openapi/optum-core-service-openapi.yml - from: OptumPageImplColorCodes to: ColorCodes kind: has_many via: content source: openapi/optum-core-service-openapi.yml - from: DocumentSearchRequest to: Authorization kind: has_one via: authorization source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentSearchRequest to: PatientDemographics kind: has_one via: patientDemographics source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentSearchRequest to: AdditionalSearchParameters kind: has_one via: additionalSearchParameters source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientDemographics to: LivingSubjectName kind: has_one via: livingSubjectName source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientDemographics to: LivingSubjectAddress kind: has_one via: livingSubjectAddress source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientDemographics to: Address kind: has_one via: livingSubjectBirthPlaceAddress source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientDemographics to: LivingSubjectTelecommunication kind: has_one via: livingSubjectTelecommunication source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientDemographics to: LivingSubjectId kind: has_many via: livingSubjectId source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientDemographics to: PrincipalCareProviderId kind: has_one via: principalCareProviderId source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: LivingSubjectName to: Given kind: has_many via: given source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentSearchResponse to: SearchResults kind: has_one via: searchResults source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentSearchResponse to: ResponseStatus kind: has_one via: responseStatus source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: SearchResults to: Result kind: has_many via: result source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: Result to: Documents kind: has_one via: documentList source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: Documents to: Document kind: has_many via: document source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentMetadataList to: DocumentMetadata kind: has_many via: documentMetadata source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientInformation to: Id kind: has_many via: id source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientInformation to: PatientPerson kind: has_one via: patientPerson source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: Birthplace kind: has_one via: birthplace source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: Name kind: has_many via: name source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: Telecom kind: has_many via: telecom source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: AdministrativeGenderCode kind: has_one via: administrativeGenderCode source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: Addr kind: has_many via: addr source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: BirthTime kind: has_one via: birthTime source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: PatientPerson to: DeceasedTime kind: has_one via: deceasedTime source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: Birthplace to: Place kind: has_one via: place source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: Place to: Addr kind: has_one via: addr source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentRetrievalRequest to: AdditionalRetrievalParameters kind: has_one via: additionalRetrievalParameters source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentRetrievalRequest to: Authorization kind: has_one via: authorization source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: DocumentRetrievalRequest to: DocumentLookup kind: has_one via: documentLookup source: openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml - from: Attachment to: AttachmentFile kind: has_many via: attachmentFile source: openapi/optum-dental-attachment-api-openapi.yml - from: Attachment to: Link kind: has_many via: links source: openapi/optum-dental-attachment-api-openapi.yml - from: AttachmentFile to: Link kind: has_many via: links source: openapi/optum-dental-attachment-api-openapi.yml - from: DocumentMetadataResponseDataWrapper to: DocumentMetadataResponseWrapper kind: has_one via: data source: openapi/optum-document-search-api-openapi.yml - from: GetDocumentResponseDataWrapper to: GetDocumentResponseWrapper kind: has_one via: data source: openapi/optum-document-search-api-openapi.yml - from: DocumentMetadataResponseWrapper to: DocumentMetadataResponse kind: has_one via: documentMetadata source: openapi/optum-document-search-api-openapi.yml - from: GetDocumentResponseWrapper to: DocumentDownloadResponse kind: has_one via: getDocument source: openapi/optum-document-search-api-openapi.yml - from: DocumentMetadataResponse to: DocumentList kind: has_many via: documentList source: openapi/optum-document-search-api-openapi.yml - from: DocumentMetadataResponse to: Pagination kind: has_one via: pagination source: openapi/optum-document-search-api-openapi.yml - from: DocumentList to: DocumentInfo kind: has_one via: documentInfo source: openapi/optum-document-search-api-openapi.yml - from: EnrollmentRoot to: OtherIdentifiers kind: has_one via: otherIdentifiers source: openapi/optum-edi-enrollment-v1-openapi.yml - from: EnrollmentRoot to: PreferenceForAggregation kind: has_one via: preferenceForAggregation source: openapi/optum-edi-enrollment-v1-openapi.yml - from: EnrollmentRoot to: ProviderAddress kind: has_one via: providerAddress source: openapi/optum-edi-enrollment-v1-openapi.yml - from: EnrollmentRoot to: ProviderContact kind: has_one via: providerContact source: openapi/optum-edi-enrollment-v1-openapi.yml - from: EnrollmentRoot to: ProviderIdentifiers kind: has_one via: providerIdentifiers source: