Optum Agentic Access
Optum exposes 483 API operations that an AI agent could call, of which 122 are state-changing ‘acting’ operations. This is a recommended x-agentic-access execution contract — the scope, audience, consequence tier, short-lived token constraints, and escalation each action should carry before it is handed to an autonomous agent.
By consequence: 361 read, 115 write, 4 physical, and 3 safety-critical.
3 operations are classed safety-critical and should require human-in-the-loop approval at runtime.
Contracts are classified heuristically from the provider’s OpenAPI and refresh on every APIs.io network build; audience is bound per deployment. The model follows Curity’s Access Intelligence (apidays Munich 2026). Browse every provider’s agent contracts at agentic-access.apis.io.
By consequence
Highest-consequence actions
The physical and safety-critical operations an agent could invoke — the ones that most warrant scoped tokens, tight TTLs, and escalation. Full per-operation contracts are in the source below.
| Method | Path | Consequence | Human-in-loop |
|---|---|---|---|
| POST | /app/optum/facility/claim/reset | safety-critical | required |
| POST | /app/optum/facility/claim/reset | safety-critical | required |
| POST | /pharmacy-claims | safety-critical | required |
| POST | /oihub/fhirpriorauth/v1/cdsHooksServer/{payerId}/{lob}/api/cds-services/crd-order-sign | physical | conditional |
| POST | /om/placeOrder | physical | conditional |
| POST | /om/v1/client-orders | physical | conditional |
| PATCH | /payments/pes-payer-enrollments/v1 | physical | conditional |
Source
Agentic Access
generated: '2026-08-14'
method: generated
source: openapi/optum-abm-care-decision-support-api-openapi.yml, openapi/optum-abm-pre-pay-lab-api-1-0-0-openapi.yml,
openapi/optum-abm-prepay-dme-claim-api-1-0-0-openapi.yml, openapi/optum-abm-priorauth-api-1-0-0-openapi.yml,
openapi/optum-attachment-openapi.yml, openapi/optum-auth-referral-submission-api-openapi.yml,
openapi/optum-auth-referral-submission-health-check-openapi.yml, openapi/optum-authorization-auth-only-openapi.yml,
openapi/optum-benefit-check-api-openapi.yml, openapi/optum-claim-actions-api-openapi.yml,
openapi/optum-claim-actions-health-check-openapi.yml, openapi/optum-claim-inquiry-api-openapi.yml,
openapi/optum-claim-inquiry-health-check-openapi.yml, openapi/optum-claim-pre-check-api-openapi.yml,
openapi/optum-cms-common-facility-openapi.yml, openapi/optum-cms-common-physician-openapi.yml,
openapi/optum-core-service-openapi.yml, openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml,
openapi/optum-dental-attachment-api-openapi.yml, openapi/optum-dental-pre-care-estimate-api-openapi.yml,
openapi/optum-document-search-api-openapi.yml, openapi/optum-document-search-health-check-openapi.yml,
openapi/optum-edi-enrollment-v1-openapi.yml, openapi/optum-eligibility-pre-service-health-check-openapi.yml,
openapi/optum-enhanced-eligibility-api-openapi.yml, openapi/optum-file-and-document-tracking-api-v1-openapi.yml,
openapi/optum-formatting-rule-api-openapi.yml, openapi/optum-medical-network-attachment-retrieval-v1-openapi.yml,
openapi/optum-medical-network-attachment-status-v1-openapi.yml, 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,
openapi/optum-medical-network-eligibility-v3-openapi.yml, openapi/optum-medical-network-institutional-claims-v1-openapi.yml,
openapi/optum-medical-network-professional-claims-v3-openapi.yml, openapi/optum-ncc-data-acquisition-api-openapi.yml,
openapi/optum-odx-v3-xdr-ingestion-service-api-openapi.yml, openapi/optum-optum-common-facility-openapi.yml,
openapi/optum-optum-common-physician-openapi.yml, openapi/optum-optum-real-health-check-api-openapi.yml,
openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml, openapi/optum-optum-real-time-econtent-web-services-openapi.yml,
openapi/optum-patient-benefit-check-health-check-openapi.yml, openapi/optum-payer-list-api-v1-openapi.yml,
openapi/optum-pes-payer-enrollments-v1-openapi.yml, openapi/optum-prior-authorization-v1-openapi.yml,
openapi/optum-prometheus-analytics-api-job-submission-openapi.yml, openapi/optum-prometheus-analytics-checkjob-openapi.yml,
openapi/optum-real-dental-attachments-api-openapi.yml, openapi/optum-real-dental-claim-status-api-openapi.yml,
openapi/optum-real-dental-claim-submission-api-openapi.yml, openapi/optum-real-dental-pre-care-eligibility-api-openapi.yml,
openapi/optum-real-dental-pre-care-eligibility-intelligence-api-openapi.yml, openapi/optum-real-prior-authorization-api-openapi.yml,
openapi/optum-real-provider-access-api-openapi.yml, openapi/optum-security-and-authorization-v2-openapi.yml,
openapi/optum-security-and-authorization-v3-openapi.yml, openapi/optum-submitter-api-openapi.yml,
openapi/optum-telecom-formatter-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: 483
by_action_class:
acting: 122
connected: 361
by_consequence:
write: 115
read: 361
physical: 4
safety-critical: 3
human_in_the_loop_required: 3
operations:
- path: /abm/dsrservice/v1
method: post
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: /abm/dsrservicesearch/v1/{decisionSupportNumber}
method: get
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /abm/dsrservicesearch/v1/{decisionSupportNumber}
method: delete
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: /abm/dsrservicehc/v1
method: get
