generated: '2026-07-15'
method: generated
source: openapi/unitedhealthcare-interoperability-api-openapi.yml, openapi/unitedhealthcare-provider-api-openapi.yml
description: Recommended x-agentic-access execution contracts, classified heuristically from
  the OpenAPI. A governance starting point for exposing this API to AI agents — review and bind
  audience per deployment. See research/curity/agentic-governance/.
summary:
  operations: 12
  by_action_class:
    connected: 7
    acting: 5
  by_consequence:
    read: 7
    write: 5
  human_in_the_loop_required: 0
operations:
- path: /Patient/{id}
  method: get
  operationId: getPatient
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none
- path: /ExplanationOfBenefit
  method: get
  operationId: listExplanationOfBenefit
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none
- path: /Coverage
  method: get
  operationId: listCoverage
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none
- path: /Practitioner
  method: get
  operationId: listPractitioners
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none
- path: /Organization
  method: get
  operationId: listOrganizations
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none
- path: /MedicationKnowledge
  method: get
  operationId: listFormulary
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none
- path: /eligibility/v1/real-time
  method: post
  operationId: checkEligibility
  x-agentic-access:
    action-class: acting
    consequence: write
    subject: required
    audience: null
    token:
      max-ttl: 900
    escalation:
      human-in-the-loop: conditional
      triggers:
      - abnormal
      - high-value
    audit: required
- path: /eligibility/v1/patient-benefit-check
  method: post
  operationId: checkPatientBenefit
  x-agentic-access:
    action-class: acting
    consequence: write
    subject: required
    audience: null
    token:
      max-ttl: 900
    escalation:
      human-in-the-loop: conditional
      triggers:
      - abnormal
      - high-value
    audit: required
- path: /claims/v1/pre-check
  method: post
  operationId: claimPreCheck
  x-agentic-access:
    action-class: acting
    consequence: write
    subject: required
    audience: null
    token:
      max-ttl: 900
    escalation:
      human-in-the-loop: conditional
      triggers:
      - abnormal
      - high-value
    audit: required
- path: /claims/v1/inquiry
  method: post
  operationId: inquireClaim
  x-agentic-access:
    action-class: acting
    consequence: write
    subject: required
    audience: null
    token:
      max-ttl: 900
    escalation:
      human-in-the-loop: conditional
      triggers:
      - abnormal
      - high-value
    audit: required
- path: /prior-auth/v1/check
  method: post
  operationId: checkPriorAuth
  x-agentic-access:
    action-class: acting
    consequence: write
    subject: required
    audience: null
    token:
      max-ttl: 900
    escalation:
      human-in-the-loop: conditional
      triggers:
      - abnormal
      - high-value
    audit: required
- path: /providers/v1/demographics
  method: get
  operationId: getProviderDemographics
  x-agentic-access:
    action-class: connected
    consequence: read
    subject: optional
    token:
      max-ttl: 3600
    audit: none