openapi/optum-edi-enrollment-v1-openapi.yml - from: EnrollmentRoot to: ProviderEnrollmentStatus kind: has_one via: statuses source: openapi/optum-edi-enrollment-v1-openapi.yml - from: ProviderEnrollmentStatus to: AssociationStatus kind: has_many via: associationStatuses source: openapi/optum-edi-enrollment-v1-openapi.yml - from: ResultSummary to: EnrollmentRoot kind: has_many via: acceptedRecords source: openapi/optum-edi-enrollment-v1-openapi.yml - from: ResultSummary to: EnrollmentRoot kind: has_many via: rejectedRecords source: openapi/optum-edi-enrollment-v1-openapi.yml - from: CoverageDiscoveryDryRunResult to: CoverageDiscoveryDryRunPath kind: has_many via: successful source: openapi/optum-enhanced-eligibility-api-openapi.yml - from: CoverageDiscoveryDryRunResult to: CoverageDiscoveryDryRunPath kind: has_many via: unsuccessful source: openapi/optum-enhanced-eligibility-api-openapi.yml - from: CoverageDiscoveryDryRunResult to: CoverageDiscoveryDryRunPath kind: has_many via: pending source: openapi/optum-enhanced-eligibility-api-openapi.yml - from: fileStatusRespObj to: fileStatusObj kind: has_many via: data source: openapi/optum-file-and-document-tracking-api-v1-openapi.yml - from: documentStatusRespObj to: docStatusObj kind: has_many via: data source: openapi/optum-file-and-document-tracking-api-v1-openapi.yml - from: documentCountRespObj to: documentCountObj kind: has_many via: data source: openapi/optum-file-and-document-tracking-api-v1-openapi.yml - from: ClaimFormat to: Transmission kind: has_many via: transmission source: openapi/optum-formatting-rule-api-openapi.yml - from: FieldGroup to: SegmentField kind: has_many via: allFields source: openapi/optum-formatting-rule-api-openapi.yml - from: FieldGroup to: SegmentField kind: has_one via: field source: openapi/optum-formatting-rule-api-openapi.yml - from: FieldGroup to: FieldGroup kind: has_one via: fieldGroup source: openapi/optum-formatting-rule-api-openapi.yml - from: FieldGroup to: SegmentField kind: has_many via: fields source: openapi/optum-formatting-rule-api-openapi.yml - from: GetClaimFormatResponse to: JsonClaimFormat kind: has_one via: claimFormat source: openapi/optum-formatting-rule-api-openapi.yml - from: JsonClaimFormat to: JsonTransmission kind: has_many via: transmissions source: openapi/optum-formatting-rule-api-openapi.yml - from: JsonClaimFormatWrapper to: JsonClaimFormat kind: has_many via: claimFormats source: openapi/optum-formatting-rule-api-openapi.yml - from: JsonSegment to: JsonSegmentField kind: has_many via: segmentFields source: openapi/optum-formatting-rule-api-openapi.yml - from: JsonSegmentField to: JsonFieldGroup kind: has_many via: fieldGroups source: openapi/optum-formatting-rule-api-openapi.yml - from: JsonSegmentField to: JsonSegmentFieldQualifier kind: has_many via: segmentFieldQualifiers source: openapi/optum-formatting-rule-api-openapi.yml - from: JsonTransmission to: JsonSegment kind: has_many via: segments source: openapi/optum-formatting-rule-api-openapi.yml - from: Prereqs to: Prereq kind: has_one via: prereq source: openapi/optum-formatting-rule-api-openapi.yml - from: SaveClaimFormatRequest to: JsonClaimFormat kind: has_one via: claimFormat source: openapi/optum-formatting-rule-api-openapi.yml - from: Segment to: SegmentField kind: has_many via: allFields source: openapi/optum-formatting-rule-api-openapi.yml - from: Segment to: SegmentField kind: has_one via: field source: openapi/optum-formatting-rule-api-openapi.yml - from: Segment to: FieldGroup kind: has_one via: fieldGroup source: openapi/optum-formatting-rule-api-openapi.yml - from: Segment to: FieldGroup kind: has_many via: fieldGroups source: openapi/optum-formatting-rule-api-openapi.yml - from: Segment to: SegmentField kind: has_many via: fields source: openapi/optum-formatting-rule-api-openapi.yml - from: SegmentField to: N1 kind: has_many via: n1List source: openapi/optum-formatting-rule-api-openapi.yml - from: SegmentField to: Prereqs kind: has_one via: prereqs source: openapi/optum-formatting-rule-api-openapi.yml - from: SegmentGroup to: Segment kind: has_many via: segment source: openapi/optum-formatting-rule-api-openapi.yml - from: Transmission to: Segment kind: has_many via: segment source: openapi/optum-formatting-rule-api-openapi.yml - from: Transmission to: SegmentGroup kind: has_one via: segmentGroup source: openapi/optum-formatting-rule-api-openapi.yml - from: UpdateClaimFormatRequest to: JsonClaimFormat kind: has_one via: claimFormat source: openapi/optum-formatting-rule-api-openapi.yml - from: StatusDetails to: DocumentDetails kind: has_many via: documents source: openapi/optum-medical-network-attachment-status-v1-openapi.yml - from: DetailedResponse to: StatusDetails kind: has_many via: status source: openapi/optum-medical-network-attachment-status-v1-openapi.yml - from: MetadataResponse to: StatusDetails kind: has_many via: status source: openapi/optum-medical-network-attachment-status-v1-openapi.yml - from: Request to: Address kind: has_one via: payerAddress source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Request to: Subscriber kind: has_one via: subscriber source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Request to: Submitter kind: has_one via: submitter source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Request to: ClaimInformation kind: has_one via: claimInformation source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Request to: Provider kind: has_one via: provider source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Request to: Dependent kind: has_one via: dependent source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Provider to: Address kind: has_one via: address source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ServiceLine to: ClaimStatus kind: has_many via: claimStatus source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ServiceLine to: AttachmentDetails