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /abm/dsrservicesearch/v1/
method: get
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /abm/prepaylab/v1
method: post
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: /abm/prepaydme/v1
method: post
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: /abm/priorauth/v1
method: post
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: /oihub/claim/actions/v1
method: post
operationId: claimActions
x-agentic-access:
action-class: acting
consequence: write
subject: required
scope:
- read_healthcheck
audience: null
token:
max-ttl: 900
escalation:
human-in-the-loop: conditional
triggers:
- abnormal
- high-value
audit: required
- path: /oihub/patient/auth/referral/v1
method: post
operationId: authReferralSubmission
x-agentic-access:
action-class: acting
consequence: write
subject: required
scope:
- read_healthcheck
audience: null
token:
max-ttl: 900
escalation:
human-in-the-loop: conditional
triggers:
- abnormal
- high-value
audit: required
- path: /oihub/patient/auth/referral/v1/healthcheck
method: get
operationId: healthCheck
x-agentic-access:
action-class: connected
consequence: read
subject: optional
scope:
- read_healthcheck
token:
max-ttl: 3600
audit: none
- path: /apip/auth/sntl/v1/token
method: post
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: /oihub/patient/benefit/check/v1
method: post
operationId: benefitCheck
x-agentic-access:
action-class: acting
consequence: write
subject: required
scope:
- read_healthcheck
audience: null
token:
max-ttl: 900
escalation:
human-in-the-loop: conditional
triggers:
- abnormal
- high-value
audit: required
- path: /oihub/claim/actions/v1
method: post
operationId: claimActions
x-agentic-access:
action-class: acting
consequence: write
subject: required
scope:
- read_healthcheck
audience: null
token:
max-ttl: 900
escalation:
human-in-the-loop: conditional
triggers:
- abnormal
- high-value
audit: required
- path: /oihub/claim/actions/v1/healthcheck
method: get
operationId: healthCheck
x-agentic-access:
action-class: connected
consequence: read
subject: optional
scope:
- read_healthcheck
token:
max-ttl: 3600
audit: none
- path: /oihub/claim/inquiry/v1
method: post
operationId: claimInquiry
x-agentic-access:
action-class: acting
consequence: write
subject: required
scope:
- read_healthcheck
audience: null
token:
max-ttl: 900
escalation:
human-in-the-loop: conditional
triggers:
- abnormal
- high-value
audit: required
- path: /oihub/claim/inquiry/v1/healthcheck
method: get
operationId: healthCheck
x-agentic-access:
action-class: connected
consequence: read
subject: optional
scope:
- read_healthcheck
token:
max-ttl: 3600
audit: none
- path: /pre-service/v1/claim/precheck
method: post
operationId: claimPreCheck
x-agentic-access:
action-class: acting
consequence: write
subject: required
scope:
- read_healthcheck
audience: null
token:
max-ttl: 900
escalation:
human-in-the-loop: conditional
triggers:
- abnormal
- high-value
audit: required
- path: /api/cms/facility/supporting-documents/
method: post
operationId: getSupportingDocumentationDetails
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: /api/cms/common/transmittal/
method: post
operationId: getCMSTransmittal
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: /api/cms/common/policy-lookup/
method: post
operationId: searchPolicyLookup
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: /app/cms/common/policy-lookup/{policy-id}/related-articles
method: get
operationId: fetchRelatedLCDPolicyByPolicyById
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /app/cms/common/cci/modifiers/{code}
method: get
operationId: fetchRelatedLCDPolicyByPolicyById_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /app/cms/common/cci/codeValidator
method: get
operationId: fetchValidCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{mueType}/mue
method: get
operationId: getMueTableData
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{iomType}/iom-policy/{codeType}/{code}
method: get
operationId: getCMSIOMSPolicies
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{cmsType}/policy-list/ncd/{contractorPart}/{codetype}/{code}
method: get
operationId: getNCDPolicyList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{cmsType}/policy-list/lcd/{contractorPart}/{codetype}/{code}
method: get
operationId: getLCDPolicyList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{procedure-device-type}
method: get
operationId: getProcedureToDeviceToProcedureCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{procedure-device-type}/{device-or-procedure-code}
method: get
operationId: getProcedureToDeviceToProcedureCodeSpecific
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{device-type}
method: get
operationId: fetchDeviceCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{codetype}/mce-edits
method: get
operationId: fetchMCEEdits
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{codetype}/{code}/drgs
method: get
operationId: drgCodesForIcdCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{codetype}/{code}/{conditiontype}/cc-mcc
method: get
operationId: getCCMCCCodeExcludesList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{codetype}/cc-mcc/code-list
method: get
operationId: getCCMCCCodeList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{codeType}/diagnosis/{code}/ioce-edits
method: get
operationId: getIOCEAssociatedForICD10CmI9V1Code
