{
  "opencollection": "1.0.0",
  "info": {
    "name": "UnitedHealthcare Interoperability Claims Patient Access API",
    "version": "1.0"
  },
  "request": {
    "auth": {
      "type": "bearer",
      "token": "{{bearerToken}}"
    }
  },
  "items": [
    {
      "info": {
        "name": "Patient Access",
        "type": "folder"
      },
      "items": [
        {
          "info": {
            "name": "UnitedHealthcare 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 ID (member ID)"
              }
            ]
          },
          "docs": "Retrieve FHIR R4 Patient resource for a UnitedHealthcare member including demographic information, identifiers, and contact details as required by the CMS Patient Access rule."
        },
        {
          "info": {
            "name": "UnitedHealthcare List Explanation of Benefits",
            "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 EOBs for"
              },
              {
                "name": "_lastUpdated",
                "value": "",
                "type": "query",
                "description": "Filter by last updated date (FHIR date parameter)"
              },
              {
                "name": "type",
                "value": "",
                "type": "query",
                "description": "Filter by claim type (professional, institutional, pharmacy)"
              },
              {
                "name": "_count",
                "value": "",
                "type": "query",
                "description": "Maximum number of results to return"
              }
            ]
          },
          "docs": "Retrieve FHIR R4 ExplanationOfBenefit resources for a member, providing claims data including services rendered, amounts billed, allowed amounts, and payment details as required by CMS interoperability rules."
        },
        {
          "info": {
            "name": "UnitedHealthcare List 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 (active, cancelled, draft)"
              }
            ]
          },
          "docs": "Retrieve FHIR R4 Coverage resources for a member including current and historical insurance coverage details, plan information, and benefit periods."
        }
      ]
    }
  ],
  "bundled": true
}