kind: has_one via: attachmentDetails source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ServiceLine to: ProcedureCodeModifier kind: has_one via: procedureCodeModifier source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ServiceLine to: ProcedureOrRevenueDetails kind: has_one via: procedureOrRevenueDetails source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ServiceLine to: ServiceLineDateInformation kind: has_one via: serviceLineDateInformation source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ClaimInformation to: ServiceLine kind: has_many via: serviceLines source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: ErrorResponse to: Error kind: has_many via: errors source: openapi/optum-medical-network-attachments-submission-v1-openapi.yml - from: Request to: Provider kind: has_many via: providers source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Request to: Member kind: has_one via: dependent source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Request to: Encounter kind: has_one via: encounter source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Request to: ServiceLineInformation kind: has_one via: serviceLineInformation source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Claim to: ClaimStatus kind: has_one via: claimStatus source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Claim to: ServiceDetail kind: has_many via: serviceDetails source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ErrorResponse to: TransactionIdentifier kind: has_one via: transactionIdentifier source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ErrorResponse to: ErrorDetail kind: has_many via: errors source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Payer to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: Payer kind: has_one via: payer source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: Provider kind: has_many via: providers source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: Subscriber kind: has_one via: subscriber source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: Member kind: has_one via: dependent source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: Claim kind: has_many via: claims source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: ErrorResponse kind: has_one via: errorResponse source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: Response to: ResponseMeta kind: has_one via: meta source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ServiceDetail to: Service kind: has_one via: service source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ServiceDetail to: Status kind: has_many via: status source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: RawX12RequestExtension to: RequestExtensions kind: has_one via: extensions source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: RequestExtensions to: Extensions kind: has_many via: extensions source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ExtendedClaimStatusResponse to: ResponseExtensions kind: has_one via: extensions source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ResponseExtensions to: Extensions kind: has_many via: extensions source: openapi/optum-medical-network-claim-status-v2-openapi.yml - from: ClaimPaymentAdviceResponse to: cdpedi__x12__v5010__newmodels__claim_payment_advice__Payer kind: has_one via: payer source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimPaymentAdviceResponse to: Payee kind: has_one via: payee source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimPaymentAdviceResponse to: DetailInfo kind: has_many via: detailInfo source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimPaymentAdviceResponse to: ProviderAdjustments kind: has_many via: providerAdjustments source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimPaymentAdviceTransactionResponse to: ClaimPaymentAdviceResponse kind: has_many via: transactions source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimPaymentAdviceTransactionResponse to: Meta kind: has_one via: meta source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatus to: InformationClaimStatus kind: has_many via: informationClaimStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusDetails to: ServiceProviderClaimStatus kind: has_many via: serviceProviderClaimStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusDetails to: PatientClaimStatusDetails kind: has_many via: patientClaimStatusDetails source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusResponse to: cdpedi__x12__v5010__newmodels__claim_status_cdpedi__Payer kind: has_many via: payers source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusTransactionResponse to: ClaimStatusResponse kind: has_many via: transactions source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusTransactionResponse to: Meta kind: has_one via: meta source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusTransactions to: ProviderClaimStatus kind: has_many via: providerClaimStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ClaimStatusTransactions to: ClaimStatusDetails kind: has_many via: claimStatusDetails source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: Claims to: cdpedi__x12__v5010__newmodels__claim_status_cdpedi__ServiceLines kind: has_many via: serviceLines source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: Contact to: ContactMethods kind: has_many via: contactMethods source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ContactInformation to: ContactMethod kind: has_many via: contactMethods source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: DetailInfo to: ProviderSummaryInformation kind: has_one via: providerSummaryInformation source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: DetailInfo to: ProviderSupplementalSummaryInformation kind: has_one via: providerSupplementalSummaryInformation