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{codeType}/procedure/{code}/ioce-edits
method: get
operationId: getIOCEAssociatedForCptHcpcsCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{apctype}
method: get
operationId: fetchAPCCrossCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{apctype}/{code}
method: get
operationId: fetchCodeSpecificAPCCrossCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/{apcCode}/apc-cross-codes
method: get
operationId: fetchAPCCrossCodeDetail
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/tob-oce
method: get
operationId: getTobOce
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/tob-oce/{code}
method: get
operationId: getTobOceByCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/supporting-documents/{doc-id}/document-download
method: get
operationId: getSupportingDocumentPDF
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/remittance-advice-remark-codes/
method: get
operationId: getRemittanceAdviceCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mpfs/payment/{carrier}/{locality}
method: get
operationId: getMPFSFacilityPayment
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mdc/{codetype}/{mdccode}/drg
method: get
operationId: fetchDRGCodeListForMDC
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mdc/{codetype}/all
method: get
operationId: fetchMCEEdits_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mce/associated-icd9/{id}
method: get
operationId: getMCEAssociatedICD9Codes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mce-associated-icd10/parent/{mce_code}
method: get
operationId: getMCEAssociatedICD10ParentCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mce-associated-icd10/dropdown/{id}
method: get
operationId: getDropdownValues
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/mce-associated-icd10/child/{conditionalId}
method: get
operationId: getMCEAssociatedICD10ChildCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/ioce-edits
method: get
operationId: getIOCEEdits
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/ioce-edits/codes-associated-with-edit/{edit-number}
method: get
operationId: getCodesAssociatedForEdit
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/icd9/{code}/mce-edits
method: get
operationId: getMCEEditsICD9
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/icd10/{icd10Code}/mce-edits
method: get
operationId: fetchMCEEditsICD10
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/health-care-reason-codes
method: get
operationId: getHealthCareReasonCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/drg/{drg-code}/icd9/cross-codes
method: get
operationId: getI9CodesForDrgCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/drg/{drg-code}/icd10/cross-codes
method: get
operationId: getI10CodesForDrgCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/drg/{codetype}/all
method: get
operationId: drgCodesAll
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/device-offset-code-pairs
method: get
operationId: getDeviceOffsetCodePairs
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/claim-status-codes
method: get
operationId: getClaimStatusCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/claim-status-category-codes
method: get
operationId: getClaimStatusCategoryCode
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/cci/{code}/{column-type}
method: get
operationId: getSingleCodeView_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/cci/print
method: get
operationId: printCCIResults_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/cci/effective-date-version
method: get
operationId: getCCIEffectiveDateAndVersionDesc
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/cci/conflict-view
method: get
operationId: getMultiCodeCodeView_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/cci/cci-edits-list/{list-type}
method: get
operationId: getCCIEditsList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/facility/carc
method: get
operationId: fetchCARCList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/transmittal/{doc-id}/{doc-source-id}/transmittal-download
method: get
operationId: getCMSTransmittalDocument
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/transmittal/{code}
method: get
operationId: getCodeDetailCMSTransmittals
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/release-date/{id}
method: get
operationId: getReleaseDate
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/policy-lookup/{policy-type}/{policy-number}
method: get
operationId: fetchPolicyByIdValue
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/policy-list/ncd/{contractorPart}
method: get
operationId: getMedicareNCDPolicyList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/policy-list/lcd/{contractorPart}
method: get
operationId: getMedicareLCDPolicyList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/noc/pricing-list
method: get
operationId: getNocDrugPriceList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/medicare-contractors
method: get
operationId: fetchMedicareContractors
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/hcc/{hccType}/{hccCode}/diagnosis-codes
method: get
operationId: getDiagnosisCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/hcc/{hccType}/codes
method: get
operationId: getHCCCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/hcc/{codetype}/{code}/code
method: get
