{
  "opencollection": "1.0.0",
  "info": {
    "name": "UnitedHealth Group Optum Clinical Data Patient Access API",
    "version": "R4"
  },
  "request": {
    "auth": {
      "type": "bearer",
      "token": "{{bearerToken}}"
    }
  },
  "items": [
    {
      "info": {
        "name": "Patient Access",
        "type": "folder"
      },
      "items": [
        {
          "info": {
            "name": "UnitedHealth Group Get Patient Demographics",
            "type": "http"
          },
          "http": {
            "method": "GET",
            "url": "https://api.uhc.com/fhir/R4/Patient/:id",
            "params": [
              {
                "name": "id",
                "value": "",
                "type": "path",
                "description": "FHIR Patient resource logical ID (maps to member ID)"
              }
            ]
          },
          "docs": "Retrieve FHIR R4 Patient resource for a UnitedHealthcare member including demographic information, member identifiers, contact details, and language preferences as required by the CMS Patient Access rule."
        },
        {
          "info": {
            "name": "UnitedHealth Group List Claims as Explanation of Benefit",
            "type": "http"
          },
          "http": {
            "method": "GET",
            "url": "https://api.uhc.com/fhir/R4/ExplanationOfBenefit",
            "params": [
              {
                "name": "patient",
                "value": "",
                "type": "query",
                "description": "Patient resource ID to retrieve ExplanationOfBenefits for"
              },
              {
                "name": "type",
                "value": "",
                "type": "query",
                "description": "Claim type filter (professional, institutional, pharmacy, oral)"
              },
              {
                "name": "_lastUpdated",
                "value": "",
                "type": "query",
                "description": "Filter by last updated date/time in FHIR date format"
              },
              {
                "name": "service-date",
                "value": "",
                "type": "query",
                "description": "Filter by service date (FHIR date format)"
              },
              {
                "name": "_count",
                "value": "",
                "type": "query",
                "description": "Maximum number of results per page"
              },
              {
                "name": "_offset",
                "value": "",
                "type": "query",
                "description": "Pagination offset"
              }
            ]
          },
          "docs": "Retrieve FHIR R4 ExplanationOfBenefit (EOB) resources for a member providing comprehensive claims data including services rendered, diagnosis codes, procedure codes, amounts billed and paid, and adjudication details. Supports CMS Patient Access rule compliance for claims data access."
        },
        {
          "info": {
            "name": "UnitedHealth Group List Member Coverage",
            "type": "http"
          },
          "http": {
            "method": "GET",
            "url": "https://api.uhc.com/fhir/R4/Coverage",
            "params": [
              {
                "name": "patient",
                "value": "",
                "type": "query",
                "description": "Patient resource ID"
              },
              {
                "name": "status",
                "value": "",
                "type": "query",
                "description": "Coverage status filter"
              }
            ]
          },
          "docs": "Retrieve FHIR R4 Coverage resources for a member including current and historical insurance coverage details, plan names, benefit periods, group and member identifiers, and payer information across UnitedHealthcare commercial, Medicare, and Medicaid lines of business."
        }
      ]
    }
  ],
  "bundled": true
}