source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: DetailInfo to: PaymentInfo kind: has_many via: paymentInfo source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: FinancialInformation to: SenderAccountDetails kind: has_one via: senderAccountDetails source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: FinancialInformation to: ReceiverAccountDetails kind: has_one via: receiverAccountDetails source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: HTTPValidationError to: ValidationError kind: has_many via: detail source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: InformationClaimStatus to: ExtendedProviderStatus kind: has_many via: informationStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: PatientClaimStatusDetails to: Claims kind: has_many via: claims source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: PaymentInfo to: ClaimAdjustments kind: has_many via: claimAdjustments source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: PaymentInfo to: ContactInformation kind: has_many via: claimContactInformation source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: PaymentInfo to: cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines kind: has_many via: serviceLines source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ProviderAdjustments to: Adjustments kind: has_many via: adjustments source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ProviderClaimStatus to: ProviderStatus kind: has_many via: providerStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ReportContent to: Meta kind: has_one via: meta source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ReportDeleted to: Meta kind: has_one via: meta source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: Reports to: Meta kind: has_one via: meta source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ServiceClaimStatus to: ExtendedProviderStatus kind: has_many via: serviceStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: ServiceProviderClaimStatus to: ProviderStatus kind: has_many via: serviceProviderStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: TechnicalContactInformation to: TechnicalContactMethod kind: has_many via: contactMethods source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: cdpedi__x12__v5010__newmodels__claim_payment_advice__Payer to: TechnicalContactInformation kind: has_many via: technicalContactInformation source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines to: ClaimAdjustments kind: has_many via: serviceAdjustments source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines to: HealthCareCheckRemarkCodes kind: has_many via: healthCareCheckRemarkCodes source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: cdpedi__x12__v5010__newmodels__claim_payment_advice__ServiceLines to: HealthCarePolicyIdentification kind: has_many via: healthCarePolicyIdentification source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: cdpedi__x12__v5010__newmodels__claim_status_cdpedi__Payer to: ClaimStatusTransactions kind: has_many via: claimStatusTransactions source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: cdpedi__x12__v5010__newmodels__claim_status_cdpedi__ServiceLines to: ServiceClaimStatus kind: has_many via: serviceClaimStatuses source: openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml - from: Encounter to: MedicalProcedure kind: has_many via: medicalProcedures source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: InformationReceiverName to: Address kind: has_one via: address source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: MedicalEligibility to: Provider kind: has_one via: provider source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: MedicalEligibility to: InformationReceiverName kind: has_one via: informationReceiverName source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: MedicalEligibility to: RequestSubscriber kind: has_one via: subscriber source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: MedicalEligibility to: RequestDependent kind: has_many via: dependents source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: MedicalEligibility to: Encounter kind: has_one via: encounter source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: RequestDependent to: HealthCareInformation kind: has_many via: healthCareCodeInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: RequestDependent to: Address kind: has_one via: address source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: RequestDependent to: AdditionalIdentification kind: has_one via: additionalIdentification source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: RequestSubscriber to: HealthCareInformation kind: has_many via: healthCareCodeInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: RequestSubscriber to: Address kind: has_one via: address source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: RequestSubscriber to: AdditionalIdentification kind: has_one via: additionalIdentification source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsDateInformation to: DtpDate kind: has_many via: discharges source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsDateInformation to: DtpDate kind: has_many via: admissions source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: CompositeMedicalProcedureIdentifier kind: has_one via: compositeMedicalProcedureIdentifier source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: BenefitsAdditionalInformation kind: has_one via: benefitsAdditionalInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: BenefitsDateInformation kind: has_one via: benefitsDateInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: BenefitsRelatedEntity kind: has_one via: benefitsRelatedEntity source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: BenefitsRelatedEntity kind: has_many via: benefitsRelatedEntities