operationId: getHCCDiagnosisCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/fee-schedule/{fee-schedule-type}
method: get
operationId: getOutpatientFees
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/fee-schedule/{fee-schedule-type}/{state}
method: get
operationId: getOutpatientFees_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/fee-schedule/zip-code/{state}
method: get
operationId: getZipCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/fee-schedule/states/state-list
method: get
operationId: getStateList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/clinical-diagnostic
method: get
operationId: getClinicalDiagnostic
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/average-sales/sales-price
method: get
operationId: getAverageSales
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/ambulance/medicare-localities
method: get
operationId: getMedicareCarrierLocalities
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/common/ambulance/ambulance-fee-schedule/{carrier}/{locality}
method: get
operationId: getAmbulanceFees
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/qpp/
method: post
operationId: getTableData
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: /api/cms/common/transmittal/
method: post
operationId: getCMSTransmittal
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: /api/cms/common/policy-lookup/
method: post
operationId: searchPolicyLookup
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: /app/cms/common/policy-lookup/{policy-id}/related-articles
method: get
operationId: fetchRelatedLCDPolicyByPolicyById
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /app/cms/common/cci/modifiers/{code}
method: get
operationId: fetchRelatedLCDPolicyByPolicyById_1
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /app/cms/common/cci/codeValidator
method: get
operationId: fetchValidCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{mueType}/mue
method: get
operationId: getMueTableData
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{iomType}/iom-policy/{codeType}/{code}
method: get
operationId: getCMSIOMSPolicies
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{cmsType}/policy-list/ncd/{contractorPart}/{codetype}/{code}
method: get
operationId: getNCDPolicyList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/{cmsType}/policy-list/lcd/{contractorPart}/{codetype}/{code}
method: get
operationId: getLCDPolicyList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/{code}/physician-time
method: get
operationId: getPhysicianTime
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/qpp/{doc-id}/mips-download
method: get
operationId: qppMipsDocument
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/qpp/specialty-measures
method: get
operationId: getSpecialtyMeasures
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/qpp/measure-types
method: get
operationId: getMeasureTypes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/status-codes
method: get
operationId: getStatusCodes
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/payment-indicators/{ruletype}
method: get
operationId: getPaymentIndicatorList
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/payment-indicator-status/{code}
method: get
operationId: fetchPaymentIndicatorAndStatusFees
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/national-physician-relative-file
method: get
operationId: getRelativeFile
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/global-days/{code}
method: get
operationId: getGlobalDays
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/fee-schedule/{codetype}/{code}/{carrier}/{locality}
method: get
operationId: fetchMedicareFees
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/fee-schedule/mpfs-reduction-groups/hcpcs/{code}
method: get
operationId: getHcpcsMedicareReductionGroups
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/mpfs/fee-schedule/mpfs-reduction-groups/cpt/{code}
method: get
operationId: getCptMedicareReductionGroups
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/cci/{market-type}/print
method: get
operationId: printCCIResults
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
audit: none
- path: /api/cms/physician/cci/{market-type}/conflict-view
method: get
operationId: getMultiCodeConflictView
x-agentic-access:
action-class: connected
consequence: read
subject: optional
token:
max-ttl: 3600
aud
# --- truncated at 32 KB (130 KB total) ---
# Full source: https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/agentic-access/optum-agentic-access.yml
Work with this as data
Every access contract here is available over the APIs.io API and to AI agents over MCP. Agentic Access is not yet its own endpoint on the v1 API. Reach it through catalog search and the tag graph, or the MCP server.
MCP server
One button, every client — Claude, Cursor, VS Code and the rest.
https://apis.io/mcp
Tools for agentic access
3 MCP tools reach this
apis_io_searchSTART HERE — APIs, providers and tags for one query, each with its total.resolveTurn a domain, URL or GitHub org into the provider it belongs to.find_cohortsEvery scored population of providers in the catalog.
Call it yourself
curl for this page
curl "https://apis.io/api/v1/search?q=optum-agentic-access&limit=10"
curl "https://apis.io/api/v1/tags/optum-agentic-access"
Discovery needs no key. Ratings and market analysis are Pro.