source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: BenefitsServiceDelivery kind: has_many via: benefitsServiceDelivery source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: AdditionalInformation kind: has_many via: additionalInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: EligibilityAdditionalInformation kind: has_one via: eligibilityAdditionalInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsInformation to: EligibilityAdditionalInformation kind: has_many via: eligibilityAdditionalInformationList source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsRelatedEntity to: Address kind: has_one via: address source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsRelatedEntity to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: BenefitsRelatedEntity to: ProviderInformation kind: has_one via: providerInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ContactInformation to: Contacts kind: has_many via: contacts source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Payer to: Error kind: has_many via: aaaErrors source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: MetaData kind: has_one via: meta source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: ResponseProvider kind: has_one via: provider source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: ResponseMember kind: has_one via: subscriber source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: SubscriberTraceNumber kind: has_many via: subscriberTraceNumbers source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: ResponseMember kind: has_many via: dependents source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: PlanInformation kind: has_one via: planInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: PlanDateInformation kind: has_one via: planDateInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: PlanStatus kind: has_many via: planStatus source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: BenefitsInformation kind: has_many via: benefitsInformation source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: Response to: Error kind: has_many via: errors source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseMember to: HealthCareDiagnosisCode kind: has_many via: healthCareDiagnosisCodes source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseMember to: Address kind: has_one via: address source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseMember to: ResponseProvider kind: has_one via: responseProvider source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseMember to: Error kind: has_many via: aaaErrors source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseMember to: Error kind: has_many via: allAAAErrors source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseProvider to: Address kind: has_one via: address source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: ResponseProvider to: Error kind: has_many via: aaaErrors source: openapi/optum-medical-network-eligibility-v3-openapi.yml - from: billing to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: billing to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: referring to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: referring to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: rendering to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: rendering to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: attending to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: attending to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimAdjustment to: ClaimAdjustmentDetails kind: has_many via: claimAdjustmentDetails source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ClaimNotes kind: has_one via: claimNotes source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ClaimDateInformation kind: has_one via: claimDateInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ClaimContractInformation kind: has_one via: claimContractInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ClaimSupplementalInformation kind: has_one via: claimSupplementalInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: PrincipalDiagnosis kind: has_one via: principalDiagnosis source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: AdmittingDiagnosis kind: has_one via: admittingDiagnosis source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: PatientReasonForVisit kind: has_many via: patientReasonForVisits source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ExternalCauseOfInjury kind: has_many via: externalCauseOfInjuries source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: DiagnosisRelatedGroupInformation kind: has_one via: diagnosisRelatedGroupInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: PrincipalProcedureInformation kind: has_one via: principalProcedureInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ClaimPricingInformation kind: has_one via: claimPricingInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ServiceFacilityLocation kind: has_one via: serviceFacilityLocation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: OtherSubscriberInformation kind: has_one via: otherSubscriberInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: ClaimCodeInformation kind: has_one via: claimCodeInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimInformation to: EpsdtReferral kind: has_one via: epsdtReferral source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ClaimSupplementalInformation to: ReportInformation kind: has_one via: reportInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: Dependent to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: Submitter kind: has_one via: submitter source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: Receiver kind: has_one via: receiver source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: Subscriber kind: has_one via: subscriber source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: Dependent kind: has_one via: dependent source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: attending kind: has_many via: providers source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: PayToPlanName kind: has_one via: billingPayToPlanName source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: PayToAddressName kind: has_one via: billingPayToAddressName source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: operatingPhysician kind: has_one via: operatingPhysician source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: otherOperatingPhysician kind: has_one via: otherOperatingPhysician source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: ClaimInformation kind: has_one via: claimInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: Address kind: has_one via: payerAddress source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: billing kind: has_one via: billing source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: referring kind: has_one via: referring source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: rendering kind: has_one via: rendering source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: InstitutionalClaimsRequest to: attending kind: has_one via: attending source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: LineAdjudicationInformation to: ClaimAdjustment kind: has_many via: lineAdjustment source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: LineAdjustmentInformation to: ClaimAdjustment kind: has_one via: claimAdjustment source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerAttendingProvider to: ReferenceIdentification kind: has_many via: otherPayerAttendingProviderIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerBillingProvider to: ReferenceIdentification kind: has_many via: otherPayerBillingProviderIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerName to: Address kind: has_one via: otherPayerAddress source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerName to: ReferenceIdentification kind: has_many via: otherPayerSecondaryIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerOperatingPhysician to: ReferenceIdentification kind: has_many via: otherPayerOperatingPhysicianIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerOtherOperatingPhysician to: ReferenceIdentification kind: has_many via: otherPayerOtherOperatingPhysicianIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerReferringProvider to: ReferenceIdentification kind: has_many via: otherPayerReferringProviderIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerRenderingProvider to: ReferenceIdentification kind: has_many via: otherPayerRenderingProviderIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherPayerServiceFacilityLocation to: ReferenceIdentification kind: has_many via: otherPayerServiceFacilityLocationIdentifier source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: MedicareInpatientAdjudication kind: has_one via: medicareInpatientAdjudication source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: MedicareOutpatientAdjudication kind: has_one via: medicareOutpatientAdjudication source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherSubscriberName kind: has_one via: otherSubscriberName source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: ClaimAdjustment kind: has_many via: claimLevelAdjustments source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerName kind: has_one via: otherPayerName source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerAttendingProvider kind: has_one via: otherPayerAttendingProvider source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerOperatingPhysician kind: has_one via: otherPayerOperatingPhysician source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerOtherOperatingPhysician kind: has_one via: otherPayerOtherOperatingPhysician source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerServiceFacilityLocation kind: has_one via: otherPayerServiceFacilityLocation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerRenderingProvider kind: has_one via: otherPayerRenderingProvider source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerReferringProvider kind: has_one via: otherPayerReferringProvider source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberInformation to: OtherPayerBillingProvider kind: has_one via: otherPayerBillingProvider source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: OtherSubscriberName to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: PayToAddressName to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: PayToPlanName to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceFacilityLocation to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: LineAdjudicationInformation kind: has_many via: lineAdjudicationInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: ServiceLineProvider kind: has_one via: renderingProvider source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: ServiceLineProvider kind: has_one via: referringProvider source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: ClaimSupplementalInformation kind: has_one via: lineSupplementInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: InstitutionalService kind: has_one via: institutionalService source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: ServiceLineSupplementalInformation kind: has_one via: serviceLineSupplementalInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: ServiceLineReferenceInformation kind: has_one via: serviceLineReferenceInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: LinePricingInformation kind: has_one via: linePricingInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: DrugIdentification kind: has_one via: drugIdentification source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: LineAdjustmentInformation kind: has_one via: lineAdjustmentInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: OperatingPhysician kind: has_one via: operatingPhysician source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: OperatingPhysician kind: has_one via: otherOperatingPhysician source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLine to: ClaimPricingInformation kind: has_one via: lineRepricingInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLineProvider to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLineProvider to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ServiceLineProvider to: ReferenceIdentification kind: has_many via: referenceIdentification source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: Submitter to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: Subscriber to: Address kind: has_one via: address source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: Response to: ClaimReference kind: has_one via: claimReference source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: Response to: EditResponse kind: has_many via: editResponses source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: Response to: Failure kind: has_one via: failure source: openapi/optum-medical-network-institutional-claims-v1-openapi.yml - from: ordering to: Address kind: has_one via: address source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ordering to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: supervising to: Address kind: has_one via: address source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: supervising to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimAdjustment to: ClaimAdjustmentDetails kind: has_many via: adjustmentDetails source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: ClaimNote kind: has_one via: claimNote source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: AmbulanceTransportInformation kind: has_one via: ambulanceTransportInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: SpinalManipulationServiceInformation kind: has_one via: spinalManipulationServiceInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: AmbulanceCertification kind: has_many via: ambulanceCertification source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: PatientConditionInformationVision kind: has_many via: patientConditionInformationVision source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: HealthCareInformation kind: has_many via: healthCareCodeInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: ConditionInformation kind: has_many via: conditionInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: ClaimPricingRepricingInformation kind: has_one via: claimPricingRepricingInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: Address kind: has_one via: ambulancePickUpLocation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: Address kind: has_one via: ambulanceDropOffLocation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimInformation to: OtherSubscriberInformation kind: has_many via: otherSubscriberInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: Submitter kind: has_one via: submitter source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: Receiver kind: has_one via: receiver source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: Subscriber kind: has_one via: subscriber source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: Dependent kind: has_one via: dependent source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: supervising kind: has_many via: providers source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: ClaimInformation kind: has_one via: claimInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: Address kind: has_one via: payToAddress source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: PayToPlan kind: has_one via: payToPlan source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: Address kind: has_one via: payerAddress source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: billing kind: has_one via: billing source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: referring kind: has_one via: referring source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: rendering kind: has_one via: rendering source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: ordering kind: has_one via: ordering source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: ClaimSubmissionRequest to: supervising kind: has_one via: supervising source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: Dependent to: ContactInformation kind: has_one via: contactInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: FormIdentification to: SupportingDocumentation kind: has_many via: supportingDocumentation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: LineAdjudicationInformation to: ClaimAdjustment kind: has_many via: claimAdjustmentInformation source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: OtherPayerRenderingProvider to: ReferenceIdentification kind: has_many via: otherPayerRenderingProviderSecondaryIdentifier source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: OtherPayerServiceFacilityLocation to: ReferenceIdentification kind: has_many via: otherPayerServiceFacilityLocationSecondaryIdentifier source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: OtherPayerSupervisingProvider to: ReferenceIdentification kind: has_many via: otherPayerSupervisingProviderIdentifier source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: OtherSubscriberInformation to: OtherPayerReferringProvider kind: has_many via: otherPayerReferringProvider source: openapi/optum-medical-network-professional-claims-v3-openapi.yml - from: OtherSubscriberInformation to: OtherPayerRenderingProvider kind: has_many via: otherPayerRenderingProvider source: openapi/optum-medical-network-professional-claims-v3-openapi.yml